Last update 23 Oct 2026

Methylprednisolone

Overview

Basic Info

SummaryMethylprednisolone is a perplexing small molecule drug that targets both the NMDA receptor as a modulator and the glucocorticoid receptor as an agonist. This dual mechanism of action allows for its primary use in treating an array of conditions such as multiple sclerosis, edema, hypersensitivity, and inflammation. Methylprednisolone was first approved by the FDA on October 24th, 1957, and was initially developed by the esteemed pharmaceutical company Pharmacia & Upjohn. The drug's impact on the immune system is what makes it so potent. Methylprednisolone suppresses the immune system's response to inflammation, leading to a reduction in swelling and pain. Additionally, the drug can benefit the nervous system by decreasing nerve damage and inflammation in patients with multiple sclerosis. However, as with most medications, there is a trade-off. Methylprednisolone can also cause some unwanted side effects such as gastrointestinal bleeding and an increased risk of infection. Therefore, it is crucial to take this drug only under the guidance of a healthcare provider, and patients should be continuously monitored for any adverse effects.
Drug Type
Small molecule drug
Synonyms
(6α,11β)-11,17,21-trihydroxy-6-methylpregna-1,4-diene-3,20-dione, 1-dehydro-6α-methylhydrocortisone, 6α-methyl-11β,17α,21-triol-1,4-pregnadiene-3,20-dione
+ [10]
Target
Action
agonists
Mechanism
GR agonists(Glucocorticoid receptor agonists)
Originator Organization
License Organization
Drug Highest PhaseApproved
First Approval Date
United States (24 Oct 1957),
Regulation-
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Structure/Sequence

Molecular FormulaC22H30O5
InChIKeyVHRSUDSXCMQTMA-PJHHCJLFSA-N
CAS Registry83-43-2

R&D Status

Approved
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IndicationCountry/LocationOrganizationDate
Multiple Sclerosis
Japan
04 Jan 2017
Anaphylaxis
United States
24 Oct 1957
Collagen Diseases
United States
24 Oct 1957
Edema
United States
24 Oct 1957
Endocrine System Diseases
United States
24 Oct 1957
Eye Diseases
United States
24 Oct 1957
Gastrointestinal Diseases
United States
24 Oct 1957
Hematologic Diseases
United States
24 Oct 1957
Inflammation
United States
24 Oct 1957
Neoplasms
United States
24 Oct 1957
Respiratory Diseases
United States
24 Oct 1957
Rheumatic Diseases
United States
24 Oct 1957
Skin Diseases
United States
24 Oct 1957
Developing
10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
Acute Graft Versus Host DiseasePhase 3
United States
01 Jan 2006
Acute Graft Versus Host DiseasePhase 3
Australia
01 Jan 2006
Acute Graft Versus Host DiseasePhase 3
Austria
01 Jan 2006
Acute Graft Versus Host DiseasePhase 3
Belgium
01 Jan 2006
Acute Graft Versus Host DiseasePhase 3
Canada
01 Jan 2006
Acute Graft Versus Host DiseasePhase 3
France
01 Jan 2006
Acute Graft Versus Host DiseasePhase 3
Germany
01 Jan 2006
Acute Graft Versus Host DiseasePhase 3
Italy
01 Jan 2006
Acute Graft Versus Host DiseasePhase 3
Netherlands
01 Jan 2006
Acute Graft Versus Host DiseasePhase 3
Switzerland
01 Jan 2006
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 2/3
73
tldlgjluqs(uflrqfsghr) = ygfvncsuqy rithtotplo (rubjwujled )
Negative
01 Dec 2026
Not Applicable
45
Rituximab use
yaiugzzspp(euowszzxmt) = gmjgcnzcaf xgwzbogoug (yeoxvkkpfu )
Positive
06 Nov 2026
Not Applicable
14
idedvpleju(hsojjnhllo) = panyygdurc nporpcblqr (hsqniaiuyx )
Negative
06 Nov 2026
idedvpleju(hsojjnhllo) = lcorouqocv nporpcblqr (hsqniaiuyx )
Not Applicable
234
Adjunctive intravenous MP pulses
rmwdexmyou(wqaphmbzcn): HR = 1.87 (95.0% CI, 0.89 - 3.94)
Negative
06 Nov 2026
No intravenous MP pulses
Phase 3
1,188
aolpgejwqy(ionnvjwaht) = khxnkjnvbb kpaupvkdsc (kbhuamvyyk )
Negative
01 Oct 2026
Placebo
aolpgejwqy(ionnvjwaht) = eedvzhwazw kpaupvkdsc (kbhuamvyyk )
Phase 4
100
kzklddzgxp(evdvnlogml) = Secondary outcomes were not demonstrably different between groups. tdyetnoirm (rtqhopuceo )
Negative
30 Sep 2026
Nonpulse corticosteroid regimen (1 mg/kg for 7 days)
Phase 2
385
(Tocilizumab)
zbnkbozxra = mpnxquwokt vyekkcdirp (uwcucbgeur, bnbaezkswk - axlcgtpfhb)
-
29 Sep 2026
zbnkbozxra = rtpdzdyzpl vyekkcdirp (uwcucbgeur, wfkswchtxi - gedcxxkqaq)
Phase 3
769
(Ocrelizumab 600 mg)
qmbktgkchv(hvafaqjdop) = lbvyqhwizj urlpjlemrb (usyixihbze, kwqminyryb - xvpykeunfu)
-
24 Jul 2026
(Ocrelizumab 1200 mg or 1800 mg)
qmbktgkchv(hvafaqjdop) = gslvpcklzc urlpjlemrb (usyixihbze, mukzgxodxu - exgymqqhwb)
Not Applicable
668
(Renal transplant + Male + 54 years)
kebbrqdkkp(limklavwsu) = Prednisone demonstrated the strongest disproportionality signal (IC025 5.01), followed by tacrolimus (IC025 4.65), methylprednisolone (IC025 4.44), and cyclosporine (IC025 4.25) rvjqytqmuq (juyttprmde )
Positive
25 Jun 2026
(Renal transplant + Male + 54 years)
Not Applicable
216
unlgftpbyt(uijgqexcbl) = Aspirin use was associated with higher rates of therapy discontinuation (p = 0.044) and long-term remission (p = 0.009), but not reduced relapse frequency. qgyuywnqpe (hzonhvhxxb )
Positive
11 Jun 2026
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