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Clemastine

Phase 1

Multiple Sclerosis (MS) | Small molecule | Immunology |United Therapeutics Corporation|Last Updated: Mar 11, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLEDBiomarker
Total Trials1
Total Enrollment74
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05359653Assessing Changes in Multi-parametric MRI in MS Patients Taking Clemastine Fumarate as a Myelin Repair TherapyPHASE1 RECRUITING 74Aug 1, 2023Jun 1, 2026Mar 11, 20261 United States
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Study Endpoints
Primary Endpoints
Corpus Callosum Myelin Water Fraction
This will be assessed at the baseline visit.

The efficacy of clemastine relative to placebo at increasing the myelin water fraction (MWF) (measured in %) from magnetic resonance imaging of the corpus callosum.

Change from Baseline in Corpus Callosum Myelin Water Fraction at 3 Months
This will be assessed at the baseline and 3-month visits.

The efficacy of clemastine relative to placebo at increasing the myelin water fraction (MWF) (measured in %) from magnetic resonance imaging of the corpus callosum. Change = (3-month % - Baseline %)

Change from Baseline in Corpus Callosum Myelin Water Fraction at 6 Months
This will be assessed at the baseline and 6-month visits.

The efficacy of clemastine relative to placebo at increasing the myelin water fraction (MWF) (measured in %) from magnetic resonance imaging of the corpus callosum. Change = (6-month % - Baseline %)

Corpus Callosum T1 Relaxation Time
This will be assessed at the baseline visit.

The efficacy of clemastine relative to placebo at shortening the T1 relaxation time (measured in seconds) within the corpus callosum using T1 mapping protocols in an MRI.

Change from Baseline in Corpus Callosum T1 Relaxation Time at 3 Months
This will be assessed at the baseline and 3-month visits.

The efficacy of clemastine relative to placebo at shortening the T1 relaxation time (measured in seconds) within the corpus callosum using T1 mapping protocols in an MRI. Change = (3-month time - Baseline time)

Change from Baseline in Corpus Callosum T1 Relaxation Time at 6 Months
This will be assessed at the baseline and 6-month visits.

The efficacy of clemastine relative to placebo at shortening the T1 relaxation time (measured in seconds) within the corpus callosum using T1 mapping protocols in an MRI. Change = (6-month time - Baseline time)

Corpus Callosum UTE Fraction
This will be assessed at the baseline visit.

The efficacy of clemastine relative to placebo at increasing the ultrashort echo time (UTE) fraction (measured in %) derived from magnetic resonance imaging of the corpus callosum.

Change from Baseline in Corpus Callosum UTE Fraction at 3 Months
This will be assessed at the baseline and 3-month visits.

The efficacy of clemastine relative to placebo at increasing the ultrashort echo time (UTE) fraction (measured in %) derived from magnetic resonance imaging of the corpus callosum. Change = (3-month % - Baseline %)

Change from Baseline in Corpus Callosum UTE Fraction at 6 Months
This will be assessed at the baseline and 6-month visits.

The efficacy of clemastine relative to placebo at increasing the ultrashort echo time (UTE) fraction (measured in %) derived from magnetic resonance imaging of the corpus callosum. Change = (6-month % - Baseline %)

Secondary Endpoints
Optic Radiation Myelin Water Fraction
This will be assessed at the baseline visit.
Change from Baseline in Optic Radiation Myelin Water Fraction at 3 Months
This will be assessed at the baseline and 3-month visits.
Change from Baseline in Optic Radiation Myelin Water Fraction at 6 Months
This will be assessed at the baseline and 6-month visits.
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelCROSSOVER
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Clemastine 8 mg, then PlaceboEXPERIMENTALGroup 1 will receive the treatment (clemastine 8mg/day) for the first 90 days and then switch to the placebo (a sugar pill) for the remaining 90 days
Placebo, then Clemastine 8 mgEXPERIMENTALGroup 2 will receive the placebo (a sugar pill) for the first 90 days and then switch to the treatment (clemastine 8mg/day) for the remaining 90 days
Interventions
NameTypeDescription
Clemastine FumarateDRUG8 mg Clemastine tablet. Clemastine fumarate was approved by the Food and Drug Administration (FDA) for the treatment of allergic rhinitis (seasonal allergies) in 1977 and was approved for over-the-counter marketing in 1992. Clemastine is not FDA approved as a remyelinating therapy
PlaceboDRUGMatched sugar tablet
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Eligibility Criteria
Age Range18 Years — 55 Years
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Written informed consent must be obtained prior to any assessment being performed. * Patients diagnosed with relapsing remitting multiple sclerosis and a disease duration of \< 15 years * Male or female patients aged 18-55 years (inclusive) * Use of appropriate contraception d...

Countries:United States
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Recent Changes (Last 90 Days)
LOWMay 24, 2026NCT05359653studyFirstPostDate: changed