Research Topics
| J A CohenSummaryAffiliation: Cleveland Clinic Foundation Country: USA Publications
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Detail Information
Publications
Alemtuzumab versus interferon beta 1a as first-line treatment for patients with relapsing-remitting multiple sclerosis: a randomised controlled phase 3 trialJeffrey A Cohen
Mellen Center, Cleveland Clinic, Cleveland, OH 44195, USA
Lancet 380:1819-28. 2012..We aimed to assess efficacy and safety of first-line alemtuzumab compared with interferon beta 1a in a phase 3 trial...
Disability outcome measures in multiple sclerosis clinical trials: current status and future prospectsJeffrey A Cohen
Mellen Center, Neurological Institute, Cleveland Clinic, Cleveland, OH 44195, USA
Lancet Neurol 11:467-76. 2012..A collaborative approach that involves academic experts, regulators, industry representitives, and funding agencies is needed to most effectively develop disability outcome measures...
Randomized, double-blind, dose-comparison study of glatiramer acetate in relapsing-remitting MSJ A Cohen
Mellen Center for MS Treatment and Research, Cleveland Clinic Foundation, Cleveland, OH 44195, USA
Neurology 68:939-44. 2007..To evaluate the safety, tolerability, and efficacy of glatiramer acetate (GA) 40 mg daily vs the approved 20-mg formulation in relapsing-remitting multiple sclerosis...
The future of multiple sclerosis treatmentJeffrey A Cohen
Mellen Center for Multiple Sclerosis Treatment and Research, Cleveland Clinic Foundation, Cleveland, OH, USA
J Neurol Sci 277:S55-61. 2009..The place that these therapies will come to occupy in future years will depend on their relative benefits and risks...
Results of the Avonex Combination Trial (ACT) in relapsing-remitting MSJ A Cohen
Mellen Center U 10, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA
Neurology 72:535-41. 2009..v. methylprednisolone (IVMP), or both in patients with relapsing-remitting multiple sclerosis (RRMS) with continued disease activity on IFNbeta-1a monotherapy...
Emerging therapies for relapsing multiple sclerosisJeffrey A Cohen
Mellen Center for Multiple Sclerosis Treatment and Research, Cleveland Clinic, Cleveland, Ohio 44195, USA
Arch Neurol 66:821-8. 2009..A sizable number of new agents are under investigation currently. This article reviews emerging agents that have shown promise in phase 2 trials...
Avonex Combination Trial in relapsing--remitting MS: rationale, design and baseline dataJ A Cohen
Mellen Center, Cleveland Clinic Foundation, Cleveland, OH 44195, USA
Mult Scler 14:370-82. 2008....
Oral fingolimod or intramuscular interferon for relapsing multiple sclerosisJeffrey A Cohen
Mellen Center, Cleveland Clinic, Cleveland, OH 44195, USA
N Engl J Med 362:402-15. 2010..Fingolimod (FTY720), a sphingosine-1-phosphate-receptor modulator that prevents lymphocyte egress from lymph nodes, showed clinical efficacy and improvement on imaging in a phase 2 study involving patients with multiple sclerosis...
Benefit of interferon beta-1a on MSFC progression in secondary progressive MSJ A Cohen
Mellen Center for Multiple Sclerosis Treatment and Research, Department of Neurology, Cleveland Clinic Foundation, OH 44195, USA
Neurology 59:679-87. 2002..Studies of other IFNbeta preparations in secondary progressive MS (SPMS) yielded conflicting results. This study was undertaken to determine whether IFNbeta-1a slowed disease progression in SP-MS...
Mechanisms of fingolimod's efficacy and adverse effects in multiple sclerosisJeffrey A Cohen
Mellen Center for Multiple Sclerosis Treatment and Research, Neurological Institute, Cleveland Clinic, Cleveland, OH 44195, USA
Ann Neurol 69:759-77. 2011..5 to 10x the approved 0.5 mg dose. Fingolimod's unique mechanism of action distinguishes it from all other currently approved MS therapies...
Use of the multiple sclerosis functional composite as an outcome measure in a phase 3 clinical trialJ A Cohen
The Mellen Center U10, The Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland, OH 44195, USA
Arch Neurol 58:961-7. 2001..The MSFC is the primary outcome measure in the ongoing multinational phase 3 trial of interferon beta-1a (Avonex) in patients with secondary progressive MS...
Assessing disability progression with the Multiple Sclerosis Functional CompositeR A Rudick
Mellen Center for Multiple Sclerosis Treatment and Research, Cleveland Clinic, Cleveland, OH 44106, USA
Mult Scler 15:984-97. 2009..However, the clinical meaning of an MSFC Z-score change is not obvious. This study instead used MSFC component data to define a patient-specific disease progression event...
