Sacral Neuromodulation for Neurogenic Lower Urinary Tract, Bowel and Sexual Dysfunction in Patients With Multiple Sclerosis: A Pilot Trial
Neurourology and Urodynamics,
Journal Year:
2025,
Volume and Issue:
unknown
Published: April 14, 2025
ABSTRACT
Aims
We
present
results
of
a
two‐arm
pilot
study
assessing
the
feasibility
conducting
double‐blind
randomized
controlled
trial
(RCT)
to
evaluate
efficacy
sacral
neuromodulation
(SNM)
in
patients
with
multiple
sclerosis
(MS)
suffering
from
neurogenic
lower
urinary
tract
dysfunction
(NLUTD).
Methods
Eligible
subjects
refractory
NLUTD
and
EDSS
<
5
underwent
SNM
test
phase.
Those
showing
more
than
50%
improvement
bladder
variables,
received
implantable
pulse
generators
(IPG)
were
either
treatment
group
(IPG
ON)
or
sham
OFF)
for
1
month.
During
second
month,
all
had
IPG
ON
until
end
trial.
The
primary
endpoints
feasibility,
recruitment
potential,
response
rate
at
Secondary
endpoint
was
safety.
Changes
key
diary‐derived
variables
patient
reported
outcomes
recorded
as
well.
Results
Thirty‐two
screened,
17
eligible
13
included
Eleven
considered
responders
implanted
IPG.
Subsequently,
six
five
group.
No
serious
adverse
events
reported.
In
intervention
phase,
both
objective
subjective
improvements
seen
group,
while
symptoms
remained
mostly
unchanged.
At
completion,
being
completely
satisfied,
three
two
indifferent
treatment.
Conclusions
This
demonstrated
RCT
safety
MS
patients.
Trial
registration:
ClinicalTrials.
gov
NCT05380856.
Language: Английский
Beyond weight loss: exploring the neurological ramifications of altered gut microbiota post-bariatric surgery
Rashed T. Almheiri,
No information about this author
Baraa Hajjar,
No information about this author
Saif M. I. Alkhaaldi
No information about this author
et al.
Journal of Translational Medicine,
Journal Year:
2025,
Volume and Issue:
23(1)
Published: Feb. 24, 2025
Language: Английский
Analysis of diroximel fumarate data for patients with relapsing forms of multiple sclerosis using related adverse events from the FDA adverse reporting system
Jingya Yang,
No information about this author
Shengzhu Sun,
No information about this author
Sun Ying
No information about this author
et al.
Expert Opinion on Drug Safety,
Journal Year:
2025,
Volume and Issue:
unknown, P. 1 - 8
Published: April 3, 2025
Diroximel
fumarate
(DRF)
is
an
oral
used
to
treat
relapsing
forms
of
multiple
sclerosis
(RMS).
This
study
comprehensively
analyzed
the
adverse
events
(AEs)
associated
with
DRF
for
treating
RMS
based
on
data
from
FDA
Adverse
Event
Reporting
System
(FAERS)
database.
collected
AEs
treatment
FAERS
database
between
2019
and
2024.
We
reporting
odds
ratio
(ROR),
proportional
(PRR),
Bayesian
Confidence
Propagation
Neural
Network
(BCPNN),
Multi-item
Gamma
Poisson
Shrinker
(MGPS)
signal
detection.
7,944,554
AE
reports,
which
7,868
were
DRF.
A
total
120
preferred
terms
(PTs)
included
in
analysis,
relating
27
system
organ
classes
(SOCs).
identified
several
clinically
significant
new
potential
AEs,
including
decreased
immune
responsiveness
(n
=
26,
ROR
4.45,
PRR
IC
2.15,
EBGM
4.43),
female
breast
cancer
50,
4.07,
2.02,
4.05),
transient
blindness
19,
7.27,
7.26,
2.85,
7.21)
others.
Our
potentially
important
that
not
mentioned
instructions.
However,
further
epidemiologic
studies
are
needed
validate
these
findings.
Language: Английский