Imperial College London

ProfessorRichardNicholas

Faculty of MedicineDepartment of Brain Sciences

Professor of Practice (Neurology)
 
 
 
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Contact

 

r.nicholas

 
 
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Location

 

12L12CLab BlockCharing Cross Campus

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Summary

 

Publications

Publication Type
Year
to

385 results found

Cole J, Raffel J, Friede T, Eshaghi A, Brownlee W, Chard D, De Stefano N, Enzinger C, Pirpamer L, Filippi M, Gasperini C, Rocca M, Rovira A, Ruggieri S, Sastre-Garriga J, Stromillo ML, Uitdehaag B, Vrenken H, Barkhof F, Nicholas R, Ciccarelli Oet al., 2019, Accelerated brain ageing and disability in multiple sclerosis, 35th Congress of the European-Committee-for-Treatment-and-Research-in-Multiple-Sclerosis (ECTRIMS) / 24th Annual Conference of Rehabilitation in MS, Publisher: SAGE PUBLICATIONS LTD, Pages: 721-722, ISSN: 1352-4585

Conference paper

Vermersch P, Eralinna J-P, Nicholas R, Oreja-Guevara C, Siva A, Van Wijmeersch B, Wiendl H, Buffels R, Kuhelj R, Wei W, Comi Get al., 2019, Efficacy and safety of ocrelizumab in patients with relapsing-remitting multiple sclerosis with a suboptimal response to previous disease-modifying therapies (1-year interim results), 35th Congress of the European-Committee-for-Treatment-and-Research-in-Multiple-Sclerosis (ECTRIMS) / 24th Annual Conference of Rehabilitation in MS, Publisher: SAGE PUBLICATIONS LTD, Pages: 344-345, ISSN: 1352-4585

Conference paper

Rodgers W, Friede T, Middleton R, Tuite-Dalton K, Ford D, Nicholas Ret al., 2019, Confirmed time-to event clinically relevant change in multiple sclerosis (MS) impact score (MSIS)-29 as a patient-reported outcome (PRO) outcome to assess disease progression in MS, 35th Congress of the European-Committee-for-Treatment-and-Research-in-Multiple-Sclerosis (ECTRIMS) / 24th Annual Conference of Rehabilitation in MS, Publisher: SAGE PUBLICATIONS LTD, Pages: 193-194, ISSN: 1352-4585

Conference paper

Bianchi A, Cortese R, De Angelis F, Magnollay L, Jacob A, Toosy A, Brownlee W, Trip A, Nicholas R, Hacohen Y, Barkhof F, Ciccarelli Oet al., 2019, The effect of optic neuritis in multiple sclerosis, Aquaporin4-positive neuromyelitis optica spectrum disorders, and anti-MOG antibodies associated-disease, 35th Congress of the European-Committee-for-Treatment-and-Research-in-Multiple-Sclerosis (ECTRIMS) / 24th Annual Conference of Rehabilitation in MS, Publisher: SAGE PUBLICATIONS LTD, Pages: 711-712, ISSN: 1352-4585

Conference paper

Miles E, Fusco S, Bonomi S, Cole J, Magliozzi R, Calabrese M, Nicholas Ret al., 2019, Comparing output of brain age machine learning algorithms using Pronto and R in multiple sclerosis, 35th Congress of the European-Committee-for-Treatment-and-Research-in-Multiple-Sclerosis (ECTRIMS) / 24th Annual Conference of Rehabilitation in MS, Publisher: SAGE PUBLICATIONS LTD, Pages: 501-501, ISSN: 1352-4585

Conference paper

Nicholas R, Cortese A, Hill J, Kalam S, Cencioni MT, Muraro Pet al., 2019, Early cervical spinal cord atrophy predicts disability in active relapsing multiple sclerosis: a longitudinal cohort study, 35th Congress of the European-Committee-for-Treatment-and-Research-in-Multiple-Sclerosis (ECTRIMS) / 24th Annual Conference of Rehabilitation in MS, Publisher: SAGE PUBLICATIONS LTD, Pages: 472-472, ISSN: 1352-4585

