Myelin repairPhase 2 study in peopleStudy completed
CCMR2: a completed Phase 2a study of metformin and clemastine
Published by MyelinWatch:
Organisation
Cambridge Clinical MS Research Group · United Kingdom
Conduct
Single-country study: United Kingdom
CCMR Two · The completed CCMR2 study combined metformin and clemastine to explore whether they could support myelin repair.
What is the approach?
CCMR2 combined metformin and clemastine, two existing medicines, to test a possible myelin-repair strategy. Experimental work suggests metformin may make precursor cells more responsive to repair signals, while clemastine may encourage their maturation into myelin-making cells; the trial tests the combination, not either drug alone.
The completed CCMR2 study combined metformin and clemastine to explore whether they could support myelin repair.
Research stage
Phase 2 study in people
Promising change in the brain's electrical response to vision
What we know so far
The study reported a change in the electrical response to vision, a biological signal. It did not find short-term improvement in disability; a full peer-reviewed paper and confirmation are still needed.
What this means for patients today
The finding is an early signal, not proof of patient benefit or an available treatment. The study is complete.
Treatment or approach
Metformin + clemastine
How it is intended to work
Combines metformin and clemastine to support the formation of new myelin
After 24 weeks, metformin plus clemastine shortened the delay in the brain's electrical response to vision, a change consistent with myelin repair. Vision and disability did not improve during the study's short follow-up.