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Re: Minocycline in RRMS

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This sounds like MS resulting from Lyme disease.

----- Original Message -----

From: " yashagrawal " <yashagrawal@...>

<low dose naltrexone >

Sent: Wednesday, May 05, 2004 5:39 PM

Subject: [low dose naltrexone] Minocycline in RRMS

> Minocycline is an antibiotic, and the results are amazing.

>

> Yash

> Minocycline Reduces Gadolinium-Enhancing Magnetic Resonance Imaging

> Lesions in Multiple Sclerosis

>

> We report a trial of minocycline in people with relapsing-remitting

> multiple sclerosis (RRMS) that evaluates safety and estimates its

> effect on magnetic resonance imaging (MRI). Ten subjects with active

> RRMS received oral minocycline 100mg twice daily for 6 months after

> a 3-month run-in period. A 30-month treatment extension is ongoing.

> Clinical and laboratory assessments were completed at enrollment and

> then at 3-month intervals. MRI was performed at enrolment and then

> every 4 weeks. Patients without MRI activity during the run-in phase

> continued in the study, including completion of all MRI scans, to

> confirm lack of MRI worsening. The primary outcome was change in the

> mean number of gadolinium-enhancing lesions per scan during the

> first 6 months of treatment compared with the run-in period

> (Wilcoxon signed rank test, two-sided alpha of 0.05).

>

> Eighty percent of participants were women. Mean age was 42.8 years

> (SD 4.0). Mean MS duration was 11.8 years (SD 6.3). Median baseline

> extended disability status score (EDSS) was 2.5 (range 1.5-5.5).

> Mean relapse number in the two prior years was 2.6 (range 2-4).

> During the trial, there were no serious adverse events or laboratory

> abnormalities and no change in EDSS. Three relapses occurred during

> the run-in phase, five during the first 6-month treatment phase, and

> none during the following 6 months. On-treatment relapses included

> one associated with MRI enhancement (during month 1), two without

> enhancement (one scan was a postrelapse scan, and one scan was

> missed because the patient was taking steroids), and two mild

> truncal sensory attacks unassociated with MRI enhancement (both at 5

> months).

>

> Mean total enhancing lesion number decreased from 1.38 lesions per

> scan during the run-in phase to 0.22 during the treatment phase (z =

> 2.204, p = 0.0276), representing a relative reduction of greater

> than 84%. During the run-in phase, 47.5% of MRI scans (19/40) were

> active, whereas 9.3% (5/54) were active during the minocycline

> phase. There were no active scans after month 2 (Fig) and no new

> active lesions after month 1. Although five patients accounted for

> all MRI activity before and after treatment, all patient data were

> included in all analyses.

>

>

> T1-enhancing lesion number from the magnetic resonance imaging

> scans of the five patients that exhibited enhancing lesions.

> [Normal View 25K | Magnified View 76K]

>

>

> This study provides preliminary evidence that minocycline may be

> useful in MS and supports its safety. The MRI results are consistent

> with the ability of minocycline to inhibit matrix metalloproteinases,

> [1][2] thus reducing lymphocyte access to the central nervous

> system. In addition, minocycline may have other beneficial

> properties including neuroprotection.[3] Small sample size and short

> trial duration limit conclusions, but reduced MRI activity is

> encouraging and calls for definitive studies to establish

> minocycline efficacy in MS.

>

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>

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It has also been found beneficial for ALS too.

yashagrawal wrote:

Minocycline is an antibiotic, and the results are amazing.

Yash

-- .

,-._|\ Covington / Oz \ \_,--.x/ v

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