Clinical trials data
Cognitive tests in multiple sclerosis trials: 612 registered studies
Every registered multiple sclerosis study on ClinicalTrials.gov that names a cognitive test in an outcome measure: the tests used most, how often as a primary outcome, which tests go together, how large the studies are and when they measure the outcome.
- Registered multiple sclerosis studies name a cognitive test in an outcome
- 612
- Led by industry
- 132
The tests multiple sclerosis trials use most
Symbol Coding leads: 375 of the 612 studies name it, 61%. Next comes the Paced Visual Serial Addition Test (169). As a primary outcome, Symbol Coding leads with 93 studies.
- 1
Symbol Coding375 studies, 93 as a primary outcome
- 2
Paced Visual Serial Addition Test169 studies, 61 as a primary outcome
- 3
Verbal Learning139 studies, 42 as a primary outcome
- 4
Verbal Fluency58 studies, 20 as a primary outcome
- 5
Stroop Color-Word Test56 studies, 20 as a primary outcome
- 6
Trail Making Test43 studies, 9 as a primary outcome
- 7
Selective Reminding Task27 studies, 11 as a primary outcome
- 8
Digit Span Test25 studies, 10 as a primary outcome
- 9
Category Fluency10 studies, 4 as a primary outcome
- 10
Go/No-Go Task10 studies, 2 as a primary outcome
- 11
Line Angle Matching7 studies, 2 as a primary outcome
- 12
Continuous Performance Test6 studies, 3 as a primary outcome
- 13
N-Back Task6 studies, 2 as a primary outcome
- 14
Tower Planning5 studies, 2 as a primary outcome
- 15
Finger Tapping Task5 studies, 1 as a primary outcome
- 16
Simple Reaction Time5 studies, 0 as a primary outcome
- 17
Complex Figure Copy and Recall4 studies, 2 as a primary outcome
- 18
Eriksen Flanker Task4 studies, 2 as a primary outcome
- 19
Letter-Number Sequencing Task4 studies, 2 as a primary outcome
- 20
Card Sorting Test (Berg)3 studies, 3 as a primary outcome
- 21
Choice Reaction Time3 studies, 2 as a primary outcome
- 22
Contrast Sensitivity Test3 studies, 1 as a primary outcome
- 23
Sentence Copy Speed Task3 studies, 1 as a primary outcome
- 24
Matrix Reasoning3 studies, 0 as a primary outcome
- 25
Task Switching Test3 studies, 0 as a primary outcome
A test as a primary outcomeOnly in secondary or other outcomes
7% of multiple sclerosis studies name only instruments outside the library, such as clinician-administered screening scales. They count in every figure on this page and are not listed. The explorer below holds all 58 tests.
Tests used together
- Symbol Coding and Verbal Learning107 studies name both
- Paced Visual Serial Addition Test and Symbol Coding66 studies name both
- Symbol Coding and Verbal Fluency39 studies name both
- Stroop Color-Word Test and Symbol Coding38 studies name both
- Symbol Coding and Trail Making Test30 studies name both
- Paced Visual Serial Addition Test and Verbal Learning29 studies name both
- Verbal Fluency and Verbal Learning29 studies name both
- Paced Visual Serial Addition Test and Verbal Fluency27 studies name both
- Stroop Color-Word Test and Trail Making Test22 studies name both
- Trail Making Test and Verbal Fluency21 studies name both
