Videos

Experts emphasize that long-term monitoring after stepping down from high-efficacy multiple sclerosis therapies requires individualized clinical, MRI, and laboratory assessments to promptly detect disease activity or complications, alongside clear patient communication about goals and risks; looking forward, novel treatments and improved biomarkers promise to enhance personalized, safer management strategies.

Experts discuss the ongoing phase 4 COAST trial evaluating ozanimod as a step-down therapy for patients with stable multiple sclerosis on anti-CD20 treatments, highlighting careful patient selection, timing of initiation to balance disease control with immunosuppression risks, and the need for individualized decisions pending trial results.