Table 1.
Drugs/Intervention | Study/Series | Number of participants enrolled | Number of participants improved/primary endpoint fulfilled | Notes | |
---|---|---|---|---|---|
Steroids | Dyck et al. [1982] | Prednisone vs. no treatment | 40 | 12 | 28 patients completed trial, n = 14 prednisone treated |
Plasma exchange | Dyck et al. [1986] | Prospective double blinded | 15 | 9 | n = 15 (PE), n = 14 (sham) |
Hahn et al. [1996] | Double blind, sham controlled, crossover | 18 | 12 | 15 participants completed trial | |
IVIg | Hughes et al. [2008] | Randomized, placebo-controlled | 117 | 32 | n = 59 IVIg, n = 58 placebo |
Azathioprine | Dalakas and Engel [1981] | Case series | 4 | 3 | Steroid nonresponder |
McCombe et al. [1987] | Case series | 7 | 4 | ||
Cyclophosphamide | Good et al. [1998] | Case series | 15 | 11 | |
Gladstone et al. [2005] | Case series | 5 | 4 | Severe, refractory patients Long time follow up [range: 1.6–4.8 years] | |
Ciclosporine A | Matsuda et al. [2004] | 7 | 7 | ||
Barnett et al. [1998] | Case series | 19 | 15 | Retrospective, relapsing and progressive course, patients refractory to steroid, IVIg, azathioprine, cyclophosphamide, plasma exchange | |
Mycophenolate Mofetil | Gorson et al. [2004] | Case series | 12 | 3 | Retrospective, mean dose: 2.1 g/day |
Umapathi and Hughes [2002] | Case series | 4 | 0 | No reduction of steroids or other immunosuppressants | |
Rituximab | Benedetti et al. [2011] | Case series | 13 | 9 | Retrospective |
Methotrexate | RMC Trial Group [2009] | Randomized, double-blind, controlled trial | 60 | 28 | Primary endpoint: 20% reduction of steroids or IVIg; n = 27 (MTX), n = 32 (Placebo) |
MTX: methotrexate; PE: plasma exchange; IVIg: Intravenous immunoglobulin.