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June 2016; 6 (3) ResearchOpen Access

Characterizing absolute lymphocyte count profiles in dimethyl fumarate–treated patients with MS

Patient management considerations

Robert J. Fox, Andrew Chan, Ralf Gold, J. Theodore Phillips, Krzysztof Selmaj, Ih Chang, Mark Novas, Jitesh Rana, Jing L. Marantz
First published April 1, 2016, DOI: https://doi.org/10.1212/CPJ.0000000000000238
Robert J. Fox
Mellen Center for Multiple Sclerosis Treatment and Research (RJF), Cleveland Clinic, Cleveland, OH; St. Josef Hospital (AC, RG), Ruhr University, Bochum, Germany; Multiple Sclerosis Program (JTP), Baylor Institute for Immunology Research, Dallas, TX; Medical University of Lodz (KS), Lodz, Poland; and Biogen (IC, MN, JR, JLM), Cambridge, MA. Dr. Novas is currently with Alexion Pharmaceuticals, Chesire, CT; and Dr. Rana is currently with Sanofi-Genzyme, Cambridge, MA.
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Andrew Chan
Mellen Center for Multiple Sclerosis Treatment and Research (RJF), Cleveland Clinic, Cleveland, OH; St. Josef Hospital (AC, RG), Ruhr University, Bochum, Germany; Multiple Sclerosis Program (JTP), Baylor Institute for Immunology Research, Dallas, TX; Medical University of Lodz (KS), Lodz, Poland; and Biogen (IC, MN, JR, JLM), Cambridge, MA. Dr. Novas is currently with Alexion Pharmaceuticals, Chesire, CT; and Dr. Rana is currently with Sanofi-Genzyme, Cambridge, MA.
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Ralf Gold
Mellen Center for Multiple Sclerosis Treatment and Research (RJF), Cleveland Clinic, Cleveland, OH; St. Josef Hospital (AC, RG), Ruhr University, Bochum, Germany; Multiple Sclerosis Program (JTP), Baylor Institute for Immunology Research, Dallas, TX; Medical University of Lodz (KS), Lodz, Poland; and Biogen (IC, MN, JR, JLM), Cambridge, MA. Dr. Novas is currently with Alexion Pharmaceuticals, Chesire, CT; and Dr. Rana is currently with Sanofi-Genzyme, Cambridge, MA.
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J. Theodore Phillips
Mellen Center for Multiple Sclerosis Treatment and Research (RJF), Cleveland Clinic, Cleveland, OH; St. Josef Hospital (AC, RG), Ruhr University, Bochum, Germany; Multiple Sclerosis Program (JTP), Baylor Institute for Immunology Research, Dallas, TX; Medical University of Lodz (KS), Lodz, Poland; and Biogen (IC, MN, JR, JLM), Cambridge, MA. Dr. Novas is currently with Alexion Pharmaceuticals, Chesire, CT; and Dr. Rana is currently with Sanofi-Genzyme, Cambridge, MA.
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Krzysztof Selmaj
Mellen Center for Multiple Sclerosis Treatment and Research (RJF), Cleveland Clinic, Cleveland, OH; St. Josef Hospital (AC, RG), Ruhr University, Bochum, Germany; Multiple Sclerosis Program (JTP), Baylor Institute for Immunology Research, Dallas, TX; Medical University of Lodz (KS), Lodz, Poland; and Biogen (IC, MN, JR, JLM), Cambridge, MA. Dr. Novas is currently with Alexion Pharmaceuticals, Chesire, CT; and Dr. Rana is currently with Sanofi-Genzyme, Cambridge, MA.
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Ih Chang
Mellen Center for Multiple Sclerosis Treatment and Research (RJF), Cleveland Clinic, Cleveland, OH; St. Josef Hospital (AC, RG), Ruhr University, Bochum, Germany; Multiple Sclerosis Program (JTP), Baylor Institute for Immunology Research, Dallas, TX; Medical University of Lodz (KS), Lodz, Poland; and Biogen (IC, MN, JR, JLM), Cambridge, MA. Dr. Novas is currently with Alexion Pharmaceuticals, Chesire, CT; and Dr. Rana is currently with Sanofi-Genzyme, Cambridge, MA.
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Mark Novas
Mellen Center for Multiple Sclerosis Treatment and Research (RJF), Cleveland Clinic, Cleveland, OH; St. Josef Hospital (AC, RG), Ruhr University, Bochum, Germany; Multiple Sclerosis Program (JTP), Baylor Institute for Immunology Research, Dallas, TX; Medical University of Lodz (KS), Lodz, Poland; and Biogen (IC, MN, JR, JLM), Cambridge, MA. Dr. Novas is currently with Alexion Pharmaceuticals, Chesire, CT; and Dr. Rana is currently with Sanofi-Genzyme, Cambridge, MA.
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Jitesh Rana
Mellen Center for Multiple Sclerosis Treatment and Research (RJF), Cleveland Clinic, Cleveland, OH; St. Josef Hospital (AC, RG), Ruhr University, Bochum, Germany; Multiple Sclerosis Program (JTP), Baylor Institute for Immunology Research, Dallas, TX; Medical University of Lodz (KS), Lodz, Poland; and Biogen (IC, MN, JR, JLM), Cambridge, MA. Dr. Novas is currently with Alexion Pharmaceuticals, Chesire, CT; and Dr. Rana is currently with Sanofi-Genzyme, Cambridge, MA.
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Jing L. Marantz
Mellen Center for Multiple Sclerosis Treatment and Research (RJF), Cleveland Clinic, Cleveland, OH; St. Josef Hospital (AC, RG), Ruhr University, Bochum, Germany; Multiple Sclerosis Program (JTP), Baylor Institute for Immunology Research, Dallas, TX; Medical University of Lodz (KS), Lodz, Poland; and Biogen (IC, MN, JR, JLM), Cambridge, MA. Dr. Novas is currently with Alexion Pharmaceuticals, Chesire, CT; and Dr. Rana is currently with Sanofi-Genzyme, Cambridge, MA.
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Full PDF
Citation
Characterizing absolute lymphocyte count profiles in dimethyl fumarate–treated patients with MS
Patient management considerations
Robert J. Fox, Andrew Chan, Ralf Gold, J. Theodore Phillips, Krzysztof Selmaj, Ih Chang, Mark Novas, Jitesh Rana, Jing L. Marantz
Neurol Clin Pract Jun 2016, 6 (3) 220-229; DOI: 10.1212/CPJ.0000000000000238

