In clinical trials, the term "patients at risk" refers to thealtruistic people who volunteer to participate in studies ofnovel treatments. In this issue of the Journal, three reports1,2,3provide details about patients who were participating in trialsinvolving experimental treatment with natalizumab for eithermultiple sclerosis or Crohn's disease and who were affectedby progressive multifocal leukoencephalopathy (PML). PML isa rapidly progressive, often fatal demyelinating brain disordercaused by infection of the central nervous system with JC virus4;it usually occurs in patients with diminished T-cell function.These events remind us once again of the true . . . [Full Text of this Article]
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This editorial was published on June 9, 2005, at www.nejm.org.
Berger, T., Deisenhammer, F., Alvarez-Cermeno, J. C., Masjuan, J., Villar, L. M., Kleinschmidt-DeMasters, B.K., Tyler, K. L., Langer-Gould, A., Atlas, S. W., Pelletier, D.
(2005). Progressive multifocal leukoencephalopathy, natalizumab, and multiple sclerosis.. NEJM
353: 1744-1746
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