Clinical trial Recruiting at 14 sites Phase 1 Interventional Ages 40 to 70

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

PhasePhase 1
Study typeInterventional
Ages40 Years to 70 Years
SexAll
Enrollment40 (estimated)
SponsorIonis Pharmaceuticals, Inc.
Industry-sponsored
Locations15 sites (Innsbruck and 14 other locations)
StatusRecruiting
StartedJuly 21, 2022
Main results expectedSeptember 2027
Study endsSeptember 2027
Registry record updatedApril 27, 2026
Trial IDNCT04165486 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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  • Natural history of atypical parkinsonian syndromes: a multi-center observation

    This study follows people with APS like MSA, DLB, PSP, and CBD to see how their symptoms and brain images change over time.

    Recruiting at 6 sites Second Affiliated Hospital of Soochow University · Changshu, Jiangsu and 19 other locations · NCT07805967

  • 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.

    Recruiting Peking University First Hospital · Beijing, Beijing Municipality · NCT07644013

  • Personalized magnetic brain stimulation for parkinsonian disorders

    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.

    Recruiting Peking University First Hospital · Beijing, Beijing Municipality · NCT07570212

  • 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.

    Recruiting at 4 sites Phase 2/3 Second Affiliated Hospital, Zhejiang University, School of Medicine · Nanning, Guangxi and 6 other locations · NCT07518810

  • 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.

    Recruiting Early Phase 1 Beijing Tiantan Hospital · Beijing, Beijing Municipality · NCT07476352

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.