Related Experiment Video
Updated: Dec 9, 2025

The Multiple Sclerosis Performance Test MSPT: An iPad-Based Disability Assessment Tool
Published on: June 30, 2014
Outcome measures for disease-modifying therapies in relapsing multiple sclerosis randomized clinical trials: a
Rosa C Lucchetta1, Magda L Oliveira, Aline F Bonetti
11Department of Pharmacy, Federal University of Parana, Curitiba, Brazil 2Pharmacy, University Hospital of the Federal University of Grande Dourados, Dourados, Brazil 3Laboratory of Pharmacology, Department of Drug Sciences, Faculty of Pharmacy, University of Porto, Porto, Portugal.
Objective:
The objective of the review is to explore randomized controlled trials on disease-modifying therapies for relapsing multiple sclerosis to identify and quantify the different outcome measures, instruments and definitions of efficacy, safety outcomes, health-related quality of life instruments and population subgroups.
Introduction:
A wide range of therapies are available for relapsing multiple sclerosis, as well as a wide range of outcome measures and definitions, which can be explained by the absence of a core outcome set for this disease. Establishing a core outcome set is fundamental for guiding future studies as they improve the consistency and relevance of new findings and enable the results of trials to be compared and combined. These features are especially important for relapsing multiple sclerosis due to the limited number of head-to-head studies on this disease. Although many systematic reviews and meta-analyses have focused on the efficacy and safety of disease-modifying therapies in relapsing multiple sclerosis, none have had the specific objective of mapping outcome measures.
Inclusion Criteria:
This review will consider randomized controlled trials that explore populational subgroups, efficacy, safety outcomes, health-related quality of life instruments and their definitions in the context of disease-modifying therapies for adults with relapsing multiple sclerosis.
Methods:
Electronic searches will be performed in PubMed, Scopus, the Cochrane Library, ClinicalTrials.gov, and JBI Evidence Synthesis with no time limit. Two researchers will independently select registries (screening and eligibility steps) and extract data on study characteristics, outcome measures, definitions and population subgroups. Data will be presented in graphical or tabular form, accompanied by a narrative summary.
Insights
This review maps outcome measures for relapsing multiple sclerosis treatments. It aims to improve consistency in clinical trials by identifying and quantifying efficacy, safety, and quality of life assessments.
Area of Science:
- Neurology
- Clinical Trials
- Evidence Synthesis
Background:
- Relapsing multiple sclerosis (MS) has numerous disease-modifying therapies.
- A lack of a core outcome set leads to varied outcome measures and definitions in MS trials.
- This heterogeneity hinders comparison and combination of trial results, especially given limited head-to-head studies.
Purpose of the Study:
- To systematically map and quantify outcome measures used in randomized controlled trials (RCTs) for relapsing MS.
- To identify instruments and definitions for efficacy, safety, and health-related quality of life.
- To explore population subgroups within these RCTs.
Main Methods:
- Comprehensive electronic searches of major databases (PubMed, Scopus, Cochrane Library, ClinicalTrials.gov, JBI Evidence Synthesis).
- Independent selection and data extraction by two researchers.
- Data presentation via narrative summary, tables, and graphs.
Main Results:
- The review will identify and quantify diverse outcome measures, instruments, and definitions.
- It will analyze efficacy, safety outcomes, and health-related quality of life assessments.
- Population subgroups within relapsing MS RCTs will be characterized.
Conclusions:
- Establishing a core outcome set is crucial for enhancing consistency and comparability in relapsing MS research.
- This mapping exercise provides a foundation for developing a standardized set of outcome measures.
- Standardization will facilitate more robust evidence synthesis and inform clinical practice for relapsing MS.
Related Concept Videos
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Clinical Trials: Overview
Therapeutic Drug Monitoring: Affecting Factors
Clinical Trials
There are four phases in a clinical trial. A phase one...

