%0 Meta-Analysis
%T Comparative efficacy of therapies for relapsing multiple sclerosis: a systematic review and network meta-analysis.
%A Samjoo IA
%A Drudge C
%A Walsh S
%A Tiwari S
%A Brennan R
%A Boer I
%A Häring DA
%A Klotz L
%A Adlard N
%A Banhazi J
%J J Comp Eff Res
%V 12
%N 7
%D 2023 07 2
%M 37265062
%F 2.04
%R 10.57264/cer-2023-0016
%X Aim: To assess the relative efficacy of disease-modifying therapies (DMTs) for relapsing multiple sclerosis (RMS) including newer therapies (ozanimod, ponesimod, ublituximab) using network meta-analysis (NMA). Materials & methods: Bayesian NMAs for annualised relapse rate (ARR) and time to 3-month and 6-month confirmed disability progression (3mCDP and 6mCDP) were conducted. Results: For each outcome, the three most efficacious treatments versus placebo were monoclonal antibody (mAb) therapies: alemtuzumab, ofatumumab, and ublituximab for ARR; alemtuzumab, ocrelizumab, and ofatumumab for 3mCDP; and alemtuzumab, natalizumab, and either ocrelizumab or ofatumumab (depending on the CDP definition used for included ofatumumab trials) for 6mCDP. Conclusion: The most efficacious DMTs for RMS were mAb therapies. Of the newer therapies, only ublituximab ranked among the three most efficacious treatments (for ARR).