Drugs / Dalfampridine
last change Jul 2026 re-read 9 days ago

Dalfampridine

Developed for
multiple sclerosis · spinal cord injury · primary progressive multiple sclerosis · secondary progressive multiple sclerosis · gastrointestinal stromal tumor · hereditary spastic paraplegia · idiopathic acute transverse myelitis · internuclear ophthalmoplegia
+17 more · Machado-Joseph disease · motor neuron disorder · neuromyelitis optica · non-arteritic anterior ischemic optic neuropathy · optic neuritis · Parkinson disease · post-COVID-19 disorder · progressive relapsing multiple sclerosis · relapsing-remitting multiple sclerosis · spinocerebellar ataxia 27B, late-onset · spinocerebellar ataxia type 1 · spinocerebellar ataxia type 2 · spinocerebellar ataxia type 6 · transverse myelitis · cerebral palsy · ischemic stroke · major depressive disorder
Investigated by
Acorda Therapeutics · Biogen · Clinical Trial Unit, University Hospital Basel, Switzerland · University Hospital, Basel, Switzerland · University of Basel · Region of Southern Denmark
+32 more · Shirley Ryan AbilityLab · University of Southern Denmark · Assistance Publique - Hôpitaux de Paris · Centre Hospitalier Universitaire de Besancon · Clinique Neuro-Outaouais · CogState Ltd. · Courtney Casserly · D'Youville College · European University of Lefke · Fonden for scleroseramte på Fyn · Fonden til Lægevidenskabens Fremme · Hospital for Special Surgery, New York · Johns Hopkins University · Kessler Foundation · London Health Sciences Centre · Lounkær Fonden · National Institute of Neurological Disorders and Stroke (NINDS) · National Institute on Disability, Independent Living, and Rehabilitation Research · Neuro-Ophthalmologic Associates, PC · Odense University Hospital · Oregon Health and Science University · Overlægeråds forskningsfond · Sygehus Lillebaelt · TH MAIGAARDS EFTF. FRU LILY BENTHINE LUNDS FOND AF 1. JUNI 1978 · The Augustinus Foundation, Denmark. · The Danish Multiple Sclerosis Society · University College Dublin · University at Buffalo · University of California, San Diego · University of Florida · University of Miami · VA Office of Research and Development

Regulatory milestones approvals, filings & regulatory actions · 2 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Approved EU (EMA) Fampyra — 2011-07-20 europa.eu ↗
Approved US (FDA) AMPYRA — 2010-01-22 fda.gov ↗

