Hope for rare brain disease: new drug trial targets MSA progression
NCT ID NCT06706622
First seen Jun 27, 2026 · Last updated Jul 15, 2026 · Updated 2 times
Summary
This Phase 3 trial tests an experimental drug called amlenetug in 401 people with multiple system atrophy (MSA), a rare and serious brain disorder. The goal is to see if the drug can slow the worsening of symptoms and improve survival. Participants receive either the drug or a placebo, with an option to continue the drug in an open-label extension.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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401 people
The number who actually took part.
- Started
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Dec 2024
- Expected to finish
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Oct 2029
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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40 to 75 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Key Inclusion Criteria: * The participant has a diagnosis of clinically established multiple system atrophy parkinsonian type (MSA-P) or multiple system atrophy cerebellar type (MSA-C), or clinically probable MSA-P or MSA-C, according to the 2022 Movement Disorders Society (MDS) criteria for the diagnosis of MSA at the Screening Visit. * The participant had onset of motor MSA symptoms (that is, parkinsonian and/or cerebellar) within 5 years prior to the Screening Visit in the judgement of the investigator. * The participant has an anticipated survival of \>3 years, in the opinion of the investigator, at the Screening Visit. * The participant has suitable peripheral venous access for investigational medicinal product (IMP) administration and blood sampling. * The participant has an UMSARS Part I score ≤16 (omitting item 11 on sexual function) at the Screening Visit. Exclusion Criteria: * The participant has previously been dosed with amlenetug. * The participant has taken any active IMP within 3 months or 5 half lives of that product, whichever is longer, prior to the first dose of IMP. * The participant has 2 or more first degree relatives with a history of MSA. * The participant, if of MSA-P subtype, has unexplained anosmia (not explained by other common causes such as allergic rhinitis or smoking, nasal structural lesions, or nasal surgery) on olfactory testing at the Screening Visit. * The participant has evidence (clinically or on magnetic resonance imaging (MRI)) and/or history of any clinically significant disease or condition other than MSA, that is, in the investigator's opinion, likely to affect CNS functioning, e.g., serious neurological disorder, other intracranial or systemic disease. * The participant has a current diagnosis of movement disorders that could mimic MSA, e.g., Parkinson's disease, dementia with Lewy bodies, essential tremor, progressive supranuclear palsy, spinocerebellar ataxia, spastic paraparesis, corticobasal degeneration, or vascular, pharmacological, or post-encephalitic parkinsonism, per investigator discretion. Participants who have previously been incorrectly diagnosed with Parkinson's disease will not be excluded. Other protocol-defined inclusion and exclusion criteria apply.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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A.O.U. Pisana-Ospedale S. Chiara
Pisa, 56126, Italy
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AOU Universita della Campania Luigi Vanvitelli
Naples, 80138, Italy
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Baylor College Of Medicine
Houston, Texas, 77030, United States
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Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215, United States
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Brigham and Women's Hospital
Boston, Massachusetts, 02115, United States
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CHU - Hospital de la Timone
Marseille, 13385, France
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CenExel Rocky Mountain Clinical Research, LLC
Englewood, Colorado, 80113, United States
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Centre Hospitalier Regional Universitaire (CHRU) Montpellier - Hopital Saint-Eloi Guy de Chauliac
Montpellier, 34295, France
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Centre Hospitalier Regional Universitaire de Lille - Hopital Roger Salengro
Lille, 59037, France
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Centre Hospitalier Universitaire (CHU) de Bordeaux - Groupe Hospitalier Pellegrin
Bordeaux, 33076, France
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Centre Hospitalier Universitaire de Toulouse - Hopital Purpan
Toulouse, 31059, France
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Chu De La Pitie-Salpetriere
Paris, 75651, France
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Cleveland Clinic - Neurological Institute
Cleveland, Ohio, 44195, United States
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Clinical Ageing Reseach Unit
Newcastle upon Tyne, Tyne and Wear, NE4 5LP, United Kingdom
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Columbia University Medical Center - The Neurological Institute of New York
New York, New York, 10032-3726, United States
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Curiositas-ad-Sanum GmbH
Haag in Oberbayern, 83527, Germany
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Fondazione IRCCS Ca' Granda - Ospedale Maggiore Policlinico
Milan, 20122, Italy
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Fondazione IRCCS Istituto Neurologico Carlo Besta
Milan, 20133, Italy
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Fujita Health University Hospital
Toyoake, Aichi-ken, 470-1192, Japan
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Gifu University Hospital
Gifu, Gifu, 501-1194, Japan
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Gold Coast Hospital
Southport, Queensland, 4215, Australia
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Hokkaido University Hospital
Sapporo, Hokkaido, 060-8648, Japan
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Hospital Clinic de Barcelona - Institut Clinic de Neurociencies (ICN)
Barcelona, 08036, Spain
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Hospital Universitario Vall d'Hebron
Barcelona, 08035, Spain
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Hospital Universitario Virgen del Rocio (HUVR) - Instituto de Biomedicina de Sevilla (IBIS)
Seville, 41015, Spain
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Hospital Universitario de La Princesa
