Multiple Sclerosis Clinical Trials

393 recruiting

Understanding Multiple Sclerosis Clinical Trials

With over 20 FDA-approved disease-modifying therapies (DMTs) — from interferon beta to highly effective B-cell depleting agents like ocrelizumab (Ocrevus) and ofatumumab (Kesimpta) — multiple sclerosis treatment has advanced dramatically through clinical trials over the past three decades. Yet significant unmet needs remain, particularly for progressive forms of MS where treatment options are limited, and for repair of existing nerve damage. Clinical trials today are pursuing the next frontier: remyelination therapies that aim to restore lost neurological function, not just prevent further damage.

Why Consider a Clinical Trial?

While current DMTs can reduce relapses and slow disability accumulation in relapsing MS, no approved therapy can repair myelin damage that has already occurred or effectively halt progression in most patients with primary or secondary progressive MS. Clinical trials are the only route to accessing remyelination agents, neuroprotective compounds, and advanced cell therapies that target these unmet needs. Even for patients with relapsing MS who are doing well on current therapy, trials may offer access to treatments with better safety profiles, more convenient dosing (such as longer intervals between infusions or oral alternatives to injections), or combination strategies that address both inflammation and neurodegeneration simultaneously. Participation also provides access to advanced MRI monitoring and biomarker tracking that can detect disease activity with greater sensitivity than routine clinical care.

Frequently Asked Questions

Common questions about Multiple Sclerosis clinical trials

It depends on the trial. Some trials allow concurrent DMTs, particularly those studying add-on therapies or symptom management. Others require a washout period from your current DMT before starting the investigational treatment. The washout requirements and timing vary based on which medication you are currently taking and the trial protocol.

Yes. There is a growing number of trials focused on primary progressive MS (PPMS) and secondary progressive MS (SPMS). These trials test BTK inhibitors, neuroprotective agents, remyelination therapies, and combination approaches. Progressive MS trials are a high priority for the research community because effective treatments remain limited.

Most MS trials include MRI scans at screening, baseline, and then every 3 to 6 months during the treatment period. Some trials require more frequent scanning in the early months. These scans are covered by the trial sponsor and use advanced protocols that may detect changes not visible on routine clinical MRI.

Remyelination trials test drugs that aim to repair the protective myelin coating around nerves that is damaged in MS. Unlike current DMTs that reduce inflammation, remyelination therapies could potentially restore lost function. These trials typically measure outcomes using specialized MRI, visual evoked potentials, and functional assessments over 6 to 12 months or longer.

Showing 120 of 393 trials

Recruiting
Not Applicable

From Genetics to Transcriptomics to Unravel the Mechanisms Behind a Poor Outcome in Multiple Sclerosis

Multiple Sclerosis
Nantes University Hospital130 enrolled1 locationNCT04873492
Recruiting
Phase 1Phase 2

Treatment of Participants With Primary or Secondary Progressive Multiple Sclerosis

Multiple SclerosisMultiple Sclerosis (MS) Primary ProgressiveMultiple Sclerosis (MS) Secondary Progressive+2 more
Tr1X, Inc.39 enrolled2 locationsNCT07477639
Recruiting
Not Applicable

Upper Limb Nerve Cryoneurolysis is Non Inferior to the Usual Care and Has Therapeutic Add Value in Dealing With Shoulder Pain and Functional Problems Caused by Spasticity and Motor Impairment

Traumatic Brain InjuryStrokeMultiple Sclerosis+5 more
Centre National de Rééducation Fonctionnelle et de Réadaptation50 enrolled1 locationNCT06782464
Recruiting
Phase 1

Nivolumab in Treating Patients With Autoimmune Disorders and Advanced, Metastatic, or Unresectable Cancer

Malignant Solid NeoplasmHematopoietic and Lymphoid Cell NeoplasmRheumatoid Arthritis+11 more
National Cancer Institute (NCI)300 enrolled52 locationsNCT03816345
Recruiting
Phase 2

The Effect of Rituximab on Cognitive and Hand Functions in Secondary Progressive Multiple Sclerosis

