- “Guideline on clinical investigation of medicinal products for the treatment of Multiple Sclerosis: Draft”: European Medicines Agency (20 September 2012) (Committee for Medicinal Products for Human Use)
-”Some of the currently approved therapies have demonstrated a favourable effect on the rate and severity of relapses as well as an effect on short-term (a few years) progression of disability. However, it remains surprisingly difficult to relate relapses prevention to prevention of disability. Therefore a claim of an effect on disability can not be claimed when not evaluated separately”
-”…relapse rate…cannot be taken as a surrogate for disease progression…”
-”It would be highly desirable also to evaluate if the effect on progression is maintained on a long-term basis”
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