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Title:
Treatment of MOG antibody associated disorders: results of an international survey | Journal of Neurology
Description:
Introduction While monophasic and relapsing forms of myelin oligodendrocyte glycoprotein antibody associated disorders (MOGAD) are increasingly diagnosed world-wide, consensus on management is yet to be developed. Objective To survey the current global clinical practice of clinicians treating MOGAD. Method Neurologists worldwide with expertise in treating MOGAD participated in an online survey (FebruaryâApril 2019). Results Fifty-two responses were received (response rate 60.5%) from 86 invited experts, comprising adult (78.8%, 41/52) and paediatric (21.2%, 11/52) neurologists in 22 countries. All treat acute attacks with high dose corticosteroids. If recovery is incomplete, 71.2% (37/52) proceed next to plasma exchange (PE). 45.5% (5/11) of paediatric neurologists use IV immunoglobulin (IVIg) in preference to PE. Following an acute attack, 55.8% (29/52) of respondents typically continue corticosteroids forââ„â3 months; though less commonly when treating children. After an index event, 60% (31/51) usually start steroid-sparing maintenance therapy (MT); afterââ„â2 attacks 92.3% (48/52) would start MT. Repeat MOG antibody status is used by 52.9% (27/51) to help decide on MT initiation. Commonly used first line MTs in adults are azathioprine (30.8%, 16/52), mycophenolate mofetil (25.0%, 13/52) and rituximab (17.3%, 9/52). In children, IVIg is the preferred first line MT (54.5%; 6/11). Treatment response is monitored by MRI (53.8%; 28/52), optical coherence tomography (23.1%; 12/52) and MOG antibody titres (36.5%; 19/52). Regardless of monitoring results, 25.0% (13/52) would not stop MT. Conclusion Current treatment of MOGAD is highly variable, indicating a need for consensus-based treatment guidelines, while awaiting definitive clinical trials.
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headline:Treatment of MOG antibody associated disorders: results of an international survey
description:While monophasic and relapsing forms of myelin oligodendrocyte glycoprotein antibody associated disorders (MOGAD) are increasingly diagnosed world-wide, consensus on management is yet to be developed. To survey the current global clinical practice of clinicians treating MOGAD. Neurologists worldwide with expertise in treating MOGAD participated in an online survey (FebruaryâApril 2019). Fifty-two responses were received (response rate 60.5%) from 86 invited experts, comprising adult (78.8%, 41/52) and paediatric (21.2%, 11/52) neurologists in 22 countries. All treat acute attacks with high dose corticosteroids. If recovery is incomplete, 71.2% (37/52) proceed next to plasma exchange (PE). 45.5% (5/11) of paediatric neurologists use IV immunoglobulin (IVIg) in preference to PE. Following an acute attack, 55.8% (29/52) of respondents typically continue corticosteroids forââ„â3 months; though less commonly when treating children. After an index event, 60% (31/51) usually start steroid-sparing maintenance therapy (MT); afterââ„â2 attacks 92.3% (48/52) would start MT. Repeat MOG antibody status is used by 52.9% (27/51) to help decide on MT initiation. Commonly used first line MTs in adults are azathioprine (30.8%, 16/52), mycophenolate mofetil (25.0%, 13/52) and rituximab (17.3%, 9/52). In children, IVIg is the preferred first line MT (54.5%; 6/11). Treatment response is monitored by MRI (53.8%; 28/52), optical coherence tomography (23.1%; 12/52) and MOG antibody titres (36.5%; 19/52). Regardless of monitoring results, 25.0% (13/52) would not stop MT. Current treatment of MOGAD is highly variable, indicating a need for consensus-based treatment guidelines, while awaiting definitive clinical trials.
