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Multiple Sclerosis
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The future of multiple sclerosis therapies: redesigning multiple sclerosis clinical trials in a new therapeutic eraa

H F McFarland

National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD, USA, mcfarlandh{at}ninds.nih.gov

S C Reingold

National Multiple Sclerosis Society and Scientific and Clinical Review Associates, LLC, New York, NY, USA

Due to past success in testing and gaining regulatory approval for a variety of therapies in multiple sclerosis (MS), the conduct of future clinical trials has become increasingly problematic. An international workshop has met to discuss the issues facing the MS clinical trial community and to examine possible new strategies for the design of trials. Particular focus has been placed on trials that either avoid the use of a placebo because of ethical considerations or on designs that allow new therapies to be studied more rapidly or with fewer patients than needed in a conventional placebo-controlled trial. The discussions resulting from the workshop should provide a basis for the examination and implementation of innovative clinical trial designs in MS.

Key Words: !clinical trials • multiple sclerosis

Multiple Sclerosis, Vol. 11, No. 6, 669-676 (2005)
DOI: 10.1191/1352458505ms1231oa


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