Trials 31

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 02 trials
Phase 0 NCT05447676 Jun 2022 → Jun 2024 spinal cord injury Shirley Ryan AbilityLab Completed No outcome recorded
Phase 0 NCT04148781 Mar 2022 → Dec 2023 optic neuritis Courtney Casserly Unknown No outcome recorded
Phase 13 trials
Phase 1 NCT07171203 May 2026 → Jul 2030 expected gastrointestinal stromal tumor University of California, San Diego Recruiting No outcome recorded
Phase 1 NCT02868567 Mar 2016 → Jul 2026 overdue motor neuron disorder Hospital for Special Surgery, New York Active not recruiting No outcome recorded
Phase 1 NCT01215084 Oct → Nov 2010 — Biogen Completed No outcome recorded
Phase 1/22 trials
Phase 1/2 NCT06853015 Feb 2025 → Mar 2026 overdue spinal cord injury Shirley Ryan AbilityLab Recruiting No outcome recorded
Phase 1/2 NCT01491022 Jul 2012 → Jul 2014 Parkinson disease University of Miami Completed No outcome recorded
Phase 27 trials · 3 missed
Phase 2 NCT04516603 Jan 2040 → Dec 2041 — University of Basel Withdrawn No outcome recorded
Phase 2 NCT04652557 Nov 2021 → Jan 2023 — University of Basel Completed Missed primary
Phase 2 NCT02391961 Apr 2015 → Jan 2019 internuclear ophthalmoplegia, multiple sclerosis VA Office of Research and Development Completed Missed primary
Phase 2 NCT02166346 Feb 2014 → Jan 2017 idiopathic acute transverse myelitis, neuromyelitis optica, transverse myelitis Johns Hopkins University Completed No outcome recorded
Phase 2 NCT01621113 Jun 2012 → Oct 2017 spinal cord injury Kessler Foundation Completed No outcome recorded
Phase 2 NCT01444300 Sep 2011 → Sep 2013 multiple sclerosis Oregon Health and Science University Completed Missed primary
Phase 2 NCT00053417 Feb → Dec 2003 multiple sclerosis Acorda Therapeutics Completed No outcome recorded
Phase 2/32 trials
Phase 2/3 NCT01667497 Sep 2012 → Jul 2015 — London Health Sciences Centre Completed No outcome recorded
Phase 2/3 NCT05859802 Jul 2011 → Mar 2015 multiple sclerosis D'Youville College Completed No outcome recorded
Phase 35 trials · 2 met primary
Phase 3 NCT07185347 Oct 2025 → May 2027 expected spinocerebellar ataxia 27B, late-onset Assistance Publique - Hôpitaux de Paris Recruiting No outcome recorded
Phase 3 NCT02219932 Sep 2014 → Feb 2016 multiple sclerosis Biogen Completed Met primary
Phase 3 NCT01917019 Aug 2013 → Oct 2015 primary progressive multiple sclerosis, progressive relapsing multiple sclerosis, relapsing-remitting multiple sclerosis, secondary progressive multiple sclerosis Biogen Completed No outcome recorded
Phase 3 NCT01235221 Dec 2010 → Jun 2012 multiple sclerosis Biogen Completed No outcome recorded
Phase 3 NCT00127530 May 2005 → Jun 2006 multiple sclerosis Acorda Therapeutics Completed Met primary
Phase 46 trials
Phase 4 NCT02208050 Feb 2014 → Feb 2016 primary progressive multiple sclerosis, secondary progressive multiple sclerosis University College Dublin Completed No outcome recorded
Phase 4 NCT02849782 Feb 2014 → Mar 2019 multiple sclerosis Centre Hospitalier Universitaire de Besancon Completed No outcome recorded
Phase 4 NCT02146534 Dec 2013 → Jan 2016 multiple sclerosis Clinique Neuro-Outaouais Completed No outcome recorded
Phase 4 NCT01975324 Jul 2013 → Dec 2015 non-arteritic anterior ischemic optic neuropathy Neuro-Ophthalmologic Associates, PC Completed No outcome recorded
Phase 4 NCT01656148 Jun 2012 → May 2014 multiple sclerosis University of Southern Denmark Completed No outcome recorded
Phase 4 NCT01480076 Feb 2012 → Jul 2013 multiple sclerosis Biogen Completed No outcome recorded
Phase not applicable4 trials · 1 met primary · 1 missed
— NCT05274477 Jun 2022 → Jun 2024 post-COVID-19 disorder University of Basel Terminated No outcome recorded Stop: Enrollment
— NCT05613114 Aug 2020 → Mar 2021 hereditary spastic paraplegia European University of Lefke Completed Met primary
— NCT03847545 Dec 2018 → Oct 2021 multiple sclerosis University of Southern Denmark Completed No outcome recorded
— NCT01811706 Feb → Dec 2013 Machado-Joseph disease, spinocerebellar ataxia type 1, spinocerebellar ataxia type 2, spinocerebellar ataxia type 6 University of Florida Completed Missed primary
Comparator or background therapy16 trials
Phase 1 NCT01468350 Comparator Dec 2011 → Jan 2013 cerebral palsy Acorda Therapeutics Completed No outcome recorded
Phase 1 NCT01316055 Comparator Jan → Aug 2011 impaired renal function disease Acorda Therapeutics Completed No outcome recorded
Phase 2 NCT06751784 Comparator May 2025 → Jul 2026 overdue major depressive disorder University of Basel Recruiting No outcome recorded
Phase 2 NCT02656160 Comparator Jan → May 2016 obstructive sleep apnea syndrome Brigham and Women's Hospital Completed No outcome recorded
Phase 2 NCT01605825 Comparator May 2012 → Feb 2013 ischemic stroke Acorda Therapeutics Completed No outcome recorded