datePublished:2020-07-04T00:00:00Z
dateModified:2020-07-04T00:00:00Z
pageStart:3565
pageEnd:3577
sameAs:https://doi.org/10.1007/s00415-020-10026-y
keywords:
Myelin oligodendrocyte glycoprotein
MOG
MOGAD
Survey
Neurology
Neurosciences
Neuroradiology
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ScholarlyArticle:
headline:Treatment of MOG antibody associated disorders: results of an international survey
description:While monophasic and relapsing forms of myelin oligodendrocyte glycoprotein antibody associated disorders (MOGAD) are increasingly diagnosed world-wide, consensus on management is yet to be developed. To survey the current global clinical practice of clinicians treating MOGAD. Neurologists worldwide with expertise in treating MOGAD participated in an online survey (FebruaryâApril 2019). Fifty-two responses were received (response rate 60.5%) from 86 invited experts, comprising adult (78.8%, 41/52) and paediatric (21.2%, 11/52) neurologists in 22 countries. All treat acute attacks with high dose corticosteroids. If recovery is incomplete, 71.2% (37/52) proceed next to plasma exchange (PE). 45.5% (5/11) of paediatric neurologists use IV immunoglobulin (IVIg) in preference to PE. Following an acute attack, 55.8% (29/52) of respondents typically continue corticosteroids forââ„â3 months; though less commonly when treating children. After an index event, 60% (31/51) usually start steroid-sparing maintenance therapy (MT); afterââ„â2 attacks 92.3% (48/52) would start MT. Repeat MOG antibody status is used by 52.9% (27/51) to help decide on MT initiation. Commonly used first line MTs in adults are azathioprine (30.8%, 16/52), mycophenolate mofetil (25.0%, 13/52) and rituximab (17.3%, 9/52). In children, IVIg is the preferred first line MT (54.5%; 6/11). Treatment response is monitored by MRI (53.8%; 28/52), optical coherence tomography (23.1%; 12/52) and MOG antibody titres (36.5%; 19/52). Regardless of monitoring results, 25.0% (13/52) would not stop MT. Current treatment of MOGAD is highly variable, indicating a need for consensus-based treatment guidelines, while awaiting definitive clinical trials.
datePublished:2020-07-04T00:00:00Z
dateModified:2020-07-04T00:00:00Z
pageStart:3565
pageEnd:3577
sameAs:https://doi.org/10.1007/s00415-020-10026-y
keywords:
Myelin oligodendrocyte glycoprotein
MOG
MOGAD
Survey
Neurology
Neurosciences
Neuroradiology
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name:Neurologic Clinic and Policlinic, Department of Medicine and Biomedicine, University Hospital Basel, University of Basel, Basel, Switzerland
name:Servei de Neurologia-Neuroimmunologia, Centre dâEsclerosi MĂșltiple de Catalunya, (Cemcat), Vall dâHebron Institut de Recerca, Hospital Universitari Vall dâHebron, Universitat AutĂČnoma de Barcelona, Barcelona, Spain
name:Servei de Neurologia-Neuroimmunologia, Centre dâEsclerosi MĂșltiple de Catalunya, (Cemcat), Vall dâHebron Institut de Recerca, Hospital Universitari Vall dâHebron, Universitat AutĂČnoma de Barcelona, Barcelona, Spain
name:Department NEUROFARBA, Neurosciences Section, University of Florence, Florence, Italy
name:IRCCS Fondazione Don Carlo Gnocchi, Florence, Italy
name:Paediatric Neurology and Neurophysiology Unit, Department of Womenâs and Childrenâs Health, University Hospital of Padua, Padua, Italy
name:Department of Medical and Surgical Neurosciences and Rehabilitation, IRCCS Giannina Gaslini Institute, Genoa, Italy
name:Department of Neurology and Regional Multiple Sclerosis Centre, University Hospital San Luigi Gonzaga, Orbassano, Italy
name:Department of Neurology, Odense University Hospital, Odense, Denmark
name:Department of Neurology, Istanbul University CerrahpaĆa School of Medicine, Istanbul, Turkey
name:Department of Neurology, School of Medicine, Koc University, Istanbul, Turkey
name:Department of Neurology, Bilim University, Istanbul, Turkey
name:Department of Neurology, Nitte University, Mangalore, India
name:Neuroimmunology Unit, Department of Neurology, Prasat Neurological Institute, Ministry of Public Health, Bangkok, Thailand
name:Department of Neurology, Penang General Hospital, Penang, Malaysia
name:Department of Neurology, Kuala Lumpur Hospital, Ministry of Health of Malaysia, Kuala Lumpur, Malaysia
name:Department of Neurology, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China