Therapy of relapsing multiple sclerosis. Treatment approaches for nonrespondersJ A Cohen
Mellen Center for Multiple Sclerosis Treatment and Research, Department of Neurology, Cleveland Clinic Foundation, OH 44195, USA
J Neuroimmunol 98:29-36. 1999..Neurologists managing patients on disease-modifying therapy for R-MS must remain vigilant for these issues and take appropriate action when necessary...
A randomized blinded trial of combination therapy with cyclophosphamide in patients-with active multiple sclerosis on interferon betaD R Smith
Department of Neurology, Brigham and Women's Hospital, Boston, MA, USA
Mult Scler 11:573-82. 2005..75; P =0.011). CY/MP treatment was well tolerated. CONCLUSION: Combination therapy with CY/MP and IFNbeta-Ia decreased the number of Gd+ lesions and slowed clinical activity in patients with previously active disease on IFNbeta alone...
Change in clinician-assessed measures of multiple sclerosis and subject-reported quality of life: results from the IMPACT studyD M Miller
Mellen Center for Multiple Sclerosis Treatment and Research, Department of Neurology, Cleveland Clinic Foundation, OH 44195, USA
Mult Scler 12:180-6. 2006..The IMPACT data permit a detailed assessment of the relation between clinical and self-reported measures...
Multiple sclerosis: the importance of early recognition and treatmentR J Fox
Mellen Center for Multiple Sclerosis Treatment and Research, Department of Neurology, Cleveland Clinic Foundation, OH 44195, USA
Cleve Clin J Med 68:157-71. 2001..Several lines of evidence demonstrate that tissue damage occurs very early in the disease, and much of this damage is clinically silent...
Dose comparison trial of sustained-release fampridine in multiple sclerosisA D Goodman
Multiple Sclerosis Center, Chief Neuroimmunology Unit, Department of Neurology, University of Rochester Medical Center, 601 Elmwood Ave, Room 6 8521, Box 605, Rochester, NY 14642, USA
Neurology 71:1134-41. 2008..To examine the efficacy and safety of three different doses of sustained-release fampridine in people with multiple sclerosis (MS)...
Contrast letter acuity as a visual component for the Multiple Sclerosis Functional CompositeL J Balcer
Division of Neuro ophthalmology, Department of Neurology, University of Pennsylvania School of Medicine, Philadelphia 19104, USA
Neurology 61:1367-73. 2003..Visual dysfunction is one of the most common causes of disability in multiple sclerosis (MS). The Multiple Sclerosis Functional Composite (MSFC), a new clinical trial outcome measure, does not currently include a test of visual function...
Clinical characteristics of African Americans vs Caucasian Americans with multiple sclerosisB A C Cree
Multiple Sclerosis Center, Department of Neurology, University of California San Francisco, 350 Parnassus Ave, Suite 908, San Francisco, CA 94117, USA
Neurology 63:2039-45. 2004..African American (AA) individuals are thought to develop multiple sclerosis (MS) less frequently than Caucasian American (CA) individuals...
Low-contrast letter acuity testing captures visual dysfunction in patients with multiple sclerosisM L Baier
Center for Research Methodology and Biometrics, Cooper Institute, 14023 Denver West Parkway, 100, Golden, CO 80401, USA
Neurology 64:992-5. 2005..To evaluate concurrent and predictive validity for low-contrast letter acuity (L-CLA) testing as a candidate visual component for the Multiple Sclerosis Functional Composite (MSFC)...
Fampridine-SR in multiple sclerosis: a randomized, double-blind, placebo-controlled, dose-ranging studyA D Goodman
Department of Neurology, University of Rochester, Rochester, NY 14642, USA rmc rochester edu
Mult Scler 13:357-68. 2007..To determine the safety of sustained-release 4-aminopyridine in subjects with mutiple sclerosis (MS) and to examine dose-related efficacy up to 40 mg twice daily...
Treatment of multiple sclerosis with cyclophosphamide: critical review of clinical and immunologic effectsH L Weiner
Multiple Sclerosis Center, Brigham and Women s Hospital, Massachusetts General Hospital, Harvard Medical School, Boston 02115, USA
Mult Scler 8:142-54. 2002..Cyclophosphamide is currently used in patients whose disease is not controlled by beta-interferon or glatiramer acetate and those with rapidly worsening MS...
Ethics of placebo-controlled clinical trials in multiple sclerosis: a reassessmentC H Polman
Department of Neurology, Free University Medical Center in Amsterdam, PO Box 4075, 1007 MB Amsterdam, The Netherlands
Neurology 70:1134-40. 2008..Guidance is also provided on the ethics of alternative trial designs and the balance between study subject burden and risk, scientific rationale and interpretability of trial outcomes...
