The primary objective of the study is to evaluate the efficacy of TEV-56286 administered orally for the treatment of adult participants with Multiple System Atrophy (MSA). A secondary objective of the study is to evaluate specific efficacy parameters of TEV-56286. Another secondary objective is to evaluate the safety and tolerability of TEV-56286. The planned study period per participant is 56 weeks including a screening period (up to 4 weeks), a 48-week double-blind treatment period, and a follow-up visit (approximately 4 weeks after the end of the double-blind treatment period). The study duration will be approximately 27 months.
We plan to open locations in the following countries: US, Israel, Italy, Spain, Germany, France, and Japan
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
200
TEV-56286 capsules administered orally
Matching placebo administered orally
Teva Investigational Site 15554
La Jolla, California, United States
RECRUITINGTeva Investigational Site 15545
Los Angeles, California, United States
RECRUITINGTeva Investigational Site 15547
Washington D.C., District of Columbia, United States
RECRUITINGTeva Investigational Site 15544
Boca Raton, Florida, United States
For non-EU: Change From Baseline in the Modified Unified Multiple System Atrophy Rating Scale (UMSARS) Part I Score (excluding item 11)
The UMSARS is a multidimensional, validated scale for semi-quantitative clinical assessments of MSA participants. Modified UMSARS part I includes all items with the exclusion of item 11. Item scoring is scaled 0-3 using a range of 0 (no impairment) to 3 (severe impairment).
Time frame: Baseline to Week 48
For EU: Change From Baseline in the Total UMSARS Score Part I and Part II Combined
The UMSARS is comprised of 4 parts: part I, historical review of disease-related impairments, 12 items and part II, motor examination, 14 items. As UMSARS is a unified scale, each item in parts I and II achieves a single score using a range of 0 (no impairment) to 4 (severe impairment).
Time frame: Baseline to Week 48
For non-EU: Change From Baseline in the Total UMSARS Score (Part I and Part II combined)
Time frame: Baseline to Week 48
For EU: Change From Baseline in the Modified UMSARS part I score (excluding item 11, item scoring rescaled 0-3)
Time frame: Baseline to Week 48
Change From Baseline in the UMSARS Part 1 Score
Time frame: Baseline to Week 48
Change From Baseline in Lateral Ventricle Volume Measured by MRI
Time frame: Baseline to Week 48
Change From Baseline in the Clinical Global Impression - Severity scale (CGI-S)
The CGI-S scale permits a global evaluation of the participant's current severity of illness on a Likert type scale ranging from 1 to 7, where 1=normal/not at all ill, 2=borderline ill, 3=mildly ill, 4=moderately ill, 5=markedly ill, 6=severely ill, and 7=among the most extremely ill participants
Time frame: Baseline to Week 48
Change From Baseline in the Neurofilament Light Chain (NfL) Concentrations in Cerebrospinal Fluid (CSF)
Time frame: Baseline to Week 48
Change From Baseline in the Patient Global Impression-Severity Scale (PGI-S)
The PGI-S scale permits an evaluation of the participant's MSA severity, according to the participant. The PGI-S scale rates the participant's MSA severity on a 5-point Likert type scale ranging from 0 (not severe) to 4 (very severe)
Time frame: Baseline to Week 48
Change From Baseline in the Pons volume measured by MRI
Time frame: Baseline to Week 48
Change From Baseline in the Cerebellar volume measured by MRI
Time frame: Baseline to Week 48
Change From Baseline in the UMSARS part II score
Time frame: Baseline to Week 48
Change From Baseline in the UMSARS part IV score
Time frame: Baseline to Week 48
Change From Baseline in the Two-minute walk test as part of gait assessment
Time frame: Baseline to Week 48
Change From Baseline in the Multiple System Atrophy - Quality of Life (MSA-QoL) Score
The 40-item MSA-QoL questionnaire is self-administered and each item is rated on a Likert type scale (0: No problem) to (4: Extreme problem). It is comprised of 3 subscales relevant to MSA: motor (14 items), non-motor (12 items), and emotional/social (14 items). The MSA-QoL total score is the sum of all the items and lower scores indicate better QoL.
Time frame: Baseline to Week 48
Number of Participants With At Least One Treatment-Emergent Adverse Event (TEAEs)
Time frame: Up to Week 48
Number of Participants Who Withdraw From the Study Due to an Adverse Event
Time frame: Up to Week 48
Number of Participants Who Withdraw From Treatment Due to an Adverse Event
Time frame: Up to Week 48
Number of Participants With At Least One Potentially Clinically Significant Abnormal Vital Sign Value
Time frame: Up to Week 48
Number of Participants With At Least One Potentially Clinically Significant Laboratory Test Value
Time frame: Up to Week 48
Number of Participants with at Least One Potentially Clinically Significant Change in 12-lead Electrocardiogram (ECG) Findings
Time frame: Up to Week 48
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Teva Investigational Site 15555
Tampa, Florida, United States
RECRUITINGTeva Investigational Site 15550
Chicago, Illinois, United States
RECRUITINGTeva Investigational Site 15546
Kansas City, Kansas, United States
RECRUITINGTeva Investigational Site 15736
Boston, Massachusetts, United States
RECRUITINGTeva Investigational Site 15870
Farmington Hills, Michigan, United States
RECRUITINGTeva Investigational Site 15552
Rochester, Minnesota, United States
RECRUITING...and 44 more locations