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Annual Relapse Rates in Placebo Groups Decreasing Over Time

This visualization demonstrates a mystery related to relapsing remitting multiple sclerosis (RRMS). For some unknown reason, the annualized relapse rates (ARRs) among RRMS patients in the placebo arms of phase 3 trials have decreased substantially over the last two decades. In the 1990s ARRs tended to be above 1.0, but more recently ARRs have been 0.5 and below.

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