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. 2012 Feb 1;32(4):585–597. doi: 10.1038/jcbfm.2011.203

Table 1. Results of meta-analysis of efficacy of therapies tested alone and in combination with a second therapy in animal models of ischemic stroke.

Therapy Tested with (NP/NA) NP/NA Q Time M (Med) Stroke models Species Therapeutic efficacy infarct (neurological score)
              Alone Additive Combined Synergy
              M±s.e. M±s.e. M±s.e. M±s.e.
Pharmacological neuroprotection 231/242 4 −738 (45)     22±1 (14±1) 18±0 (25±1) 41±1 (41±1) −10±1 (−4±1)
 1,5-Isoquinolinediol (ISO) FeTMPyP (1/1) 1/1 6 60 Filament Rat 61±5 (60±12) 28±2 (20±10) 82±5 (59±12) −33±2 (−41±10)
 3-Aminobenzamide Melatonin (1/1), z-VAD-fmk (1/1) 2/2 4 45 Filament Rat 45±7 (41±11) 16±2 (21±2) 82±6(62±11) −37±2 (−20±2)
 AG490 DMTU (1/1) 1/1 5 −20 Filament Rat 32±9 39±5 65±8 7±5
 Albumin tPA (1/1) 1/1 5 120 Filament Rat 43±17(42±19) 61±16 (39±14) 18±18 (14±17) 18±16
 Alcohol Caffeine (2/2) 2/2 5 −75 Clip/wire Rat −69±10 99±9 74±5 170±12
 Alpha –PBN tPA (0/1) 0/1 4 360 Embolic Rat 30±9 6±9
 Ang-1 Stem cells (0/1) 0/1 3 360 Filament Rat 1±5 38±5
 Anti-CD 18 tPA (2/2) 2/2 4 120 Embolic Rat 26±12 (0±71) 23±10 (0±24) 30±12 (50±71) −3±10 (0±24)
 Atorvastatin Hypothermia (3/3), tPA (1/1) 4/4 5 −10,740 Filament, embolic Rat 36±3 (19±6) 38±3 (30±6) 63±3 (40±6) 2±3
 Basic fibroblast growth factor (BFGF) Citicholine (1/1), Heparin (1/1), z-DEVD.FMK (2/1), z-VAD.FMK (1/1) 5/4 6 30 Filament Mice, rat 3±6 (10±2) 37±6 (47±2) 41±6 (52±3) 38±6 (35±3)
 Batroxobin Urokinase (2/2) 2/2 2 120 Filament Rat 50±15 (−3±50) 61±8 (−17±39) 27±15 (−55±52) −69±9 (−8±27)
 BB-823 Sipatrigine (1/1) 1/1 4 −15 Filament Rat 29±20 (24±24) 6±18 (53±20) 47±16 (25±23) −23±18 (29±32)
 BDNF Hypothermia (1/1), Ox26 (2/2), stem cells (1/1) 4/4 5 398 Filament Rat 14±5 18±3 43±5 0±3
 Butoxamine Clenbuterol (1/2) 1/2 3 −300 Coagulation Mice −2±6 −8±4 −1±6 −11±6
 Cadesartan Pioglitazone (1/1), Rosuvastatin (2/2) 3/3 6 −1,960 Filament Rat 61±4 (44±5) 19±4 (9±6) 54±5 (37±6) −42±4 (−36±6)
 Caffeine Alcohol (2/2), CNS-1102 (0/1), MK801 (0/1), MgSO4 (0/1) 2/5 5 −180 Clip/wire Rat −21±18 88±6 78±16 170±12
 Citicholine BFGF (1/1), Lamotrigine (2/2), MK801 (2/2), Nimodipine (1/1), tPA (7/7), Urokinase (1/1) 14/14 4 60 Filament, embolic, clip/ligation Rat 22±3 (6±8) 17±2 (1±6) 45±3 (24±8) −12±2 (−4±6)
 Clenbuterol Butoxamine (2/1), Memantine (9/9) Metoprolol (2/1), Propranolol (1/1) 14/12 2 −6 Electrocoagulation Mice 8±1 7±1 17±1 1±1
 CNS-1102 Caffeine (1/0) 1/0 4 15 Wire/clip Rat 42±22 92±17
 CP101,606-27 tPA (2/1) 2/1 4 120 Embolic Rat 63±11 (17±8) 15±10 (−11±12) 57±11 (11±9) −57±10 (−26±13)
