Cochrane · systematic review · CD009333

Interferons‐beta versus glatiramer acetate for relapsing‐remitting multiple sclerosis

La Mantia, L, Di Pietrantonj, C, Rovaris, M, et al. · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library

Multiple Sclerosis and Rare Diseases of the CNS2 versionsAMSTAR 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 2 · 28.6%Moderate 5 · 71.4%High 0 · 0%

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

Current version only

Interferons compared with glatiramer acetate for participants with relapsing‐remitting multiple sclerosis

Population: people with relapsing‐remitting multiple sclerosis
CD009333.PUB3 (current) · 7 questions
OutcomeEffectEvidenceStatus / GRADE
Number of participants with relapse Risk ratio (M‐H, random, 95% CI)
Interferons vs glatiramer acetate
RR 1.04 [0.87, 1.24]3 studies · 2184 participantsModerate
Downgraded: risk of bias
Number of participants with confirmed progression Risk ratio (M‐H, random, 95% CI)
Interferons vs glatiramer acetate
RR 1.11 [0.91, 1.35]3 studies · 2169 participantsModerate
Downgraded: risk of bias
Number of participants who dropped out for AEs Risk ratio (M‐H, random, 95% CI)
Interferons vs glatiramer acetate
RR 0.95 [0.64, 1.4]4 studies · 2685 participantsLow
Downgraded: risk of bias
Mean number of active T2 lesions Mean difference (IV, random, 95% CI)
Interferons vs glatiramer acetate
no estimate extracted3 studies · 1790 participantsLow
Downgraded: inconsistency
Mean number of new enhancing lesions Mean difference (IV, random, 95% CI)
Interferons vs glatiramer acetate
no estimate extracted3 studies · 1734 participantsModerate
Mean change in total T2‐hyperintense lesion load Mean difference (IV, random, 95% CI)
Interferons vs glatiramer acetate
no estimate extracted2 studies · 1608 participantsModerate
Mean change in total T1‐hypointense lesion load
Interferons vs glatiramer acetate
no estimate extracted2 studies · 1602 participantsModerate

Interferons compared with glatiramer acetate for participants with relapsing‐remitting multiple sclerosis

Population: patients with relapsing‐remitting multiple sclerosis
CD009333.PUB2 · 7 questions
OutcomeEffectEvidenceStatus / GRADE
Number of participants with relapse Risk ratio (M‐H, random, 95% CI)
Interferons vs glatiramer acetate
RR 1.04 [0.87, 1.24]3 studies · 2184 participantsModerate
Downgraded: risk of bias
Number of participants with confirmed progression Risk ratio (M‐H, random, 95% CI)
Interferons vs glatiramer acetate
RR 1.11 [0.91, 1.35]3 studies · 2169 participantsModerate
Downgraded: risk of bias
Number of participants who dropped out for AEs Risk ratio (M‐H, random, 95% CI)
Interferons vs glatiramer acetate
RR 0.95 [0.64, 1.4]4 studies · 2685 participantsLow
Downgraded: risk of bias
Mean number of active T2 lesions Mean difference (IV, random, 95% CI)
Interferons vs glatiramer acetate
no estimate extracted3 studies · 1790 participantsLow
Downgraded: inconsistency
Mean number of new enhancing lesions Mean difference (IV, random, 95% CI)
Interferons vs glatiramer acetate
no estimate extracted3 studies · 1734 participantsModerate
Mean change in total T2‐hyperintense lesion load Mean difference (IV, random, 95% CI)
Interferons vs glatiramer acetate
no estimate extracted2 studies · 1608 participantsModerate
Mean change in total T1‐hypointense lesion load
Interferons vs glatiramer acetate
no estimate extracted2 studies · 1602 participantsModerate