Conference paper

Bonomi S, Miles E, Magliozzi R, Tamanti A, Calabrese M, Nicholas Ret al., 2019, Relationship of brain predicted age change disability accumulation in multiple sclerosis, 35th Congress of the European-Committee-for-Treatment-and-Research-in-Multiple-Sclerosis (ECTRIMS) / 24th Annual Conference of Rehabilitation in MS, Publisher: SAGE PUBLICATIONS LTD, Pages: 286-286, ISSN: 1352-4585

Conference paper

Scalfari A, Pisani A, Romualdi C, Nicholas R, Calabrese Met al., 2019, Disease activity, brain atrophy and long term clinical outcome of multiple sclerosis, 35th Congress of the European-Committee-for-Treatment-and-Research-in-Multiple-Sclerosis (ECTRIMS) / 24th Annual Conference of Rehabilitation in MS, Publisher: SAGE PUBLICATIONS LTD, Pages: 160-160, ISSN: 1352-4585

Conference paper

Nicholas R, Chang K, Romozzi M, Cencioni MT, Muraro Pet al., 2019, Programmed cell death ligand 1 (PD-L1) in multiple sclerosis (MS) serum and cerebrospinal fluid (CSF), 35th Congress of the European-Committee-for-Treatment-and-Research-in-Multiple-Sclerosis (ECTRIMS) / 24th Annual Conference of Rehabilitation in MS, Publisher: SAGE PUBLICATIONS LTD, Pages: 444-445, ISSN: 1352-4585

Conference paper

Wilkie D, Solari A, Nicholas R, 2019, Importance of face-to-face consultation in complex decision-making about disease modifying treatments in multiple sclerosis: results of the Decisions Of Uncertainty Broaching Therapies in MS (MS-DOUBT) study, 35th Congress of the European-Committee-for-Treatment-and-Research-in-Multiple-Sclerosis (ECTRIMS) / 24th Annual Conference of Rehabilitation in MS, Publisher: SAGE PUBLICATIONS LTD, Pages: 571-571, ISSN: 1352-4585

Conference paper

Poli A, Marastoni D, Nicholas R, Rossi S, Reynolds R, Calabrese M, Monaco S, Magliozzi Ret al., 2019, The extent and distribution of fibrinogen deposition in progressive MS correlate with meningeal and choroid plexus inflammation, 35th Congress of the European-Committee-for-Treatment-and-Research-in-Multiple-Sclerosis (ECTRIMS) / 24th Annual Conference of Rehabilitation in MS, Publisher: SAGE PUBLICATIONS LTD, Pages: 10-11, ISSN: 1352-4585

Conference paper

Cencioni MT, Yusuf S, Palmisano I, Lee SB, Ali R, Mazarakis ND, Nicholas R, Costa Frossard L, Villar Guimerans LM, Muraro PAet al., 2019, Soluble CD27 a biomarker of T cell activity in intrathecal inflammation in patients with relapsing-remitting multiple sclerosis, 35th Congress of the European-Committee-for-Treatment-and-Research-in-Multiple-Sclerosis (ECTRIMS) / 24th Annual Conference of Rehabilitation in MS, Publisher: SAGE PUBLICATIONS LTD, Pages: 110-111, ISSN: 1352-4585

Conference paper

Ali R, Cencioni MT, Nicholas R, Dazzi F, Muraro Pet al., 2019, Immunological change after MSC infusion in MS patients results from a Phase 2 trial of autologous mesenchymal cell therapy in MS (STREAMS), 35th Congress of the European-Committee-for-Treatment-and-Research-in-Multiple-Sclerosis (ECTRIMS) / 24th Annual Conference of Rehabilitation in MS, Publisher: SAGE PUBLICATIONS LTD, Pages: 297-298, ISSN: 1352-4585

Conference paper

Middleton R, Pearson O, Ingram G, Watson L, Craig E, Roberts C, Tuite-Dalton K, Ford D, Nicholas Ret al., 2019, MSiDMT: development of a consistent electronic cognitive scoring method for the UKMS Register, 35th Congress of the European-Committee-for-Treatment-and-Research-in-Multiple-Sclerosis (ECTRIMS) / 24th Annual Conference of Rehabilitation in MS, Publisher: SAGE PUBLICATIONS LTD, Pages: 418-418, ISSN: 1352-4585

