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Welcome to the website of the
Southwest Virginia MS Support Group
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Acorda Drug Aids Walking in MS Patients
June 02, 2008

Ransdell Pierson

NEW YORK (Reuters) - Acorda Therapeutics Inc. on Monday
said it will seek U.S. approval early next year for the first
medicine to improve walking for patients with multiple
sclerosis.
The tiny U.S. biotechnology company said its decision to
file the marketing application was based on favorable results
from a second-late stage study of the medicine. Data on the
product, which is being developed in partnership with Irish
drugmaker Elan Corp , were unveiled early on Monday.
The latest trial involved 240 MS patients in the United
States and Canada with some degree of walking disability,
divided into groups that either took the Acorda medicine or
placebos twice daily.
Almost 43 percent of patients taking the medicine, called
fampridine, showed consistent improvement in walking speed
during the 2-month study, compared with 9.3 percent of
patients taking placebos, Acorda said.
The results were highly statistically significant and
similar to those seen in an earlier 14-week study of the
medicine. Patients who responded to the medicine in both phase
III studies, on average, required about 25 percent less time
to walk a distance of 25 feet.
Moreover, leg strength improved by a statistically
significant degree among the fampridine group in the latest
trial, meeting a secondary goal of the study.
"There is no approved treatment today that addresses
walking disability for patients with multiple sclerosis," Ron
Cohen, Acorda's chief executive, said in an interview late on
Sunday.
"Walking disability is a fundamental feature of multiple
sclerosis and one of the most worrisome features because it
can imply loss of independence," said Cohen, whose company is
based in Hawthorne, New York.
Cohen cautioned that although fampridine appears to help
improve mobility of patients, it does not slow the progression
of MS. Therefore, he said it will likely be used alongside
standard interferon treatments that do slow progression, which
include Biogen Idec Inc's Avonex and the newer treatment
Tysabri developed by Biogen Idec and Elan.
He noted, however, that the interferon treatments have not
been shown to improve walking abilities, as fampridine has
done.
Acorda said side effects of fampridine were generally mild
to moderate, although significantly more patients taking the
drug developed urinary tract infections, insomnia, headache,
nausea and dizziness than those receiving placebos.
JP Morgan analyst Geoffrey Meacham said one of the biggest
risks to the Acorda drug was that it might increase the risk
of seizures - a side effect hinted at in the earlier phase III
study. But he said that risk did not materialize, boosting his
faith in the drug's future.
Multiple sclerosis is a progressive disease in which the
immune system attacks a protective layer of protein called
myelin that insulates nerve fibers in the brain and spinal
cord. Fampridine works by preventing potassium from leaking
from nerve fibers whose myelin sheath has been denuded.
More than 400,000 Americans are estimated to have the
disease, a high percentage of whom eventually develop walking
difficulties or related motor problems.
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