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The effect of tapering of prednisolone after pulse therapy in a MS attack

Efficacy and safety evaluation of oral tapering prednisolone following inravenous methyl prednisolone to improve outcome of multiple sclerosis relapses: A randomized, double-blind, placebo-controlled trial

Status
Recruiting
Phases
Phase 3
Study type
Interventional
Source
IRCT
Registry ID
IRCT20120314009297N6
Enrollment
70
Registered
2019-10-13
Start date
2019-06-30
Completion date
Unknown
Last updated
2019-11-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Multiple sclerosis. Multiple sclerosis

Interventions

Intervention 1: Intervention group: 1000 mg iv methylprednisolone for 5 days, followed by 50 mg oral prednisolone for 5 days, then 3/4 of prednisolone 50 mg for 5 days, then 1/2 prednisolone 50 mg for

Sponsors

Sari University of Medical Sciences
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Inclusion criteria

Inclusion criteria: Age over 18 years Disability Status Scale (EDSS) 0 to 5.0 before the attack

Exclusion criteria

Exclusion criteria: Corticosteroid susceptibility Any worsening in symptoms that require a change in treatment Patient with optic neuritis Not complete Period of treatment by the patient A patient with active and bleeding stomach ulcer A patient with diabetes with uncontrolled blood sugar

Design outcomes

Primary

MeasureTime frame
EDSS (Expanded Disability Status Scale)and FSS(Functional Systems Scores) assessments that sustained increase in EDSS is considered as a change in measure from the start of the study. These two measures ultimately assess the incapacity of the MS and the course of the disease after receiving treatment. Timepoint: The first month and the third month. Method of measurement: FSS, EDSS scale.

Secondary

MeasureTime frame
Pulse methylprednisolone followed by oral prednisone Safety Assessment. Timepoint: The end of the first month. Method of measurement: Check list ARMS (assessment of relapse in multiple Sclerosis).

Countries

Iran (Islamic Republic of)

Contacts

Public ContactNarjes Hendouei

Sari University of Medical Sciences

hendoieen@yahoo.com+98 11 3354 2472

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026