MAMS trials

A multi-arm, multi-stage (MAMS) clinical trial which will test two repurposed drugs to help people living with progressive MS. 

Diagram displaying each stage of the trial – Image courtesy of the OCTOPUS Website funded by the UK MS Society.

PLATYPUS is the Australian extension of an international trial based in the United Kingdom called OCTOPUS. As part of OCTOPUS, PLATYPUS will use a type of trial design known as Multi-Arm Multi-Stage (MAMS).  

This method can have many advantages over traditional trials: 

  • It allows several treatments to be tested at the same time against a common control/placebo (i.e. “multi-arm”). 
  • Treatments which appear to be effective from the early data can continue onto the next trial stage without the team having to stop and set up a new trial (i.e. “multi-stage”). 
  • It allows data to be analysed while the trial is ongoing, rather than only at the end.  
  • Decisions can also be made on early results about stopping treatments that do not show promise. 
  • When new information about different treatments becomes available, these treatments could be added into the trial.  
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MAMS trials