News releases announcing trial results or a regulatory action · 8

DateIssuerRelease
2016-09-08 Biogen Results Biogen Demonstrates Commitment to Improving Patient Outcomes with Study on Burden of MS and New Clinical Data from Its Leading MS Portfolio biogen.com ↗
FAMPYRA Sustained Clinically Meaningful Improvements in Walking Ability with Prolonged-Release Fampridine: Results from the Placebo-Controlled ENHANCE Study
2011-07-25 Biogen Regulatory Biogen Idec Receives Conditional Approval in the European Union for FAMPYRA® to Improve Walking in Adults with Multiple Sclerosis biogen.com ↗
Biogen Idec (NASDAQ: BIIB) announced today it has received conditional approval from the European Commission for FAMPYRA ® (prolonged-release fampridine tablets) to improve walking in adult patients with multiple sclerosis (MS) who have walking disability (Expanded Disability Status Scale 4-7).
2011-05-20 Biogen Regulatory European Medicines Agency’s Committee for Medicinal Products for Human Use Issues Positive Opinion on Marketing Authorisation Application for FAMPYRA biogen.com ↗
Biogen Idec (NASDAQ: BIIB) announced today that FAMPYRA ® (prolonged-release fampridine tablets) has been granted a positive opinion for conditional approval from the European Medicines Agency’s Committee for Medicinal Products for Human Use (CHMP).
2011-05-16 Biogen Regulatory Biogen Idec Receives Approval for FAMPYRA in Australia to Improve Walking Ability in Adult Patients with MS biogen.com ↗
The Australian Therapeutic Goods Administration (TGA) has granted approval for FAMPYRA ™ , (fampridine) 10 mg Modified Release (MR) tablet, for the symptomatic improvement of walking ability in adult patients with multiple sclerosis (MS) who have shown improvement after eight weeks of treatment.
2011-04-11 Biogen Results Biogen Idec’s Ongoing Dedication to People Living with MS Showcased in Data Presented at the 63rd Annual Meeting of the American Academy of Neurology biogen.com ↗
Dalfampridine Extended Release Tablets Improved Walking Speed in Patients with Severe Walking Impairment
2011-01-21 Biogen Regulatory Biogen Idec Receives Negative Opinion from the CHMP on FAMPYRA biogen.com ↗
The Company intends to appeal the negative CHMP opinion
2010-01-23 Biogen Regulatory Biogen Idec Issues Statement on U.S. Approval of AMPYRA™ (dalfampridine) biogen.com ↗
The U.S. FDA approval was granted on January 22, 2010.
2010-01-12 Biogen Regulatory Biogen Idec Submits Application in Europe for the Approval of Fampridine-PR Tablets to Improve Walking Ability in People with Multiple Sclerosis biogen.com ↗
Biogen Idec (NASDAQ: BIIB) announced today the submission of a marketing authorization application (MAA) to the European Medicines Agency for Fampridine Prolonged Release (Fampridine-PR) tablets, a novel oral therapy for the improvement of walking ability in adult patients with multiple sclerosis (MS).

All press releases naming this drug 10 releases

DateIssuerRelease

Evidence & citations 20 cited values

Every value below carries the sentence it was read from. 52 sources stand behind the page.

FieldValueCited text
Known as Dalfampridine ClinicalTrials.gov intervention name — accepted as the source's own label NCT02391961 ↗
23

NCT02006160 ↗

NCT01605825 ↗

NCT05613114 ↗

NCT01621113 ↗

NCT01337986 ↗

NCT05730738 ↗

NCT01444300 ↗

NCT02656160 ↗

NCT06853015 ↗

NCT01975324 ↗

Show 13 more sources

Known as 4-aminopyridine “Hence, to confirm the beneficial effect of 4-aminopyridine treatment, this study will compare fampridine 10 mg bid (sustained-release form) to placebo during a 3-month...” NCT07185347 ↗
10

“In the present study, we aim at investigating the effects of 10 mg fampridine (4-Aminopyridine), a potassium channel-blocking agent, on working memory performance in...” NCT05274477 ↗

“Studies have shown that MS symptomatic treatment by fampridine (4-aminopyridine) is associated with improvements in walking and muscle strength and possibly with cognition,...” NCT02849782 ↗

“The Effect of Dalfampridine (4-aminopyridine) on Genioglossus Muscle Activity During Wakefulness and Sleep in Healthy Control Subjects” NCT02656160 ↗

“BACKGROUND: Clinical studies suggested that fampridine (4-aminopyridine) improves motor function in people with multiple sclerosis.” PMID 19249634 ↗ Feb 2009

“Extended release dalfampridine (also known as fampridine or 4-aminopyridine \[4-AP\]) is a broad spectrum potassium channel blocker” NCT01621113 ↗

“The only approved treatment for impaired ambulation in MS is Dalfampridine (also known as fampridine, 4-aminopyridine, 4-AP).” NCT05730738 ↗

“Prolonged-release fampridine (4-aminopyridine) is a voltage-gated potassium channel blocking agent.” NCT02146534 ↗

“Treatment with fampridine (4-aminopyridine), a potassium channel blocker” NCT02208050 ↗

“Fampridine-SR (4-aminopyridine) is a slow release oral medication” NCT01667497 ↗

“10 milligram (mg) fampridine-SR (4-aminopyridine, 4-AP)” NCT00053417 ↗

Known as 4-AP “Extended release dalfampridine (also known as fampridine or 4-aminopyridine \[4-AP\]) is a broad spectrum potassium channel blocker” NCT01621113 ↗
2