name:Department of Neurology, Research Institute and Hospital of National Cancer Center, Goyang, Korea
name:Department of Neurology, Tohoku Medical and Pharmaceutical University, Sendai, Japan
name:Department of Multiple Sclerosis Therapeutics, Fukushima Medical University School of Medicine and Southern TOHOKU Research Institute for Neuroscience, Koriyama, Japan
name:MS and NMO Center, Southern TOHOKU Research Institute for Neuroscience (STRINS), Koriyama, Japan
name:Sydney Medical School, University of Sydney, Sydney, Australia
name:Neuroimmunology Group, Kids Neuroscience Centre, Childrenâs Hospital At Westmead, Sydney, Australia
name:Sydney Medical School, University of Sydney, Sydney, Australia
name:Neuroimmunology Group, Kids Neuroscience Centre, Childrenâs Hospital At Westmead, Sydney, Australia
name:Department of Neurology, Townsville Hospital, Townsville, Australia
name:School of Medicine, Gold Coast Campus, Griffith University, Mount Gravatt, Australia
name:CIEM MS Research Center, Federal University of Minas Gerais Medical School, Belo Horizonte, Brazil
name:Instituto do CĂ©rebro do Rio Grande do Sul (InsCer), PontifĂcia Universidade CatĂłlica do Rio Grande do Sul, Porto Alegre, Brazil
name:Department of Neurology, National Pediatric Hospital Dr. Juan P. Garrahan, Buenos Aires, Argentina
name:Department of Neurology, Pierre Zobda Quitman Hospital, Fort-de-France, France
name:Department of Neurology, Mayo Clinic, Scottsdale, USA
name:Department of Neurology, Mayo Clinic, Rochester, USA
name:Department of Neurology and Neurotherapeutics, University of Texas Southwestern Medical Center, Dallas, USA
name:Department of Neurology, Massachusetts General Hospital and Harvard Medical School, Boston, USA
name:Department of Neurology, Massachusetts General Hospital and Harvard Medical School, Boston, USA
name:Department of Ophthalmology, University of Colorado at Anschutz Medical Campus, Aurora, USA
name:Department of Neurology, NYU School of Medicine, New York, USA
name:Department of Neurology, NYU School of Medicine, New York, USA
name:Department of Neurology, Childrenâs Hospital of Philadelphia, Philadelphia, USA
name:Division of Neurology, Department of Medicine, University of British Columbia, Vancouver, Canada
name:Division of Neurology, Childrenâs Hospital of Eastern Ontario, Ottawa, Canada
name:Nuffield Department of Clinical Neurosciences, John Radcliffe Hospital, Oxford, UK
name:Nuffield Department of Clinical Neurosciences, John Radcliffe Hospital, Oxford, UK
name:Department of Neurology, Massachusetts General Hospital and Harvard Medical School, Boston, USA
name:Service de Neurologie, HĂŽpital Neurologique Pierre Wertheimer Hospices Civils de Lyon, Lyon, France
name:Department of Neurology, The Walton Centre NHS Foundation Trust, Liverpool, UK
name:National Institute for Health Research Health Protection Research Unit in Emerging and Zoonotic Infections, Institute of Infection and Global Health, University of Liverpool, Liverpool, UK
name:Childrenâs Neuroscience, Evelina London Childrenâs Hospital, Guyâs and St Thomasâ NHS Foundation Trust, London, UK
name:Faculty of Life Sciences and Medicine, Kingâs College London, London, UK
name:Department of Neurology, The Walton Centre NHS Foundation Trust, Liverpool, UK
name:Department of Neurology, The Walton Centre NHS Foundation Trust, Liverpool, UK
name:Department of Neurology, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates
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- Monthly income for https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=search&term=A.%20K.%20Pr%C3%B6bstel
- How much income is https://scholar.google.co.uk/scholar?as_q=&num=10&btnG=Search+Scholar&as_epq=&as_oq=&as_eq=&as_occt=any&as_sauthors=%22A.%20K.%20Pr%C3%B6bstel%22&as_publication=&as_ylo=&as_yhi=&as_allsubj=all&hl=en earning monthly?
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- What's the profit of https://scholar.google.co.uk/scholar?as_q=&num=10&btnG=Search+Scholar&as_epq=&as_oq=&as_eq=&as_occt=any&as_sauthors=%22A.%20Siva%22&as_publication=&as_ylo=&as_yhi=&as_allsubj=all&hl=en?
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- How much revenue does https://scholar.google.co.uk/scholar?as_q=&num=10&btnG=Search+Scholar&as_epq=&as_oq=&as_eq=&as_occt=any&as_sauthors=%22L.%20Pandit%22&as_publication=&as_ylo=&as_yhi=&as_allsubj=all&hl=en produce monthly?
