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. Author manuscript; available in PMC: 2016 Oct 31.
Published in final edited form as: JAMA Neurol. 2015 Dec;72(12):1510–1518. doi: 10.1001/jamaneurol.2015.2347

Table 2.

Large randomized controlled trials for inflammatory demyelinating polyneuropathies

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