Emerging treatments + myelin repairResults from peopleStudy stopped before a clear answer about whether it helps
Phase 3
RESTORE: the Phase 3 clemastine study stopped after an early review found it was unlikely to reach its goal
Published by MyelinWatch:
Study sponsor
Amsterdam UMC, location VUmc
What happened
RESTORE tested clemastine in people with MS and a disorder affecting eye movement. It was stopped after slow enrolment led to an early review, which found that the study was unlikely to reach its goal.
What this means for people with MS
This is an important negative development for this study. It should not be treated as a clear result about whether clemastine works, because the decision was made in a study that had serious difficulty finding participants.
Emerging treatmentsRegistered study in peopleStudy authorised in Greece; not a result
Phase 3 extension study authorised in Greece; recruitment not yet started
Frexalimab: Greece authorises the long-term Phase 3 extension study
Organisation: Sanofi · France
The EU Clinical Trials Information System (CTIS) shows that Greece authorised Sanofi's Phase 3 extension study LTS18002 (2026-525688-41-00) on 2 November 2026. Denmark, Portugal and Poland authorised it on the same day, after Belgium (30 October 2026) and Austria (1 November 2026); all six countries are listed as authorised with recruitment pending. The record plans 17 participants in Greece and lists four Greek hospitals: AHEPA University General Hospital of Thessaloniki, the University General Hospital of Ioannina, the General University Hospital of Larissa and the 401 General Military Hospital of Athens. The study will look at the long-term safety and tolerability of frexalimab, an experimental antibody, in people with multiple sclerosis (MS). It is open only to people who complete earlier frexalimab studies on the study drug, such as the Phase 3 studies FREXALT and FREVIVA. The estimated EU recruitment start is 15 February 2027.
Published by MyelinWatch:
What this means for people with MS
Authorisation means the study may proceed in Greece; it does not mean that it has started at any Greek hospital, that anyone has received treatment in it, or that frexalimab works. No Phase 3 results are available yet. People who are not already in a frexalimab study cannot join this extension, so it is not a way for other people with MS in Greece to receive frexalimab. Frexalimab is not an available treatment in Greece.
Research event/source date:
Emerging treatmentsResults from peopleDescriptive observations; causality unproven
Published observational follow-up of 204 people with relapsing MS in Italy and Switzerland, without a comparison group
CladStop: almost four years of follow-up after the two-year cladribine tablet course in 204 people with MS
Organisation: CladStop Study Group (University of Genoa and centres in Italy and Switzerland) · Italy
The CladStop study followed 204 people with relapsing multiple sclerosis (MS) at centres in Italy and Switzerland who had completed the approved two-year course of cladribine tablets. Follow-up started 24 months after the first dose and lasted 44.2 months on average. Over this time, 81 of 204 (39.7%) showed new disease activity (a relapse, new MRI activity or confirmed disability worsening); the estimated share still free of such activity was 82.8% after 12 months, 69.6% after 24 months, 63.3% after 36 months and 56.4% after 48 months. 42 people (20.6%) had a relapse (annualised relapse rate 0.06), 29.9% had new MRI activity and 7.4% had disability worsening confirmed after 6 months. 40.7% started another disease-modifying treatment, most often an anti-CD20 antibody or natalizumab. Adverse events after the course were recorded in 6 people, 2 of them serious (prostate cancer and enteritis).
Published by MyelinWatch:
What this means for people with MS
For people who have finished cladribine tablets, these data describe what happened afterwards in routine care in two countries: disease activity stayed away for years in many people, but not in everyone, and when it returned it was mostly relapses or new MRI lesions rather than disability worsening. Follow-up continued after people started another treatment, so the figures for being free of disease activity also include time on those later treatments; the authors say they describe outcomes after completing cladribine, not the effect of cladribine alone. Among the 121 people who started no further treatment, 70.1% were estimated to be free of disease activity at 48 months, but this group was not chosen at random. The study has no comparison group, so it cannot show that cladribine caused the outcomes or compare it with other treatments; treatment decisions after the course were not random. Safety data came from routine records and stopped when another treatment began, and few people remained in the analysis at 48 months, so the later estimates are less precise. It does not justify a treatment change without review by a neurologist.
Research event/source date:
Emerging treatmentsRegistered study in peopleStudy authorised in two EU countries; not a result
Phase 3 extension study authorised in two EU countries; recruitment not yet started
Frexalimab: long-term Phase 3 extension study authorised in Belgium and Austria
Organisation: Sanofi · France
The EU Clinical Trials Information System (CTIS) shows that Belgium authorised Sanofi's Phase 3 extension study LTS18002 (2026-525688-41-00) on 30 October 2026 and Austria on 1 November 2026. The study will look at the long-term safety and tolerability of frexalimab, an experimental antibody given into a vein or under the skin, in people with multiple sclerosis (MS). It is open only to people with relapsing MS or non-relapsing secondary progressive MS who complete earlier frexalimab studies on the study drug, including the Phase 3 studies FREXALT and FREVIVA. It plans 1,710 participants in total. Both countries are listed as authorised with recruitment pending; the estimated EU recruitment start is 15 February 2027.
Published by MyelinWatch:
What this means for people with MS
Authorisation means the study may proceed; it does not mean that it has started, that anyone has received treatment in it, or that frexalimab works. No Phase 3 results are available yet. People who are not already in a frexalimab study cannot join this extension. Greece authorised the study later, on 2 November 2026 (see the separate update); frexalimab is not an available treatment in Greece.
