Page last updated: 2024-11-06

prednisolone and Acute Relapsing Multiple Sclerosis

prednisolone has been researched along with Acute Relapsing Multiple Sclerosis in 10 studies

Prednisolone: A glucocorticoid with the general properties of the corticosteroids. It is the drug of choice for all conditions in which routine systemic corticosteroid therapy is indicated, except adrenal deficiency states.
prednisolone : A glucocorticoid that is prednisone in which the oxo group at position 11 has been reduced to the corresponding beta-hydroxy group. It is a drug metabolite of prednisone.

Research Excerpts

ExcerptRelevanceReference
" Consensus may end there, as there is no clear-cut "best" route of administration or dosing schedule."2.45Relapse management in multiple sclerosis. ( Thrower, BW, 2009)
"Intracranial arachnoid cysts are rare but the widespread use of brain imaging has disclosed many asymptomatic cysts."1.36Asymptomatic supratentorial arachnoid cyst and symptomatic demyelination plaques: which one needs treatment? ( Amin, OS; Shwani, SS, 2010)

Research

Studies (10)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's5 (50.00)29.6817
2010's4 (40.00)24.3611
2020's1 (10.00)2.80

Authors

AuthorsStudies
Huang, Y1
Wang, Q1
Zeng, S1
Zhang, Y1
Zou, L1
Fu, X1
Xu, Q1
Jasani, KM1
Sharaf, N1
Rog, D1
Aslam, T1
Liu, YH1
Chan, J1
Vaghjiani, V1
Murthi, P1
Manuelpillai, U1
Toh, BH1
Gaskin, JC1
Coote, M1
Thrower, BW1
Simó, M1
Amin, OS1
Shwani, SS1
Morrow, SA1
Stoian, CA1
Dmitrovic, J1
Chan, SC1
Metz, LM1
Tu, CE1
Young, YH1
Gunal, DI1
Afsar, N1
Tuncer, N1
Aktan, S1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Tolerability of Acthar for the Treatment of Multiple Sclerosis Relapses (TAMS)[NCT02258217]30 participants (Actual)Interventional2014-06-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

ARMS (Assessing Relapses in Multiple Sclerosis) TCS Scores (Total Composite Scores)

"Patients completed the ARMS survey after treatment for the new relapse.The ARMS questionnaire (assessing relapses in multiple sclerosis) was developed by a panel of expert MS nurses. Part one consists of 7 questions designed to assess relapse symptoms, impact on activities of daily living, and response to past treatment for MS relapses. Part two consists of 7 questions to evaluate treatment response in terms of relief from symptoms, functioning and tolerability.~The TCS score was calculated only for the time point after treatment of relapse. It was a sum of questions 4 (symptom improvement), 5 (ADL), and 6 (return to previous state of health (RSH)) were evaluated. Scores range from 0 to 30 units, with higher scores representing greater improvement/better functioning." (NCT02258217)
Timeframe: Follow-up visit

Interventionscore on a scale (Mean)
Single Arm14.3

ARMS (Assessing Relapses in Multiple Sclerosis) ADL Scores (Activities of Daily Living)

"Patient history of prior corticosteroid tolerability for the treatment of MS relapses. This will be determined based on patient completion of the ARMS survey at the baseline visit. Also, history of patients from the survey after treatment for the new relapse will be collected.~The ARMS questionnaire (assessing relapses in multiple sclerosis) was developed by a panel of expert MS nurses. Part one consists of 7 questions designed to assess relapse symptoms, impact on activities of daily living, and response to past treatment for MS relapses. Part two consists of 7 questions to evaluate treatment response in terms of relief from symptoms, functioning and tolerability.~ADL scores were calculated from Part 1 (new relapse), question 3 and Part 2 (after treatment of relapse), question 5 both specifically refer to ADL;~Scale: ADL (Activities of Daily Living) Minimum value: 0 Maximum value: 9 Higher scores indicated better functioning/ improvement." (NCT02258217)
Timeframe: baseline visit & follow-up after treatment

Interventionscore on a scale (Mean)
ADL (new relapse)ADL (after treatment of relapse)
Single Arm3.14.9

ARMS (Assessing Relapses in Multiple Sclerosis) PCS Scores (Partial Composite Scores)