Studies by start year
A test as a primary outcomeOnly in secondary or other outcomes
Show as a table
| Start year | Studies | A test as a primary outcome |
|---|---|---|
| 2000 | 0 | 0 |
| 2001 | 2 | 0 |
| 2002 | 3 | 1 |
| 2003 | 3 | 2 |
| 2004 | 2 | 1 |
| 2005 | 0 | 0 |
| 2006 | 7 | 3 |
| 2007 | 5 | 0 |
| 2008 | 7 | 3 |
| 2009 | 12 | 6 |
| 2010 | 7 | 3 |
| 2011 | 15 | 5 |
| 2012 | 12 | 5 |
| 2013 | 20 | 8 |
| 2014 | 29 | 10 |
| 2015 | 18 | 4 |
| 2016 | 31 | 10 |
| 2017 | 35 | 11 |
| 2018 | 36 | 12 |
| 2019 | 28 | 12 |
| 2020 | 37 | 10 |
| 2021 | 49 | 17 |
| 2022 | 43 | 9 |
| 2023 | 50 | 16 |
| 2024 | 56 | 20 |
| 2025 | 48 | 14 |
| 2026 | 55 | 15 |
Phases and sponsors
By phase
- Early phase 18 studies, 1 as a primary outcome
- Phase 114 studies, 2 as a primary outcome
- Phase 1/220 studies, 6 as a primary outcome
- Phase 258 studies, 12 as a primary outcome
- Phase 2/311 studies, 7 as a primary outcome
- Phase 362 studies, 4 as a primary outcome
- Phase 424 studies, 8 as a primary outcome
- Not applicable294 studies, 114 as a primary outcome
- Observational121 studies, 43 as a primary outcome
Sponsors and study types
Lead sponsor: industry 132, NIH 2, universities, hospitals and others 478. Interventional 491, observational 121.
Status, results, interventions and countries
Status
- Recruiting111 studies, 39 as a primary outcome
- Not yet recruiting32 studies, 8 as a primary outcome
- Active, not recruiting39 studies, 7 as a primary outcome
- Completed299 studies, 107 as a primary outcome
- Stopped early43 studies, 9 as a primary outcome
- Status unknown88 studies, 27 as a primary outcome
What they test
- Behavioral132 studies, 47 as a primary outcome
- Drug175 studies, 39 as a primary outcome
- Device83 studies, 30 as a primary outcome
- Dietary supplement16 studies, 6 as a primary outcome
- Procedure16 studies, 6 as a primary outcome
- Diagnostic test17 studies, 9 as a primary outcome
- Biological40 studies, 2 as a primary outcome
- Combination product4 studies, 1 as a primary outcome
- Genetic1 studies, 0 as a primary outcome
- Other152 studies, 51 as a primary outcome
- None given47 studies, 22 as a primary outcome
Intervention types as registered. A study can list several; observational studies often list none.
Where their sites are
- United States198 studies, 65 as a primary outcome
- Italy94 studies, 22 as a primary outcome
- France77 studies, 10 as a primary outcome
- Türkiye76 studies, 24 as a primary outcome
- Spain71 studies, 12 as a primary outcome
- Germany70 studies, 8 as a primary outcome
- Canada68 studies, 13 as a primary outcome
- United Kingdom65 studies, 3 as a primary outcome
- Belgium63 studies, 13 as a primary outcome
- Czechia52 studies, 9 as a primary outcome
- Poland50 studies, 4 as a primary outcome
- Netherlands45 studies, 7 as a primary outcome
81 countries in all. A study with sites in several counts in each; 30 list no site.
Reported results
Completed studies with results posted on ClinicalTrials.gov, a results paper the registry links to the study, or both.