Secondary-progressive Multiple Sclerosis (SPMS)
Cairo University46 enrolled1 locationNCT06599307
Recruiting
Phase 4

A Study to Evaluate the Efficacy, Safety, Pharmacokinetics, and Pharmacodynamics of Ocrelizumab in Participants With Relapsing Multiple Sclerosis and Primary Progressive Multiple Sclerosis

Relapsing Multiple SclerosisPrimary Progressive Multiple Sclerosis
Hoffmann-La Roche60 enrolled17 locationsNCT07483450
Recruiting
Phase 4

Ublituximab (Briumvi) for Early Forms of Relapsing Multiple Sclerosis

Multiple SclerosisMultiple Sclerosis (MS) - Relapsing-remitting
Northwestern University40 enrolled1 locationNCT07225361
Recruiting

People With Multiple Sclerosis Treated With Ocrelizumab and GLP-1 Agonists

Multiple Sclerosis
Northwestern University100 enrolled1 locationNCT07207148
Recruiting
Phase 3

Non-inferiority Study of Frexalimab Subcutaneous Administration Compared to Intravenous Administration in Adult Participants With Multiple Sclerosis

Multiple Sclerosis
Sanofi160 enrolled9 locationsNCT07325292
Recruiting
Not Applicable

Effect of Multimodal Exercise Training in Patients With Multiple Sclerosis

Multiple Sclerosis
Istanbul University - Cerrahpasa40 enrolled2 locationsNCT06676618
Recruiting
Not Applicable

Factorial Optimization Trial to Test Cognitive Behavioral Therapy Components for Multiple Sclerosis Fatigue

Multiple Sclerosis
University of Washington112 enrolled1 locationNCT06809192
Recruiting
Not Applicable

Innovative Approaches to Enhance Balance and Neuroplasticity in Multiple Sclerosis

Mobility LimitationMultiple SclerosisBalance; Distorted+1 more
University Health Network, Toronto24 enrolled1 locationNCT07174973
Recruiting

Common and Specific Information From Neuroimaging and Smartphone

Multiple Sclerosis
Nantes University Hospital100 enrolled1 locationNCT05482906
Recruiting

Longitudinal Assessment of Iron Rims in MS Lesions

Multiple Sclerosis
Nottingham University Hospitals NHS Trust100 enrolled1 locationNCT05123443
Recruiting
Phase 3

A Study to Evaluate the Efficacy and Safety of Remibrutinib in Secondary Progressive Multiple Sclerosis

Secondary-progressive Multiple Sclerosis (SPMS)
Novartis Pharmaceuticals1,275 enrolled37 locationsNCT07225504
Recruiting
Phase 1Phase 2

Assessing Changes in Multi-parametric MRI in MS Patients Taking Clemastine Fumarate as a Myelin Repair Therapy

Multiple Sclerosis (MS)Multiple Sclerosis, Relapsing-RemittingMultiple Sclerosis, Primary Progressive+4 more
University of California, San Francisco74 enrolled1 locationNCT05359653
Recruiting
Not Applicable

Autoimmune Intervention Mastery Course Study

Multiple SclerosisClinically Isolated SyndromeFibromyalgia+2 more
Terry L. Wahls400 enrolled1 locationNCT05057676
Recruiting

Classification of Upper and Lower Limb Spasticity Patterns and Their Impact on Quality of Life in Patients With Multiple Sclerosis

Multiple SclerosisSpasticitySpasticity With Multiple Sclerosis
Marmara University75 enrolled1 locationNCT07466823
Recruiting

A Non-interventional Study Evaluating Clinical Utility and Implications on Improved Patient Management of Serum Neurofilament as a Prognostic Marker for Disease Activity in Patients With Relapsing Multiple Sclerosis

Multiple Sclerosis
Novartis Pharmaceuticals700 enrolled108 locationsNCT06551519
Recruiting

A NIS Evaluating Various Injectable and Oral Treatments in Patients With Relapsing Multiple Sclerosis

Relapsing Multiple Sclerosis
Novartis Pharmaceuticals800 enrolled111 locationsNCT05344469