"Patient history of prior corticosteroid tolerability for the treatment of MS relapses. This will be determined based on patient completion of the ARMS survey at the baseline visit. Also, patients completed the survey after treatment for the new relapse.~The ARMS questionnaire (assessing relapses in multiple sclerosis) was developed by a panel of expert MS nurses. Part one consists of 7 questions designed to assess relapse symptoms, impact on activities of daily living, and response to past treatment for MS relapses. Part two consists of 7 questions to evaluate treatment response in terms of relief from symptoms, functioning and tolerability.~PCS was computed based on the sum of the ADL and RSH questions. The PCS was computed separately for Part 1 (new relapse) and Part 2 (after relapse treatment) and summarized descriptively; Higher scores indicating better functioning/greater improvement. The PCS scores were on a scale of 0 to 20 units." (NCT02258217)
Timeframe: baseline visit & follow-up after treatment

Interventionscore on a scale (Mean)
PCS (New relapse)PCS (after treatment of relapse)
Single Arm7.79.2

ARMS (Assessing Relapses in Multiple Sclerosis) RSH Scores (Return to Previous Health)

"Patient history of prior corticosteroid tolerability for the treatment of MS relapses. This will be determined based on patient completion of the ARMS survey at the baseline visit. Also, patients completed the survey after treatment for the new relapse. The ARMS questionnaire (assessing relapses in multiple sclerosis) was developed by a panel of expert MS nurses. Part one consists of 7 questions designed to assess relapse symptoms, impact on activities of daily living, and response to past treatment for MS relapses. Part two consists of 7 questions to evaluate treatment response in terms of relief from symptoms, functioning and tolerability.~Part 1 (new relapse) & Part 2 (after treatment of new relapse), question 6 were used to calculate RSH;~Scale: RSH (Return to previous health) Minimum value: -1 Maximum value: 10 Higher scores indicating a more complete return to previous state of health." (NCT02258217)
Timeframe: baseline visit & follow-up after treatment

Interventionscore on a scale (Mean)
RSH (new relapse)RSH (after treatment of new relapse)
Single Arm4.64.4

EDSS (Expanded Disability Status Scale) Scores.

"This scaling score is obtained by performing a neurologic exam with specific attention to eight different neurologic functional systems: visual, pyramidal, cerebellar, bowel and bladder, cerebral, brainstem, sensory and other (10). The score is rated from zero (normal neurologic examination) to ten (death due to MS). This is the standard neurologic disability scale used in clinical trials for the evaluation of disability in patients with MS.~These scores were compared between pre and post phase using paired t-tests." (NCT02258217)
Timeframe: baseline and at follow-up

Interventionscore on a scale (Median)
EDSS score (new relapse)EDSS score (after treatment of new relapse)
Single Arm3.53.0

GASE Scale Questionnaire (Generic Assessment of Side Effects)

"Patients who reported a history of poor corticosteroid tolerability will be placed on Acthar and GASE scale will be given to assess tolerability to Acthar.~We listed the number of times a symptom was reported and was attributable to the ACTHAR treatment" (NCT02258217)
Timeframe: 1 week

InterventionParticipants (Count of Participants)
HeadacheDry MouthDizzinessTachycardia, palpitation or arrhythmiaBreathing problemsAbdominal painNauseaDiarrheaReduced AppetiteIncreased appetiteDifficulties with urinationSkin rash or itchingTendency to develop bruisesSweatingHot flashesFatigue, loss of energyInsomnia, sleeping problemsNightmares or abnormal dreamsBack painAgitationIrritabilityDepressed MoodAnxiety, fearfulnessFurther symptoms
Single Arm312114441421111282166318

MSIS (Multiple Sclerosis Impact Scale) - 29 Psychological Score.

"The MSIS-29 is a self-reported questionnaire in which MS patients answer a series of 29 questions designed to capture the impact of multiple sclerosis on their life over the past 2 weeks (11). Twenty of the 29 questions assess the physical impact of MS and 9 questions assess the psychological impact of MS.~The psychological impact of MS was compared between pre and post phase using paired t-tests.~The psychological impact of MS was compared between pre and post phase using paired t-tests.~The score was on a scale of 9 to 45 points for MSIS psychological score.~Higher score indicate worse outcome." (NCT02258217)
Timeframe: baseline visit & follow-up after treatment

Interventionscore on a scale (Mean)
MSIS psychological(new relapse)MSIS psychological(after treatment of new relapse)
Single Arm29.426.3