Completed multiple sclerosis studies: 137 of 299, 46%
Every completed study with a cognitive outcome: 3,626 of 7,953, 46%
| Results | Completed multiple sclerosis studies | Every completed study |
|---|---|---|
| Results on ClinicalTrials.gov and a paper | 48, 16% | 776, 10% |
| Results on ClinicalTrials.gov only | 31, 10% | 1,139, 14% |
| A results paper only | 58, 19% | 1,711, 22% |
| Neither | 162, 54% | 4,327, 54% |
How many participants they enroll
- Phase 128 median, 12 to 55
- Phase 1/241 median, 28 to 69
- Phase 260 median, 35 to 108
- Phase 2/376 median, 60 to 186
- Phase 3828 median, 228 to 1,072
- Phase 4111 median, 42 to 260
- Not applicable50 median, 30 to 87
- Observational86 median, 52 to 176
Show as a table
| Phase | Studies with a size | Median | Middle half |
|---|---|---|---|
| Phase 1 | 14 | 28 | 12 to 55 |
| Phase 1/2 | 19 | 41 | 28 to 69 |
| Phase 2 | 57 | 60 | 35 to 108 |
| Phase 2/3 | 10 | 76 | 60 to 186 |
| Phase 3 | 62 | 828 | 228 to 1,072 |
| Phase 4 | 23 | 111 | 42 to 260 |
| Not applicable | 291 | 50 | 30 to 87 |
| Observational | 121 | 86 | 52 to 176 |
When the cognitive outcome is measured
Latest time point of each outcome
- Within a day142 outcomes, 44 as a primary outcome
- Up to 4 weeks67 outcomes, 23 as a primary outcome
- 1 to 3 months254 outcomes, 78 as a primary outcome
- 3 to 6 months146 outcomes, 39 as a primary outcome
- 6 to 12 months118 outcomes, 39 as a primary outcome
- 1 to 2 years125 outcomes, 42 as a primary outcome
- Over 2 years101 outcomes, 20 as a primary outcome
- No duration given73 outcomes, 34 as a primary outcome
A test as a primary outcomeOnly in secondary or other outcomes
953 of the 1,026 outcome measures give a duration. A single visit counts as within a day.
Median time to the primary outcome, by test
| Test | Primary outcomes | Median |
|---|---|---|
| Symbol Coding | 87 | 6 months |
| Paced Visual Serial Addition Test | 54 | 6 months |
| Verbal Learning | 39 | 13 weeks |
| Verbal Fluency | 18 | 13 weeks |
| Stroop Color-Word Test | 16 | 4 months |
| Selective Reminding Task | 10 | 5 months |
Explore the multiple sclerosis studies
569 studies match. 182 name a library test in a primary outcome. Median size 61 participants. Median time to the primary outcome: 13 weeks.
Loading 569 studies; the filters turn on when they arrive.
2026 is partly planned starts. Not shown: 1 planned to start after 2026.
Show as a table
| Start year | Studies | As a primary outcome |
|---|---|---|
| 2000 | 0 | 0 |
| 2001 | 2 | 0 |
| 2002 | 3 | 1 |
| 2003 | 3 | 2 |
| 2004 | 2 | 1 |
| 2005 | 0 | 0 |
| 2006 | 7 | 3 |
| 2007 | 5 | 0 |
| 2008 | 6 | 2 |
| 2009 | 12 | 6 |
| 2010 | 7 | 3 |
| 2011 | 15 | 5 |
| 2012 | 12 | 5 |
| 2013 | 19 | 8 |
| 2014 | 29 | 10 |
| 2015 | 16 | 4 |
| 2016 | 30 | 10 |
| 2017 | 34 | 9 |
| 2018 | 32 | 11 |
| 2019 | 26 | 10 |
| 2020 | 35 | 8 |
| 2021 | 44 | 16 |
| 2022 | 39 | 9 |
| 2023 | 47 | 15 |
| 2024 | 51 | 18 |
| 2025 | 42 | 13 |
| 2026 | 50 | 13 |
Library tests named most
Largest condition groups
Phases
Participants
Lead sponsor: industry 130, NIH 2, other 437. Interventional 464, observational 105.