Conference paper

Cortese R, Prados F, Kanber B, Tur C, Jacob A, Toosy AT, Brownlee WJ, Trip A, Nicholas R, Yiannakas M, De Angelis F, Magnollay L, Bianchi A, De La Paz I, Hacohen Y, Barkhof F, Ciccarelli Oet al., 2019, Brain and spinal cord atrophy in relapsing remitting multiple sclerosis, aquaporin-4-Ab neuromyelitis optica spectrum disorder and myelin oligodendrocyte glycoprotein Ab-associated disease, 35th Congress of the European-Committee-for-Treatment-and-Research-in-Multiple-Sclerosis (ECTRIMS) / 24th Annual Conference of Rehabilitation in MS, Publisher: SAGE PUBLICATIONS LTD, Pages: 251-252, ISSN: 1352-4585

Conference paper

Podmore S, Datta G, Nicholas R, Matthews Pet al., 2019, Association of binding heterogeneity of the TSPO PET ligand [<SUP>11</SUP>C]PBR28 in deep white matter lesions and their longitudinal MRI evolution, 35th Congress of the European-Committee-for-Treatment-and-Research-in-Multiple-Sclerosis (ECTRIMS) / 24th Annual Conference of Rehabilitation in MS, Publisher: SAGE PUBLICATIONS LTD, Pages: 235-236, ISSN: 1352-4585

Conference paper

Scalfari A, Pisani A, Romualdi C, Muraro P, Nicholas R, Calabrese Met al., 2019, Predictors of long term brain atrophy among multiple sclerosis patients, 5th Congress of the European-Academy-of-Neurology (EAN), Publisher: WILEY, Pages: 247-247, ISSN: 1351-5101

Conference paper

Eshaghi A, Kievit RA, Prados F, Sudre CH, Nicholas J, Cardoso MJ, Chan D, Nicholas R, Ourselin S, Greenwood J, Thompson AJ, Alexander DC, Barkhof F, Chataway J, Ciccarelli Oet al., 2019, Applying causal models to explore the mechanism of action of simvastatin in progressive multiple sclerosis, PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, Vol: 116, Pages: 11020-11027, ISSN: 0027-8424

Journal article

Uccelli A, Laroni A, Brundin L, Clanet M, Fernandez O, Nabavi SM, Muraro PA, Oliveri RS, Radue EW, Sellner J, Sorensen PS, Sormani MP, Wuerfel JT, Battaglia MA, Freedman MSet al., 2019, MEsenchymal StEm cells for Multiple Sclerosis (MESEMS): a randomized, double blind, cross-over phase I/II clinical trial with autologous mesenchymal stem cells for the therapy of multiple sclerosis, Trials, Vol: 20, Pages: 1-13, ISSN: 1745-6215

BackgroundMultiple sclerosis (MS) is an inflammatory disease of the central nervous system with a degenerative component, leading to irreversible disability. Mesenchymal stem cells (MSC) have been shown to prevent inflammation and neurodegeneration in animal models of MS, but no large phase II clinical trials have yet assessed the exploratory efficacy of MSC for MS.Methods/designThis is an academic, investigator-initiated, randomized, double-blind, placebo-compared phase I/II clinical trial with autologous, bone-marrow derived MSC in MS. Enrolled subjects will receive autologous MSC at either baseline or at week 24, through a cross-over design. Primary co-objectives are to test safety and efficacy of MSC treatment compared to placebo at 6 months. Secondary objectives will evaluate the efficacy of MSC at clinical and MRI levels. In order to overcome funding constraints, the MEsenchymal StEm cells for Multiple Sclerosis (MESEMS) study has been designed to merge partially independent clinical trials, following harmonized protocols and sharing some key centralized procedures, including data collection and analyses.DiscussionResults will provide patients and the scientific community with data on the safety and efficacy of MSC for MS. The innovative approach utilized to obtain funds to support the MESEMS trial could represent a new model to circumvent limitation of funds encountered by academic trials.

