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prednisone and Acute Relapsing Multiple Sclerosis

prednisone has been researched along with Acute Relapsing Multiple Sclerosis in 18 studies

Prednisone: A synthetic anti-inflammatory glucocorticoid derived from CORTISONE. It is biologically inert and converted to PREDNISOLONE in the liver.
prednisone : A synthetic glucocorticoid drug that is particularly effective as an immunosuppressant, and affects virtually all of the immune system. Prednisone is a prodrug that is converted by the liver into prednisolone (a beta-hydroxy group instead of the oxo group at position 11), which is the active drug and also a steroid.

Research Excerpts

ExcerptRelevanceReference
"Relapses have long been treated with steroids to reduce inflammation and hasten recovery."2.45Oral versus intravenous steroids for treatment of relapses in multiple sclerosis. ( Beyene, J; Burton, JM; Hohol, M; O'Connor, PW, 2009)
"A patient diagnosed with necrotizing scleritis, c-ANCA+ an orbital pseudotumour, and possible multiple sclerosis in 2003 was treated with oral cyclophosphamide and steroids with partial response."1.40[C-ANCA positive necrotising scleritis and multiple sclerosis compatible with ocular Wegener: treatment with rituximab]. ( Aldasoro-Cáceres, I; Aldasoro-Cáceres, V; Ibáñez-Bosch, R; Murié-Fernández, M; Pérez-Moreiras, JV, 2014)

Research

Studies (18)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's9 (50.00)29.6817
2010's8 (44.44)24.3611
2020's1 (5.56)2.80

Authors

AuthorsStudies
Leckey, R1
Borsellino, L1
Rawlings, AM1
Ashkenas, J1
Suri, A1
Marriott, JJ1
Chen, H1
Fransoo, R1
Marrie, RA1
Velez de Mendizabal, N1
Hutmacher, MM1
Troconiz, IF1
Goñi, J1
Villoslada, P1
Bagnato, F1
Bies, RR1
Aldasoro-Cáceres, V1
Aldasoro-Cáceres, I1
Pérez-Moreiras, JV1
Murié-Fernández, M1
Ibáñez-Bosch, R1
Cachia, D1
Izzy, S1
Berriosmorales, I1
Ionete, C1
Horakova, D4
Dwyer, MG4
Havrdova, E4
Cox, JL4
Dolezal, O4
Bergsland, N4
Rimes, B1
Seidl, Z4
Vaneckova, M4
Zivadinov, R4
Krasensky, J2
Novakova, I1
Ticha, V1
Dusek, L1
Houzvickova, E1
Hussein, S3
Svobodnik, A1
Burton, JM2
O'Connor, PW2
Hohol, M2
Beyene, J2
Kýr, M1
Lelková, P1
Pospíšilová, L1
Haltmeier, S1
Yildiz, M1
Müller, S1
Anliker, MD1
Heinzerling, L1
Morrow, SA2
McEwan, L1
Alikhani, K1
Hyson, C1
Kremenchutzky, M1
Salama, HH1
Kolar, OJ1
Zang, YC1
Zhang, J1
Yang, CC1
Severson, B1
Bowen, JD1
Río, J1
Nos, C1
Bonaventura, I1
Arroyo, R1
Genis, D1
Sureda, B1
Ara, JR1
Brieva, L1
Martín, J1
Saiz, A1
Sánchez López, F1
Prieto, JM1
Roquer, J1
Dorado, JF1
Montalban, X1
Stoian, CA1
Dmitrovic, J1
Chan, SC1
Metz, LM1
Cookfair, D1
Perumal, JS1
Caon, C1
Hreha, S1
Zabad, R1
Tselis, A1
Lisak, R1
Khan, O1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Assessment of Lesion Activity Analysis in the Avonex- Steroid Azathioprine (ASA) Study[NCT01628315]159 participants (Actual)Observational2009-03-31Completed
Phase IV Study of Oral Prednisone Taper vs. Placebo Following Intravenous Steroids for the Treatment of Acute Relapses in Multiple Sclerosis Within the Ticino Cohort[NCT01411514]Phase 427 participants (Actual)Interventional2011-08-31Terminated (stopped due to Difficulties to recruit patients)
Tolerability of Acthar for the Treatment of Multiple Sclerosis Relapses (TAMS)[NCT02258217]30 participants (Actual)Interventional2014-06-30Completed
A Trial of Prednisone and Acetaminophen Versus Acetaminophen Alone in Minimizing Flu-like Symptoms From Pegylated Interferon Beta-1a[NCT03424733]Phase 450 participants (Anticipated)Interventional2017-09-25Recruiting
[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

2 reviews available for prednisone and Acute Relapsing Multiple Sclerosis

ArticleYear
Oral versus intravenous steroids for treatment of relapses in multiple sclerosis.
    The Cochrane database of systematic reviews, 2009, Jul-08, Issue:3

    Topics: Administration, Oral; Anti-Inflammatory Agents; Glucocorticoids; Humans; Injections, Intravenous; Me

2009
Oral versus intravenous steroids for treatment of relapses in multiple sclerosis.
    The Cochrane database of systematic reviews, 2012, Dec-12, Volume: 12

    Topics: Administration, Oral; Anti-Inflammatory Agents; Glucocorticoids; Humans; Injections, Intravenous; Me