As a primary outcomeSecondary or other outcome
The studies, newest registration first
Each number opens the study's record on ClinicalTrials.gov.
| Study | Start | Phase | Conditions | Participants | Lead sponsor | Status | Library tests named, with the latest time point |
|---|---|---|---|---|---|---|---|
| NCT07898371 | Start2026 | PhaseObservational | ConditionsMultiple sclerosis | Participants3,000 | Lead sponsorIndustry | StatusRecruiting | Library tests named
|
| NCT07893925 | Start2026 | PhaseNot applicable | ConditionsMultiple sclerosis | Participants38 | Lead sponsorOther | StatusRecruiting | Library tests named
|
| NCT07889271 | Start2024 | PhaseObservational | ConditionsMultiple sclerosis | Participants300 | Lead sponsorOther | StatusCompleted | Library tests named
|
| NCT07880418 | Start2026 | PhaseNot applicable | ConditionsMultiple sclerosis | Participants20 | Lead sponsorOther | StatusCompleted | Library tests named
|
| NCT07878702 | Start2026 | PhaseNot applicable | ConditionsMultiple sclerosis | Participants30 | Lead sponsorOther | StatusNot yet recruiting | Library tests named
|
| NCT07868887 | Start2026 | PhaseObservational | ConditionsMultiple sclerosis | Participants200 | Lead sponsorOther | StatusNot yet recruiting | Library tests named
|
| NCT07852156 | Start2026 | PhaseNot applicable | ConditionsMultiple sclerosis, Pain and fatigue | Participants42 | Lead sponsorOther | StatusRecruiting | Library tests named
|
| NCT07842302 | Start2026 | PhaseNot applicable | ConditionsMultiple sclerosis, Pain and fatigue | Participants80 | Lead sponsorOther | StatusNot yet recruiting | Library tests named
|
| NCT07840924 | Start2024 | PhasePhase 2 | ConditionsMultiple sclerosis, Sleep and sleep disorders | Participants16 | Lead sponsorOther | StatusCompleted | Library tests named
|
| NCT07827716 | Start2026 | PhasePhase 2 | ConditionsMultiple sclerosis | Participants100 | Lead sponsorOther | StatusRecruiting | Library tests named
|
| NCT07805850 | Start2026 | PhaseNot applicable | ConditionsMultiple sclerosis | Participants60 | Lead sponsorOther | StatusRecruiting | Library tests named
|
| NCT07804264 | Start2026 | PhaseNot applicable | ConditionsMultiple sclerosis | Participants40 | Lead sponsorOther | StatusCompleted | Library tests named
|
| NCT07788859 | Start2026 | PhaseObservational | ConditionsMultiple sclerosis | Participants40 | Lead sponsorOther | StatusRecruiting | Library tests named
|
| NCT07786987 | Start2026 | PhaseObservational | ConditionsMultiple sclerosis, Pain and fatigue | Participants50 | Lead sponsorOther | StatusNot yet recruiting | Library tests named
|
| NCT07783074 | Start2026 | PhaseObservational | ConditionsMultiple sclerosis, Healthy volunteers, COVID-19 and long COVID, Pain and fatigue | Participants122 | Lead sponsorOther | StatusRecruiting | Library tests named
|
| NCT07766213 | Start2026 | PhaseObservational | ConditionsMultiple sclerosis, Pain and fatigue | Participants60 | Lead sponsorOther | StatusRecruiting | Library tests named
|
| NCT07759115 | Start2026 | PhaseNot applicable | ConditionsMultiple sclerosis | Participants64 | Lead sponsorOther | StatusRecruiting | Library tests named
|
| NCT07753928 | Start2022 | PhaseObservational | ConditionsMultiple sclerosis | Participants2,400 | Lead sponsorIndustry | StatusRecruiting | Library tests named
|
| NCT07738120 | Start2025 | PhaseNot applicable | ConditionsMultiple sclerosis, Aging, frailty and exercise | Participants30 | Lead sponsorOther | StatusRecruiting | Library tests named
|
| NCT07734675 | Start2026 | PhaseNot applicable | ConditionsMultiple sclerosis | Participants130 | Lead sponsorOther | StatusNot yet recruiting | Library tests named
|
| NCT07710742 | Start2026 | PhaseNot applicable | ConditionsMultiple sclerosis, Pain and fatigue | Participants51 | Lead sponsorOther | StatusNot yet recruiting | Library tests named
|
| NCT07680738 | Start2023 | PhaseNot applicable | ConditionsMultiple sclerosis, Pain and fatigue | Participants38 | Lead sponsorOther | StatusCompleted | Library tests named
|
| NCT07666958 | Start2026 | PhaseNot applicable | ConditionsMultiple sclerosis, Pain and fatigue | Participants45 | Lead sponsorOther | StatusNot yet recruiting | Library tests named
|
| NCT07640100 | Start2026 | PhaseNot applicable | ConditionsMultiple sclerosis | Participants45 | Lead sponsorOther | StatusNot yet recruiting | Library tests named
|
| NCT07631143 | Start2026 | PhasePhase 1/2 | ConditionsMultiple sclerosis | Participants9 | Lead sponsorOther | StatusNot yet recruiting | Library tests named
|
Questions, answered from the data
Which cognitive test do multiple sclerosis trials use most?
