Clinical trial Recruiting at 48 sites Phase 2 Interventional Ages 18 to 70

BMS-986368 to reduce spasticity in people with MS

Official title: A Phase 2, Randomized, Double-Blind, Four-Arm, Placebo-Controlled, Multicenter Study Assessing the Efficacy, Safety and Tolerability of Three Doses of Orally Administered BMS-986368, a FAAH/MAGL Inhibitor, for the Treatment of Spasticity in Participants With Multiple Sclerosis (BALANCE-MSS-1)

Run by Celgene · NCT06782490 · Data updated 2026-11-12

This will test whether BMS-986368 reduces spasticity in adults with multiple sclerosis.

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years to 70 Years
SexAll
Enrollment200 (estimated)
SponsorCelgene
Industry-sponsored
Locations61 sites (Birmingham, Alabama and 60 other locations)
StatusRecruiting
StartedJune 5, 2025
Main results expectedMay 26, 2027
Study endsJune 9, 2027
Registry record updatedOctober 27, 2026
Trial IDNCT06782490 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with MS who have had spasticity for at least six months, an mAS score ≥2 in two muscle groups (including at least one leg group), and EDSS between 3.0 and 6.5.

Probably not a fit

People without MS-related spasticity, those with a recent MS relapse or other conditions that cause spasticity, or those with disqualifying substance abuse history are unlikely to be eligible or to benefit.

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

What this trial studies

This is a Phase 2, randomized, placebo-controlled interventional trial testing BMS-986368 for MS-related spasticity. Eligible participants have had spasticity for at least six months, a Modified Ashworth Scale score of ≥2 in two muscle groups (including at least one leg group), and an EDSS of 3.0–6.5. Participants are assigned to receive BMS-986368 or placebo and are monitored for changes in spasticity as well as safety and tolerability. The trial is being conducted at multiple U.S. sites.

Why it matters

Potential benefit: If successful, BMS-986368 could provide a new option to reduce spasticity and improve daily function for people with MS.

How similar studies have gone: Some approved drugs (for example, baclofen and tizanidine) reduce MS spasticity, but BMS-986368 is a newer agent with limited published data in this indication.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria

* Participants must have a multiple sclerosis (MS) diagnosis.
* Participants must have a history of spasticity due to MS for at least 6 months prior to Visit 1.
* Participants must have a Modified Ashworth Scale (mAS) score ≥2 in each of 2 muscle groups (at least one muscle group in the leg, excluding ankle plantar flexors) at Visit 1.
* Participants must have an Expanded Disability Status Scale (EDSS) score 3.0-6.5 at Visit 1.

Exclusion Criteria

* 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 an acute MS exacerbation/relapse requiring treatment or alteration in disease modifying drug dose within 3 months of Visit 1 or Visit 2.
* 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 by Visit 2.
* 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 Visit 1.
* Other protocol-defined Inclusion/Exclusion criteria apply.

