About this trial
The purpose of this study is to evaluate whether MSA-01 slows the progression of multiple system atrophy (MSA) and to assess its safety.
The primary question is:
• Does MSA-01 slow the progression of motor impairment as measured by UMSARS Part 2 score?
Participants will be randomly assigned to receive MSA-01 or placebo for 12 months. They will attend regular clinic visits for safety and efficacy assessments and record their medication use and any side effects in a diary.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients diagnosed as 'clinically established' or 'clinically probable' MSA based on the revised MSA diagnostic criteria of the Movement Disorder Society (MDS).
Patients who are able to walk independently or with the use of assistive devices.
Patients who are able to attend outpatient visits at the participating study site.
Patients who are able to discontinue the use of CoQ10 supplements.
Disqualifiers
Patients with severe neurological disorders, other progressive movement disorders, or cognitive impairment.
Patients with severe liver disease.
Patients with a known history of hypersensitivity to any component of the investigational drug.
Pregnant women, breastfeeding women, or women who may be pregnant.
Trial design
Parallel
Treatments tested in this trial
MSA-01
DrugUbiquinol
Placebo
DrugPlacebo
Treatment groups
Trial outcomes
Primary outcomes
Change from baseline to Week 52 in the Unified Multiple System Atrophy Rating Scale (UMSARS) Part 2 score
Secondary outcomes
Change from baseline to Week 52 in the Barthel Index
Change from baseline to Week 52 in the Scale for the Assessment and Rating of Ataxia (SARA) score
Change from baseline to Week 52 in the Unified Multiple System Atrophy Rating Scale (UMSARS) Part 1 score
Other outcomes
Change from baseline in individual UMSARS Part 2 item scores
Change from baseline in individual UMSARS Part 1 item scores
Change from baseline in the scores of the four ADL-related items of UMSARS Part 1
Change from baseline in the scores of the eight QOL-related items of UMSARS Part 1
Sponsors and contacts
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Tokyo University
Lead sponsor
Nobelpharma
Collaborator