Study of ATH434 in Participants With Multiple System Atrophy
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ClinicalTrials.gov Identifier: NCT05109091 |
Recruitment Status :
Recruiting
First Posted : November 5, 2021
Last Update Posted : September 13, 2023
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Condition or disease | Intervention/treatment | Phase |
---|---|---|
Multiple System Atrophy | Drug: ATH434 dose level 1 Drug: ATH434 dose level 2 Drug: Placebo | Phase 2 |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 60 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor) |
Primary Purpose: | Treatment |
Official Title: | A Randomized, Double-Blind, Placebo-Controlled Study of ATH434 in Multiple System Atrophy |
Actual Study Start Date : | July 1, 2022 |
Estimated Primary Completion Date : | June 2024 |
Estimated Study Completion Date : | July 2024 |

Arm | Intervention/treatment |
---|---|
Experimental: ATH434 Arm 1 |
Drug: ATH434 dose level 1
ATH434 taken BID
Other Name: PBT434 |
Experimental: ATH434 Arm 2 |
Drug: ATH434 dose level 2
ATH434 taken BID
Other Name: PBT434 |
Placebo Comparator: Placebo |
Drug: Placebo
Placebo taken BID |
- Change in iron content as measured by brain MRI [ Time Frame: Change from Baseline to Week 52 ]
- Change in Aggregating alpha-Synuclein Levels [ Time Frame: Change from Baseline to Week 52 ]
- Change in Neurofilament Light Chain Levels [ Time Frame: Change from Baseline to Week 52 ]
- Change in Unified MSA Rating Scale (UMSARS) Score [ Time Frame: Change from Baseline to Week 52 ]
- Change in SF-36 Score [ Time Frame: Change from Baseline to Week 52 ]

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Ages Eligible for Study: | 30 Years to 75 Years (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Participant has clinical features of parkinsonism.
- Participant has evidence of orthostatic hypotension and/or bladder dysfunction.
- Participant has ataxia and/or pyramidal signs on neurological examination.
- Participant is ambulatory.
- Participant has biomarker evidence of MSA in biologic fluid and on MRI.
Exclusion Criteria:
- Participant has motor symptoms for > 4 years.
- Participant has advanced disease, as indicated by frequent falls or choking.
- Participant has structural brain abnormality on MRI.
- Participant has any significant neurological disorder other than MSA.
- Participant has an unstable medical or psychiatric illness.
- Participant has a contraindication to, or is unable to tolerate, MRI or lumbar puncture.

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05109091
Contact: Alterity Clinical Trials | +1 650 300-2141 | ClinicalTrials@alteritytherapeutics.com |

Responsible Party: | Alterity Therapeutics |
ClinicalTrials.gov Identifier: | NCT05109091 |
Other Study ID Numbers: |
ATH434-201 |
First Posted: | November 5, 2021 Key Record Dates |
Last Update Posted: | September 13, 2023 |
Last Verified: | September 2023 |
Studies a U.S. FDA-regulated Drug Product: | Yes |
Studies a U.S. FDA-regulated Device Product: | No |
Multiple System Atrophy ATH434 Neurodegenerative disease Shy-Drager Syndrome |
Movement disorders Autonomic dysfunction Synucleinopathies Atypical parkinsonism |
Multiple System Atrophy Shy-Drager Syndrome Atrophy Pathological Conditions, Anatomical Primary Dysautonomias Autonomic Nervous System Diseases Nervous System Diseases Basal Ganglia Diseases |
Brain Diseases Central Nervous System Diseases Movement Disorders Synucleinopathies Neurodegenerative Diseases Hypotension Vascular Diseases Cardiovascular Diseases |