- Profit of https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=search&term=M.%20Apiwattankul
- Monthly income for https://scholar.google.co.uk/scholar?as_q=&num=10&btnG=Search+Scholar&as_epq=&as_oq=&as_eq=&as_occt=any&as_sauthors=%22M.%20Apiwattankul%22&as_publication=&as_ylo=&as_yhi=&as_allsubj=all&hl=en
- How much profit does https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=search&term=J.%20Y.%20Hor generate?
- What's the revenue for https://scholar.google.co.uk/scholar?as_q=&num=10&btnG=Search+Scholar&as_epq=&as_oq=&as_eq=&as_occt=any&as_sauthors=%22J.%20Y.%20Hor%22&as_publication=&as_ylo=&as_yhi=&as_allsubj=all&hl=en?
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- How much does https://scholar.google.co.uk/scholar?as_q=&num=10&btnG=Search+Scholar&as_epq=&as_oq=&as_eq=&as_occt=any&as_sauthors=%22I.%20Nakashima%22&as_publication=&as_ylo=&as_yhi=&as_allsubj=all&hl=en generate monthly?
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- How much does https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=search&term=R.%20C.%20Dale rake in every month?
- Earnings of https://scholar.google.co.uk/scholar?as_q=&num=10&btnG=Search+Scholar&as_epq=&as_oq=&as_eq=&as_occt=any&as_sauthors=%22R.%20C.%20Dale%22&as_publication=&as_ylo=&as_yhi=&as_allsubj=all&hl=en
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- How much profit does https://scholar.google.co.uk/scholar?as_q=&num=10&btnG=Search+Scholar&as_epq=&as_oq=&as_eq=&as_occt=any&as_sauthors=%22M.%20Boggild%22&as_publication=&as_ylo=&as_yhi=&as_allsubj=all&hl=en make?
- See how much https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=search&term=S.%20Broadley makes per month
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- How much does https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=search&term=M.%20A.%20Lana-Peixoto pull in monthly?
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- How much does https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=search&term=D.%20K.%20Sato bring in each month?
- How much does https://scholar.google.co.uk/scholar?as_q=&num=10&btnG=Search+Scholar&as_epq=&as_oq=&as_eq=&as_occt=any&as_sauthors=%22D.%20K.%20Sato%22&as_publication=&as_ylo=&as_yhi=&as_allsubj=all&hl=en rake in every month?
- How much does https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=search&term=S.%20Tenembaum gross monthly?
- How much money does https://scholar.google.co.uk/scholar?as_q=&num=10&btnG=Search+Scholar&as_epq=&as_oq=&as_eq=&as_occt=any&as_sauthors=%22S.%20Tenembaum%22&as_publication=&as_ylo=&as_yhi=&as_allsubj=all&hl=en generate?
- Profit of https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=search&term=P.%20Cabre
- What's the income generated by https://scholar.google.co.uk/scholar?as_q=&num=10&btnG=Search+Scholar&as_epq=&as_oq=&as_eq=&as_occt=any&as_sauthors=%22P.%20Cabre%22&as_publication=&as_ylo=&as_yhi=&as_allsubj=all&hl=en each month?
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- See how much https://scholar.google.co.uk/scholar?as_q=&num=10&btnG=Search+Scholar&as_epq=&as_oq=&as_eq=&as_occt=any&as_sauthors=%22D.%20M.%20Wingerchuk%22&as_publication=&as_ylo=&as_yhi=&as_allsubj=all&hl=en makes per month
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- How much money does https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=search&term=B.%20Greenberg generate?
- Income figures for https://scholar.google.co.uk/scholar?as_q=&num=10&btnG=Search+Scholar&as_epq=&as_oq=&as_eq=&as_occt=any&as_sauthors=%22B.%20Greenberg%22&as_publication=&as_ylo=&as_yhi=&as_allsubj=all&hl=en
- Monthly income for https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=search&term=M.%20Matiello
- How much money does https://scholar.google.co.uk/scholar?as_q=&num=10&btnG=Search+Scholar&as_epq=&as_oq=&as_eq=&as_occt=any&as_sauthors=%22M.%20Matiello%22&as_publication=&as_ylo=&as_yhi=&as_allsubj=all&hl=en make?
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- https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=search&term=I.%20Kister's total income per month
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- https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=search&term=B.%20L.%20Banwell's financial summary
- Income figures for https://scholar.google.co.uk/scholar?as_q=&num=10&btnG=Search+Scholar&as_epq=&as_oq=&as_eq=&as_occt=any&as_sauthors=%22B.%20L.%20Banwell%22&as_publication=&as_ylo=&as_yhi=&as_allsubj=all&hl=en
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