Clinical trial Recruiting at 1 site Phase 2 Interventional Ages 18 to 80

BMS-986368 for post-stroke spasticity in adults

Official title: A Phase 2, Randomized, Double-blind, Placebo-controlled Pilot Study Assessing the Efficacy, Safety and Tolerability of Orally Administered BMS-986368, a FAAH/MAGL Inhibitor, for the Treatment of Spasticity in Participants With Post-stroke Spasticity

Run by Thomas Jefferson University · NCT07704840 · Data updated 2026-11-12

This trial tests whether the drug BMS-986368 can help reduce spasticity after stroke in adults.

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years to 80 Years
SexAll
Enrollment42 (estimated)
SponsorThomas Jefferson University
Academic / other
Locations1 site (Elkins Park, Pennsylvania)
StatusRecruiting
StartedSeptember 2, 2026
Main results expectedJune 2027
Study endsAugust 2027
Registry record updatedOctober 1, 2026
Trial IDNCT07704840 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with ischemic or hemorrhagic stroke 4–18 months prior, with persistent post-stroke spasticity and specific motor-scale criteria.

Probably not a fit

Patients who do not respond to the drug or who meet safety exclusions may not experience benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This phase 2, randomized, double-blind, placebo-controlled study evaluates the safety, tolerability, and potential efficacy of BMS-986368 in adults with post-stroke spasticity. Participants may receive escalating oral doses of the drug or placebo over an 8-week treatment period, with an optional 8-week active-treatment extension and a 4-week safety follow-up, for up to about 24 weeks total. The study includes screening, treatment, and follow-up visits to monitor motor symptoms and safety. Primary focus is on reduction of muscle tightness and improvement in upper-extremity function, alongside safety data collection.

Why it matters

Potential benefit: If successful, participants could experience reduced muscle spasticity and improved ability to use the affected arm.

How similar studies have gone: Prior preclinical and early clinical data support exploring FAAH/MAGL inhibition for spasticity, but this exact approach in post-stroke spasticity is still being investigated.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Ischemic or hemorrhagic stroke diagnosis 4 to 18 months prior to enrollment.
* History of post stroke spasticity for at least 2 months prior to Screening Visit.
* Modified Ashworth Scale (mAS) score ≥2 and \<4 for affected elbow and wrist joints at Screen and Baseline Visits.
* Fugl-Meyer Assessment for Upper Extremity (FMA-UE) greater than 22 at Screen and Baseline Visits
* Willing to participate with no therapy additions during study duration.
* Participant must be able to read, speak, and understand English usage

Exclusion Criteria:

Individuals who are pregnant or breastfeeding.

* Participants must not have any concomitant disease or disorder that has symptoms of spasticity or that may influence the participant's level of spasticity.
* Participants must not have a history of any substance abuse disorder as defined in Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) Diagnostic Criteria for Drug and Alcohol Abuse.
* Participants must not be currently taking a medication for spasticity that cannot be discontinued and washed out prior to randomization.
* Participants must not have used FAAH/MAGL inhibitor medication or any cannabinoid-related products (including cannabis, cannabidiol (CBD), or tetrahydrocannabinol (THC)) within 30 days prior to randomization.
* Other protocol-defined Inclusion/Exclusion criteria apply.

Where it's running

  • Jeffersi=on Moss Magee Rehabilitation
    Elkins Park, Pennsylvania, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.