Actively Recruiting

Phase 1
Age: 40Years - 70Years
All Genders
NCT04165486

Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of ION464 Administered to Adults With Multiple System Atrophy (HORIZON)

Led by Ionis Pharmaceuticals, Inc. · Updated on 2026-04-27

40

Participants Needed

15

Research Sites

266 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The primary objectives are to evaluate the safety and tolerability of multiple doses of ION464 administered via intrathecal (IT) injection (Part 1) and to evaluate the long-term safety and tolerability of ION464 (Part 2) in participants with multiple system atrophy (MSA). The secondary objectives are to evaluate the pharmacodynamic (PD) effect of ION464 on the level of a potential biomarker of target engagement (Parts 1 and 2) and to evaluate the pharmacokinetic (PK) profile of ION464 in serum (Part 1).

CONDITIONS

Official Title

Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of ION464 Administered to Adults With Multiple System Atrophy (HORIZON)

Who Can Participate

Age: 40Years - 70Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Screening DaTscan showing loss of dopamine nerve terminals in the striatum consistent with neurodegenerative parkinsonism
  • Diagnosed with probable or possible multiple system atrophy (MSA), parkinsonian-type or cerebellar-type
  • Able to walk unassisted for at least 10 meters (approximately 30 feet)
Not Eligible

You will not qualify if you...

  • Presence of cognitive dysfunction with Montreal Cognitive Assessment (MoCA) score less than 25
  • Family history of ataxia or parkinsonism with a known genetic cause of these conditions
  • Other protocol-defined exclusion criteria may apply

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 15 locations

1

Medizinische Universität Innsbruck

Innsbruck, Austria, 6020

Actively Recruiting

2

CHU de Lyon - Hospices Civils de Lyon-H6pital Pierre Wertheimer, Neurologique HCL

Lyon, France, 69500

Actively Recruiting

3

Groupe Hospitalier Pitie-Salpetriere

Paris, France, 75013

Actively Recruiting

4

Hopital Purpan

Toulouse, France, 31059

Actively Recruiting

5

Universitaetsklinikum Ulm

Ulm, Baden-Wurttemberg, Germany, 89081

Actively Recruiting

6

Universitaetsklinikum Duesseldorf AoeR

Düsseldorf, Germany, 40225

Actively Recruiting

7

University Medical Center Göttingen, Clinic for Neurology

Göttingen, Germany, 37075

Actively Recruiting

8

Medizinische Hochschule Hannover (MHH)

Hanover, Germany, 30625

Completed

9

University Hospital Marburg

Marburg, Germany, 35043

Actively Recruiting

10

Klinikum der Universtiatet Muenchen -Campus Grosshadern

München, Germany, 81377

Actively Recruiting

11

Hospital Beatriz Ângelo

Loures, Portugal, 2674-514

Actively Recruiting

12

Institute of Neurology & The National Hospital for Neurology and Neurosurgery

London, England, United Kingdom, WC1N 3BG

Actively Recruiting

13

The John Radcliffe Hospital

Oxford, England, United Kingdom, OX3 9DU

Actively Recruiting

14

Salford Royal Hospital

Salford, United Kingdom, M6 8HD

Actively Recruiting

15

Southampton General Hospital

Southampton, United Kingdom, SO16 6YD

Actively Recruiting

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Research Team

I

Ionis Pharmaceuticals, Inc.

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

TRIPLE

Allocation

RANDOMIZED

Model

SEQUENTIAL

Primary Purpose

TREATMENT

Number of Arms

4

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