See if you pre-qualify for the SPI2 Study

If you are interested in learning more about this research study, please fill out the form below and we will be in touch with more information.

All information is handled in accordance with our Privacy Policy

*Required|

*Are you between the ages of 18 to 65?



*Please provide the month and year of your date of birth.


*What is your gender?



*Have you been diagnosed with progressive MS (either primary or secondary)?




*Have your MS symptoms or disability worsened in the past 2 years?




*Are you taking Fampridine (Ampyra or Fampyra)?




*If you are taking a disease modifying therapy for MS, has your treatment been stable for at least 90 days?





*From the list below please select the clinical research study site you would like to forward your information on to if you pre-qualify:


*First Name
*Phone Number
*When is the best time to contact you?
*Last Name
*Email Address
Comments/Other Info:

By filling out this contact form, you are in no way obligated to participate in the clinical research study.