CEL and secondary progressive multiple sclerosis: Similarly, the level of plasma CEL was not different between RRMS patients (319.0 ± 35 ng/ml) compared to SPMS patients (276.2 ± 30.9 ng/ml) and CIS patients (269.4 ± 130 ng/ml) (Figure 3B), but CEL plasma level tended to be lower in PPMS patients (229.8 ± 28 ng/ml) compared to RRMS patients (p = 0.08)