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ATH434

Phase 2

Multiple System Atrophy | Small molecule | Neurology |Alterity Therapeutics Limited|Trials Updated: Oct 9, 2026

ATH434 development status

Highest phase Phase 2
Registered trials 3 across 1 sponsor since May 2023

ATH434 target and mechanism

ModalitySmall molecule

Also known as ATH434 dose level 1, PBT434

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials3
Total Enrollment94

FDA Designations

ORPHAN_DRUGFAST_TRACK

ATH434 clinical trials

ATH434 · 3 trials · 1 indication

Phase 2 3
NCT07729852Open-Label Access to ATH434 for Patients Who Completed Study ATH434-201 in FranceMultiple System Atrophy
ENROLLING BY_INVITATION7 Analytics
NCT05864365A Biomarker Study of ATH434 in Participants With MSAMultiple System Atrophy
COMPLETED10 Analytics
NCT05109091Study of ATH434 in Participants with Multiple System AtrophyMultiple System Atrophy
COMPLETED77 Analytics
PHASE2ENROLLING BY_INVITATION
Open-Label Access to ATH434 for Patients Who Completed Study ATH434-201 in France
Multiple System AtrophyUnlock trial analytics
PHASE2COMPLETED
A Biomarker Study of ATH434 in Participants With MSA
Multiple System AtrophyUnlock trial analytics
PHASE2COMPLETED
Study of ATH434 in Participants with Multiple System Atrophy
Multiple System AtrophyUnlock trial analytics

Study Endpoints

Primary Endpoints

Incidence, Severity, and Relationship of Adverse Events (AEs) and Serious Adverse Events (SAEs)
Baseline to completion of study treatment, an average of 1 year.

All AEs will be reviewed at every participant contact and documented in the CRF. All SAEs will be reported within 24 hours of awareness in accordance with local regulatory requirements.

Change From Baseline in Clinical Laboratory Parameters
Baseline to completion of study treatment, an average of 1 year.

Clinical laboratory parameters include hematology and blood chemistry panels.

Change From Baseline in Vital Signs
Baseline to completion of study treatment, an average of 1 year.

Vital signs include blood pressure, pulse, temperature, and respiration rate.

Duration of Exposure to ATH434
Baseline to completion of study treatment, an average of 1 year.

Total duration of treatment with investigational product per participant.

Cumulative Dose of ATH434
Baseline to completion of study treatment, an average of 1 year.

Total cumulative dose of investigational product administered per participant.

Change in brain volume as measured by MRI
Change from Baseline to Week 52
Change in iron content as measured by brain MRI
Change from Baseline to Week 52

Secondary Endpoints

Change in iron content in substantia nigra as measured by MRI
Change from Baseline to Week 52
Change in Unified MSA Rating Scale (UMSARS) Score
Change from Baseline to Week 52
Change in Patient Global Impression of Change (PGI-C)
Change from Baseline to Week 52
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
ATH434 75mg BIDEXPERIMENTALParticipants who completed the prior ATH434-201 Phase 2 trial will receive ATH434 75 mg orally twice daily (BID). Treatment consists of an initial 12-month treatment phase, followed by an ongoing extension phase based on investigator assessment of continued clinical benefit, safety, and tolerability
ATH434EXPERIMENTAL -
ATH434 Arm 1EXPERIMENTAL -
ATH434 Arm 2EXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -

Interventions

NameTypeDescription
ATH434DRUGATH434 75 mg tablets administered orally twice daily (BID).
ATH434 dose level 1DRUGATH434 taken BID
ATH434 dose level 2DRUGATH434 taken BID
PlaceboDRUGPlacebo taken BID
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Eligibility Criteria

Age Range30 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites4

Inclusion Criteria: * Completed Alterity protocol ATH434-201. * Expected to benefit from treatment from treatment with ATH434, in the opinion of the Investigator. Exclusion Criteria: * Discontinued prior ATH434 treatment (ATH434-201) for any reason. * Significant medical or psychiatric condition ...

Countries:FranceUnited StatesAustraliaItalyNew ZealandUnited Kingdom
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Recent Changes (Last 90 Days)

LOWOct 9, 2026NCT07729852Status: NOT_YET_RECRUITING → ENROLLING_BY_INVITATION
LOWOct 9, 2026NCT07729852Status: NOT_YET_RECRUITING → ENROLLING_BY_INVITATION
LOWSep 21, 2026NCT07729852startDate: changed
LOWSep 21, 2026NCT07729852startDate: changed

Frequently asked questions about ATH434

What is ATH434 used for?

ATH434 is being developed for the treatment of Multiple System Atrophy, a rare neurological disorder. It is an investigational small molecule and has not been approved for any indication. Development is focused on the Multiple System Atrophy patient population, and the program holds Orphan Drug and Fast Track designations from the FDA.

Who makes ATH434?

ATH434 is developed by Alterity Therapeutics Limited, which trades under the ticker ATHE. The company is the sponsor of the clinical program evaluating ATH434 in Multiple System Atrophy, including the Phase 2 studies conducted across the United States, Australia, France, Italy, New Zealand, and the United Kingdom.

What phase is ATH434 in?

ATH434 is in Phase 2 clinical development for Multiple System Atrophy. Three Phase 2 trials have been conducted or are ongoing, with two completed and one currently enrolling by invitation. The program has enrolled a total of 94 participants across these studies and remains investigational.

What clinical trials is ATH434 in?

ATH434 has been studied in three Phase 2 trials. NCT05109091 was a placebo-controlled study of ATH434 in participants with Multiple System Atrophy that enrolled 77 patients. NCT05864365 was a biomarker study in 10 participants, and NCT07729852 is an open-label access study in France for patients who completed ATH434-201.

Is ATH434 the same as ATH434 dose level 1?

ATH434 dose level 1 refers to a specific dose level within the ATH434 clinical program rather than a separate drug. ATH434 is the compound itself, a small molecule being developed by Alterity Therapeutics for Multiple System Atrophy, and dose level 1 is one of the doses evaluated in its Phase 2 trials.

Does ATH434 have FDA designations?

ATH434 has received both Orphan Drug and Fast Track designations from the FDA for its development in Multiple System Atrophy. These designations support the ongoing Phase 2 program, which includes randomized, double-blind, placebo-controlled trials. ATH434 remains an investigational therapy and is not approved for commercial use.