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
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 30 Years and up |
| Sex | All |
| Enrollment | 200 (estimated) |
| Sponsor | Teva Branded Pharmaceutical Products R&D, Inc. Industry-sponsored |
| Locations | 41 sites (La Jolla, California and 40 other locations) |
| Status | Recruiting |
| Started | September 30, 2025 |
| Main results expected | May 3, 2029 |
| Study ends | May 17, 2029 |
| Registry record updated | October 9, 2026 |
| Trial ID | NCT07197866 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
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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
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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
- Study coordinator: Teva U.S. Medical Information
- Email: USMedInfo@tevapharm.com
- Phone: 1-888-483-8279
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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.