Effectiveness of delayed-release dimethyl fumarate on patient-reported outcomes and clinical measures in patients with relapsing-remitting multiple sclerosis in a real-world clinical setting: PROTEC.

Ensaio clínico PROTEC, Protocolo nº 109MS408Abstract BACKGROUND: Patient-reported outcomes (PRO) and clinical outcomes give a broad assessment of relapsing-remitting multiple sclerosis (RRMS) disease. OBJECTIVE: The aim is to evaluate the effectiveness of delayed-release dimethyl fumarate (DMF) on disease activity and PROs in patients with RRMS in the clinic. METHODS: PROTEC, a phase 4, open-label, 12-month observational study, assessed annualized relapse rate (ARR), proportion of patients relapsed, and changes in PROs. Newly diagnosed and early MS (≤3.5 EDSS and ≤1 relapse in the prior year) patient subgroups were evaluated. RESULTS: Unadjusted ARR at 12 months post-DMF versus 12 months before DMF initiation was 75% lower (0.161 vs. 0.643, p < 0.0001) overall (n = 1105) and 84%, 77%, and 71% lower in newly diagnosed, ≤3.5 EDSS, and ≤1 relapse subgroups, respectively. Overall, 88% of patients were relapse-free 12 months after DMF initiation (84%, newly diagnosed; 88%, ≤3.5 EDSS; 88%, ≤1 relapse). PRO measures for fatigue, treatment satisfaction, daily living, and work improved significantly over 12 months of DMF versus baseline. CONCLUSION: At 12 months after versus 12 months before DMF initiation, ARR was significantly lower, the majority of patients were relapse-free, and multiple PRO measures showed improvement (overall and for subgroups), suggesting that DMF is effective based on clinical outcomes and from a patient perspective.Clinical trial: A Study Evaluating the Effectiveness of Tecfidera (Dimethyl Fumarate) on Multiple Sclerosis (MS) Disease Activity and Patient-Reported Outcomes (PROTEC), NCT01930708,info:eu-repo/semantics/publishedVersio

Suscetibilidade dos estágios imaturos de Trichogramma pretiosum a óleos inseticidas.

O objetivo desse trabalho foi avaliar a suscetibilidade das fases imaturas do parasitoide Trichogramma pretiosum a óleos vegetais e sintéticos utilizados no controle fitossanitário de pragas.Resumo

Consistent Truncation to Three Dimensional (Super-)gravity

For a general three dimensional theory of (super-)gravity coupled to arbitrary matter fields with arbitrary set of higher derivative terms in the effective action, we give an algorithm for consistently truncating the theory to a theory of pure (super-)gravity with the gravitational sector containing only Einstein-Hilbert, cosmological constant and Chern-Simons terms. We also outline the procedure for finding the parameters of the truncated theory. As an example we consider dimensional reduction on S^2 of the 5-dimensional minimal supergravity with curvature squared terms and obtain the truncated theory without any curvature squared terms. This truncated theory reproduces correctly the exact central charge of the boundary CFT.Comment: LaTeX file, 22 page

In vitro antileishmanial activity of trans-stilbene and terphenyl compounds

Leishmaniasis are globally widespread parasitic diseases which often leads to death if left untreated. Currently available drugs present different drawbacks, so there is an urgent need to develop new, safe and cost-effective drugs against leishmaniasis. In this study we tested a small library of trans-stilbene and terphenyl derivatives against promastigote, amastigotes and intramacrophage amastigote forms of Leishmania infantum. Two compounds of the series, the trans-stilbene 3 and the terphenyl 11, presented the best activity and safety profiles. Terphenyl 11 showed a leshmanicidal activity higher than pentostam and the ability to induce apoptosis selectively in Leishmania infantum while saving macrophages and primary epithelial cells. Our data indicate that terphenyl compounds, as well as stilbenes, are endowed with leishmanicidal activity, showing potential for further studies in the context of leishmanial therapy

Convergence of nonlocal threshold dynamics approximations to front propagation

In this note we prove that appropriately scaled threshold dynamics-type algorithms corresponding to the fractional Laplacian of order $\alpha \in (0,2)$ converge to moving fronts. When $\alpha \geqq 1$ the resulting interface moves by weighted mean curvature, while for $\alpha <1$ the normal velocity is nonlocal of ``fractional-type.'' The results easily extend to general nonlocal anisotropic threshold dynamics schemes.Comment: 19 page