As we strive to improve health outcomes for patients with neurological conditions, the development of new clinical outcomes assessments (COAs) is crucial. Advancements in COAs are at a tipping point, significantly impacting the future of clinical trials and patient care. Our clinical development and regulatory experts discuss the importance of developing new COAs to better capture the full spectrum of patient experiences, particularly in conditions like multiple sclerosis (MS). With MS as a focal point, our experts highlight the gaps in current assessments and In this episode, Andreas Lysandropoulos, Naomi Suminski, and Simona Stankeviciute share insights on the evolving understanding of neurological conditions and the hidden problems that current COAs may overlook. They emphasize the importance of patient-centered research and the role of early and strategic planning in regulatory success. Pushing the boundaries with innovative approaches to COAs in neuroscience we can ensure that clinical trials reflect meaningful changes in patients’ lives.