2012

Trials

6 trials available for prednisone and Acute Relapsing Multiple Sclerosis

ArticleYear
Gray matter atrophy and disability progression in patients with early relapsing-remitting multiple sclerosis: a 5-year longitudinal study.
    Journal of the neurological sciences, 2009, Jul-15, Volume: 282, Issue:1-2

    Topics: Adult; Atrophy; Azathioprine; Brain; Cerebral Ventricles; Disease Progression; Drug Therapy, Combina

2009
Randomized study of interferon beta-1a, low-dose azathioprine, and low-dose corticosteroids in multiple sclerosis.
    Multiple sclerosis (Houndmills, Basingstoke, England), 2009, Volume: 15, Issue:8

    Topics: Administration, Oral; Adrenal Cortex Hormones; Atrophy; Azathioprine; Brain; Disability Evaluation;

2009
Effects of combination therapy of beta-interferon 1a and prednisone on serum immunologic markers in patients with multiple sclerosis.
    Multiple sclerosis (Houndmills, Basingstoke, England), 2003, Volume: 9, Issue:1

    Topics: Adjuvants, Immunologic; Adult; Anti-Inflammatory Agents; Biomarkers; Drug Therapy, Combination; fas

2003
Corticosteroids, ibuprofen, and acetaminophen for IFNbeta-1a flu symptoms in MS: a randomized trial.
    Neurology, 2004, Aug-10, Volume: 63, Issue:3

    Topics: Acetaminophen; Adult; Analgesics, Non-Narcotic; Asthenia; Chills; Double-Blind Method; Drug Administ

2004
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
Evolution of different MRI measures in patients with active relapsing-remitting multiple sclerosis over 2 and 5 years: a case-control study.
    Journal of neurology, neurosurgery, and psychiatry, 2008, Volume: 79, Issue:4

    Topics: Adjuvants, Immunologic; Adolescent; Adult; Atrophy; Azathioprine; Brain; Cerebral Ventricles; Diseas

2008

Other Studies

10 other studies available for prednisone and Acute Relapsing Multiple Sclerosis

ArticleYear
Acute infusion effects in relapsing multiple sclerosis patients receiving alemtuzumab under a modified prophylaxis regimen.
    Multiple sclerosis and related disorders, 2022, Volume: 66

    Topics: Alemtuzumab; Canada; Cytokines; Histamine H2 Antagonists; Humans; Methylprednisolone; Multiple Scler

2022
Validation of an algorithm to detect severe MS relapses in administrative health databases.
    Multiple sclerosis and related disorders, 2018, Volume: 19

    Topics: Adolescent; Adult; Aged; Algorithms; Anti-Inflammatory Agents; Databases, Factual; Drug Prescription

2018
Predicting relapsing-remitting dynamics in multiple sclerosis using discrete distribution models: a population approach.
    PloS one, 2013, Volume: 8, Issue:9

    Topics: Anti-Inflammatory Agents; Disease Progression; Humans; Magnetic Resonance Imaging; Methylprednisolon

2013
[C-ANCA positive necrotising scleritis and multiple sclerosis compatible with ocular Wegener: treatment with rituximab].
    Archivos de la Sociedad Espanola de Oftalmologia, 2014, Volume: 89, Issue:1

    Topics: Adrenal Cortex Hormones; Adult; Antibodies, Antineutrophil Cytoplasmic; Antibodies, Monoclonal, Muri

2014
Drug-induced thrombocytopenia secondary to natalizumab treatment.
    BMJ case reports, 2014, May-30, Volume: 2014

    Topics: Anti-Inflammatory Agents; Antibodies, Monoclonal, Humanized; Antibodies, Monoclonal, Murine-Derived;

2014
Apolipoprotein E ε4-positive multiple sclerosis patients develop more gray-matter and whole-brain atrophy: a 15-year disease history model based on a 4-year longitudinal study.
    Folia biologica, 2010, Volume: 56, Issue:6

    Topics: Adjuvants, Immunologic; Adult; Anti-Inflammatory Agents; Apolipoprotein E4; Atrophy; Azathioprine; B

2010
Contact dermatitis induced by glatiramer acetate.
    Multiple sclerosis (Houndmills, Basingstoke, England), 2011, Volume: 17, Issue:11

    Topics: Administration, Cutaneous; Adult; Dermatitis, Allergic Contact; Drug Hypersensitivity; Female; Glati

2011
MS patients report excellent compliance with oral prednisone for acute relapses.
    The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques, 2012, Volume: 39, Issue:3

    Topics: Administration, Oral; Adult; Female; Glucocorticoids; Humans; Male; Middle Aged; Multiple Sclerosis,

2012
Hypersexual sensations and behavior in a multiple sclerosis exacerbation: a case report.
    International journal of impotence research, 2004, Volume: 16, Issue:4

    Topics: Anti-Inflammatory Agents; Brain; Female; Hormones; Humans; Libido; Magnetic Resonance Imaging; Mastu

2004
Oral prednisone taper following intravenous steroids fails to improve disability or recovery from relapses in multiple sclerosis.
    European journal of neurology, 2008, Volume: 15, Issue:7

    Topics: Administration, Oral; Adult; Anti-Inflammatory Agents; Drug Therapy, Combination; Female; Humans; In

2008