Clinical trial Recruiting at 41 sites Phase 2 Interventional Ages 30 and up

Extension to see if TEV-56286 can relieve Multiple System Atrophy symptoms

Official title: An Open-Label Extension, Multi-Centered, Phase 2 Trial to Describe the Safety and Efficacy of TEV-56286 (Emrusolmin) in Participants With Multiple System Atrophy

Run by Teva Branded Pharmaceutical Products R&D, Inc. · NCT07197866 · Data updated 2026-11-12

This extension will test whether daily oral TEV-56286 is safe and helps adults with Multiple System Atrophy over about 100 weeks.

Quick facts

PhasePhase 2
Study typeInterventional
Ages30 Years and up
SexAll
Enrollment200 (estimated)
SponsorTeva Branded Pharmaceutical Products R&D, Inc.
Industry-sponsored
Locations41 sites (La Jolla, California and 40 other locations)
StatusRecruiting
StartedSeptember 30, 2025
Main results expectedMay 3, 2029
Study endsMay 17, 2029
Registry record updatedOctober 9, 2026
Trial IDNCT07197866 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults with MSA who completed the parent double-blind trial to week 48, can comply with contraception requirements, and can attend visits at one of the sponsor's sites.

Probably not a fit

Patients who did not complete the parent trial, cannot meet contraception or follow-up requirements, or have significant comorbidities may not receive benefit from participating.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This open-label extension enrolls adults with MSA who completed the 48-week double-blind TEV-56286 trial and continues oral dosing to collect long-term safety and tolerability data. Participants will have regular clinic visits and safety monitoring during approximately 100 weeks of follow-up. The trial emphasizes recording adverse events, laboratory results, and adherence rather than demonstrating definitive efficacy. No new experimental procedures beyond continued study drug administration and routine safety assessments are planned.

Why it matters

Potential benefit: If TEV-56286 proves safe and tolerable long-term, it could offer an oral treatment option that helps relieve MSA symptoms and support larger efficacy trials.

How similar studies have gone: There are few successful late-stage treatments for MSA to date, and while multiple small trials have tested symptomatic and disease-modifying approaches, the field remains largely unmet and TEV-56286 is a relatively novel candidate.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Completion of the treatment period and the week 48(V9) visit of the double-blind trial (TV56286-NDG-20039) whilst remaining compliant with trial requirements
* Females of childbearing potential may be included only if they have a negative pregnancy test at the baseline visit
* Females of childbearing potential whose male partners are potentially fertile (ie, no vasectomy) must use highly effective birth control methods for the duration of the trial and for 28 days after the last does of IMP
* Males who are potentially fertile/reproductively competent (not surgically \[eg, vasectomy\] or congenitally sterile) and their female partners who are of childbearing potential must use, together with their female partners, highly effective birth control methods for the duration of the trial and for 28 days after the last dose of investigational medicinal product

NOTE - Additional criteria apply, please contact the investigator for more information

Exclusion Criteria:

* Is a female participant who is pregnant, plans to become pregnant, or is breastfeeding during the trial
* Is of a vulnerable population (eg, people kept in detention or jail)
* Is using or consuming any prohibited concomitant medications within the specified exclusionary windows of this trial

Note - Additional criteria apply, please contact the investigator for more information

Where it's running

  • Teva Investigational Site 15554
    La Jolla, California, United States
    Recruiting
  • Teva Investigational Site 15544
    Boca Raton, Florida, United States
    Recruiting
  • Teva Investigational Site 15555
    Tampa, Florida, United States
    Recruiting
  • Teva Investigational Site 15550
    Chicago, Illinois, United States
    Recruiting
  • Teva Investigational Site 15546
    Kansas City, Kansas, United States
    Recruiting
  • Teva Investigational Site 15549
    New York, New York, United States
    Recruiting
Show 35 more locations
  • Teva Investigational Site 15551
    New York, New York, United States
    Recruiting
  • Teva Investigational Site 15553
    Durham, North Carolina, United States
    Recruiting
  • Teva Investigational Site 15548
    Pittsburgh, Pennsylvania, United States
    Recruiting
  • Teva Investigational Site 15543
    Spokane, Washington, United States
    Recruiting
  • Teva Investigational Site 35290
    Bordeaux, France
    Recruiting
  • Teva Investigational Site 35289
    Marseille, France
    Recruiting
  • Teva Investigational Site 35291
    Paris, France
    Recruiting
  • Teva Investigational Site 35292
    Toulouse, France
    Recruiting
  • Teva Investigational Site 32818
    Dresden, Germany
    Recruiting
  • Teva Investigational Site 32822
    Düsseldorf, Germany
    Recruiting
  • Teva Investigational Site 32825
    Kassel, Germany
    Recruiting
  • Teva Investigational Site 32824
    Marburg, Germany
    Recruiting
  • Teva Investigational Site 32820
    München, Germany
    Recruiting
  • Teva Investigational Site 32819
    Münster, Germany
    Recruiting
  • Teva Investigational Site 80203
    Haifa, Israel
    Recruiting
  • Teva Investigational Site 80204
    Tel Aviv, Israel
    Recruiting
  • Teva Investigational Site 30299
    Bologna, Italy
    Recruiting
  • Teva Investigational Site 30297
    Catania, Italy
    Recruiting
  • Teva Investigational Site 30298
    Milan, Italy
    Recruiting
  • Teva Investigational Site 30294
    Padova, Italy
    Recruiting
  • Teva Investigational Site 30296
    Roma, Italy
    Recruiting
  • Teva Investigational Site 30295
    Salerno, Italy
    Recruiting
  • Teva Investigational Site 84140
    Chiba, Japan
    Recruiting
  • Teva Investigational Site 84139
    Fuchū, Japan
    Recruiting
  • Teva Investigational Site 84137
    Niigata, Japan
    Recruiting
  • Teva Investigational Site 84138
    Sagamihara, Japan
    Recruiting
  • Teva Investigational Site 84141
    Sanda-shi, Japan
    Recruiting
  • Teva Investigational Site 84135
    Sendai, Japan
    Recruiting
  • Teva Investigational Site 31324
    Barcelona, Spain
    Recruiting
  • Teva Investigational Site 31323
    Barcelona, Spain
    Recruiting
  • Teva Investigational Site 31321
    Barcelona, Spain
    Recruiting
  • Teva Investigational Site 31327
    Madrid, Spain
    Recruiting
  • Teva Investigational Site 31320
    Pamplona, Spain
    Recruiting
  • Teva Investigational Site 31322
    Seville, Spain
    Recruiting
  • Teva Investigational Site 31319
    Valencia, Spain
    Recruiting

Study contacts

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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.