Symbol Coding: 375 of the 612 registered studies name it in an outcome measure, 61%. Next come the Paced Visual Serial Addition Test (169) and Verbal Learning (139).
Which cognitive test do multiple sclerosis trials use most as a primary outcome?
Symbol Coding, named in a primary outcome by 93 studies. 197 of the 612 studies, 32%, name a cognitive test in a primary outcome.
How many participants does a phase 2 multiple sclerosis trial enroll?
Half of the phase 2 multiple sclerosis studies enroll 60 participants or fewer, and the middle half enroll 35 to 108. 57 of them give a size.
How long after the start do multiple sclerosis trials measure a cognitive outcome?
Half of the primary outcomes that name a library test are measured within 13 weeks of the start, and the middle half from 6 weeks to 12 months. 285 primary outcomes give a duration.
Which cognitive tests do multiple sclerosis trials use together?
Symbol Coding with Verbal Learning most often: 107 studies name both. Next, the Paced Visual Serial Addition Test with Symbol Coding (66).
How many completed multiple sclerosis trials have reported results?
137 of the 299 completed multiple sclerosis studies, 46%, have reported results: 79 posted them on ClinicalTrials.gov, 106 have a results paper linked to the registry record, and 48 did both. The other 162 show neither. Of all completed studies with a cognitive outcome, 46% have reported results.
How the studies are counted
For each test family, the census runs ClinicalTrials.gov's own outcome search for the family's names and reads every study first posted by the day the family was counted. These studies were read on 10 November 2026. A study counts once on a page, however many tests it names. Counts for a test cover every version of the task under any of its names, so a page can count studies that used a commercial version.
The census adds two things to each record and changes nothing in it: which outcome list names the test (primary, then secondary, then other), and the condition groups, matched on the study's condition names and MeSH terms. A study can fall in several groups; one whose only condition is cognitive impairment or decline falls in “Cognitive impairment and decline”. Studies that name only instruments outside the library count in every total and share but are not listed.
A second read on 10 November 2026 added each study's overall status, whether results are posted, its intervention types, the countries of its sites and the time frame of the outcome that names each test. A time frame counts by the latest time point it names: “Baseline, 12 and 24 weeks” is 24 weeks, a single visit is within a day, and one that names no duration, such as “end of treatment”, is left out of the timings.
A third read on 10 November 2026 added the papers the registry links to each study: those its sponsor lists as reporting results, and those PubMed links to it through the study's NCT number. A study has a results paper when one of them came out in or after the month of its primary completion and PubMed does not class it as a protocol, review or comment. A paper that never gives the NCT number is not linked, so some studies counted as reporting neither did publish.
Source: ClinicalTrials.gov, a database of the U.S. National Library of Medicine, which does not endorse these pages. Every study line is in the data release 2.1.0, and the explorer's own file is clinical-trials-studies.json.
Plan the cognitive outcomes of a multiple sclerosis trial
Choose tests with a record in registered trials, and run them in a browser at every site, on the same version each visit.