Table 2.
Analysis of BL characteristics and outcome following ALEM treatment.
Baseline variables | p‐value | Correlation |
---|---|---|
EDSS increase at last follow‐up | ||
MS duration at ALEM initiation | <0.001 | r = 0.35 |
BL EDSS | <0.001 | r = 0.76 |
Treatment naïve | 0.017 a | Median EDSS difference = 1.0 (95% CI 0.0–2.20) b |
No. DMTs prior ALEM | 0.014 a | r = 0.26 |
High‐efficacy pretreatment | 0.004 a | Median EDSS differences = 1.0 (95% CI 0.0–2.0) |
Switch from NAT | 0.004 a | Median EDSS differences = 1.0 (95% CI 0.5–2.20) b |
PIRA “yes/no” | ||
No. DMTs prior to ALEM | 0.04 c | HR 3.06 (95% CI 1.05–8.89) |
Achievement of CDI “yes/no” | ||
Age at MS diagnosis | 0.04 c | HR 1.96 (1.03–3.74) |
MS duration at ALEM initiation | 0.00009 c | HR 0.86 (0.80–0.93) |
High‐efficacy DMTs prior to ALEM | <0.001 c | HR 5.16 (95% CI 2.66–10.0) |
Switch from NAT | 0.025 c | HR 3.9 (95% CI: 1.18–12.9) |
Switch from FTY | 0.016 c | HR 2.3 (95% CI: 1.16–4.58) |
ALEM, alemtuzumab; BL, baseline; CDI, confirmed disability improvement; CI, confidence interval; DMT, disease‐modifying therapy; EDSS, Expanded Disability Status Scale; FTY, fingolimod; HR, hazard ratio (Cox‐regression model); MS, multiple sclerosis; NAT, natalizumab; No., number of; OR, odds ratio (logistic regression); PIRA, progression independent of relapse activity; r, Spearman correlation coefficient.
Wilcoxon–Mann–Whitney based on 10,000 Monte‐Carlo simulations.
Hodges‐Lehmann 95% CI.
Cox‐regression model.