Table 2.
Intervention | Study | Cumulative dose | Route | Duration | Day of assessment | Fraction with reduced relapse | Relapse severity (baseline EDSS) | Diagnostic criteria |
---|---|---|---|---|---|---|---|---|
High-dose methylprednisolone | Durelli 1986a [31] | 7035 mgb | IV | 15 days | 15 | 10/11 | 5.8 (mean) | Poser 1983 [51] |
Milligan 1987 [32] | 2500 mg | IV | 5 days | 28 | 10/13 | 4.0 (median) | McDonald 1977 [52] | |
La Mantia 1994 [27] | 5750 mg | IV | 14 days | 14 | 8/10 | 4.6 (mean) | McDonald 1977 [52] | |
Barnes 1997 [33] | 3000 mg | IV | 3 days | 28 | 13/38 | 6.0 (median) | Not stated | |
Sellebjerg 1998 [34] | 3676 mg | PO | 15 days | 21 | 14/26 | 4.5 (median) | Poser 1983 [51] | |
Visser 2004 [35] | 2500 mgc | IV | 5 days | 28 | 6/9 | 3.5 (median) | Not stated | |
Ramo-Tello 2013 [36] | 3000 mg | IV | 3 days | 28 | 15/23 | 4.0 (median) | McDonald 2005 [53] | |
Ramo-Tello 2013 [36] | 3750 mg | PO | 3 days | 28 | 15/22 | 3.0 (median) | McDonald 2005 [53] | |
Low-dose methylprednisolone | Milanese 1989 [26] | 390 mg | IV | 14 days | 30d | 3/10 | 4.9 (mean) | McDonald 1977 [52] |
La Mantia 1994 [27] | 390 mg | IV | 14 days | 14 | 6/10 | 4.7 (mean) | McDonald 1977 [52] | |
Barnes 1997 [33] | 588 mg | PO | 21 days | 28 | 20/42 | 5.0 (median) | Not stated | |
Placebo | Miller 1961 [37] | - | IM | 21 days | 21 | 4/18e | Not stated | Not stated |
Rose 1970 [38] | - | IM | 14 days | 28 | 39.25/94f | 5.2 (mean) | Rose 1968 [54] | |
Durelli 1986a [31] | - | IV | 15 days | 15 | 4/10 | 5.9 (mean) | Poser 1983 [51] | |
Milligan 1987 [32] | - | IV | 5 days | 28 | 2/9 | 4.0 (median) | McDonald 1977 [52] | |
Sellebjerg 1998 [34] | - | PO | 15 days | 21 | 6/25 | 4.0 (median) | Poser 1983 [51] |
IV intravenous, PO per oral, IM intramuscular
a Only the 15 days controlled period of this trial is considered here
b Based on a weight of 70 kg
c Patients also received 2 % human albumin
d This study lacked reported assessments in the 14–28 day interval
e No EDSS measurement performed; the result refers to the fraction with an ‘undoubted response to treatment’
f Conversion based on the assumption that a DSS of e.g. 4 is equally likely to correspond to EDSS 4.0 as EDSS 4.5