Madrid, 28006, Spain
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Hospital de la Santa Creu i Sant Pau
Barcelona (Spain), 08041, Spain
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IRCCS Institute of Neurological Sciences of Bologna- Universita di Bologna
Bologna, 40139, Italy
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Indiana Health University
Indianapolis, Indiana, 46202, United States
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Inland Northwest Research
Spokane, Washington, 99202, United States
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Johns Hopkins University School of Medicine
Baltimore, Maryland, 21287, United States
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Juntendo University Hospital
Bunkyo-ku, Tokyo, 113-8431, Japan
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Keio University Hospital
Tokyo, 160-8582, Japan
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Kyung Hee University Hospital
Seoul, 02447, South Korea
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Liverpool Hospital - South Western Sydney Local Health District
Liverpool, New South Wales, 2170, Australia
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Ludwig-Maximilians-Universitat Munchen Klinikum der Universitat - Grosshadern
München, 81377, Germany
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Mayo Clinic
Scottsdale, Arizona, 85259, United States
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Mayo Clinic
Rochester, Minnesota, 55905, United States
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Movement Disorders Clinic
Beelitz-Heilstätten, 14547, Germany
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NYU Medical Center - Dysautonomia center
New York, New York, 10016, United States
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National Center Hospital, National Center of Neurology and Psychiatry
Kodaira-shi, Tokyo, 187-8551, Japan
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National Hospital Organization Higashinagoya National Hospital
Nagoya, Aichi-ken, 465-8620, Japan
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National Hospital Organization Sendai Nishitaga Hospital
Sendai, Miyagi, 982-8555, Japan
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Niigata University Medical And Dental Hospital
Niigata, 9518520, Japan
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Nuffield Oxford University and Oxford University Hospital NHS Foundation Trusts-John Radcliffe Ho...
Oxford, Oxfordshire, OX3 9DU, United Kingdom
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Parkinson's Disease And Movement Disorder Center Of Boca Raton
Boca Raton, Florida, 33486, United States
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QUEST Research Institute
Farmington Hills, Michigan, 48334, United States
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Queen Elizabeth University Hospital - NHS Greater Glasgow & Clyde
Glasgow, Scotland, G51 4TF, United Kingdom
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Royal Devon and Exeter Hospital - Royal Devon University Healthcare NHS Foundation Trust
Exeter, EX2 5DW, United Kingdom
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Saitama Medical University Hospital
Iruma-gun, 350-0495, Japan
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Salford Royal Hospital, Northern Care Alliance NHS Foundation Trust
Salford, Greater Manchester, M6 8HD, United Kingdom
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Samsung Medical Center
Seoul, 06351, South Korea
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Severance Hospital, Yonsei University Health System
Seoul, 03722, South Korea
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The Alfred Hospital
Melbourne, Victoria, 3004, Australia
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The National Hospital for Neurology and Neurosurgery
London, WC1N 3BG, United Kingdom
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The Ottawa Hospital Research Institute
Ottawa, Ontario, K1H 8L6, Canada
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Toronto Western Hospital (TWH)
Toronto, Ontario, M5T 2S8, Canada
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Tottori University Hospital
Yonago-shi, Tottori, 683-8504, Japan
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Unite d'investigation clinique de Neurologie Rez-de-jardin-Bloc Hopital CHU Pontchaillou
Rennes, 35033, France
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Universita Di Salerno Aou San Giovanni Di Dio E Ruggi D'Aragona
Salerno, 84100, Italy
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Universitaetsklinikum Erlangen
Erlangen, 91054, Germany
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Universitaetsklinikum Muenster
Münster, 48149, Germany
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Universitat de Valencia - Hospital Universitari i Politecnic La Fe de Valencia (Hospital La Fe Bu...
Valencia, 46026, Spain
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University Hospital Tuebingen
Tübingen, 72076, Germany
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University Nebraska Medical Center
Omaha, Nebraska, 68198-8440, United States
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University Of Pittsburgh
Pittsburgh, Pennsylvania, 15213, United States
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University of Arkansas for Medical Sciences
Little Rock, Arkansas, 72205, United States
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University of California, San Francisco Neurosciences Clinical Research Unit
San Francisco, California, 94158, United States
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University of Florida Norman Fixel Institute for Neurological Diseases
Gainesville, Florida, 32608, United States
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University of Pennsylvania
Philadelphia, Pennsylvania, 19107, United States
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University of Texas Southwestern Medical Center ¿ Multiple System Atrophy Clinic
Dallas, Texas, 75390-8565, United States
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Vanderbilt University Medical Center-Cognitive and Movement Disorders Group
Nashville, Tennessee, 37232, United States
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Westmead Hospital
Westmead, New South Wales, 2145, Australia
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Yale New Haven Health
North Haven, Connecticut, 06473, United States
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