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Article Information

vol. 6 no. 3 220-229
DOI: 
https://doi.org/10.1212/CPJ.0000000000000238

Published By: 
Wolters Kluwer Health, Inc. on behalf of the American Academy of Neurology
Print ISSN: 
2163-0402
Online ISSN: 
2163-0933
History: 
  • Received August 28, 2015
  • Accepted November 30, 2015
  • First Published April 1, 2016.

Article Versions

  • Previous version (April 1, 2016 - 13:00).
  • You are viewing the most recent version of this article.
Copyright & Usage: 
© 2016 American Academy of Neurology This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0 (CC BY-NC-ND), which permits downloading and sharing the work provided it is properly cited. The work cannot be changed in any way or used commercially.

Author Disclosures

    1. Robert J. Fox, MD,
    2. Andrew Chan, MD,
    3. Ralf Gold, MD,
    4. J. Theodore Phillips, MD, PhD,
    5. Krzysztof Selmaj, MD, PhD,
    6. Ih Chang, PhD,
    7. Mark Novas, MD,
    8. Jitesh Rana, MD and
    9. Jing L. Marantz, MD, PhD
  1. Robert J. Fox, MD,
  2. Scientific Advisory Boards:
    1. Biogen Idec, Novartis

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. Editorial Board, Neurology Editorial Board, Multiple Sclerosis Journal

    Patents:
    1. NONE

    Publishing Royalties:
    1. Multiple Sclerosis and Related Disorders, Demos Medical, 2013

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. Actelion, Biogen Idec, MedDay, Novartis, Mallinckrodt, Teva, and XenoPort

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. Research grant from Novartis.

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. National MS Society, RC 1004-A-5, 2010- 2013; RG 4778-A-6, 2013-2018; NIH 1U01NS082329-01A1, 2013- 2018; Consortium of MS Centers

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  3. Andrew Chan, MD,
  4. Scientific Advisory Boards:
    1. Served on scientific advisory boards for (1) Bayer, (2) Biogen (3) Genzyme, (4) Novartis Pharma, (5) UCB

    Gifts:
    1. NONE

    Funding for travel or speaker honoraria:
    1. (1) Bayer, speaker honoraria, (2) Biogen, speaker honoraria, (3) Genzyme, speaker honoraria, (4) Merck, speaker honoraria, (5) Novartis Pharma, speaker honoraria (6) Teva Neuroscience, speaker honoraria, (7) Roche, speaker honoraria (7) Almirall Hermal GmbH (8) Sanofi Aventis

    Editorial Boards:
    1. (1) International Journal of Endocrinology, Guest editor, 2012