MSIS (Multiple Sclerosis Impact Scale) -29 Physical Score

"The MSIS-29 is a self-reported questionnaire in which MS patients answer a series of 29 questions designed to capture the impact of multiple sclerosis on their life over the past 2 weeks (11). Twenty of the 29 questions assess the physical impact of MS.~The physical impact of MS was compared between pre and post phase using paired t-tests. Each question is answered with points ranging from 1 to 5. Higher score indicates worse outcome. The total MSIS physical score ranges from 20 to 100 points with lower points indicating better impact." (NCT02258217)
Timeframe: baseline visit & follow-up after treatment

Interventionscore on a scale (Median)
MSIS physical (new relapse)MSIS physical (after treatment of new relapse)
Single Arm58.556

SAGE (Self-administered Gerocognitive Exam) Scores

"The Self-Administered Gerocognitive Exam (SAGE) is designed to detect early signs of cognitive, memory or thinking impairments. It evaluates your thinking abilities and helps physicians to know how well your brain is working.~It consists of 12 questions which are scored at different scales. The final SAGE score is calculated as a sum of these 12 questions and it ranges from 0 to 22.~Higher score indicates better outcome." (NCT02258217)
Timeframe: baseline and follow-up

Interventionscore on a scale (Median)
SAGE (new relapse)SAGE (after treatment of new relapse)
Single Arm2121

Reviews

3 reviews available for prednisolone and Acute Relapsing Multiple Sclerosis

ArticleYear
Case Report: Overlapping Multiple Sclerosis With Anti-N-Methyl-D-Aspartate Receptor Encephalitis: A Case Report and Review of Literature.
    Frontiers in immunology, 2020, Volume: 11

    Topics: Adult; Anti-Inflammatory Agents; Anti-N-Methyl-D-Aspartate Receptor Encephalitis; Anticonvulsants; A

2020
Relapse management in multiple sclerosis.
    The neurologist, 2009, Volume: 15, Issue:1

    Topics: Adrenocorticotropic Hormone; Clinical Protocols; Demyelinating Diseases; Disease Management; Female;

2009
[Therapy of multiple sclerosis].
    Neuropsychopharmacologia Hungarica : a Magyar Pszichofarmakologiai Egyesulet lapja = official journal of the Hungarian Association of Psychopharmacology, 2009, Volume: 11, Issue:1

    Topics: Adjuvants, Immunologic; Antibodies, Monoclonal; Antibodies, Monoclonal, Humanized; Diagnosis, Differ

2009

Trials

1 trial available for prednisolone and Acute Relapsing Multiple Sclerosis

ArticleYear
The bioavailability of IV methylprednisolone and oral prednisone in multiple sclerosis.
    Neurology, 2004, Sep-28, Volume: 63, Issue:6

    Topics: Administration, Oral; Adult; Anti-Inflammatory Agents; Area Under Curve; Biological Availability; Bi

2004

Other Studies

6 other studies available for prednisolone and Acute Relapsing Multiple Sclerosis

ArticleYear
Fingolimod-associated macular oedema.
    BMJ case reports, 2017, Jun-15, Volume: 2017

    Topics: Anti-Inflammatory Agents; Female; Fingolimod Hydrochloride; Humans; Immunosuppressive Agents; Macula

2017
Human amniotic epithelial cells suppress relapse of corticosteroid-remitted experimental autoimmune disease.
    Cytotherapy, 2014, Volume: 16, Issue:4

    Topics: Amniotic Fluid; Animals; Antibodies, Anti-Idiotypic; Cell Proliferation; Cell- and Tissue-Based Ther

2014
Postoperative cystoid macular oedema in a patient on fingolimod.
    BMJ case reports, 2015, May-12, Volume: 2015

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Cataract Extraction; Diclofenac; Female; Fingolimod Hydroch

2015
Asymptomatic supratentorial arachnoid cyst and symptomatic demyelination plaques: which one needs treatment?
    BMJ case reports, 2010, Nov-23, Volume: 2010

    Topics: Administration, Oral; Adult; Anti-Inflammatory Agents; Arachnoid Cysts; Asymptomatic Diseases; Cereb

2010
Audiovestibular evolution in a patient with multiple sclerosis.
    The Annals of otology, rhinology, and laryngology, 2004, Volume: 113, Issue:9

    Topics: Adult; Brain Stem; Cerebellum; Dominance, Cerebral; Dose-Response Relationship, Drug; Drug Administr

2004
A case of multiple sclerosis with cerebral venous thrombosis: the role of lumbar puncture and high-dose steroids.
    European neurology, 2002, Volume: 47, Issue:1

    Topics: Adult; Cerebral Veins; Disability Evaluation; Drug Therapy, Combination; Female; Glucocorticoids; Hu

2002