Carrie Hersh, DO, MSc: Assessing Real-World MS Data to Compare DMTs
The MS neurologist at Cleveland Clinic’s Lou Ruvo Center for Brain Health discussed how leveraging real-world datasets can help reduce indication bias when comparing treatments for multiple sclerosis.
“We’re no longer going to be able to rely on just RCTs because we’re no longer going to have those [drug-to-drug] comparisons. Being able to leverage what we’re seeing in real-world practice using all sort of different datasets from different institutions is going to play an increasingly important role.”
While the armamentarium for treating multiple sclerosis (MS) has grown quickly in the past decade—now counting more than 15 disease-modifying therapies—the days of being able to rely solely on data from randomized clinical trials (RCTs) for comparative efficacy data are long gone.
Although real-world datasets can be messy compared to more uniform RCT patient populations which are highly controlled, now, using ever-adjusted and complex propensity score models has allowed for physicians to compare “apples to apples, instead of apples to oranges,” as Carrie Hersh, DO, MSc, put it.
Hersh, an MS neurologist at Cleveland Clinic’s Lou Ruvo Center for Brain Health, spoke with NeurologyLive® at the
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