Evaluate the Maintenance of Effect After Long-term Treatment With Sativex® in Subjects With Symptoms of Spasticity Due to Multiple Sclerosis

Has any concomitant disease or disorder that has symptoms of spasticity or that may influence the subject's level of spasticity.

Unable to rate their level of spasticity or distinguish it from other MS symptoms.

Currently receiving a prohibited medication (Botulinum Toxin, or Acomplia (Rimonabant), and unwilling to stop or comply for the duration of the study or had received said medication/ therapy within three months prior to the screening visit.

Unwilling to stop their own Sativex treatment for the duration of the study.

Any known or suspected immediate family history of schizophrenia, other psychotic illness, severe personality disorder or other significant psychiatric disorder other than depression associated with their underlying condition.

Has evidence of cardiomyopathy.

Has experienced myocardial infarction or clinically relevant cardiac dysfunction within the last 12 months or has a cardiac disorder that, in the opinion of the investigator would put the subject at risk of a clinically relevant arrhythmia or myocardial infarction.

Has a QT interval of \> 450 ms (males) or \> 470 ms (females) at Visit 1.

Has a secondary or tertiary atrioventricular (AV) block or sinus bradycardia (HR \<50bpm unless physiological) or sinus tachycardia (HR\>110bpm) at Visit 1.

Has a diastolic blood pressure of \<50 mmHg or \>105 mmHg (when measured in a sitting position at rest for five minutes) prior to randomisation

Has impaired renal function e.g. creatinine clearance is lower than 50ml/min at Visit 1 and is indicative of renal impairment.

Has significantly impaired hepatic function, at Visit 1, in the investigator's opinion.

Female subjects of child bearing potential and male subjects whose partner is of child bearing potential, unless willing to ensure that they or their partner use effective contraception during the study and for three months thereafter.

Female subject who is pregnant, lactating or planning pregnancy during the course of the study and for three months thereafter.

Subjects who have received any IMP within the 12 weeks before Visit 1.

Any other significant disease or disorder which, in the opinion of the investigator, may either put the subject at risk because of participation in the study, may influence the result of the study, or the subject's ability to participate in the study.

Following a physical examination, the subject has any abnormalities that, in the opinion of the investigator, would prevent them from safely participating in the study.

Travel outside the UK planned during the study.

Unwilling to abstain from donation of blood during the study.

Subjects previously randomised into this study.

What this study is about