Table 2.
GBS | # of Patients | Treatment | Control | Duration | Disability Improvement at 1 month | Common Side Effects |
---|---|---|---|---|---|---|
GBS Steroid70 | 242 | 500 mg IV MP | Saline placebo | 48 weeks | 0.8 vs. 0.73 (p=0.06) | Hypertension in placebo |
Van Koningsveld71 | 225 | 500 mg IV MP and IVIG 0.4 gm/kg for 5 days | IVIG 0.4 gm/kg for 5 days | 1 year | ≥1 point in 68% vs. 56% of (p=0.06) | Hypertension and UTI in placebo, elevated blood glucose in Rx group |
McKhann72 | 245 | 3–5 PE in 7 to 14 days | Supportive Care | 6 months | ≥1 point in 59% vs. 39% (p=0.01). | No significant difference |
Raphael73 | 220 | 4 PE in 8 days | Supportive Care | 6 months | ≥1 point in 61.5% vs. 37% (P < 0.001). | Sepsis in Rx group, blood pressure instability and pneumonia in control group |
PSGBS Study Group74 | 383 | IVIG 0.4 gm/kg for 5 days | 5–6 PE in 8 to 13 days or PE followed by IVIG | 48 weeks | 0.8 IVIG, 0.9 PE, 1.1 PE followed by IVIG (No statistically significant difference between any of these three groups) |
No significant difference |
CIDP | # of Patients | Treatment | Control | Duration | Disability Improvement (INCAT) | Common Side Effects |
Hughes47 (Ice trial) | 117 | IVIG 2 g/kg over 2–4 days and then 1 g/kg over 1–2 days every 3 weeks | Albumin | 24 weeks | ≥1 point in 54% vs. 21% (p=0·0002) | Headache and fever were more common in IVIG group |
GBS=Guillain-Barre syndrome, MP=methylprednisolone, IVIG=intravenous immunoglobulin, UTI=urinary tract infection, PE=plasma exchange, CIDP=chronic inflammatory demyelinating polyneuropathy, INCAT=inflammatory neuropathy cause and treatment scale