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A Phase 2 Study of YA-101 in Patients with Multiple System Atrophy

Phase 2
Not yet recruiting
Conditions
Multiple System Atrophy
Interventions
Drug: Placebo
Registration Number
NCT06848231
Lead Sponsor
Yoda Therapeutics Inc.
Brief Summary

This is a Phase 2, double-blind, placebo-controlled, multi-center, Phase II, dose escalation study to evaluate the safety, tolerability, pharmacokinetics and efficacy of Ya-101 in subjects with multiple system atrophy.

Detailed Description

The purpose of the study is to evaluate 2 doses of YA-101 compared to placebo in MSA patients, including: 1) safety and tolerability, 2) pharmacokinetics, and 3) potential efficacy of YA-101.

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
42
Inclusion Criteria
  1. Able to understand the process of the clinical trial and give informed consent for the participation of the study.
  2. Diagnosis of MSA according to MDS clinical criteria (Wenning et al, 2022), including subjects with MSA of either subtype (MSA-P or MSA-C).
  3. Males or non-pregnant, non-lactating females with no child-bearing potential, or agree to use 2 forms of contraception.
  4. Able to take oral medications.
  5. Able to ambulate without the assistance of another person.
Exclusion Criteria
  1. Positive urine test for drugs of abuse and/or alcohol test both at screening and Day 1.
  2. Evidence of renal impairment or hepatic impairment.
  3. Subject with a Mini-Mental State Examination (MMSE) score of 24 or lower.
  4. Medical history includes severe systemic diseases such as cardiopulmonary failure, severe liver or kidney disease, and uncontrolled diabetes; significant central nervous system disorders like stroke, encephalitis, and epilepsy and severe head trauma; peptic ulcer in one year prior to screening.
  5. Positive results for active viral infections, including human immunodeficiency virus (HIV), hepatitis B, and hepatitis C.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
YA-101YA-101-
PlaceboPlacebo-
Primary Outcome Measures
NameTimeMethod
Number of Participants with Treatment-emergent Adverse Events (TEAEs)Baseline to Day 56

Number and percentage of participants with Treatment-emergent Adverse Events (TEAEs).

Secondary Outcome Measures
NameTimeMethod
Maximum observed concentration (Cmax)Baseline to Day 28

To describe the pharmacokinetics parameter (Cmax) of YA-101 using sparse PK sampling.

Area under the concentration-time curve (AUC)Baseline to Day 28

To describe the pharmacokinetics parameter (AUC) of YA-101 using sparse PK sampling.

Time of maximum observed concentration (Tmax)Baseline to Day 28

To describe the pharmacokinetics parameter (Tmax) of YA-101 using sparse PK sampling.

Change from baseline in Unified Multiple System Atrophy Rating Scale (UMSARS) over timeBaseline to Day 56

The unified multiple system atrophy rating scale (UMSARS) is composed of four subscales: UMSARS-I (12 items) rates patient-reported functional disability, UMSARS-II (14 items) assesses motor impairment based on a clinical examination, UMSARS-III records blood pressure and heart rate in the supine and standing positions, and UMSARS-IV (1 item) rates chore-based disability. Higher scores on the UMSARS indicate greater disability.

Change from baseline in the 10-meter walking testBaseline to Day 56

Trial Locations

Locations (8)

UCLA Health

🇺🇸

Los Angeles, California, United States

Brigham and Women's Hospital

🇺🇸

Boston, Massachusetts, United States

Mayo Clinic

🇺🇸

Rochester, Minnesota, United States

Columbia University Irving medical center

🇺🇸

New York, New York, United States

Vanderbilt University Medical Center

🇺🇸

Nashville, Tennessee, United States

Baylor College of Medicine

🇺🇸

Houston, Texas, United States

National Taiwan University Hospital

🇨🇳

Taipei, Taiwan

National Taiwan University Hospital Cancer Center

🇨🇳

Taipei, Taiwan

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