Inflammatory myopathies

Efficacy and safety of pharmacological treatments in inclusion body myositis: a systematic review

RMD OpenPublished Systematic review and meta-analysis of randomised controlled trials

Authors' conclusion

Drug interventions for IBM were not effective for most of the outcomes of interest.

Study context

Population
Adults with inclusion body myositis (IBM)14 RCTs
Comparison
Pharmacological treatments for IBM
Outcome
Efficacy (muscle strength, physical function, mobility, muscle trophicity)
Methodological detailsconducted according to the Cochrane Handbook, update of a previous Cochrane review, independent dual-reviewer risk of bias assessment, data extraction and synthesis, 487 records screened, 48 full-text reviewed, 14 included; only 2 RCTs meta-analysed due to clinical heterogeneity
  • Conducted according to the Cochrane Handbook
  • Update of a previous Cochrane review
  • Independent dual-reviewer risk of bias assessment, data extraction and synthesis
  • 487 records screened, 48 full-text reviewed, 14 included; only 2 RCTs meta-analysed due to clinical heterogeneity

Pooled result

As reported in the abstract

  • Trials of methotrexate (MTX), IV immunoglobulin, interferon beta-1a and MTX, MTX and anti-T-lymphocyte immunoglobulin, oxandrolone, MTX and AZA, bimagrumab, arimoclomol, and sirolimus: low- to high-quality evidence of no effect on IBM progression

Original publication

Efficacy and safety of pharmacological treatments in inclusion body myositis: a systematic review. RMD Open. Published 22 January 2025. doi:10.1136/rmdopen-2024-005176

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