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Personalised Treatments in MS (Brown Group)

Led by a panel of expert patients, we use big data and cutting-edge artificial intelligence to identify the right drug, for the right person at the right time.

 

We enable everyone in the UK to participate in the most crucial research, and we reduce healthcare inequalities.​

Learn more about our projects below.​​​

TOIL-MS [Treatment Optimisation and Innovation Lab]

We use advanced statistical and artificial intelligence methods to emulate clinical trials. Collaborating with international leaders in statistics (Jonathan Sterne and Tomas Kalincik) and artificial intelligence (Mihaela van der Schaar) we use data collected from hospital notes (stored in databases)  -"real-world data" - to understand the best treatment for each person with MS, NMO and related disorders.

 

These projects have been published in JAMA, Lancet Neurology, Brain and Multiple Sclerosis Journal (see publications).

THRIVE-MS [Transforming Health Records for automated Real-world data generation, Improved care, Value and Efficiency]

Databases like UK MS Register and MSBase contain clinical information from less than 1% of UK people with MS or NMO. Electronic hospital notes are inefficient, worsening waiting lists and treatment delays. And opportunities to improve safety and reduce clinician burnout are unrealised.

We are solving this by modifying the three most commonly-used electronic healthcare records to transform clinical care and efficiency; and – in those who consent – automatically extracting de-identified data and sending it to multiple databases plus a (new) central trial eligibility checker. The result: detailed clinical and safety data will be transferred to the databases and trial eligibility checker every time they are updated during routine care, without any additional time needed from clinicians.

CONSENTOR [Combined One-off Neuroimmunological conditions Study and trial Eligibility Notification Tool and Observational Research consent form]

Busy hospital clinics mean that most people with MS and NMO are not invited to participate in research, be it contributing their existing information to databases or hearing about cutting-edge trials.

 

CONSENTOR solves this. It empowers people with MS, NMO or any other neuroimmunological condition to sign up to multiple research tools, all by completing a single online form:

  1. To sign up to multiple secure databases including MSBase, UK MS Register, UK MS pregnancy register. This means their detailed information from hospital notes (including blood results and MRI scans) can help researchers to uncover disease and treatment breakthroughs

  2. To consent to approved research being done at their hospital using their existing information

  3. To participate in the first-ever trial eligibility checker for people with these conditions – as soon as they become eligible for a trial they will be sent information about the trial and their local study team's contact details

MS-EQUAL

Our pioneering research program to measure and address the gross inequalities faced by people in every known under-served group - even those that have not made it to clinic.

Meet the Group

Learn a little more about each member of the Personalised Treatments group by clicking on their profile picture below.

Publications

Click the paper titles below to view the key publications to which members of the Brown Group have contributed.  

Bexarotene leads to durable improvements in visual evoked potential latency: A follow-up study of the Cambridge Centre for Myelin Repair One trial
 

Robust real-world evidence: optimising disease-modifying treatments for multiple sclerosis
 

A real-world clinical validation for AI-based MRI monitoring in multiple sclerosis
 

Early non-disabling relapses are important predictors of disability accumulation in people with relapsing-remitting multiple sclerosis
 

Remyelination varies between and within lesions in multiple sclerosis following bexarotene
 

Remyelination in humans due to a retinoid‐X receptor agonist is age‐dependent
 

Clinician and patient experience of neurology telephone consultations during the COVID-19 pandemic
 

The contemporary role of MRI in the monitoring and management of people with multiple sclerosis in the UK
 

Determinants of therapeutic lag in multiple sclerosis
 

Safety and efficacy of bexarotene in patients with relapsing-remitting multiple sclerosis (CCMR One): a randomised, double-blind, placebo-controlled, parallel-group, phase 2a study
 

The MS Remyelinating Drug Bexarotene (an RXR Agonist) Promotes Induction of Human Tregs and Suppresses Th17 Differentiation In Vitro
 

Surface-in pathology in multiple sclerosis: a new view on pathogenesis?
 

Delay from treatment start to full effect of immunotherapies for multiple sclerosis
 

Periventricular magnetisation transfer ratio abnormalities in multiple sclerosis improve after alemtuzumab
 

Magnetisation transfer ratio abnormalities in primary and secondary progressive multiple sclerosis
 

Timing of high-efficacy therapy for multiple sclerosis: a retrospective observational cohort study
 

Keratinocyte growth factor impairs human thymic recovery from lymphopenia
 

Association of Initial Disease-Modifying Therapy With Later Conversion to Secondary Progressive Multiple Sclerosis
 

Treatment effectiveness of alemtuzumab compared with natalizumab, fingolimod, and interferon beta in relapsing-remitting multiple sclerosis: a cohort study
 

An abnormal periventricular magnetization transfer ratio gradient occurs early in multiple sclerosis
 

Alemtuzumab: evidence for its potential in relapsing-remitting multiple sclerosis
 

Funding

The current funding sources for the Personalised Treatments in MS group are shown below.

Delivering state-of-the-art MRI results automatically into healthcare records to improve care and transform research in multiple sclerosis: a pilot study

2024-07 to 2026-06 | Grant

MS Society (London, GB)

Epic neuroimmunology smartform and CONSENTOR

2024-01 to 2026-01 | Grant
Roche Pharmaceutical (Basel, CH), Sanofi (Paris, FR), Novartis Pharmaceuticals UK Limited (London, GB)

Installing and overseeing an open-source software platform (XNAT) to enable reliable and efficient imaging processing for Cambridge Neuroscience

2023-06 to 2025-05 | Grant

NIHR Cambridge Biomedical Research Centre (Cambridge, GB)

A 12-site retrospective observational study of real-world fumarate tolerability

2022-12 to present | Grant

Biogen IDEC (MA, MA, US)

Improving the long-term outcomes for people with multiple sclerosis by studying real-world data

2022-03-01 to 2027-02-28 | Grant

NIHR Academy (Leeds, GB)

© 2024 by Cambridge Clinical MS Research. All rights reserved.

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