 Cycloheximide Dextrorphan (1/1) 1/1 2 −18 Clip/ligation Rat 52±13 34±16 87±11 −18±16
 Cyclosporine-A Methylprednisolone (2/2) 2/2 5 180 Filament Rat 2±9 (−2±3) −4±7 (−1.3±5) −1±8 (−3±5) −7±7 (7±5)
 DETA NONOate Stem cells (2/2) 2/2 6 1,440 Filament Rat, mice 11±29 (13±31) 6±16 (5±13) 23±26 (42±30) −4±16 (−7±13)
 Dexamethasone Mannitol (0/1) 0/1 1 0 Implanted occluder Cat −4±9 −5±9
 Dexanabinol Tempol (2/2) 2/2 5 60 Electrocoagulation Rat 54±12 (72±18) −2±8 (29±15) 47±11 (77±16) −56±8 (−44±15)
 Dextromethorphan Tirilazad (1/1) 1/1 7 −15 Filament Rat 45±14 −36±12 12±16 −80±12
 Dextrorphan Cycloheximide (1/1) 1/1 2 −15 Clip/ligation Rat 53±17 35±11 87±11 −18±11
 Diaspirin crosslinked hemoglobin (DCLHb) Lubeluzole (1/1) 1/1 4 15 Clip Rat 11±3 19±3 72±3 8±3
 Dizocilpine Caffeine (1/1), Citicholine (2/2), EG761 (1/1), Hypothermia (1/1), Muscimol (2/2), NBQX (1/1), Nimodipine (1/0), RSR13 (2/1), tPA (1/1), zVAD-fmk (7/7) 18/16 5 32 Filament, clip/wire/ligation, embolic, electrocoagulation Rat, mice, cat, gerbil 21±4 (22±8) 9±2 39±3 (56±8) −15±2
 Dimethylthiourea AG490 (1/1) 1/1 5 −60 Filament Rat 26±8 33±5 65±8 7±5
 DtBHB -NAME (1/1) 1/1 2 240 Filament Rat −4±24 49±24 45±26 53±24
 Edavarone Normobaric hyperoxia (1/1), tPA (0/1) 1/2 4 2 Filament Rat, mice 13±16 (16±20) 29±7 (8±17) 45±17 (58±21) 8±14
 EGb 761 Dipyrone (2/2), FK506 (1/0), MgSO4 (1/0), MK801 (1/0) 5/2 4 −10,092 Filament, ligation Rat, gerbil 18±5 −3±5 17±4 −14±5
 Eliprodil tPA (1/1) 1/1 4 10 Embolic Rat 49±40 (48±18) 31±22 (16±12) 88±36 (70±18) −18±22 (−32±12)
 Enlimolab tPA (0/1) 0/1 4 240 Embolic Rat 35±13 25±13
 EPC-K1 Heparin (1/1) 1/1 5 180 Photochemical Rabbit 28±10 (16±13) 72±9 (129±7) 56±8 (69±14) 44±10 (112±13)
 Erythropoietin (EPO) GCSF (1/1), IGF-1 (1/1), stem cells (1/1), tPA (3/3) 6/6 5 585 Filament, embolic, ligation/clip Rat, mice 5±7 (22±38) 4±5 (2+29) 14±7 (17±35) −8±5
 Estrogen Progesterone (1/1), tPA (0/1) 1/2 5 −10,080 Filament Rat 63±26 64±12 67±26 −17±21
 Ethyl pyruvate Aspirin (4/4) 4/4 5 413 Filament Rat 71±11 (67±29) 20±4 74±11 (78±29) −55±4
 FeTMPyP 1,5-Isoquinolinediol (1/1) 1/1 6 115 Filament Rat 54±5 (39±13) 21±1 (−1±8) 82±5 (59±12) −33±1 (−41±8)
 Fluosol Risperidone (1/0) 1/0 1 0 Balloon occlusion Cat −171±64 6±16
 Fluoxetine Risperidone (1/1) 1/1 4 −10,080 Photochemical Rat −34±36 −30±19 −16±32 4±19
 Glucose Insulin (0/1) 0/1 3 −50 Electrocoagulation Rat −20±4 −7±6
 Glyercol NS-7 (1/1) 1/1 5 5 Electrocoagulation Rat 20±16 −1±11 64±16 −21±11
 Granulocyte colony stimulating factor EPO (1/1), stem cells (0/1), tPA (1/1) 2/3 5 750 Embolic, clip/ligation, cauterization Rat, mice 55±5 −4±4 63±5 −33±22
 IGF-1 EPO (1/1) 1/1 7 60 Filament Mice 22±20 23±11 55±17 1±11
