Can metformin and clemastine repair myelin in people with MS?

To stop MS we need to find treatments that repair myelin, the protective coating around nerve fibres which is damaged in MS.

This new phase 2a trial is testing whether a combination of the drugs metformin and clemastine can help the brain regenerate myelin in people with MS.

What happens in this project?

Participants in the trial will be given either a combination of metformin and clemastine or a placebo (dummy drug) alongside their current disease modifying treatment. Researchers will be testing to see whether the combination is able to promote myelin repair in people with MS.

People taking part will have MRI scans to look at the amount of myelin in existing areas of damage. And a visual test that can measure how fast messages are traveling between the eyes and the brain. Both of these should improve if the myelin is repaired.

Read how MRI is transforming trials

This trial team are recruiting 50 people with relapsing remitting MS who are taking a disease modifying therapy (DMT). Most participants will be recruited from Addenbrooke’s Hospital in Cambridge. But other people living within two hours of Cambridge may also be able to take part. 

Find out how to take part on the Be Part of Research website

Read about Annabelle, the first person to join the trial

How will it help people with MS?

To stop MS, we need treatments that prevent immune attacks on myelin, promote myelin repair and protect nerves from damage. Currently, there are no treatments available that can repair myelin in people with MS.

Previous research we've funded shows that metformin and clemastine are able to work together to successfully repair the damage caused by MS in rats. Now, we want to know whether this also occurs in people with MS.

Metformin is used to treat type 2 diabetes, and clemastine is used to treat hayfever. So we already understand their side effects. If effective, they could be a safe and low-cost treatment option for people with MS.

And if we are able to repair myelin in people with MS, we will be one step closer to slowing and stopping MS.

The difference you can make

The race is on to find therapies that'll slow or even stop disability progression in MS. You can help speed up the process by supporting projects like this.

Donate now to help stop MS