Evidence map›Paper›PMID 21387374›Full record

ArticleAnnals of neurology2011

Diagnostic criteria for multiple sclerosis: 2010 revisions to the McDonald criteria.

Chris H Polman, Stephen C Reingold, Brenda Banwell, Michel Clanet, Jeffrey A Cohen, Massimo Filippi, Kazuo Fujihara, Eva Havrdova, Michael Hutchinson, Ludwig Kappos and 8 more

21 registry-linked trialsAbstract read
In one paragraph

Article in Annals of neurology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 21 registered trials, which are not on this map. Cited by 3,675 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3,675citing papers in PubMed, 11 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01679041 phase2terminatednot on this mapstarted 2012, after this paper: background citation

A Phase II Study of High Dose Chemotherapy With Autologous Hematopoietic Progenitor Cell Transplant for Multiple Sclerosis That Failed at Least Two Lines of Therapy

TypeinterventionalSponsorSeah Lim M.D.Ran2012 to 2013Enrolled1ConditionsMultiple SclerosisArmsAlemtuzumab, Fludarabine, Cyclophosphamide
NCT02258217 nacompletednot on this mapstarted 2014, after this paper: background citation

Tolerability of Acthar for the Treatment of Multiple Sclerosis Relapses (TAMS)

TypeinterventionalSponsorOhioHealthRan2014 to 2016Enrolled30ConditionsRelapsing Remitting Multiple SclerosisArmsActhar
NCT02525367 naterminatednot on this mapstarted 2016, after this paper: background citation

Clinical Pilot Study in the Feasibility and Effect of Online Cognitive Training on Cognitive Functions in Patients With Parkinson's Disease, Multiple Sclerosis and Depressive Patients Treated With Electroconvulsive Therapy

TypeinterventionalSponsorAmsterdam UMC, location VUmcRan2016 to 2017Enrolled28ConditionsIdiopathic Parkinson's Disease, Multiple Sclerosis, Elderly Post Electric Convulsive TherapyArmsOnline cognitive training, Active control condition
NCT02544373 nacompletednot on this mapstarted 2015, after this paper: background citation

A Randomized Trial of Positive Airway Pressure Therapy to Treat Cognitive Dysfunction in MS Patients With Obstructive Sleep Apnea

TypeinterventionalSponsorUniversity of MichiganRan2015 to 2021Enrolled135ConditionsMultiple SclerosisArmsPAP therapy
NCT02607020 naunknown statusnot on this mapstarted 2015, after this paper: background citation

Self-Management Program Based on Physical Exercises for People With Multiple Sclerosis With Mild Neurological Impairment: A Randomized Controlled Trial

TypeinterventionalSponsorCliniques universitaires Saint-Luc- Université Catholique de LouvainRan2015 to 2020Enrolled100ConditionsMultiple SclerosisArmsPhysical exercises in an self-management setting, Relaxation
NCT02739542 phase4completednot on this mapstarted 2016, after this paper: background citation

Multi-center, Randomized, Double-blinded Assessment of Tecfidera® in Extending the Time to a First Attack in Radiologically Isolated Syndrome (RIS) (ARISE)

TypeinterventionalSponsorUniversity of Texas Southwestern Medical CenterRan2016 to 2021Enrolled87ConditionsMultiple Sclerosis (MS)ArmsTecfidera, Placebo
NCT03736902 completednot on this mapstarted 2018, after this paper: background citation

Attitudes, Barriers and Facilitators to Physical Activity in People With Multiple Sclerosis Following a Relapse

TypeobservationalSponsorCity, University of LondonRan2018 to 2019Enrolled15ConditionsMultiple SclerosisArmsQualitative semi structured interview
NCT04153773 completednot on this mapstarted 2018, after this paper: background citation

Retinal Thickness as a Potential Biomarker of Neurodegeneration and Early Cognitive Impairment in Patients With Multiple Sclerosis

