Can a quick strike drug stop MS in its tracks?
NCT ID NCT05418010
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests whether giving the drug natalizumab (Tyruko) within two weeks of first MS symptoms can help repair nerve damage. Forty adults with a first episode of MS-like inflammation will receive either the drug or a placebo. The main goal is to see if early treatment improves nerve healing on brain scans after 12 weeks.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Natalizumab (Tyruko), a drug that calms the immune system to reduce inflammation in the brain and spinal cord.
- What this could lead to
- If it works, this could show that starting a strong MS drug very early after first symptoms helps repair nerve damage and leads to better long-term outcomes.
- What could go wrong
- This is a small, early-phase trial with only 40 people. The drug may not improve nerve repair, and it carries risks like serious brain infections (PML) with long-term use.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 40 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2022
- Expected to finish
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Oct 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 55 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Participant has provided informed consent. 2. Age 18-55 years 3. Participant with CIS or MS at first presentation. 4. Participants show two or more lesions on T2 weighted MRI suggestive of demyelination. 5. Participant is willing and able to comply with clinical visits and procedures outlined in the study protocol. Exclusion Criteria: 1. Hypersensitivity to Tyruko® or to any of the following excipients: * Histidine * Histidine monohydrochloride * Sodium chloride * Polysorbate 80 (E433) * Water for injections 2. Evidence of multiple chronic demyelinating lesions on MRI without signs of recent activity. 3. Participants with increased risk for opportunistic infections, including immunocompromised participants (those currently receiving immunosuppressive therapies or those immunocompromised by prior therapies). 4. Combination with other Disease Modifying Treatments.. 5. Known active malignancies, except for participants with cutaneous basal cell carcinoma. 6. Implants such as pacemaker, aneurysm clip in the brain and MRI-incompatible prosthetic heart valves. 7. Significant comorbidities such as cardiac failure, renal failure, uncontrolled diabetes and uncontrolled hypercholesterolemia. 8. History of stroke, thrombosis and/or myocardial infarction. 9. Any other infection deemed, in the assessment of the PI or sub-investigator, clinically significant. 10. Claustrophobia 11. Pregnancy or breastfeeding
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
2 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Royal London Hospital
NOT_YET_RECRUITINGLondon, E1 1FR, United Kingdom
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St George's Hospital
RECRUITINGLondon, SW17 0QT, United Kingdom
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