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Ampreloxetine

Phase 3

Symptomatic Neurogenic Orthostatic Hypotension | Small molecule | Other |Theravance Biopharma, Inc.|Last Updated: Sep 5, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment297
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05696717Phase 3 Efficacy and Durability of Ampreloxetine for the Treatment of Symptomatic nOH in Participants With Multiple System AtrophyPHASE3 ACTIVE NOT_RECRUITING 102Jun 27, 2023Jan 1, 2028Sep 5, 202579 United States, Argentina +18
NCT03750552Clinical Effect of Ampreloxetine (TD-9855) for Treating Symptomatic nOH in Subjects With Primary Autonomic FailurePHASE3 COMPLETED 195Jan 24, 2019Jul 21, 2021Sep 14, 2022125 United States, Australia +17
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Study Endpoints
Primary Endpoints
Change in OHSA composite score at Week 8 during the double-blind RW period
8-week randomized withdrawal period (Week 12 to Week 20)

Score change from baseline on the composite of Questions 1 - 6 of the Orthostatic Hypotension Symptom Assessment (OHSA).

Change From Baseline in Orthostatic Hypotension Symptom Assessment (OHSA) Question #1 Score at Week 4
Baseline and Week 4

OHSA is an assessment of the severity of symptoms from low blood pressure. OHSA is a 6 question symptom assessment scale where each question uses an 11 point scale from 0 to 10, with 0 indicating no symptoms/no interference and 10 indicating the worst possible symptoms/complete interference. Question #1 assesses dizziness, lightheadedness, feeling faint, or feeling like you might blackout. A mean negative change from baseline indicates a better outcome.

Secondary Endpoints
Change from baseline in OHDAS item 1 (activities that require standing for a short time) at Week 8 post randomization
8-week randomized withdrawal period (Week 12 to Week 20)
Change from baseline in OHDAS item 3 (activities that require walking for a short time) at Week 8 post randomization
8-week randomized withdrawal period (Week 12 to Week 20)
Change From Baseline in Orthostatic Hypotension Symptom Assessment (OHSA) Composite Score at Week 4
Baseline and Week 4
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Ampreloxetine (Open Label)ACTIVE_COMPARATORParticipants will receive ampreloxetine as a single, oral, daily dose of active drug for 12 weeks.
Ampreloxetine (Randomized Withdrawal)PLACEBO_COMPARATORAfter completing the open label, participants are randomized to either ampreloxetine or placebo receiving a single, oral, daily dose of active drug or placebo for a further 8 weeks.
Long-Term Extension PeriodACTIVE_COMPARATORParticipants will receive ampreloxetine as a single, oral, daily dose of active drug for 104 weeks.
ampreloxetineEXPERIMENTALParticipants randomized to ampreloxetine will receive a single, oral, daily dose of active drug for 4 weeks.
PlaceboPLACEBO_COMPARATORParticipants randomized to Placebo will receive a single, oral, daily dose of placebo for 4 weeks.
Interventions
NameTypeDescription
AmpreloxetineDRUGOral tablet, QD
PlaceboDRUGOral tablet, QD
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Eligibility Criteria
Age Range30 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites79

Inclusion Criteria: * Participant is male or female and at least 30 years old. * Participant has a diagnosis of possible or probable MSA of the Parkinsonian subtype (MSA-P) or cerebellar subtype (MSA-C) according to The Gilman Criteria (2008). * Participant has a diagnosis of possible or probable M...

Countries:United StatesArgentinaAustraliaAustriaBrazilCanadaDenmarkEstoniaFranceGermanyHungaryIsraelItalyNew ZealandPolandPortugalSerbiaSpainTaiwanUnited KingdomBulgariaRussiaUkraine
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT05696717primaryCompletionDate: changed
LOWMay 24, 2026NCT05696717studyFirstPostDate: changed