TypeobservationalSponsorMansoura University HospitalRan2018 to 2019Enrolled90ConditionsMultiple SclerosisArmsOCT
NCT04157283 unknown statusnot on this mapstarted 2019, after this paper: background citation

Sexual Dysfunction in Patients With Relapsing Remitting Multiple Sclerosis and Associated Comorbidities

TypeobservationalSponsorMansoura University HospitalRan2019 to 2020Enrolled120ConditionsMultiple Sclerosis, Sexual DysfunctionArmsMRI brain, visual evoked potential, Cerebrospinal Fluid, Sexual dysfunction measure, Depressive symptoms assessment and Multiple Sclerosis Quality of Life-54(MSQOL-54)
NCT04178005 phase4active not recruitingnot on this mapstarted 2020, after this paper: background citation

Cladribine Tablets After Treatment With Natalizumab (CLADRINA)

TypeinterventionalSponsorUniversity of Texas Southwestern Medical CenterRan2020 to 2026Enrolled40ConditionsMultiple SclerosisArmsCladribine
NCT04281160 unknown statusnot on this mapstarted 2020, after this paper: background citation

Patient Centered Outcomes Analysis for MS Using a Mobile Application

TypeobservationalSponsorBeCare Link LLCRan2020 to 2023Enrolled60ConditionsMultiple SclerosisArmsBeCare Mobile App
NCT04288011 unknown statusnot on this mapstarted 2021, after this paper: background citation

Validation of the BeCare Multiple Sclerosis Assessment App

TypeobservationalSponsorBeCare Link LLCRan2021 to 2023Enrolled30ConditionsMultiple Sclerosis
NCT04294979 nacompletednot on this mapstarted 2020, after this paper: background citation

Study on the Interaction Between Immune, Autonomic and Central Nervous Systems as a Target of Exercise Therapy in Multiple Sclerosis

TypeinterventionalSponsorIRCCS San Raffaele RomaRan2020 to 2024Enrolled44ConditionsMultiple SclerosisArmsPhysical Therapy
NCT04300868 unknown statusnot on this mapstarted 2019, after this paper: background citation

Immunisation Status Against Major Communicable Diseases Preventable With Vaccines, and Safety of Vaccines, in a Cohort of MS Patients. An Italian Multicenter Study

TypeobservationalSponsorMonica UlivelliRan2019 to 2023Enrolled3,000ConditionsMultiple Sclerosis
NCT04466150 phase4active not recruitingnot on this mapstarted 2020, after this paper: background citation

Impact of Ocrelizumab on Cerebrospinal Fluid Biomarkers at Multiple Sclerosis Onset

TypeinterventionalSponsorUniversity of California, San FranciscoRan2020 to 2027Enrolled30ConditionsRelapsing Multiple Sclerosis, Clinically Isolated SyndromeArmsOcrelizumab
NCT04604041 recruitingnot on this mapstarted 2020, after this paper: background citation

Investigation of Subclinical Markers of Multiple Sclerosis

TypeobservationalSponsorUniversity of Split, School of MedicineRan2020 to 2028Enrolled50ConditionsMultiple Sclerosis, Relapsing Remitting Multiple SclerosisArms1. Clinical testing, 2. Neurophysiological examination (TMS, EMNG), 3. Psychomotor examination, 4. Neuropsychological evaluation, 5. Flow cytometry
NCT05075642 unknown statusnot on this mapstarted 2021, after this paper: background citation

A Multicentre Observational Study for the Evaluation in Clinical Practice of the Initial Diagnostic-therapeutic Path of Urinary Disorders in Multiple Sclerosis

TypeobservationalSponsorASP 7 RagusaRan2021 to 2023Enrolled214ConditionsMultiple Sclerosis, Urinary Bladder, NeurogenicArmsInitial management of the urinary disorder/s identified during the screening phase
NCT05385731 naunknown statusnot on this mapstarted 2022, after this paper: background citation

