International online conference on Progressive Multiple Sclerosis: sharing insights and views to improve patient outcomes – Module 1

AIM Multiple sclerosis (MS) is a chronic neuroinflammatory disease that primarily affects young adults, leading to neurological impairment and disability. Traditionally, MS has been categorized into forms such as relapsing-remitting MS (RRMS), primary progressive MS (PPMS), and secondary progressive MS (SPMS). However, it is now acknowledged that the disease should be viewed as a continuum, as inflammation and neurodegeneration coexist from the early phases of the disease. Disease worsening can be triggered by both acute and chronic inflammatory processes, or it may occur independently of inflammation. Consequently, new concepts have recently emerged, such as smoldering-associated worsening (SAW) and progression independent…

Description

AIM

Multiple sclerosis (MS) is a chronic neuroinflammatory disease that primarily

affects young adults, leading to neurological impairment and disability. Traditionally,

MS has been categorized into forms such as relapsing-remitting MS

(RRMS), primary progressive MS (PPMS), and secondary progressive MS

(SPMS). However, it is now acknowledged that the disease should be viewed

as a continuum, as inflammation and neurodegeneration coexist from the

early phases of the disease.

Disease worsening can be triggered by both acute and chronic inflammatory

processes, or it may occur independently of inflammation. Consequently,

new concepts have recently emerged, such as smoldering-associated worsening

(SAW) and progression independent of relapse activity (PIRA).

New biomarkers have been identified to assess smoldering inflammation,

including paramagnetic rim lesions (PRLs) and slowly expanding lesions

(SELs) visible on MRI. Additionally, fluid biomarkers are under evaluation for

their potential to monitor disease evolution and predict progression in

advance.

In recent years, a global effort by researchers has focused on defining the

immunopathology, clinical and radiological metrics, and biomarkers specific

to progressive MS. The goal is to identify, as early as possible, individuals at

higher risk of disability, quantify smoldering damage, and evaluate the

effectiveness of new treatments—such as BTK inhibitors—which can cross

the blood-brain barrier and target the local innate and adaptive immune

systems.

TARGET AUDIENCE

The International Conference is dedicated to a global audience of HCPs

biologists with a special interest or focus on MS:

• neurologists

• nurses

• physiotherapists

• pharmacologists

LEARNING OBJETIVES

The International Conference aims to achieve the following learning

objectives:

• Identify immunopathological hallmarks of progressive MS

• Quantify severity and establish prognosis based on innovative prognostic

markers

• Describe new immunological targets of treatments considering the

immune players involved in MS

• Detect early symptoms and signs of progression by using conventional

and digital assessments

• Discuss the results of clinical trials exploring the efficacy of new

treatments, such as BTKs inhibitors, targeting compartmentalized

inflammation in MS.

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