Trials to watch

Running trials whose results could change what is known, in three areas where people with MS most want progress. They are chosen every week by the same rules: randomised, phase 2 or later, at least 40 participants, no result yet, and higher in the list when they are larger, further along, due to report sooner, or testing an approach not yet confirmed for that group of people.

Progressive MS

FREVIVA

Phase 3 · 943 participants · frexalimab · results due March 2028

New for this group

Phase 3 · 943 participants · tests frexalimab · in relapsing and progressive MS. Not yet confirmed for this group: T-cell co-stimulation / cytokine targeting. Main results due March 2028.

ChariotMS

Phase 3 · 204 participants · cladribine · results due December 2027

New for this group

Phase 3 · 204 participants · tests cladribine · in progressive MS. Not yet confirmed for this group: Immune reconstitution (cladribine, alemtuzumab, aHSCT). Main results due December 2027.

CLASP-MS

Phase 3 · 188 participants · cladribine · results due June 2027

New for this group

Phase 3 · 188 participants · tests cladribine · in relapsing and progressive MS. Not yet confirmed for this group: Immune reconstitution (cladribine, alemtuzumab, aHSCT). Main results due June 2027.

OCTOPUS (PLATYPUS in Australia)

Phase 3 · 1,200 participants · metformin, thioctic acid · No date given

New for this group

Phase 3 · 1,200 participants · tests metformin, thioctic acid · in progressive MS. Not yet confirmed for this group: Mitochondrial / oxidative stress.

ZB020-03-002

Phase 3 · 990 participants · orelabrutinib · results due June 2030

Phase 3 · 990 participants · tests orelabrutinib · in relapsing and progressive MS. Main results due June 2030.

ZB020-03-001

Phase 3 · 705 participants · orelabrutinib · results due June 2030

Phase 3 · 705 participants · tests orelabrutinib · in progressive MS. Main results due June 2030.

REMASTER

Phase 3 · 1,275 participants · remibrutinib · results due December 2030

Phase 3 · 1,275 participants · tests remibrutinib · in progressive MS. Main results due December 2030.

Mintaka

Phase 2 · 360 participants · ocrelizumab · results due May 2028

New for this group

Phase 2 · 360 participants · tests ocrelizumab · in progressive MS. Not yet confirmed for this group: B-cell depletion (anti-CD20). Main results due May 2028.

Repair and protection

OCTOPUS (PLATYPUS in Australia)

Phase 3 · 1,200 participants · metformin, thioctic acid · No date given

New for this group

Phase 3 · 1,200 participants · tests metformin, thioctic acid · in progressive MS. Not yet confirmed for this group: Mitochondrial / oxidative stress.

MACSiMiSE-BRAIN_v1.0

Phase 2 · 120 participants · metformin · results due February 2027

New for this group

Phase 2 · 120 participants · tests metformin · in progressive MS. Not yet confirmed for this group: Mitochondrial / oxidative stress. Main results due February 2027.

NACPMS

Phase 2 · 98 participants · acetylcysteine · results due February 2027

New for this group

Phase 2 · 98 participants · tests acetylcysteine · in progressive MS. Not yet confirmed for this group: Mitochondrial / oxidative stress. Main results due February 2027.

ReCOVER

Phase 2 · 90 participants · clemastine · results due August 2028

New for this group

Phase 2 · 90 participants · tests clemastine · in MS. Not yet confirmed for this group: Remyelination / oligodendrocyte repair. Main results due August 2028.

MODIF-MS

Phase 2 · 60 participants · ifenprodil · results due March 2027

New for this group

Phase 2 · 60 participants · tests ifenprodil · in relapsing MS. Not yet confirmed for this group: a new approach. Main results due March 2027.

AttackMS

Phase 2 · 40 participants · natalizumab · results due October 2027

New for this group

Phase 2 · 40 participants · tests natalizumab · in early MS (CIS or RIS). Not yet confirmed for this group: Integrin blockade (lymphocyte trafficking). Main results due October 2027.

Towards lasting remission

ChariotMS

Phase 3 · 204 participants · cladribine · results due December 2027

New for this group

Phase 3 · 204 participants · tests cladribine · in progressive MS. Not yet confirmed for this group: Immune reconstitution (cladribine, alemtuzumab, aHSCT). Main results due December 2027.

CLASP-MS

Phase 3 · 188 participants · cladribine · results due June 2027

New for this group

Phase 3 · 188 participants · tests cladribine · in relapsing and progressive MS. Not yet confirmed for this group: Immune reconstitution (cladribine, alemtuzumab, aHSCT). Main results due June 2027.

BEAT-MS

Phase 3 · 156 participants · Immune reconstitution (cladribine, alemtuzumab, aHSCT) · results due August 2030

New for this group

Phase 3 · 156 participants · in relapsing and progressive MS. Not yet confirmed for this group: Immune reconstitution (cladribine, alemtuzumab, aHSCT). Main results due August 2030.

KYV101-007

Phase 2 · 120 participants · CAR-T cell therapy · results due April 2027

New for this group

Phase 2 · 120 participants · in progressive MS. Not yet confirmed for this group: CAR-T cell therapy. Main results due April 2027.

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