MUSCLE - Nordic and Free Walking in People With Multiple Sclerosis: Clinical-functional, Motor Control, and Gait Analysis Findings: a Randomized Controlled Multicentre Clinical Trials

TypeinterventionalSponsorLeonardo A. Peyré-TartarugaRan2022 to 2024Enrolled60ConditionsMultiple Sclerosis, Chronic Progressive, Multiple Sclerosis, Multiple Sclerosis, Primary Progressive, Multiple Sclerosis, Secondary ProgressiveArmsNordic Walking (NWG), Free Walking (FWG), Health Education (HEG)
NCT05417269 phase1 / phase2unknown statusnot on this mapstarted 2022, after this paper: background citation

A Phase I/II Dose Escalation/Adaptive Design Study to Evaluate the Safety and Efficacy of IMCY-0141 in Patients With Relapsing Remitting-Multiple Sclerosis (RR-MS)

TypeinterventionalSponsorImcyse SARan2022 to 2025Enrolled150ConditionsMultiple Sclerosis, Relapsing-RemittingArmsIMCY-0141, Placebo, Dimethyl Fumarate
NCT06699095 narecruitingnot on this mapstarted 2024, after this paper: background citation

"Tele-riabilitazione in Sclerosi Multipla: Continuità Terapeutica Domiciliare Dopo Trattamento Di Neuro-riabilitazione Intensiva, Studio Randomizzato Controllato Con Piattaforma Integrata Per La Riabilitazione Del Disequilibrio"

TypeinterventionalSponsorFondazione I.R.C.C.S. Istituto Neurologico Carlo BestaRan2024 to 2025Enrolled20ConditionsMultiple SclerosisArmsTelerehabilitation
NCT06870968 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

An Exercise Training Intervention for Depressive Symptoms in Youth With MS: A Randomized Controlled Feasibility Trial

TypeinterventionalSponsorThe Hospital for Sick ChildrenRan2025 to 2026Enrolled40ConditionsNeuroinflammatory Diseases, Multiple SclerosisArmsExercise Training, Mobility and Flexibility Training
3 · Its place in the literature

Who cites it

3,675 citing papers in PubMed, 11 syntheses or guidelines pooled it.

  1. Pooled it
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  7. Cladribine for people with multiple sclerosis.The Cochrane database of systematic reviews · 2026
    Pooled it
  8. Natalizumab for multiple sclerosis.The Cochrane database of systematic reviews · 2025
    Pooled it
  9. Pooled it
  10. Effects of natalizumab on oligoclonal bands in the cerebrospinal fluid of patients with multiple sclerosis: a systematic review and meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Pooled it
  11. Rituximab for people with multiple sclerosis.The Cochrane database of systematic reviews · 2025
    Pooled it
  12. Trial
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  18. Review
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3,615 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors.

Chris H PolmanDepartment of Neurology, Free University, Amsterdam, the Netherlands. ch.polman@vumc.nl
Stephen C Reingold
Brenda Banwell
Michel Clanet
Jeffrey A Cohen
Massimo Filippi
Kazuo Fujihara
Eva Havrdova
Michael Hutchinson
Ludwig Kappos
Fred D Lublin
Xavier Montalban
Paul O'Connor
Magnhild Sandberg-Wollheim
Alan J Thompson
Emmanuelle Waubant
Brian Weinshenker
Jerry S Wolinsky

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

New evidence and consensus has led to further revision of the McDonald Criteria for diagnosis of multiple sclerosis. The use of imaging for demonstration of dissemination of central nervous system lesions in space and time has been simplified, and in some circumstances dissemination in space and time can be established by a single scan. These revisions simplify the Criteria, preserve their diagnostic sensitivity and specificity, address their applicability across populations, and may allow earlier diagnosis and more uniform and widespread use.

Indexed as

Early DiagnosisHumansMagnetic Resonance ImagingMultiple SclerosisSensitivity and Specificity

Identifiers

PMID21387374
PMCPMC3084507

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

and 15 more above

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.