“The only approved treatment for impaired ambulation in MS is Dalfampridine (also known as fampridine, 4-aminopyridine, 4-AP).” NCT05730738 ↗

“10 milligram (mg) fampridine-SR (4-aminopyridine, 4-AP)” NCT00053417 ↗

Known as Ampyra “Fampridine, Dalfampridine, Ampyra” NCT01328379 ↗
1

NCT01491022 ↗

Known as BIIB041 “BIIB041 (Fampridine-PR)” NCT01215084 ↗
2

“BIIB041 (Fampridine-SR)” NCT01235221 ↗

“BIIB041 (fampridine)” NCT01917019 ↗

Known as D-ER “The goal of this study was to evaluate the safety and tolerability of dalfampridine extended release (D-ER) in a pilot study of adults with cerebral palsy (CP) and limited...” PMID 28131322 ↗ Jan 2017
1

“Dalfampridine extended release tablets (D-ER) enhance action potential conduction in demyelinated axons, which may positively affect post-stroke recovery.” PMID 32651338 ↗ 2020

Known as Dalfampridine-ER “Dalfampridine-ER 5mg” NCT01328379 ↗
Known as extended release fampridine “extended release fampridine 10mg BID PO for 14 weeks” NCT02146534 ↗
Known as fampridine “Extended release dalfampridine (also known as fampridine or 4-aminopyridine \[4-AP\]) is a broad spectrum potassium channel blocker” NCT01621113 ↗
23

“The only approved treatment for impaired ambulation in MS is Dalfampridine (also known as fampridine, 4-aminopyridine, 4-AP).” NCT05730738 ↗

NCT07185347 ↗

NCT07171203 ↗

NCT02146534 ↗

NCT04516603 ↗

NCT04148781 ↗

NCT01576354 ↗

NCT01656148 ↗

NCT00053417 ↗

NCT03847545 ↗

Show 13 more sources

Known as fampridine prolonged-release (PR) “A single 10mg dose tablet by mouth of fampridine prolonged-release (PR) for all participants” NCT01215084 ↗
Known as Fampridine-PR “BIIB041 (Fampridine-PR)” NCT01215084 ↗
Known as Fampridine-SR “Active study medication consists of 15 tablets of fampridine SR 10 mg formulated for oral administration taken in the morning and evening 12 h apart without food.” NCT06751784 ↗
5

“Fampridine-SR is an experimental drug that increases the ability of the nerve to conduct electrical impulses.” NCT01683838 ↗

“Treatment will be of either Fampridine-SR 10 mg BID or placebo BID for four weeks.” NCT01656148 ↗

“10 milligram (mg) fampridine-SR (4-aminopyridine, 4-AP)” NCT00053417 ↗

“BIIB041 (Fampridine-SR)” NCT01235221 ↗

“Drug: Fampridine-SR” NCT00127530 ↗

Known as Fampridine-Sustained Release (SR) “Oral Fampridine-Sustained Release (SR) for the Treatment of Spasticity Resulting From Spinal Cord Injury” NCT01683838 ↗
Known as Fampyra “Fampridine, especially its slow-release formulation (Fampyra®) is generally a safe drug with well-studied pharmacokinetic properties.” NCT05274477 ↗
1

“Twice daily oral administration of 10 mg fampridine (Fampyra®) for 7.5 days with a wash-out period of at least 6.5 days” NCT06751784 ↗

Known as PRF “BACKGROUND: Both prolonged-release fampridine (PRF) and enabling active motor training (EAMT) are beneficial in multiple sclerosis (MS) patients.” PMID 29552356 ↗ Mar 2018
Known as prolonged-release fampridine “Prolonged-release fampridine (4-aminopyridine) is a voltage-gated potassium channel blocking agent.” NCT02146534 ↗
Known as slow-release Fampridine “The objectives of this study were 1) to examine the effect of SR-Fampridine treatment on muscle strength in terms of maximal voluntary contraction (MVC) and rate of force...” PMID 27919481 ↗ Sep 2016
Known as SR Fampridine “The objectives of this study were 1) to examine the effect of SR-Fampridine treatment on muscle strength in terms of maximal voluntary contraction (MVC) and rate of force...” PMID 27919481 ↗ Sep 2016
Action Inhibit “potassium-channel antagonist” NCT01337986 ↗
Route Oral “Safety and Efficacy Study of Oral Fampridine-SR in Patients With Multiple Sclerosis” NCT00053417 ↗