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‹ Sat · 20 Jun 2026
Promising but preliminary

Adjunctive Dulaglutide in Relapsing-Remitting Multiple Sclerosis: A Randomized Open-Label Proof-of-Concept Trial.

A diabetes medication shows exploratory promise for improving walking and hand function in multiple sclerosis patients, warranting larger follow-up studies.

A randomized open-label proof-of-concept trial (n=28 RRMS on natalizumab) shows that adjunctive dulaglutide significantly improved metabolic parameters and showed exploratory trends toward improved functional performance (walking, manual dexterity), though primary NfL and MRI volumetric outcomes were not significantly changed. These preliminary results support further investigation of GLP-1 RA neuroprotection in multiple sclerosis.

What the study was

Study design
Randomized open-label single-center proof-of-concept study
Population
Patients with relapsing-remitting multiple sclerosis (n=28) on stable natalizumab treatment
Sample size
28
Category
Treatment Innovation
Maturity
Exploratory
Journal
Neurology and Therapy

Why it surfaced

Novel indication for GLP-1 RA (MS neuroprotection); randomized proof-of-concept. Limited by n=28, open-label, single-center. T7 watchlist match via dulaglutide.

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