Journal article

Gafson AR, Savva C, Thorne T, David MJ, Gomez-Romero B, Lewis M, Nicholas R, Heslegrave A, Zetterberg H, Matthews Pet al., 2019, Breaking the cycle: reversal of flux in the tricarboxylic acid cycle by dimethyl fumarate, Neurology, Neuroimmunology and Neuroinflammation, Vol: 6, ISSN: 2332-7812

ObjectiveTo infer possible molecular effectors of therapeutic effects and adverse events for the pro-drug dimethyl fumarate (DMF, Tecfidera) in the plasma of relapsing-remitting MS patients (RRMS) based on untargeted blood plasma metabolomics. MethodsBlood samples were collected from 27 RRMS patients at baseline and six weeks after initiation of treatment with DMF (BG-12; Tecfidera). Patients were separated into a discovery (n=15) and a validation cohort (n=12). Ten healthy controls were also recruited and blood samples were collected over the same time intervals. Untargeted metabolomic profiling using ultrahigh performance liquid chromatography-tandem mass spectrometry (UPLC-MS) was performed on plasma samples from the discovery cohort and healthy controls at Metabolon Inc. (Durham, NC). UPLC-MS was then performed on samples from the validation cohort at the National Phenome Centre (Imperial College, UK). Plasma neurofilament concentration (NfL) was also assayed for all subjects using the Simoa platform (Quanterix, Lexington, MA). Time course and cross-sectional statistical analyses were performed to identify pharmacodynamic changes in the metabolome secondary to DMF and relate these to adverse events. Results In the discovery cohort, tricarboxylic acid (TCA) cycle intermediates fumarate and succinate and TCA cycle metabolites succinyl-carnitine and methyl succinyl-carnitine were increased 6-weeks after the start of treatment (q < 0.05). We confirmed that methyl succinyl carnitine was also increased in the validation cohort 6-weeks after the start of treatment (q < 0.05). Changes in concentrations of these metabolites were not seen over a similar time period in blood from the untreated healthy control population. Increased succinyl-carnitine and methyl succinyl-carnitine were associated with adverse events from DMF (flushing, abdominal symptoms. The mean plasma NfL concentration before treatment was higher in the RRMS patients than in the healthy contro

Journal article

Wagley S, Bokori-Brown M, Morcrette H, Malaspina A, D'Arcy C, Gnanapavan S, Lewis N, Popoff MR, Raciborska D, Nicholas R, Turner B, Titball RWet al., 2019, Evidence of Clostridium perfringens epsilon toxin associated with multiple sclerosis, MULTIPLE SCLEROSIS JOURNAL, Vol: 25, Pages: 653-660, ISSN: 1352-4585

Journal article

Wilkie D, Solari A, Nicholas R, 2019, Initiating disease modifying treatments in multiple sclerosis: measuring the decision process using decisional conflict and decisional regret scales, Multiple Sclerosis Journal - Experimental, Translational and Clinical, ISSN: 2055-2173

Journal article

Gafson AR, Thorne T, McKechnie CIJ, Jimenez B, Nicholas R, Matthews PMet al., 2018, Lipoprotein markers associated with disability from multiple sclerosis, Scientific Reports, Vol: 8, ISSN: 2045-2322

Altered lipid metabolism is a feature of chronic infammatory disorders. Increased plasma lipids andlipoproteins have been associated with multiple sclerosis (MS) disease activity. Our objective was tocharacterise the specifc lipids and associated plasma lipoproteins increased in MS and to test for anassociation with disability. Plasma samples were collected from 27 RRMS patients (median EDSS,1.5, range 1–7) and 31 healthy controls. Concentrations of lipids within lipoprotein sub-classes weredetermined from NMR spectra. Plasma cytokines were measured using the MesoScale DiscoveryV-PLEX kit. Associations were tested using multivariate linear regression. Diferences between thepatient and volunteer groups were found for lipids within VLDL and HDL lipoprotein sub-fractions(p<0.05). Multivariate regression demonstrated a high correlation between lipids within VLDLsub-classes and the Expanded Disability Status Scale (EDSS) (p<0.05). An optimal model for EDSSincluded free cholesterol carried by VLDL-2, gender and age (R2=0.38, p<0.05). Free cholesterolcarried by VLDL-2 was highly correlated with plasma cytokines CCL-17 and IL-7 (R2=0.78, p<0.0001).These results highlight relationships between disability, infammatory responses and systemic lipidmetabolism in RRMS. Altered lipid metabolism with systemic infammation may contribute to immuneactivation.