    Patents:
    1. Proteomic profile of NMO

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. (1) Bayer, consultant, (2) Biogen, consultant, (3) Genzyme, consultant (4) Merck, consultant, (5) Novartis, consultant, (6) UCB, consultant

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. (1) Biogen, (2) Novartis Pharma, (3) Genzyme, (4) Bayer Schering, (5) Merck Serono

    Research Support, Government Entities:
    1. (1) German Ministry for Education and Research (BMBF, ?German Competence Network Multiple Sclerosis? (KKNMS), CONTROL MS), 01GI0914, 2009-2014

    Research Support, Academic Entities:
    1. Ruhr University Bochum, Research support (FoRUM)

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. (1) Sanofi-Aventis, 2010-2011, expert consultant, authoring of a clinical overview that was submitted to german regulatory authorities for approval of methylprednisolone in the treatment of Multiple Sclerosis

  5. Ralf Gold, MD,
  6. Scientific Advisory Boards:
    1. (1) TEVA three DSMB boards (2) BiogenIdec advisory boards (3) BayerSchering advisory boards (4) Novartis advisory boards

    Gifts:
    1. NONE

    Funding for travel or speaker honoraria:
    1. (1) speaker at BiogenIdec symposia and satellites (2) speaker at TEVA symposia and satellites (3) speaker at BayerSchering symposia and satellites (4) speaker at Novartis symposia and satellites (5) Merck Serono

    Editorial Boards:
    1. (1) Therapeutic Advances in Neurological Diseases, editor since 2008 (2) Am J Path, editorial board 2009-2012 (3) J Neuroimmunol, editorial board since 2006 (4) Exp Neurol Editorial board since 2013

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. for BiogenIdec, ELAN, TEVA several times once for Chugai Inc.

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. (1) TEVA (2) BiogenIdec (3) BayerSchering (4) MerckSerono (5) Novartis

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  7. J. Theodore Phillips, MD, PhD,
  8. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for travel or speaker honoraria:
    1. 1. Acorda, speaker honoraria 2. Biogen-Idec, speaker honoraria 3. Genzyme, speaker honoraria 4. Sanofi, speaker honoraria 5. Serono, advisory board honorarium

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. 1. Acorda 2. Biogen-Idec 3. Genzyme 4. Sanofi

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. 1. Biogen Idec 2. Roche

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  9. Krzysztof Selmaj, MD, PhD,
  10. Scientific Advisory Boards:
    1. Genzyme,BiogenIdec,Novartis,Synthon, Roche, Receptos, TEVA

    Gifts:
    1. NONE

    Funding for travel or speaker honoraria:
    1. Speaker for Biogen Idec, Novartis, TEVA, Bayer, Roche, Receptos, Genzyme

    Editorial Boards:
    1. Journal of Neuroimmunology - member of editorial board - 1994 now.

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. 1)Genzyme 2) Novartis 3) BiogenIdec 4) Roche 5)Synthon 6)Merck Serono 7) Ono 8) Teva

    Speakers' Bureaus:
    1. 1) Novartis 2) Merck-Serono 3) BiogenIdec 4) Bayer 5)Genzyme

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. Research grant from National Research Center (Poland)and fro National Center for Research and Development.

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  11. Ih Chang, PhD,
  12. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. Biogen Senior Director, Biostatistics 2014-present

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. As Biogen employee.

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. As Biogen employee.

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  13. Mark Novas, MD,
  14. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. Biogen employeee

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. Biogen

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  15. Jitesh Rana, MD and
  16. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. 1) Biogen, Global Medical Director 2008 - 2015 2) Senior Medical Director 2015 3) Global Medical Director 2015 - current

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. Biogen

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  17. Jing L. Marantz, MD, PhD
  18. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. Biogen, Senior Director, Medical Affairs, 2014-current

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. Biogen

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

    1. Mellen Center for Multiple Sclerosis Treatment and Research (RJF), Cleveland Clinic, Cleveland, OH; St. Josef Hospital (AC, RG), Ruhr University, Bochum, Germany; Multiple Sclerosis Program (JTP), Baylor Institute for Immunology Research, Dallas, TX; Medical University of Lodz (KS), Lodz, Poland; and Biogen (IC, MN, JR, JLM), Cambridge, MA. Dr. Novas is currently with Alexion Pharmaceuticals, Chesire, CT; and Dr. Rana is currently with Sanofi-Genzyme, Cambridge, MA.
    1. Correspondence to:
      FOXR{at}ccf.org
    View Full Text

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