Summary: | 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).
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