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LUMINOUS

Neurofilament light chain as a surrogate candidate for disease activity in multiple sclerosis (LUMINOUS)-A meta-regression of randomized controlled trials.

Year of Publication: 2026

Journal: Multiple Sclerosis Journal

Citation: Multiple Sclerosis Journal. March 2026. doi:10.1177/13524585251407973. PMID 41574448.

Link: https://doi.org/10.1177/13524585251407973


Clinical Question

Do treatment effects on neurofilament light chain track with treatment effects on clinical and MRI endpoints well enough for NfL to serve as a surrogate marker of disease activity in MS?

Bottom Line

This meta-regression assessed the trial-level relationship between treatment effects on NfL and treatment effects on established clinical and MRI disease-activity endpoints in MS; the magnitude and statistical strength of that association were not reported in the available source text.

Major Points

  • Meta-regression of randomized controlled trials in multiple sclerosis evaluating NfL as a surrogate marker for disease activity.
  • Quantified the strength of association between treatment effects on NfL and treatment effects on established clinical and MRI endpoints across studies.
  • Specific quantitative association estimates and significance values were not available in the source text.

Design

Study Type: Meta-regression of randomized controlled trials

Randomization:

Centers: 0

Countries:

Sample Size: 0

Analyzed: 0

Analysis: Trial-level meta-regression of treatment effects on NfL against treatment effects on clinical and MRI endpoints


Inclusion Criteria

  • Randomized controlled trials in multiple sclerosis
  • Trials reporting treatment effects on neurofilament light chain (NfL)
  • Trials reporting treatment effects on established clinical and/or MRI disease-activity endpoints

Outcomes

OutcomeTypeControlInterventionHR / OR / RRP-value
Strength of the trial-level association between treatment effects on NfL and treatment effects on established clinical and MRI disease-activity endpoints across randomized controlled trials.Primary

Based on: LUMINOUS (Multiple Sclerosis Journal, 2026)

Citation: Multiple Sclerosis Journal. March 2026. doi:10.1177/13524585251407973. PMID 41574448.

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