Where it's running

  • Alabama Neurology Associates
    Birmingham, Alabama, United States
    Recruiting
  • Perseverance Research Center,LLC
    Scottsdale, Arizona, United States
    Recruiting
  • Aqualane Clinical Research
    Naples, Florida, United States
    Recruiting
  • USF Health
    Tampa, Florida, United States
    Recruiting
  • University of Kansas Medical Center
    Kansas City, Kansas, United States
    Recruiting
  • Neurology Center of New England
    Foxborough, Massachusetts, United States
    Recruiting
Show 44 more locations
  • Northwest Neurology
    Southfield, Michigan, United States
    Recruiting
  • Washington University School of Medicine
    St Louis, Missouri, United States
    Recruiting
  • University of Cincinnati Medical Center
    Cincinnati, Ohio, United States
    Recruiting
  • Riverside Methodist Hospital
    Columbus, Ohio, United States
    Recruiting
  • Thomas Jefferson University, Jefferson Headache Center
    Philadelphia, Pennsylvania, United States
    Recruiting
  • Hope Neurology
    Knoxville, Tennessee, United States
    Recruiting
  • Prime Clinical Research
    Lewisville, Texas, United States
    Recruiting
  • EvergreenHealth Medical Center
    Kirkland, Washington, United States
    Recruiting
  • John Hunter Hospital
    Newcastle, New South Wales, Australia
    Recruiting
  • University of Sydney - Brain and Mind Research Institute (BMRI)
    Sydney, New South Wales, Australia
    Recruiting
  • Centre for Neuroscience Innovation
    Kent Town, South Australia, Australia
    Recruiting
  • Menzies Research Institute
    Hobart, Tasmania, Australia
    Recruiting
  • Box Hill Hospital
    Box Hill, Victoria, Australia
    Recruiting
  • Austin Health
    Heidelberg, Victoria, Australia
    Recruiting
  • The Royal Melbourne Hospital
    Parkville, Victoria, Australia
    Recruiting
  • Perron Institute
    Nedlands, Western Australia, Australia
    Recruiting
  • University Of Alberta Hospital
    Edmonton, Alberta, Canada
    Recruiting
  • University Hospital - London Health Sciences Centre
    London, Ontario, Canada
    Recruiting
  • The Ottawa Hospital - General Campus
    Ottawa, Ontario, Canada
    Recruiting
  • Unity Health Toronto, St. Michael's Hospital
    Toronto, Ontario, Canada
    Recruiting
  • Centre de Recherche Saint-Louis
    Lévis, Quebec, Canada
    Recruiting
  • Montreal Neurological Institute and Hospital
    Montreal, Quebec, Canada
    Recruiting
  • Fakultni Nemocnice u sv. Anny v Brne
    Brno, Brno-město, Czechia
    Recruiting
  • Fakultni nemocnice Hradec Kralove
    Hradec Králové, Hradec Králové, Czechia
    Recruiting
  • Vseobecna fakultni nemocnice v Praze
    Prague, Praha 2, Czechia
    Recruiting
  • Fakultni Thomayerova nemocnice
    Prague, Praha 4, Czechia
    Recruiting
  • Nemocnice Pardubického kraje
    Pardubice, Czechia
    Recruiting
  • Nemocnice Teplice
    Teplice, Ústí nad Labem Region, Czechia
    Recruiting
  • Klinikum Würzburg Mitte
    Würzburg, Bavaria, Germany
    Recruiting
  • Neurologischen Gemeinschaftspraxis Kassel und Vellmar
    Kassel, Hesse, Germany
    Recruiting
  • St. Josef und St. Elisabeth Hospital gGmbH
    Bochum, North Rhine-Westphalia, Germany
    Recruiting
  • Universitätsklinikum Münster - Albert Schweitzer Campus
    Münster, North Rhine-Westphalia, Germany
    Recruiting
  • Universitätsklinikum Jena
    Jena, Thuringia, Germany
    Recruiting
  • Neurozentrum Bielefeld
    Bielefeld, Germany
    Recruiting
  • Universitaetsklinikum Carl Gustav Carus Dresden
    Dresden, Germany
    Recruiting
  • Centrum Medyczne NEUROMED
    Bydgoszcz, Kuyavian-Pomeranian Voivodeship, Poland
    Recruiting
  • Pratia MCM Krakow
    Krakow, Lesser Poland Voivodeship, Poland
    Recruiting
  • SP ZOZ Szpital Uniwersytecki w Krakowie
    Krakow, Lesser Poland Voivodeship, Poland
    Recruiting
  • Instytut Zdrowia Dr Boczarska Jedynak
    Oświęcim, Lesser Poland Voivodeship, Poland
    Recruiting
  • Centrum Medyczne NeuroProtect
    Warsaw, Masovian Voivodeship, Poland
    Recruiting
  • M.A. - LEK A.M. Maciejowscy S.C., Centrum Terapii SM
    Katowice, Poland
    Recruiting
  • Puerto Rico Multiple Sclerosis Center
    Caguas, Puerto Rico
    Recruiting
  • Local Institution - 0017
    Aurora, Colorado, United States
    Withdrawn
  • Local Institution - 0080
    Farmington, Michigan, United States
    Not yet recruiting

+11 more sites. See ClinicalTrials.gov for the full list.

Study contacts

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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.
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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.