Wait and See

One blood test. One number. Clarity into MS disease activity, grounded in biology. So providers and patients can make data-backed decisions together.

29,000+

Scores delivered

500+

Prescribers

20,000+

Patients already empowered

Available through Quest Diagnostics - 7,000+ blood draw locations nationwide

See what’s happening now

Not just what’s already happened

Today's standard of care shows damage already done. The Octave Multiple Sclerosis Disease Activity (MSDA) Test reveals active disease biology, giving providers and patients the objective insights to adjust MS therapy with confidence - together.

Clinically validated

Backed by published research, the MSDA Test measures 18 biomarkers to detect MS disease activity and inform real-world care decisions.

Clarity at a glance

One simple number (1-10) gives providers and patients a clear read on current disease activity and tracking it over time helps catch changes early and confirm if the treatment is working.

Act sooner

Today’s standard of care measures damage already done. The MSDA Test reveals what’s happening now, so providers and patients can act sooner.

One draw. One number.

The MSDA Test combines 18 biomarkers, clinical context, and AI to deliver a personalized score from 1 to 10. Here’s how it works:

1 - 4

A low score indicates low disease activity at this point in time. Continued monitoring helps confirm the trend and catch any changes early.

Low Score

4.5-7

A moderate score indicates some disease activity, with a 4.5x higher likelihood of developing a new lesion compared to a low score1. Tracking activity over time helps surface changes worth discussing.

Moderate Score

7.5-10

A high score indicates elevated disease activity, with a 21x higher likelihood of developing two or more new lesions compared to a low or moderate score1. Repeat testing supports informed care decisions.

High Score

What the score reveals

The MSDA Test measures the biology of MS disease activity in real time - detecting changes that may not yet appear in symptoms or on imaging.

How results fit into care

Better data, better insight, better care. The MSDA Test supports clinical decision‑making by giving providers an objective measure of disease activity to  interpret alongside symptoms, medical history, and imaging.

Why repeat testing matters

A single score is a snapshot. Tracking activity over time reveals trends, surfaces changes early, and informs whether the current care plan is working or needs revisiting.

MS disease activity

Available now

MS disease progression

In development

Parkinson’s Disease

In development

Helping patients find answers where there were none.

MS is just the beginning. Octave is building the future of precision neurology, where no one faces a neurological condition without answers.

The mission: bring clarity and confidence to providers and patients navigating these diseases, with personalized insight across a range of clinical scenarios.

Detect disease activity before symptoms appear

Track disease activity over time to inform decisions

Guide therapy decisions with objective data

Support timely action when it matters most

Decision-making backed by

rigorous science

Peer-reviewed research and real-world evidence from leading MS centers and clinical practices

SINGLE-TEST IMPACT

60%

Clinicians agreed one MSDA
result informed decisions

LONGITUDINAL IMPACT

69%

Clinicians agreed MSDA results
informed decisions over time

TREATMENT DECISIONS CHANGED

1 in 5

Documented decision changes
after MSDA testing

MULTI-PROTEIN PRECISION

18

Protein biomarkers
in one score

CLINICAL UTILITY

Real-world clinical utility of a multi-protein, blood-based biomarker assay for disease activity assessments in multiple sclerosis

Sanchez A, Sheng E, Eagleman S, et al. (2025)

CLINICAL VALIDATION

Clinical validation of a multi-protein, serum-based assay for disease activity assessments in multiple sclerosis

Chitnis T, Foley J, Ionete C, et al. (2023)

ANALYTICAL VALIDATION

Analytical validation of a multi-protein, serum-based assay for disease activity assessments in multiple sclerosis

Qureshi F, Hu W, Loh L, et al. (2023)

DISCOVERY

Inflammatory and neurodegenerative serum protein biomarkers increase sensitivity to detect clinical and radiographic disease activity in multiple sclerosis

Chitnis T, Qureshi F, Gehman VM, et al. (2024)

Explore the Clinical Resource Center

Peer-reviewed publications, poster abstracts, and scientific presentations from leading MS centers

Held to the highest laboratory standards

CLIA Certified

Federal certification required
for all clinical labs

CAP Accredited

Gold-standard quality
accreditation

NY State CLEP

Approved under the nation’s most
stringent state lab oversight

Easy does it

Easy to afford

Most patients pay $100 or less, and all insurances are accepted. The Octave Cares program provides financial assistance for those who need it.

Check estimated cost

Easy to access

Once your provider orders the MSDA Test, a simple blood draw can be completed at any of 7,000+ Quest Diagnostics locations nationwide.

Find a Quest location

Easy to understand

A score from 1 to 10 reflects current disease activity. Low scores indicate stability. Higher scores prompt timely conversations about care.

See a sample report

The difference that
insights make

Hear from patients and providers who’ve experienced the difference precision data has made for them

Patient

I’ve lived with MS for 22 years. I spent five of them in a wheelchair. I’m not interested in blind spots. The MRI tells you what happened. The MSDA Test tells you what to ask next. Now I test quarterly and bring the results to my neurologist. That’s the tool I never had before.

Kent Jones @ThatGuyWithMS.

Community Council Chairperson, National MS Society

Patient

“My score went from 6.8 to 2.1 after switching medications. Seeing that drop gave me confidence that we made the right choice. I finally feel like I’m in control of my disease, not the other way around.”

Marcus J.

Diagnosed 2020

Boston, MA

Patient

My MRI scans have been stable for two years. My body tells a different story. The Octave MSDA Test helped bridge that gap - turning what I felt but couldn't prove into data I could bring to my neurologist. As a coach, I know you can’t improve what you can’t measure. As an MS patient and advocate, I believe every person living with this disease deserves tools that show the full picture. You are more than your MRI.

Denise Schnieders @MSdopaminedressed.

MS patient advocate

Teacher & Coach

Neurologist

“My patients come to appointments more engaged and informed. The score gives us a shared language. They understand their disease activity, and it makes conversations about treatment changes much more collaborative and data-driven.”

Dr. Robert Williams, MD, PhD

Neurology Department Chair

Academic Medical Center

Ready to take control?

Join 20,000+ MS patients who track their disease activity with confidence. Stop guessing. Start knowing.