 Insulin Glucose (1/0), Hypothermia (1/1), MgCl2 (0/1), tPA (1/1) 3/3 3 −30 Embolic, electrocoagulation Rat 15±4 11±3 15±4 −12±5
 Isoflurane z-IETD-fmk (1/1), zVAD-fmk (1/1) 2/2 7 8 Filament Rat 9±11 31±6 70±9 23±6
 Ketamine Nicotinamide (1/1) 1/1 3 −10 Filament Rat −4±8 68±12 63±5 72±12
 Lamotrimine Citicholine (2/2) 2/2 7 90 Filament Rat 14±12 (25±10) 5±6 (22±5) 45±12 (24±9) −10±6 (−1±5)
 -Name DtBHB (1/1) 1/1 2 240 Filament Rat −4±27 49±21 45±26 53±21
 Lubeluzole DCLHb (1/1) 1/1 4 15 Clip Rat 53±3 61±3 72±3 8±3
 Magnesium chloride (MgCl2) Insulin (1/0), Tirilazad (1/1) 2/1 6 −10 Electrocoagulation, filament Rat 26±6 11±10 46±5 −14±10
 Magnesium sulphate (MgSO4) Caffeine (1/0), EGB761 (0/1), FK506 (1/1), Hypothermia (1/1), Mexiletine (1/1), Nicardipine (0/1) 4/5 4 28 Filament, ligation, wire/clip Rat, gerbil, 23±9 18±3 44±9 −11±7
 Mannitol Dexamethasone (1/1), Fluosol (1/1), Hypothermia (1/1), Tirilazad (1/1) 4/4 4 −1 Filament, electrocoagulation, balloon occlusion Rat, cat, rabbit 11±4 (49±13) 11±3 (21±9) 40±4 (83±10) −5±3 (−27±9)
 MC-1 tPA (1/1) 1/1 3 60 Embolic Rat 37±16 (17±58) 3±11 (−17±48) 41±14 (17±59) −34±11 (−33±48)
 Melatonin 3-AB (1/1), Meloxicam (1/1), Nicotinamide (0/1), tPA (1/1) 3/4 4 68 Filament Rat, mice 45±8 (41±11) 23±2 (21±2) 60±8 (62±11) −33±2 (−20±2)
 Meloxicam Melatonin (1/1) 1/1 3 240 Filament Rat 23±16 18±8 64±15 −5±8
 Memantine Clenbuterol (9/9) 9/9 2 −3 Electrocoagulation Mice 11±2 16±2 19±2 5±2
 Methohexital Hypothermia (1/1) 1/1 5 −30 Filament Rat 32±25 (38±23) −4±10 (−8±23) 66±24 (69±22) −36±10 (−50±23)
 Methylprednisolone Cyclosporine (2/2) 2/2 5 180 Filament Rat 3±9 (−2±3) −4±6 (−1±5) −1±8 (−3±5) −7±6 (1±5)
 Metoprolol Clenbuterol (1/2) 1/2 3 −300 Coagulation Mice 5±4 4±3 24±3 3±4
 Mexiletine MgSO4 (1/1) 1/1 4 −60 Filament Rat 36±17 −17±19 16±16 −53±19
 Minocycline Hypothermia (2/2), tPA (1/2) 3/4 4 120 Filament, embolic Rat 29±6 (50±13) 29±4 (34±7) 49±6 (54±13) −15±4 (−13±8)
 Muscimol Dizocilpine (2/2) 2/2 6 123 Embolic, filament Rat 7±32 −16±14 30±30 −12±14
 NBQX Dizocilpine (1/1), tPA (2/2) 3/3 3 0 Embolic, electrocoagulation Rat, mice 23±4 7±3 29±5 −17±3
 NEP 1-40 Motor training (1/1) 1/1 4 10,080 ET-1 Rat −5±20 5±20 −9±21 10±20
 Nerve growth factor (NGF) Electroacupuncture (1/1) 1/1 6 120 Filament Rat 21±15 (23±11) 34±9 (21±5) 59±15 (44±11) 13±9
 Nicardipine Magnesium sulphate (1/0) 1/0 3 −120 Electrocoagulation, filament Rat 58±10 79±9
 Nicotinamide Ketamine (1/1), Melatonin (1/0) 2/1 4 75 Filament Rat 33±8 (44±13) 67±9 67±4 (59±12) 72±9
 Nimodipine Citicholine (1/1), MK801 (0/1) 1/2 4 45 Clip/ligation Rat, cat, rabbit 34±19 18±5 60±19 −17±9
