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NCT02521311RecruitingPhase 2

Assessment of Clemastine Fumarate as a Remyelinating Agent in Acute Optic Neuritis (ReCOVER)

A Randomized, Double-Blind, Parallel-Group, Placebo Controlled Trial to Assess the Efficacy, Safety, Tolerability, and Pharmacokinetics of Clemastine Fumarate as a Remyelinating Agent in Acute Optic Neuritis

Source: ClinicalTrials.gov · Last updated 11 Mar 2026

Brief summary (registry, in English)

The main purpose of this study is to assess clemastine as a remyelinating agent in patients with acute optic neuritis.The study will also evaluate the tolerability of clemastine, originally approved as first-generation antihistamine, in patients with optic neuritis. Study procedures will include assessments for evidence of remyelination in the anterior visual pathway and in the brain using electrophysiologic techniques and magnetic resonance imaging. If they are on one, patients in this study can remain on their standard disease modifying treatment during the course of the study. However, patients cannot participate in any other investigational new drug research study concurrently.

Status (registry)
Recruiting
Phase (registry)
Phase 2
Study type
Interventional
Enrollment
90 (estimated)
First submitted
10 Aug 2015
Start date
28 Feb 2017
Primary completion date
Aug 2028
Lead sponsor
University of California, San Francisco
NCT number
NCT02521311

What you commit to

  • Study type: Interventional · Phase 2
  • Planned participants: 90
  • From 28 Feb 2017 to the primary completion date, Aug 2028
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Other major ophthalmologic diseases / concomitant ophthalmologic disorders (e.g. diabetes, macular degeneration, glaucoma, severe myopia, etc)
  • Suicidal ideation or behavior in 6 months prior to baseline
  • Involved with other study protocols simultaneously without prior approval
  • Concomitant use of any other putative remyelinating therapy as determined by the investigator
  • Positive for NMO antibody discovered within the first 2 weeks after randomization.

Other illness

  • History of significant cardiac conduction block
  • History of cancer
  • History of drug or alcohol abuse within the past year
  • Clinically significant cardiac, metabolic, hematologic, hepatic, immunologic, urologic, endocrinologic, neurologic, pulmonary, psychiatric, dermatologic, allergic, renal, or other major diseases that, in the PI's judgment, may affect the interpretation of study results or patient safety

Lab values

  • Serum creatinine \> 1.5 mg/dL; aspartate transaminase (AST), alanine transaminase (ALT), or alkaline phosphatase \> 2 times the upper limit of normal
  • History or presence of clinically significant medical illness or laboratory abnormality that, in the opinion of the investigator would preclude participation in the study.

Other

  • Disc hemorrhages in the qualifying eye
  • No light perception in qualifying eye
  • Simultaneous bilateral optic neuritis
  • Cotton wool spots in the qualifying eye
  • Macular star in the qualifying eye
  • Pregnancy, breastfeeding or planning to become pregnant
  • Untreated B12 deficiency (as determined by B12 serological assessments and metabolites including methylmalonic acid (MMA) and homocysteine) or untreated hypothyroidism

Who the study is looking for

  • Patients diagnosed or suspected to have an acute demyelinating optic neuritis in at least one eye within 3 weeks from the onset of any visual symptom other than pain
  • Use of disease-modifying therapies is not a contraindication
  • Use of appropriate contraception during the period of trial (women)
  • Understand and sign the informed consent

Age in the registry: 18 years to 55 years · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Save your city in your profile to sort them by distance.

SiteCityCountrySite status
University of California San Francisco
Coordinator of this site? Confirm its status
San FranciscoUnited StatesRecruiting

This page is information, not medical advice. Discuss any trial with your doctor.