INDEPENDENT RESEARCH MONITOR

Human trials

Registered, active, planned, completed and stopped studies are shown with their operational status and evidence level.

Human trials

Registered, active, planned, completed and stopped studies are shown with their operational status and evidence level.

Registered human trialActive, not recruitingNo efficacy data yet

Phase 3 platform

OCTOPUS

Metformin + R/S alpha-lipoic acid

Active • Stage 1 analysis in progress

Evidence level: Human Phase 3 platform • Stage 1 efficacy decision pending

Next substantive checkpoint: Go/no-go decision for the initial arms around October 2026

Registered human trialActive, not recruitingNo efficacy data yet

Phase 2

MACSiMiSE-BRAIN

Metformin • progressive MS

Active, not recruiting

Evidence level: Human Phase 2 • results pending

Next substantive checkpoint: Completion of follow-up and results after the primary study completion

Registered human trialRecruitingNo efficacy data yet

Phase 2

Metformin in aging MS

Metformin • ages 55–75

Recruiting • NCT06463743

Evidence level: Human Phase 2 • results pending

Next substantive checkpoint: Safety plus MRS/MRI, myelin-water-fraction and neuroprotection or repair readouts

Registered human trialRecruitingNo efficacy data yet

Phase 2

ACT-1004-1239

CXCR7 / ACKR3 antagonist • progressive MS

Recruiting

Evidence level: Human Phase 2 • results pending

Next substantive checkpoint: MRI, electrophysiological and biochemical remyelination endpoints at 48 weeks

Registered human trialRecruitingNo efficacy data yet

Phase 1/2

ReVIVE

Clemastine • chronic demyelination

Recruiting

Evidence level: Human Phase 1/2 • results pending

Next substantive checkpoint: Multiparametric MRI for changes in myelin • estimated completion 2027

Registered human trialRecruitingNo efficacy data yet

Phase 2

ReCOVER

Clemastine • acute optic neuritis

Recruiting

Evidence level: Human Phase 2 • results pending

Next substantive checkpoint: VEP and MRI remyelination evidence • estimated completion 2028

Registered human trialNot yet recruitingNo efficacy data yet

Phase 1/2

ReINFORCE

Clemastine • acute demyelinating lesions

Not yet recruiting • scheduled start 15 Sep 2026

Evidence level: Human Phase 1/2 • no results

Next substantive checkpoint: Recruitment opening and multiparametric MRI readouts for myelin repair

Registered human trialPausedNo efficacy data yet

Phase 1/2

MODIF-MS

Ifenprodil • remyelination

Temporarily halted in CTIS

Evidence level: Human Phase 1/2 • temporarily halted

Next substantive checkpoint: Confirmation of restart or a new official status update

Registered human trialRecruitingNo efficacy data yet

Pilot • device study

SetPoint MS Pilot

Vagus nerve stimulation • RRMS

Recruiting

Evidence level: Human pilot/device study • efficacy exploratory

Next substantive checkpoint: Safety and exploratory remyelination after the 48-week blinded period

Registered human trialRecruitingNo efficacy data yet

Phase 2

TOTEM-RRMS

Testosterone • RRMS

Ongoing / recruiting

Evidence level: Human Phase 2 • results pending

Next substantive checkpoint: MRI endpoints for remyelination and neuroprotection

Human safety / PK onlyAnnounced / plannedRegulatory development

Phase 1 • healthy volunteers

PTD802

GPR17 antagonist

First-in-human programme authorised

Evidence level: Healthy-volunteer development • no MS efficacy data

Next substantive checkpoint: Safety, tolerability and PK before any efficacy study in people with MS

Planned / announced human trialAnnounced / plannedRegulatory development

Phase 2 • planned

Lucid-MS / Lucid-21-302

PAD2 inhibitor • progressive MS

FDA IND cleared • public trial registration not located

Evidence level: Human development milestone • no MS efficacy data

Next substantive checkpoint: Public Phase 2 registration, sites and recruitment opening

Human clinical dataCompletedPositive signal

Phase 2a • completed

CCMR Two

Metformin + clemastine

Positive biological VEP signal

Evidence level: Human Phase 2a • biological VEP signal; no short-term disability benefit shown

What comes next: Full peer-reviewed results and a larger confirmatory study

Human clinical dataCompletedNull

Phase 2 • completed

ReWRAP

Bazedoxifene acetate

Primary and secondary remyelination endpoints not met

Evidence level: Human Phase 2 • null remyelination efficacy endpoints

Meaning: Generally well tolerated, but without a statistically significant efficacy signal

Human clinical dataTerminated / stoppedNegative

Phase 3 • terminated

RESTORE

Clemastine • INO in MS

Terminated after a futility no-go analysis

Evidence level: Human Phase 3 • terminated after futility analysis amid slow recruitment

Meaning: The decision followed slow recruitment and futility analysis; it is not by itself definitive proof that clemastine is ineffective

Human clinical dataCompletedNegative

Phase 2 • completed

PIPE-307 / VISTA

M1R antagonist

Efficacy endpoints not met

Evidence level: Human Phase 2 • efficacy endpoints not met

Meaning: Further development in MS remains uncertain

Human clinical dataCompletedNo efficacy data yet

Early Phase 1 • completed

Metformin PMS

Metformin • PPMS/SPMS

Completed • results not yet published

Evidence level: Human early Phase 1 • completed; public results pending

What comes next: Public efficacy and safety readout from NCT05349474