 NS-7 Glycerol (1/1) 1/1 5 5 Electrocoagulation Rat 65±16 44±11 64±16 −21±11
 Ox26 BDNF (2/2) 2/2 5 60 Filament Rat −1±16 46±7 54±8 47±7
 Pentasaccharide tPA (1/1) 1/1 7 10 Embolic Rat 6±17 −40±7 40±17 −46±7
 Pioglitazone Candesartan (1/1) 1/1 5 −7,200 Filament Rat 43±9 (30±16) −4±12 (5±18) 39±11 (32±18) −47±12 (−25±18)
 Pravastatin tPA (1/1) 1/1 0 −40,320 Filament Rat 65±5 61±4 81±5 −4±4
 Progesterone Estrogen (1/1) 1/1 5 −30 Filament Rat 21±31 4±12 67±26 −17±12
 Propranolol Clenbuterol (1/1) 1/1 3 −300 Electrocoagulation Mice −2±6 −18±5 −12±6 −16±5
 PS519 tPA (3/2) 3/2 5 240 Embolic Rat 25±16 (44±17) 37±9 (29±13) 44±17 (46±16) −2±9 (−27±13)
 Qingpi Hypothermia (1/1) 1/1 3 120 Filament Rat 41±28 (32±17) 22±15 (12±13) 65±22 (40±15) −19±15 (−20±13)
 Rapamycin Tacrolimus (1/1) 1/1 4 −20 Filament Rat 5±23 −62±15 −18±24 −67±15
 Risperidone Fluoxetine (1/1) 1/1 4 −10,080 Photochemical Rat 14±31 18±27 −16±32 4±27
 Rosiglitazone tPA (0/2) 0/2 3 −20,160 Embolic Rat 9±2 38±3
 Rosuvastatin Candesartan (2/2), tPA (1/1) 3/3 5 −6,690 Filament Rat, mice 36±5 (29±7) −6±4 (−7±4) 55±5 (38±7) −43±4 (−36±4)
 RSR13 Dizocipline (1/2) 1/2 6 −30 Filament Rat 15±16 19±6 72±10 6±9
 S-0139 tPA (1/1) 1/1 7 120 Embolic Rat 19±2 (45±4) 30±2 (48±3) 28±2 (57±4) 12±2
 Simvastatin Stem cells (1/1) 1/1 7 1,440 Not stated Rat 16±26 (15±17) 13±22 (36±17) 38±26 (38±17) −3±22
 Sipatrimine (BW619C89) BB-823 (1/1) 1/1 4 −15 Filament Rat 41±18 (−29±21) 18±19 (0.4±23) 47±16 (25±23) −23±19 (29±23)
 Tacrolimus (FK506) EGB761 (0/1), Hypothermia (1/1), MgSO4 (1/1), Rapamycine (1/1), tPA (5/5) 8/9 4 83 Filament, ligation, photochemical Rat, gerbil 20±4 13±3 30±4 −7±3
 Tempol Dexanabinol (2/2) 2/2 5 60 Electrocoagulation Rat 51±10 (51±19) −9±8 (6±11) 47±11 (77±16) −54±8 (−42±11)
 Tirilazad Dextromethorphan (1/1), Mannitol (1/1), MgCl2 (1/1), tPA (2/2) 5/5 6 22 Electrocoagulation, embolic, filament Rat, rabbit 44±6 38±4 48±6 −6±4
 Topiramate Urokinase (2/2) 2/2 3 120 Embolic Rat 63±10 (40±10) 34±7 (7±14) 82±10 (45+14) −29±7 (−39±14)
 TS-011 tPA (1/1) 1/1 3 1 Embolic Primate 26±19 (10±7) 54±16 (12±6) 38±22 (16±8) 28±16 (2±6)
 U-101033E U-74389G (1/1) 1/1 6 −15 Filament Rat 53±17 29±13 54±18 −24±13
 U-74389G U-101033E (1/1) 1/1 6 −15 Filament Rat 25±18 1±11 54±18 −24±11
 UK-279, 276 tPA (2/2) 2/2 7 180 Embolic Rat 3±11 (7±9) 44±6 (9±7) 57±9 (22±8) 41±6 (1±7)
 Vapiprost SUN9216 (0/1) 0/1 3 60 Photochemical Rat 14±18 11±17
 VEGF Stem cells (0/1) 0/1 2 360 Filament Rat −42±5 −5±6
 Velcade tPA (1/1) 1/1 6 120 Embolic Rat 33±20 (19±12) 40±15 (34±12) 55±19 (36±13) 7±15 (15±12)
 Xg-102 Hyperbaric oxygen (1/1), tPA (1/1) 2/2 7 105 Filament Rat, mice 46±6 (38±9) 49±5 76±6 (42±14) −6±5 (−33±15)
