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Pediatric multiple sclerosis (MS) is a rare multiple sclerosis variant characterized by the onset of multiple sclerosis (i.e. one or multiple episodes of clinical CNS symptoms consistent with acquired CNS demyelination, with radiologically proven dissemination of inflammatory lesions in space and time, following exclusion of other disorders) before the age of 18 years old. Pediatric MS patients present a predominantly relapsing-remitting course with first attack usually consisting of optic neuritis, transverse myelitis, acute disseminated encephalomyelitis and monofocal or polyfocal neurological deficits. A high burden of T2-hyperintense lesions on initial MRI, primarily of the supratentorial region and/or of the cervical spinal cord, has been reported.
Biomarker and diagnostic research for pediatric multiple sclerosis has been reported in the published literature.
No approved treatments are currently available for pediatric multiple sclerosis. An additional 4 compounds hold orphan drug designation.
While no drugs are FDA-approved specifically for pediatric multiple sclerosis, some of the following designated compounds may be used off-label in clinical practice. Treatment decisions should be made in consultation with a specialist familiar with this condition.
The following drugs have received orphan drug designation from the FDA for pediatric multiple sclerosis. Orphan designation reflects regulatory interest and does not indicate approval for treatment.
Brand Name | Generic Name | Sponsor |
|---|
2 clinical trials registered. Interventions under study include other interventions. Pipeline includes 1 NA. Research is primarily sponsored by academic and government institutions.
175 publications have been identified in PubMed for pediatric multiple sclerosis. Research spans Epidemiology / Natural History (26%), Review / Meta-Analysis (21%), and Basic Science / Preclinical (14%).
Research Type | Count | % of Total |
|---|---|---|
Disease patterns and progression | 37 |
Data assembled from 5 of 12 sources · Last updated Sep 19, 2026, 12:48 AM UTC
Patient Advocacy Groups (PAGs) provide support, resources, and community for patients and caregivers.
European rare disease database
Genetic and Rare Diseases Info Center
Designated
Exclusivity End |
|---|
Designation Status |
|---|
modified a-cobratoxin | modified a-cobratoxin | Nutra Pharma Corporation | 2015 | — | Designated |
T cell receptor (TCR) peptide (BV5S2, BV6S5, BV13S1) vaccine | T cell receptor (TCR) peptide (BV5S2, BV6S5, BV13S1) vaccine | Immune Response BioPharma, Inc. | 2014 | — | Designated |
Glyeraldehyde-3-phosphate dehydrogenase | Glyeraldehyde-3-phosphate dehydrogenase | BPT Pharmaceuticals, Inc. | 2010 | — | Designated |
recombinant ovine interferon tau | recombinant ovine interferon tau | PEPGEN Corporation | 2007 | — | Designated |
Gene therapy approaches for pediatric multiple sclerosis have been reported in the published literature.
2 trials found
Research summaries | 31 | 21% |
Laboratory research | 21 | 14% |
Clinical study results | 20 | 14% |
Testing and diagnosis research | 13 | 9% |
Patient case studies | 12 | 8% |
Other research | 7 | 5% |
New treatment approaches | 4 | 3% |
Giovannoni G (2026). [PMID: 41688144](https://pubmed.ncbi.nlm.nih.gov/41688144/). *Mult Scler Relat Disord*. [Other]
Wilson E (2026). [PMID: 41526137](https://pubmed.ncbi.nlm.nih.gov/41526137/). *Handbook of clinical neurology*. [Review / Meta-Analysis]
Samadzadeh S (2026). [PMID: 41749662](https://pubmed.ncbi.nlm.nih.gov/41749662/). *Children (Basel, Switzerland)*. [Diagnostic / Biomarker]
Pozzilli V (2026). [PMID: 41870445](https://pubmed.ncbi.nlm.nih.gov/41870445/). *JAMA neurology*. [Review / Meta-Analysis]
Chen C (2026). [PMID: 42093931](https://pubmed.ncbi.nlm.nih.gov/42093931/). *Front Neurol*. [Diagnostic / Biomarker]
Ellenberger D (2026). [PMID: 40921616](https://pubmed.ncbi.nlm.nih.gov/40921616/). *J Neurol Neurosurg Psychiatry*. [Epidemiology / Natural History]
Nistri R (2026). [PMID: 41183274](https://pubmed.ncbi.nlm.nih.gov/41183274/). *Neurology(R) neuroimmunology & neuroinflammation*. [Gene Therapy / Novel Therapeutics]
Tsai W (2026). [PMID: 42068931](https://pubmed.ncbi.nlm.nih.gov/42068931/). *Mult Scler Relat Disord*. [Other]
Gambrah-Lyles C (2026). [PMID: 41389765](https://pubmed.ncbi.nlm.nih.gov/41389765/). *Pediatric neurology*. [Epidemiology / Natural History]
Zaratin P (2026). [PMID: 41758327](https://pubmed.ncbi.nlm.nih.gov/41758327/). *Neurology and therapy*. [Diagnostic / Biomarker]