Clinical trial • Phase IV • Neurology|Rare Disease
5,7-dichloro-2-((ethylamino)methyl)-8-hydroxy-3-methylquinazolin-4(3h)-one methanesulfonate for Multiple system atrophy
Phase IV trial of 5,7-dichloro-2-((ethylamino)methyl)-8-hydroxy-3-methylquinazolin-4(3h)-one methanesulfonate for Multiple system atrophy.
Overview
- Trial Therapeutic Area
- Neurology|Rare Disease
- Trial Disease
- Multiple system atrophy
- Trial Stage
- Phase IV
- Drug Modality
- Small molecule
- Orphan Drug
- Yes
Key dates
- Initial CTIS Submission Date
- 28-01-2026
- First CTIS Authorization Date
- 13-05-2026
Trial design
open-label, none/not specified-controlled Phase IV trial in France.
- Open Label
- Yes
- Comparator
- None/Not specified
- Target Sample Size
- 7
- Trial Duration For Participant
- 365
Eligibility
Recruits 7 Vulnerable population not selected; participants must be willing and able to provide written informed consent prior to any study-related procedure..
- Pregnancy Exclusion
- Pregnant or breastfeeding women or planning to become pregnant or breastfeeding while participating in the study.
- Vulnerable Population
- Vulnerable population not selected; participants must be willing and able to provide written informed consent prior to any study-related procedure.
Inclusion criteria
- {"criterion_text":"- Completed the ATH434-201 study in accordance with the study protocol requirements."}
- {"criterion_text":"- Willing and able to provide written informed consent prior to any study-related procedure."}
- {"criterion_text":"- Able to attend scheduled study visits (clinic and remote) as specified in the Schedule of Events."}
- {"criterion_text":"- Expected, in the investigator’s judgement, to benefit from treatment with ATH434."}
- {"criterion_text":"- Female participants must meet one of the following criteria: • Postmenopausal (defined as ≥12 months of spontaneous amenorrhea with a serum follicle stimulating hormone [FSH] level consistent with postmenopausal status at screening, or • Surgically sterile (documented hysterectomy, bilateral oophorectomy, or bilateral salpingectomy performed ≥6 months prior to enrollment), or • Of childbearing potential and compliant with the contraception requirements described in Section 7.4.2."}
- {"criterion_text":"- Male participants must agree to comply with the contraception requirements described in Section 7.4.3."}
Exclusion criteria
- {"criterion_text":"- Discontinued prior ATH434-201 treatment for any reason."}
- {"criterion_text":"- Any medical condition or psychiatric condition that, in the opinion of the investigator, results in an unfavorable benefit–risk ratio with ATH434 treatment. This includes but is not limited to: • Hemoglobin (male <13 g/dL; female <11 g/dL); • Abnormal liver tests: ALT and/or AST > 3 × ULN or Total bilirubin > 1.5 x ULN; • Renal impairment: creatinine clearance < 50 mL/min, as estimated by the Cockcroft–Gault formula; • Other clinically relevant abnormalities considered significant by the Investigator."}
- {"criterion_text":"- History of certain neurological event or abnormalities."}
- {"criterion_text":"- Use of prohibited concomitant medications that can interfere with ATH434 metabolism. (See Section 7.1)."}
- {"criterion_text":"- Known hypersensitivity to ATH434 or to any excipient in the formulation."}
- {"criterion_text":"- Pregnant or breastfeeding women or planning to become pregnant or breastfeeding while participating in the study."}
- {"criterion_text":"- Participated in an interventional medical research study/program within 30 days or 5 drug half-lives, whichever is longer, at the time of enrollment, or planning to do so while participating in the study."}
Endpoints
Primary endpoints
- {"endpoint_text":"- Assessment of long term safety and tolerability based on incidence and severity of AEs and SAEs, changes in laboratory and vital sign parameters including orthostatic measures, exposure to ATH434, treatment discontinuations due to adverse events, and deaths.","definition_or_measurement_approach":"Assessment based on incidence and severity of adverse events (AEs) and serious adverse events (SAEs), changes in laboratory and vital sign parameters (including orthostatic measures), exposure to ATH434, treatment discontinuations due to adverse events, and deaths."}
Recruitment
- Planned Sample Size
- 7
- Recruitment Window Months
- 13
- Consent Approach
- Participants must be willing and able to provide written informed consent prior to any study-related procedure. Subject information and informed consent form documents are provided (French language documents available). No assent or paediatric consent procedures are described.
Geography
- Total Number Of Sites
- 4
- Total Number Of Participants
- 7
France
- Earliest CTIS Part Ii Submission Date
- 14-04-2026
- Latest Decision Or Authorization Date
- 13-05-2026
- Processing Time Days
- 29
- Number Of Sites
- 4
- Number Of Participants
- 7
Sites
- Site Name
- Assistance Publique Hopitaux De Paris
- Department Name
- Neurology
- Contact Person Name
- Jean-Christophe Corvol
- Contact Person Email
- jean-christophe.corvol@aphp.fr
- Site Name
- Centre Hospitalier Regional De Marseille
- Department Name
- Neurology
- Contact Person Name
- Alexandre Eusebio
- Contact Person Email
- alexandre.eusebio@ap-hm.fr
- Site Name
- CHU Toulouse
- Department Name
- Neurology
- Contact Person Name
- Olivier Rascol
- Contact Person Email
- olivier.rascol@univ-tlse3.fr
- Site Name
- Centre Hospitalier Universitaire De Bordeaux
- Department Name
- Neurology for Neurodegenerative Diseases
- Contact Person Name
- Wassilios Meissner
- Contact Person Email
- wassilios.meissner@chu-bordeaux.fr
Sponsor
Primary sponsor
- Full Name
- Alterity Therapeutics Limited
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- Australia
Contract research organisations
- Name
- Wep Clinical Ireland Limited
- Responsibilities
- Sponsor duties codes: 1,12,13,14,5,6,8; contact Bwhite@wepclinical.com
Third parties
- {"country":"Ireland","full_name":"Wep Clinical Ireland Limited","duties_or_roles":"Sponsor duties codes: 1,12,13,14,5,6,8","organisation_type":"Pharmaceutical company"}
Investigational products
- Investigational Product Name
- ATH434-DP2
- Active Substance
- 5,7-dichloro-2-((ethylamino)methyl)-8-hydroxy-3-methylquinazolin-4(3h)-one methanesulfonate
- Modality
- Small molecule
- Routes Of Administration
- Oral
- Route
- ORAL USE
- Authorisation Status
- Authorised
- Orphan Designation
- Yes
- Maximum Dose
- 75 mg
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