Evaluating ION464 for Multiple System Atrophy
Official title: A Phase 1 Study to Assess the Safety, Tolerability, and Pharmacokinetics of ION464 Administered Intrathecally to Adults With Multiple System Atrophy
Run by Ionis Pharmaceuticals, Inc. · NCT04165486 · Data updated 2026-11-12
This study is testing a new drug called ION464 to see if it is safe and helps adults with multiple system atrophy feel better over a 12-week period and beyond.
Quick facts
| Phase | Phase 1 |
|---|---|
| Study type | Interventional |
| Ages | 40 Years to 70 Years |
| Sex | All |
| Enrollment | 40 (estimated) |
| Sponsor | Ionis Pharmaceuticals, Inc. Industry-sponsored |
| Locations | 15 sites (Innsbruck and 14 other locations) |
| Status | Recruiting |
| Started | July 21, 2022 |
| Main results expected | September 2027 |
| Study ends | September 2027 |
| Registry record updated | April 27, 2026 |
| Trial ID | NCT04165486 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults diagnosed with probable or possible MSA who can walk unassisted for at least 10 meters.
✕Probably not a fit
Patients with cognitive dysfunction or a known genetic cause of ataxia or parkinsonism may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This clinical trial aims to assess the safety, tolerability, and pharmacokinetics of ION464 administered through intrathecal injection in adults diagnosed with multiple system atrophy (MSA). The study is divided into two parts: the first part involves a randomized, blinded, placebo-controlled design to evaluate the drug's effects over a 12-week treatment period, while the second part focuses on long-term safety and tolerability over approximately 96 weeks. Participants will undergo screening and follow-up assessments to monitor their response to the treatment and any potential side effects.
Why it matters
Potential benefit: If successful, this treatment could provide a new therapeutic option for patients suffering from multiple system atrophy.
How similar studies have gone: While this approach is novel in the context of MSA, similar studies targeting neurodegenerative conditions have shown promise.
Who can join: the full rules
Show full inclusion / exclusion criteria
Key Inclusion Criteria: * Screening single-photon emission computed tomography (SPECT) with DaTscan™ (ioflupane I123 injection) results demonstrating loss (whether symmetric or asymmetric) of dopamine nerve terminals in the striatum consistent with neurodegenerative parkinsonism, as assessed with qualitative, visual read. * Diagnosed with probable or possible MSA, either parkinsonian-type (MSA-P) or cerebellar-type (MSA-C). * Must be able to walk unassisted for at least 10 meters (approximately 30 feet) Key Exclusion Criteria: * Presence of cognitive dysfunction (defined as Montreal Cognitive Assessment (MoCA) score \<25) * Family history of ataxia or parkinsonism and known genetic cause of ataxia or parkinsonism. NOTE: Other protocol defined Inclusion/ Exclusion criteria may apply.
Where it's running
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Medizinische Universität Innsbruck
Innsbruck, Austria Recruiting -
CHU de Lyon - Hospices Civils de Lyon-H6pital Pierre Wertheimer, Neurologique HCL
Lyon, France Recruiting -
Groupe Hospitalier Pitie-Salpetriere
Paris, France Recruiting -
Hopital Purpan
Toulouse, France Recruiting -
Universitaetsklinikum Ulm
Ulm, Baden-Wurttemberg, Germany Recruiting -
Universitaetsklinikum Duesseldorf AoeR
Düsseldorf, Germany Recruiting
Show 9 more locations
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University Medical Center Göttingen, Clinic for Neurology
Göttingen, Germany Recruiting -
University Hospital Marburg
Marburg, Germany Recruiting -
Klinikum der Universtiatet Muenchen -Campus Grosshadern
München, Germany Recruiting -
Hospital Beatriz Ângelo
Loures, Portugal Recruiting -
Institute of Neurology & The National Hospital for Neurology and Neurosurgery
London, England, United Kingdom Recruiting -
The John Radcliffe Hospital
Oxford, England, United Kingdom Recruiting -
Salford Royal Hospital
Salford, United Kingdom Recruiting -
Southampton General Hospital
Southampton, United Kingdom Recruiting -
Medizinische Hochschule Hannover (MHH)
Hanover, Germany Completed
Study contacts
- Study coordinator: Ionis Pharmaceuticals, Inc.
- Email: IonisHORIZONStudy@clinicaltrialmedia.com
- Phone: (844) 748-5844
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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This study follows people with APS like MSA, DLB, PSP, and CBD to see how their symptoms and brain images change over time.
-
Longitudinal registry of people with multiple system atrophy in China
This study follows Chinese patients with multiple system atrophy over time to describe how the disease starts and progresses and to compare with people with Parkinson's and healthy controls.
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This study will try personalized repetitive transcranial magnetic stimulation (rTMS) to see if it eases motor and non-motor symptoms in people with Parkinson's disease, multiple system atrophy, or progressive supranuclear palsy.
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Butylphthalide for Multiple System Atrophy: tests safety and symptoms
This study tests whether 3-n-butylphthalide capsules can help reduce symptoms in people with multiple system atrophy compared with a placebo.
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ALT001 expansion study for people with multiple system atrophy
ALT001 is being tested in an open-label, single-center study to see if it is safe, tolerable, and shows early signs of benefit for adults with multiple system atrophy.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.