Clinical trial Recruiting at 1 site Phase 3 Interventional Ages 30 to 79

MSA-01 to try to slow progression of Multiple System Atrophy

Official title: A Multicenter, Randomized, Double-blind, Placebo-controlled Phase III Study of MSA-01 in Patients With Multiple System Atrophy

Run by Tokyo University · NCT07446894 · Data updated 2026-11-12

This trial will test whether MSA-01 (a bioavailable form of CoQ10) can slow motor worsening in people with probable or established MSA over 52 weeks.

Quick facts

PhasePhase 3
Study typeInterventional
Ages30 Years to 79 Years
SexAll
Enrollment140 (estimated)
SponsorTokyo University
Academic / other
Locations12 sites (Nagoya, Aichi-ken and 11 other locations)
StatusRecruiting
StartedFebruary 9, 2026
Main results expectedMarch 31, 2028
Study endsMarch 31, 2028
Registry record updatedMarch 4, 2026
Trial IDNCT07446894 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults with clinically established or probable MSA who can walk (with or without assistive devices), can attend outpatient visits at a participating site, and can stop taking CoQ10 supplements before starting the study drug.

Probably not a fit

Patients with severe other neurological disorders or cognitive impairment, severe liver disease, pregnant or breastfeeding women, or those who have previously received MSA-01 are unlikely to qualify or benefit from this trial.

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

What this trial studies

This is a multicenter, randomized, double-blind, placebo-controlled Phase 3 trial randomizing about 140 participants 1:1 to oral MSA-01 or placebo for 52 weeks. The primary outcome is change from baseline to Week 52 in the UMSARS Part 2 motor score, with secondary clinical scales and safety assessments also collected. Participants attend regular clinic visits, keep a medication/side-effect diary, and efficacy will be analyzed using a mixed-effects model for repeated measures. The trial builds on a Phase 2 signal of acceptable safety and potential benefit for ubiquinol in MSA.

Why it matters

Potential benefit: If successful, MSA-01 could slow motor progression and help preserve daily function in people with MSA.

How similar studies have gone: A prior Phase 2 trial of this ubiquinol formulation showed acceptable safety and signals of potential efficacy, but benefit has not yet been confirmed in a large Phase 3 trial.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

At the time of informed consent

1. Patients diagnosed as 'clinically established' or 'clinically probable' MSA based on the revised MSA diagnostic criteria of the Movement Disorder Society (MDS).
2. Patients who are able to walk independently or with the use of assistive devices.
3. Patients who are able to attend outpatient visits at the participating study site.

   At the start of study drug administration
4. Patients who are able to discontinue the use of CoQ10 supplements.

Exclusion Criteria:

1. Patients with severe neurological disorders, other progressive movement disorders, or cognitive impairment.
2. Patients with severe liver disease.
3. Patients with a known history of hypersensitivity to any component of the investigational drug.
4. Pregnant women, breastfeeding women, or women who may be pregnant.
5. Patients who have previously participated in a clinical trial of MSA-01.

Where it's running

  • The University of Tokyo Hospital
    Bunkyō-Ku, Tokyo, Japan
    Recruiting
  • Nagoya University Hospital
    Nagoya, Aichi-ken, Japan
    Not yet recruiting
  • Chiba University Hospital
    Chiba, Chiba, Japan
    Not yet recruiting
  • Kyushu University Hospital
    Fukuoka, Fukuoka, Japan
    Not yet recruiting
  • Hokkaido University Hospital
    Sapporo, Hokkaido, Japan
    Not yet recruiting
  • Kagoshima University Hospital
    Kagoshima, Kagoshima-ken, Japan
    Not yet recruiting
Show 6 more locations
  • Kyoto University Hospital
    Kyoto, Kyoto, Japan
    Not yet recruiting
  • Okayama University Hospital
    Okayama, Okayama-ken, Japan
    Not yet recruiting
  • NHO Higashisaitama National Hospital
    Hasuda, Saitama, Japan
    Not yet recruiting
  • Institute of Science Tokyo Hospital
    Bunkyō-Ku, Tokyo, Japan
    Not yet recruiting
  • National Center Hospital, National Center of Neurology and Psychiatry
    Kodaira, Tokyo, Japan
    Not yet recruiting
  • Tottori University Hospital
    Yonago, Tottori, Japan
    Not yet recruiting

Study contacts

Similar studies

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

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.