 YM872 tPA (1/1) 1/1 3 120 Embolic Rat 46±18 38±9 82±13 −8±9
 z-DEVD.FMK BFGF (2/2), Dizocipline (4/4) 6/6 5 33 Filament Mice 14±7 (3±3) 43±5 45±6 (54±4) 25±4 (44±2)
 z-IETD-fmk z-IETD-fmk (1/1) 1/1 6 −30 Filament Rat 35±14 54±11 67±13 20±11
 zVAD-fmk 3-AB (1/1), BFGF (1/1), Dizocilpine (3/3), Isoflurane (1/1) 6/6 5 −3 Filament Rat, mice 31±7 (10±4) 42±3 70±5 (48±7) 3±4 (19±7)
                     
Reperfusion therapy   100/92 4 136 (120)     15±1 (6±2) 13±1 (15±1) 35±1 (37±2) 6±1 (10±2)
 Abciximab tPA (4/4) 4/4 6 210 Embolic Rat 36±7 (15±5) 18±4 (23±3) 47±7 (28±5) −10±4 (18±3)
 Annexin (rA2) tPA (1/1) 1/1 8 120 Embolic Rat 2±14 45±13 49±13 43±13
 Argatroban Hypothermia, tPA 3/3 5 162 Clip, embolic, filament Rat 5±14 31±8 35±15 20±8
 Aspirin Ethyl pyruvate (4/4), Ticlopidine (1/1) 5/5 5 318 ADP ephinephrine, filament Rat, guinea pig 53±12 (2±13) 3±2 (9±10) 72±11 (37±14) −48±2 (−10±10)
 Cilostazol Normobaric hyperoxia (2/2) 2/2 6 1 Filament Mice 18±13 33±10 50±12 16±10
 Clopidogrel tPA (1/1) 1/1 4 5 Embolic Rat −2±5 (43±25) 2±4 (−17±18) −1±5 (30±22) 4±4 (−60±18)
 Dipyrone EGB 761 (2/2) 2/2 3 −30 Filament Rat 14±5 1±6 6±5 −14±6
 Heparin BFGF (0/1), EPC-K1 (1//1), Ozagrel (1/1), tPA (2/3) 4/5 5 91 Embolic, filament, photochemical Rat, rabbit −12±10 (−60±12) 20±5 (52±14) 55±7 (70±9) 19±5 (112±9)
 Melagatran tPA (2/2) 2/2 2 180 Embolic Rat 22±10 17±8 38±11 −8±8
 Ozagrel Heparin (1/1) 1/1 3 5 Photochemical Rat 30±13 48±21 40±20 17±21
 SUN9216 Vapiprost (1/0) 1/0 3 60 Photochemical Rat −3±7 11±17
 Ticlopidine Aspirin (1/1) 1/1 3 −180 ADP ephinephrine Guinea pig 47±37 (20±17) 26±30 (33±15) 47±39 (27±16) −21±30 (13±15)
 Tissue plasminogen activiator (tPA) Abciximab (4/4), Albumin (1/1), Alpha-PBN (1/0), Annexin (1/1), Anti-CD18 (2/2), Aortic occlusion (1/1), Argatroban (2/2), Atorvastatin (1/1), Citicholine (7/7), Clopidogrel (1/1) , CP101,606-27 (1/2), Dizocilpine (4/1), Edaravone (1/0), Eliprodil (1/1), Enlimomab (1/0), EPO (3/3), Estrogen (1/0), GCSF (1/1), Heparin (2/2), Hypothermia (3/3), Insulin (1/1) , MC-1 (1/1), Melagatran (2/2), Melatonin (1/1), Minocycline (2/1), NBQX (1/2), Normobaric oxygen (2/2), Pentasaccharide (1/1), Pravastatin (1/1), PS519 (2/3), Rosiglitazone (2/0), Rosuvastatin (1/1), S-0139 (1/1), Tacrolimus (5/5), Tirilizad (2/2), TS-011 (1/1), UK-279,276 (2/2), Velcade (1/1), XG-102 (1/1), YM872 (1/1) 68/63 4 138 Filament, embolic, photochemical Rat, mice, primate, rabbit 15±1 (6±2) 13±1 (12±2) 36±1 (39±2) −3±1 (5±2)
 Urokinase Batroxobin (2/2), Citicholine (1/1), Topiramate (2/2) 5/5 3 120 Filament, embolic Rat 26±7 (34±13) 7±5 (−5±12) 65±7 (38±14) 19±5 (−32±13)
                     
