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Multiple Sclerosis Outcome Assessments Consortium: Genesis and initial project plan
Richard A Rudick1, Nicholas Larocca, Lynn D Hudson
1Mellen Center, Cleveland Clinic Foundation, USA.
Abstract:
The need for improved clinical outcome measures in multiple sclerosis trials has been recognized for two decades, but only recently has the Food and Drug Administration (FDA) created a pathway for qualification of new clinician-reported outcome (ClinRO) assessments. Additionally, drug development in multiple sclerosis (MS) has been extraordinarily active, with numerous disease-modifying drugs now on the market. This shifting therapeutic landscape, along with the unmet need for drugs to treat the progressive forms of MS and the changing expectations of clinicians, patients, and payers, have led to the call for more sensitive and meaningful disability progression measures. In response to these drivers, the Multiple Sclerosis Outcome Assessments Consortium (MSOAC) was launched. A public-private partnership, MSOAC aims to accelerate the development of new therapies for MS by generating new tools for measuring outcomes in clinical trials. At the first annual MSOAC/FDA meeting, a regulatory path was outlined for qualifying a new tool for assessing efficacy in registration trials of MS. The European Medicines Agency (EMA) and FDA will provide parallel consultation and review. The consensus approach with engagement by all of the stakeholders, prominently including patients with MS, should also increase acceptance of the measure by clinicians and patients.
Insights
The Multiple Sclerosis Outcome Assessments Consortium (MSOAC) is developing new clinician-reported outcome measures for multiple sclerosis (MS) trials. This initiative aims to accelerate the development of therapies for progressive MS, improving clinical trial efficacy assessment.
Area of Science:
- Neurology
- Clinical Trials
- Regulatory Science
Background:
- The need for improved clinical outcome measures in multiple sclerosis (MS) trials has been recognized for decades.
- The Food and Drug Administration (FDA) has recently established a pathway for qualifying new clinician-reported outcome (ClinRO) assessments.
- Active drug development in MS and the demand for treatments for progressive forms necessitate more sensitive disability progression measures.
Purpose of the Study:
- To accelerate the development of new therapies for MS.
- To generate new tools for measuring outcomes in clinical trials.
- To establish a regulatory pathway for qualifying new MS outcome assessment tools.
Main Methods:
- Launch of the Multiple Sclerosis Outcome Assessments Consortium (MSOAC), a public-private partnership.
- Convening of the annual MSOAC/FDA meeting to outline a regulatory path for new assessment tools.
- Parallel consultation and review by the European Medicines Agency (EMA) and FDA.
Main Results:
- A regulatory pathway for qualifying new clinician-reported outcome assessments in MS trials has been outlined.
- A consensus approach involving all stakeholders, including patients, is being adopted.
- The process aims to increase the acceptance of new measures by clinicians and patients.
Conclusions:
- The MSOAC initiative is crucial for advancing MS drug development.
- The established regulatory pathway, with multi-agency and stakeholder engagement, is key to qualifying new outcome measures.
- This collaborative effort is expected to enhance the evaluation of therapeutic efficacy in MS clinical trials.
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Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care evaluation by...
