Cochrane · systematic review · CD001447

Riluzole for amyotrophic lateral sclerosis (ALS)/motor neuron disease (MND)

Miller, RG, Mitchell, JD, Moore, DH · Cochrane Database of Systematic Reviews · 2012 · Cochrane Library

NeuromuscularAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 0 · 0%High 7 · 100%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Comparison

Population: patients with ALS/MND
7 questions
OutcomeEffectEvidenceStatus / GRADE
Mortality or tracheostomy at 12 months (pooled hazard ratio)(riluzole 100 mg)
HR 0.83 [0.7, 1]3 studies · 1282 participantsHigh
Per cent mortality at 12 months (riluzole 100 mg)
RR 0.78 [0.65, 0.92]3 studies · 799 participantsHigh
Rate of decline of Norris Scale ‐ Norris Limb (riluzole 100 mg)
no estimate extracted3 studies · 731 participantsHigh
Rate of decline of Norris Scale ‐ Norris Bulbar (riluzole 100 mg)
no estimate extracted3 studies · 742 participantsHigh
Adverse event: nausea
RR 1.55 [1.06, 2.28]3 studies · 801 participantsHigh
Adverse event: asthenia
RR 1.5 [1.07, 2.12]3 studies · 801 participantsHigh
Adverse event: 3‐fold increase in alanine transferase
RR 2.62 [1.59, 4.31]3 studies · 801 participantsHigh