Nonpharmacological neuroprotection 30/29 6 733 (60)     24±2 (28±3) 21±1 (19±2) 50±2 (53±3) 6±1 (−6±4)
 Electroacupunture NGF (1/1) 1/1 6 120 Filament Rat 25±15 (18±5) 38±9 (21±5) 59±15 (44±6) 13±9 (3±5)
 Exercise/environmental enrichment NEP 1-40 (1/1), stem cells (1/1) 2/2 5 10,080 ET-1, cauterization Rat −16±6 −3±3 −14±6 13±3
 Hyperbaric oxygen XG-102 (1/1) 1/1 8 190 Filament Rat 63±7 (37±9) 34±5 76±6 (42±14) −29±5
 Hypothermia Argatroban (1/1), Atorvastatin (3/3), BDNF (1/1), Craniectomy (3/2), Insulin (1/1), MgSO4 (1/1), Mannitol (2/2), Methohexital (1/1), Minocycline (2/2), MK801 (1/1), Qingpi (1/1), Tacrolimus (1/1), tPA (3/3) 21/20 4 68 Filament, electrocoagulation, embolic Rat 28±2 (32±5) 24±1 55±2 (59±5) −10±1 (−10±4)
 Normobaric oxygen Cilostazol, Edaravone, tPA 5/5 7 19 Embolic, filament Rat, mice 15±4 (50±21) 26±4 43±4 (58±21) 10±4
                     
Surgical therapy   3/4 6 230 (60)     43±5 (24±12) 40±3 (33±2) 63±6 (36±12) 1±5 (9±6)
 Aortic occlusion tPA (1/1) 1/1 6 90 Embolic Rat 43±20 21±13 73±17 −21±13
 Craniectomy Hypothermia (2/3) 2/3 6 300 Filament Rat 43±7 (24±12) 42±4 (33±10) 61±6 (36±12) 4±5 (9±9)
                     
Cellular therapy   9/6 5 3,120 (1,440)     22±4 (12±15) 4±3 (22±2) 10±3 (36±14) 8±3 (1±23)
 Stem cells Ang-1 (1/0), BDNF (1/1), DETA-NONOate (2/2), EPO (1/1), environmental enrichment (1/1), GCSF (1/0), Simvastatin (1/1), VEGF (1/0) 9/6 5 3,120 Filament, cauterization Rat, mice 22±3 (15±14) 4±3 (22±9) 10±3 (36±12) 8±3 (1±9)

Tested with=names of the other therapies with which the therapy is tested in combination, together with the number of times it has been tested with the other therapy. NP/NA=number of experiments the therapy is tested individually as the primary therapy/number of experiments in which it is tested as the additional therapy. Q=average quality across experiments. Time=mean (median) time of delivery of the therapy postocclusion, measured in minutes. Stroke models=experimental models in which the therapy was tested. Species=species in which the therapy was tested. Therapeutic efficacy=effect size and standard error of the therapeutic efficacy derived from random effects meta-analyses. Alone=therapeutic efficacy of the treatment tested individually versus control. Additive=therapeutic efficacy of the treatment derived from the therapy in combination with another therapy versus the individual effect of the other therapy. Combined=therapeutic efficacy of the treatment in combination versus control. Synergy=therapeutic ‘Gestalt,' that is, the extent to which efficacy in combination exceeds efficacy of the constituents. Please refer to the Supplementary Materials for the references for each therapy.