Table 1.
Summary of clinical trials with DMTs evaluating effects on CI
| DMT | N | Follow- duration |
Domains assessed |
Result | Statistically significant |
Problems |
|---|---|---|---|---|---|---|
| IM interferon B-1a weekly[10] |
166 | 104 weeks | information processing and learning/memory |
Improvement both placebo and treated group; treated group ➾ placebo |
Yes | |
| visuospatial abilities and problem solving |
Improvement both placebo and treated group; treated group > placebo |
No | ||||
| verbal abilities and attention span |
No effect | No | ||||
| Time to sustained progression on the PASAT |
Treated longer time to progression than placebo |
No | ||||
| SQ Interferon B-1b every other day[11] |
30 | Years 2-4 | Visual Reproduction- Delayed Recall |
Improvement both placebo and treated group; treated group ➾ placebo |
Yes | No baseline evaluation |
| Immediate and delayed recall memory |
Improvement both placebo and treated group |
No | ||||
| Attention/mental speed |
Both unchanged |
No | ||||
| Executive function/ability to suppress distracting stimuli |
Treated improved placebo unchanged |
No | ||||
| Natalizumab AFFIRM [14] |
942 | 2 years | Sustained progression on the PASAT |
Treated longer time to progression than placebo |
Yes | |
| SQ Interferon B-1a three times a week |
No data | |||||
| Glatiramer acetate |
No data | |||||
| Fingolimod | No data |