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. 2022 Oct 25;30(1):9–21. doi: 10.1111/ene.15593

TABLE 2.

Randomised, placebo‐controlled studies conducted in patients with primary progressive multiple sclerosis prior to 2020 [49, 50, 51, 52]

Study Comparators N Follow‐up duration Primary endpoint Primary efficacy occurrence HR (95% CI) p‐value
Leary et al. 2003 [50] Placebo 20 2 years 3‐month CDP a NR

NR

No difference between groups

IFN‐β‐1a 30 or 60 μg 30
Montalban et al. 2009 [51] Placebo 37 2 years 3‐month CDP b 56.8%

NR

p = 0.3135

IFN‐β‐1b 8 MU 36 65.8%
Wolinsky et al. 2007 [52] Placebo 316

3 years (planned)

2 years (completed c )

3‐month CDP d 45.2%

0.87 (0.71–1.07)

p = 0.1753

Glatiramer acetate 20 mg 627 39.6%
OLYMPUS study [49] Placebo 147 96 weeks 12‐week CDP e 38.5%

0.77

p = 0.1442

Rituximab 1000 mg 292 30.2%

Abbreviations: CDP, confirmed disability progression; CI, confidence interval; EDSS, Expanded Disability Status Scale; HR, hazard ratio; IFN, interferon; MU, million units; NR, not reported.

a

A sustained increase in EDSS of ≥1.0 points from baseline if the baseline EDSS was ≤5.5 or an increase of ≥0.5 points if the baseline EDSS was >5.5.

b

A sustained increase in EDSS of ≥1.0 points from baseline if the baseline EDSS was <5.5 or an increase of 0.5 points if the baseline EDSS was >5.5.

c

Study stopped at the 2‐year interim analysis for futility.

d

A sustained increase in EDSS of ≥1.0 points from baseline if the baseline EDSS was 3.0–5.0 (inclusive) or an increase of ≥0.5 points if the baseline EDSS was 5.5–6.5.

e

A sustained increase in EDSS of ≥1.0 points from baseline if the baseline EDSS was 2.0–5.5 (inclusive) or an increase of ≥0.5 points if the baseline EDSS was >5.5, and when the change could not be attributed to another aetiology.