Professor of Medicine in Neurology, University of Ottawa; Director, Multiple Sclerosis Research Unit, Ottawa Hospital; Senior Scientist, Ottawa Hospital Research Institute
Question and Answer about Neurofilament Light Chain and Other MS Biomarkers
Mark Freedman, MD, MSc, Tanuja Chitnis, MD, and Ahmed Obeidat, MD, PhD, answer questions about biomarkers in MS care.
Biomarkers, Patient Communication, and the Future of Care
Mark Freedman, MD, MSc, Tanuja Chitnis, MD, and Ahmed Obeidat, MD, PhD, discuss future directions in MS amid increasing advances in the field.
Understanding the Underlying Progression of Multiple Sclerosis
Mark Freedman, MD, MSc, Tanuja Chitnis, MD, and Ahmed Obeidat, MD, PhD, discuss the limitations of neurofilament light chain in identifying disease progression.
Reimbursement for MRI
Mark Freedman, MD, MSc; Tanuja Chitnis, MD; and Ahmed Obeidat, MD, PhD, discusses the challenges associated with the cost of MRI and other important tools in the monitoring and assessment of MS.
The CLIMB Study
Tanuja Chitnis, MD, discusses the CLIMB database and study to identify predictors of future disease and determine the effect of treatment on progressions and disability.
Neurofilament Light Chain and MS Prognosis, Treatment Effect, and Anticipation of Disease
Mark Freedman, MD, MSc, Tanuja Chitnis, MD, and Ahmed Obeidat, MD, PhD, contextualize data from large studies regarding the utilization of neurofilament light chain.
Assessing Lesion Types With MS Biomarkers
Mark Freedman, MD, MSc, Tanuja Chitnis, MD, and Ahmed Obeidat, MD, PhD, discuss how use of biomarkers has affected understanding and assessment of lesion types.
Monitoring Patients After a Change in Treatment Regimen
Mark Freedman, MD, MSc, Tanuja Chitnis, MD, and Ahmed Obeidat, MD, PhD, review conditions under which they would assess treatment success for patients who have changed therapies.
Weighing Treatment Decisions Based on Neurofilament Light Chain Levels
Thought leaders explore treatment possibilities in patients with irregular NFL patterns.
How to Address Increasing Neurofilament Light Chain Levels
Tanuja Chitnis, MD, shares possible course of action if NFL levels begin to rise during treatment.
Practical Considerations for the Use of Neurofilament Light Chain and MRI
Mark Freedman, MD, MSc, Tanuja Chitnis, MD, and Ahmed Obeidat, MD, PhD, raise important questions about the extent to which biomarkers can aid in patient care as well as their limitations.
Exploring Potential Applications of Neurofilament Light Chain in MS Prognosis and Care
Mark Freedman, MD, MSc, Tanuja Chitnis, MD, and Ahmed Obeidat, MD, PhD, talk about the practical use of biomarkers in treatment decision making.
Neurofilament Light Chain and Acute Gadolinium Enhancing Lesions
Tanuja Chitnis, MD, explains how higher neurofilament light chain levels can signal disease activity in MS.
Challenges and Opportunity With MRI
Ahmed Obeidat, MD, PhD, recounts the difficulties with MRI as a main biomarker for MS and shares strategies for optimal use of the technology.
Assays to Detect Neurofilament Light
Tanuja Chitnis, MD, discusses the use of ultra-sensitive assays to determine protein levels in the blood, which may aid in the diagnosis of MS.
Evolving Methods of Multiple Sclerosis Diagnosis
Ahmed Obeidat, MD, PhD, considers utility of biomarkers in MS diagnosis, but he also noted that diagnosis remains clinical.
The Value of Biomarker in Multiple Sclerosis
Mark Freedman, MD, MSc, Tanuja Chitnis, MD, and Ahmed Obeidat, MD, PhD, discuss the role of biomarkers and the key areas in which they will be used in managing day-to-day decisions in patient management.
Do We Finally Have a Useful “Sed Rate” for Multiple Sclerosis?
All agree that having a simple, standardized serum biomarker to measure disease activity would offer the greatest utility in treating a medical condition such as MS, which now has a variety of graded therapies available.
The Future of Managing Multiple Sclerosis
Fumarates for Treatment of RMS
S1P Receptor Modulators for Treatment of RMS
Cladribine for Treatment of RMS
Anti-CD20 Monoclonal Antibodies for Treatment of RMS
Strategies for Choosing Initial Therapy in MS
OPTIMUM Phase 3 Trial: Secondary End Point Effect on Fatigue
TRIUMPHANT-MS Trial: Fatigue in MS
Multiple Sclerosis Fatigue
QoL Issues in the Management of Multiple Sclerosis
Challenges in Optimally Treating Multiple Sclerosis
Cerebrospinal Fluid in Diagnosing Multiple Sclerosis