Primary Care Physician
Dr Orrange received her BA in Biology at the University of California San Diego and a Masters Degree in Health Sciences at the Johns Hopkins University School of Public Health She received her MD from the USC Keck School of…
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New Medication that may help Multiple Sclerosis Patients
Posted in Multiple Sclero... by Dr. Sharon Orrange on Mar 03, 2009

This may be an exciting development in the struggle against Multiple Sclerosis. The drug fampridine improves walking ability in some patients with multiple sclerosis (MS) and seems to be well-tolerated in patients with all disease course types of MS, authors reported in the February 28th edition of The Lancet.


What is the problem? In MS patients with a progressive decline in mobility there aren't many great options other than physical therapy. It has been suggested that treatment with fampridine may improve visual function, strength, walking ability, fatigue, and endurance in people with MS.


How much do we know about this medication? Initially tested in spinal cord injury patients, fampridine is an investigational oral, sustained-release formulation of 4-aminopyridine.  Fampridine has been found to improve impulse conduction in nerve fibers in which the insulating layer, called myelin, has been damaged.


What is this new study using fampridine in MS patients? The current study took MS patients from 33 centers in the US and Canada and assessed the efficacy and safety of slow-release fampridine on walking ability and leg strength. 301 patients aged 18-70 years were randomized to receive either fampridine or placebo for 14 weeks. Patients were assessed for walking speed and completed questions about their perception of difficulties they were having in walking.


What did this study find? Findings showed that MS patients achieved a faster walking speed when they were on treatment than with placebo. Improvement in leg strength was also greater in fampridine-treated patients than in people on placebo. Further, patients on fampridine reported an improvement in their perception of how well they were walking.


What could this mean? Treatment with fampridine produces clinically meaningful improvement in walking ability in some people with multiple sclerosis, irrespective of disease course, type or concomitant treatment with immunomodulators.


The science of this is so cool and this could be great news. As always, we need more studies to be sure it is safe and effective in MS patients.  Also, to head off comments I know are coming: I do not and never have received any money from a pharmaceutical company, and I don't own stock in the drug company that makes this drug (Acorda).....though I kind of wish I had :)


Dr O.


 


CATEGORIES: News
CONDITIONS AND COMMUNITIES: Multiple Sclerosis (MS)
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Displaying comments 18-1 of 18
18
I am wondering if 4-AP is the same compound as the Fampridine? If it is, I just want to comment that I have been taking 4-AP for approximately 2 1/2 years now. I do notice if I don't take my daily dose that my right leg is much lazier than when I do take it. However I am unable to take the full 30mg daily as suggested by my Neuro. My walking or energy level don't seem to be affected at all by the 4-AP. If I take the whole 30mg's I get tingling in my hands and feet! I do believe that the 4-AP is still an experimental drug as I cannot get it filled at any pharmacy. It is also a compounded script.
By bali4709  Apr 28, 2009
17
pj239 It is awaiting FDA approval for use in MS patients.
By DrOrrange  Mar 14, 2009
16
This is the best one yet! I can't wait to start on this medication as I have heard so much about it, and all of the symptoms that is helps are the ones that I have. So I hope it is approved very soon.
By butterflyzrfree  Mar 08, 2009
15
This is the best one yet! I can't wait to start on this medication as I have heard so much about it, and all of the symptoms that is helps are the ones that I have. So I hope it is approved very soon.
By butterflyzrfree  Mar 08, 2009
14
New medications are exciting... I would urge anyone with MS to seek out a good acupucturist too as theirs is one of the conditions that acupuncture is most effective for. Between us, helping each other, healing is possible... Best wishes, Julie www.ReBuildingYou.com
By RoadToReBuilding  Mar 08, 2009
13
Is this Pill on the market yet? or does it still have to be FDA approved yet.


Thank You , Paula
By pj239  Mar 07, 2009
12
thank you so much for this information. I have a dear friend with MS and she was just diagnosed a few months ago. she has lost faith, of getting any better, and I will pass this information to her.

thank you so much
nancy (stuckinatree)
By Stuckinatree  Mar 07, 2009
11
When do you think this medicine will be availble to the neurologists to bein subscribing?
By marilyn4342  Mar 05, 2009
10
Here's Hoping!!!!!!!!!
By kazinmich  Mar 05, 2009
9
To Whom it May Concern, (PLEASE, Forward to anyone you feel would like to support this effort)

On April 20, 2009, I will join 20,000 runners for the historic Boston Marathon. I will run 26.2 miles to raise money for the National MS Society. This effort has a personal meaning to me because my mother was diagnosed with MS over a decade ago and has enjoyed a normal quality of life due to medicines and treatments which are a result of efforts made in part by the National Multiple Sclerosis Society. This year’s goal is to raise $30,000 and I want to do my part to reach that goal. To make a donation, you can simply visit my team’s webpage and click on my name (Jason Magurno) to make a donation. The website address is: http://eventnyn.nationalmssociety....
or mail a check (made payable to "Run MS NYC") to:
National MS Society-NYC Chapter
Attn: Run MS
733 Third Avenue, 3rd Floor
New York, NY 10017
Please make sure to put my name and the Boston Marathon in the memo section of your check.

The National MS Society believes that moving is not just something you can or can’t do but, rather, is who you are. Run to Stop MS raises funds for critical research, as well as comprehensive programs and services for people with MS, moving closer toward a world free of MS. When you donate, you become a part of the powerful movement that is doing something about MS Now.
Many thanks in advance for your generous support.

Thank you for reading,
Jason Magurno
By magurnoj  Mar 04, 2009
8
I have a Calif friend who was just recently diagnosed with MS after being disabled most of her dear life. Being poor does not help, I just made mention of this to her...hoping it will help pick up her spirits! Thank you for this information!!
By haven59  Mar 04, 2009
7
Cool! Wonder what the cost of this new drug would be? Why, oh why, do the drugs we depend on the most have to cost so much? Oh well, that's another discussion.

Thanks for keeping us informed doc!
By Lila4now  Mar 03, 2009
6
I have heard of a drug called Tomamax which is surposed to help peaple with ms and fibro.
By miahugsandprayers  Mar 03, 2009
5
Fantastic!. Since some of the drugs that work for MS also work for dystonia, there is hope for us dystonia sufferers as well.

Best to everyone.
By andromeda7  Mar 03, 2009
4
My 60 million dollar question is: when will be finished with trials? I've been unable to walk without crutches for eight months now, and am itching to be able to just walk with a cane again, not to mention have more energy! I'd like to hike again, too!
By Rylee55  Mar 03, 2009
3
My kids are having babies as well, I am so ready to be able to pick them up and hold them. How does one participate in this new study?
When I was first Dx, my neuro asked me to get in his study, 2 years later I found out I was on the placebo, If I knew then what I know now!!!
By oneblh  Mar 03, 2009
2
Curious if this medicine would be useful in autoimmune retinopathy for visual improvement? Have been on cellcept, cyclosporine and 20 mgs of prednisone for this condition and will be for at least 4 or 5 months or more.. Have RP Simplex but with autoimmune retinopathy so just wondered if this might be something I could consider?
By lizjohn  Mar 03, 2009
1
Of all things...I would love to get some strength back...I can walk without a cane most days...but I don't have any stamina...I miss being able to "hike"...Haven't managed a walk through the mall in years...that seems like a simple thing. If this medicine is going to work...I am just too excited...my daughters are starting to have babies and I am their no. 1 babysitter.
By mimarg5557  Mar 03, 2009
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