Choosing initial MS therapy; personal, disease, and medication factors

Initiating disease modifying therapy in a patient with newly diagnosed relapsing multiple sclerosis currently offers the best opportunity to influence their subsequent disease course. This article reviews personal factors, disease presentation characteristics, and data on current disease modifying t...

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Main Author: Bruce A. Cohen
Format: Article
Language:English
Published: Elsevier 2025-07-01
Series:Neurotherapeutics
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1878747925000601
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author Bruce A. Cohen
author_facet Bruce A. Cohen
author_sort Bruce A. Cohen
collection DOAJ
description Initiating disease modifying therapy in a patient with newly diagnosed relapsing multiple sclerosis currently offers the best opportunity to influence their subsequent disease course. This article reviews personal factors, disease presentation characteristics, and data on current disease modifying therapies from the perspective of choosing initial treatment in this setting. Although metrics for prognostication at the individual level remain unreliable, particularly for those with mild presentations, currently available data on the relative efficacy of disease modifying therapies supports offering high efficacy therapy first line to most patients with newly diagnosed relapsing multiple sclerosis.
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issn 1878-7479
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series Neurotherapeutics
spelling doaj-art-6ba6397ba65e440bab4bd84dc3fe1f532025-08-20T03:04:46ZengElsevierNeurotherapeutics1878-74792025-07-01224e0058210.1016/j.neurot.2025.e00582Choosing initial MS therapy; personal, disease, and medication factorsBruce A. Cohen0Davee Department of Neurology, Northwestern University, Feinberg School of Medicine, Chicago, IL, USAInitiating disease modifying therapy in a patient with newly diagnosed relapsing multiple sclerosis currently offers the best opportunity to influence their subsequent disease course. This article reviews personal factors, disease presentation characteristics, and data on current disease modifying therapies from the perspective of choosing initial treatment in this setting. Although metrics for prognostication at the individual level remain unreliable, particularly for those with mild presentations, currently available data on the relative efficacy of disease modifying therapies supports offering high efficacy therapy first line to most patients with newly diagnosed relapsing multiple sclerosis.http://www.sciencedirect.com/science/article/pii/S1878747925000601Multiple sclerosisDisease modifying therapyInitial therapy
spellingShingle Bruce A. Cohen
Choosing initial MS therapy; personal, disease, and medication factors
Neurotherapeutics
Multiple sclerosis
Disease modifying therapy
Initial therapy
title Choosing initial MS therapy; personal, disease, and medication factors
title_full Choosing initial MS therapy; personal, disease, and medication factors
title_fullStr Choosing initial MS therapy; personal, disease, and medication factors
title_full_unstemmed Choosing initial MS therapy; personal, disease, and medication factors
title_short Choosing initial MS therapy; personal, disease, and medication factors
title_sort choosing initial ms therapy personal disease and medication factors
topic Multiple sclerosis
Disease modifying therapy
Initial therapy
url http://www.sciencedirect.com/science/article/pii/S1878747925000601
work_keys_str_mv AT bruceacohen choosinginitialmstherapypersonaldiseaseandmedicationfactors