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
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 30 Years to 79 Years |
| Sex | All |
| Enrollment | 140 (estimated) |
| Sponsor | Tokyo University Academic / other |
| Locations | 12 sites (Nagoya, Aichi-ken and 11 other locations) |
| Status | Recruiting |
| Started | February 9, 2026 |
| Main results expected | March 31, 2028 |
| Study ends | March 31, 2028 |
| Registry record updated | March 4, 2026 |
| Trial ID | NCT07446894 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
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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
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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
- Study coordinator: Jun Mitsui
- Email: msa-office@umin.ac.jp
- Phone: +81-3-5800-9762
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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.