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

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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