Journal article

Nicholas E, Koffman J, Nicholas R, 2018, The role of advanced care plans in preventing hospital deaths in multiple sclerosis, 34th Congress of the European-Committee-for-Treatment-and-Research-in-Multiple-Sclerosis (ECTRIMS), Publisher: SAGE PUBLICATIONS LTD, Pages: 342-342, ISSN: 1352-4585

Conference paper

Karamital M, Nicholas R, Papazian E, Avlonitou M, Mitsikostas D, Probert L, Papadopoulos Det al., 2018, Age and chronicity of demyelination determine motor impairment in a model of multiple sclerosis, 34th Congress of the European-Committee-for-Treatment-and-Research-in-Multiple-Sclerosis (ECTRIMS), Publisher: SAGE PUBLICATIONS LTD, Pages: 181-182, ISSN: 1352-4585

Conference paper

Eshaghi A, Kievit RA, Prados F, Sudre C, Nicholas J, Cardoso MJ, Fox N, Chan D, Nicholas R, Ourselin S, Thompson AJ, Alexander DC, Barkhof F, Chataway J, Ciccarelli Oet al., 2018, Simvastatin effect on disability is mediated by brain atrophy but is independent of cholesterol reduction in secondary progressive multiple sclerosis, 34th Congress of the European-Committee-for-Treatment-and-Research-in-Multiple-Sclerosis (ECTRIMS), Publisher: SAGE PUBLICATIONS LTD, Pages: 690-691, ISSN: 1352-4585

Conference paper

Magliozzi R, Fadda G, Bar-Or A, Brown RA, Mazziotti V, Nicholas R, Monaco S, Calabrese M, Reynolds Ret al., 2018, Substantial 'subependymal-in' gradient of thalamic damage in progressive multiple sclerosis., 34th Congress of the European-Committee-for-Treatment-and-Research-in-Multiple-Sclerosis (ECTRIMS), Publisher: SAGE PUBLICATIONS LTD, Pages: 94-95, ISSN: 1352-4585

Conference paper

Dorsey-Campbell R, Quinn T, Felongco T, Dela Cruz D, Walters P, Singh-Curry V, Scalfari A, Nandoskar A, Malik O, Nicholas Ret al., 2018, Pharmacy-led prescribing of natalizumab in MS patients improves the quality of monitoring and overall safety, 34th Congress of the European-Committee-for-Treatment-and-Research-in-Multiple-Sclerosis (ECTRIMS), Publisher: SAGE PUBLICATIONS LTD, Pages: 938-939, ISSN: 1352-4585

Conference paper

Sridharan S, Raffel J, Nandoskar A, Record C, Brooks D, Owen D, Sharp D, Muraro P, Gunn R, Nicholas Ret al., 2018, Confirmation of specific binding of the 18 kDa translocator protein (TSPO) radioligand [<SUP>18</SUP>F]GE-180: a blocking study using XDB173 in multiple sclerosis, 34th Congress of the European-Committee-for-Treatment-and-Research-in-Multiple-Sclerosis (ECTRIMS), Publisher: SAGE PUBLICATIONS LTD, Pages: 421-422, ISSN: 1352-4585

Conference paper

Nicholas R, Rogers J, Middleton R, Ford Det al., 2018, Categorising the multiple sclerosis impact score 29: performance over 7 years of follow-up in the UK MS Register, 34th Congress of the European-Committee-for-Treatment-and-Research-in-Multiple-Sclerosis (ECTRIMS), Publisher: SAGE PUBLICATIONS LTD, Pages: 160-160, ISSN: 1352-4585

Conference paper

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