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Alterity Therapeutics Announces Publication on Novel MRI Endpoint from the bioMUSE Natural History Study - Peer-reviewed publication in Annals of Clinical and Translational Neurology highlights the use of the MSA Atrophy

Key Takeaway: Alterity Therapeutics has announced the publication of research on the MSA Atrophy Index, an innovative neuroimaging measure for diagnosing and tracking Multiple System Atrophy (MSA), in the Annals of Clinical and Translational Neurology. The study utilized advanced deep learning techniques to improve the assessment of brain atrophy in MSA patients, aiming for more accurate diagnoses and monitoring of disease progression. The findings correlated significant brain volume reductions over time with clinical worsening of MSA, supporting the use of this index in clinical settings. This advancement may lead to better patient selection in clinical trials and improved outcomes in therapy addressing this neurodegenerative disease.

Market Sentiment Analysis

POSITIVE FACTORS

  • Publication in a reputable peer-reviewed journal enhances credibility.
  • Introduction of the MSA Atrophy Index could improve diagnosis and treatment monitoring.
  • The use of AI in imaging methods may lead to better tracking of disease progression.
  • Potential for personalized care and improved clinical trial outcomes in MSA.

Full Press Release Details

Alterity Therapeutics Announces
Publication on Novel MRI Endpoint from the bioMUSE Natural History Study
- Peer-reviewed publication
in Annals of Clinical and Translational Neurology highlights the use of the MSA Atrophy Index developed to diagnose and track disease
progression in Multiple System Atrophy -
MELBOURNE, AUSTRALIA AND SAN FRANCISCO,
USA - 24 July 2025: Alterity Therapeutics (ASX: ATH, NASDAQ: ATHE) ("Alterity" or "the Company"),
a biotechnology company dedicated to developing disease modifying treatments for neurodegenerative diseases, today announced that an
innovative neuroimaging measure developed in Alterity's Biomarkers of Progression in Multiple System Atrophy (bioMUSE) Natural
History Study was featured in the peer-reviewed journal Annals of Clinical and Translational Neurology.
The publication, entitled "The MSA Atrophy
Index (MSA-AI): An Imaging Marker for Diagnosis and Clinical Progression in Multiple System Atrophy," describes how deep learning
methods, a form of artificial intelligence, were used to precisely define the neuroanatomy of key regions in the brain and the development
of a novel brain atrophy measure for tracking disease progression in MSA patients over one year. The results were then correlated with
clinical measures of disease severity over the same timeframe.
"This research used state-of-the-art technology
employed in the bioMUSE study that goes above and beyond traditional MRI methods for assessing brain volume in patients with MSA,"
said David Stamler, M.D., Chief Executive Officer of Alterity. "Based on the creativity and technical skill of our colleagues at
Vanderbilt University Medical Center, we now have superior tools for diagnosing MSA and tracking brain atrophy over time. Importantly,
we observed that statistically significant reductions in brain volume over 12 months correlated with clinical worsening of the disease.
The results underscore the importance of utilizing advanced neuroimaging methods and analytical tools in evaluating MSA, which we implemented
in our Phase 2 clinical program."
"While previous MRI studies have reported
brain volume reductions in MSA affected brain regions, tracking these changes reliably has been challenging. Development of the MSA Atrophy
Index can enhance the understanding of MSA progression and provide support for using brain atrophy markers for the evaluation of disease-modifying
therapies. These tools offer potential applications in diagnosis, staging, and monitoring of disease severity, contributing to more personalized
care in MSA. We look forward to leveraging this invaluable technology for patient selection and disease progression in our Phase 3 clinical
trial," concluded Dr. Stamler.
The MSA-AI offers an objective, quantifiable measure
of brain atrophy in regions commonly affected by MSA, streamlining the evaluation of disease progression and treatment response. This
is especially valuable in MSA, where early diagnosis is often hindered by overlapping features with Parkinson's disease (PD) and
Dementia with Lewy Bodies (DLB). The MSA-AI provides a phenotype-independent assessment, making it applicable to both MSA-P and MSA-C,
despite differing atrophy patterns. By offering a standardized metric of structural change, the MSA-AI has potential to support earlier,
more accurate diagnosis and improve clinical trial participant selection.
By leveraging a longitudinal cohort from bioMUSE
and a cross-sectional cohort including individuals with more advanced MSA, the study captured a broad spectrum of clinical severity and
atrophy patterns. This complementary design allowed the authors to assess both early and established disease, strengthening the generalizability
of the findings. MSA patients exhibited significantly lower MSA-AI scores (i.e., reduced brain volumes) compared to all other diagnostic
groups (p < 0.001). The MSA-AI effectively distinguished MSA from related synucleinopathies (PD and DLB, both p<0.001), correlated
with baseline clinical severity ( = 0.57, p<0.001), and predicted disease progression ( = 0.55, p=0.035).
Longitudinal reductions in MSA-AI were associated with worsening clinical scores over 12 months ( = 0.65, p=0.01).
The full publication can be accessed on Alterity's
Biomarkers of progression in Multiple System Atrophy
(bioMUSE) is a natural history study that aims to track the progression of individuals with MSA, a parkinsonian disorder without an approved
therapy. The study is being conducted in collaboration with Vanderbilt University Medical Center in the U.S. under the direction of Daniel
Claassen, M.D., M.S., Professor of Neurology and Principal Investigator. Natural history studies are important for characterizing disease
progression in selected patient populations. The study has provided rich data for optimizing the design of Alterity's randomized
ATH434-201 Phase 2 clinical trial and enrolled approximately 20 individuals with clinically probable or clinically established MSA. BioMUSE
continues to provide vital information on early stage MSA patients, informs the selection of biomarkers suitable to evaluate target engagement
and preliminary efficacy, and delivers clinical data to characterize disease progression in a patient population that mirrors those currently
enrolling in the Phase 2 clinical trial.
About Multiple System Atrophy
Multiple System Atrophy (MSA) is a rare,
neurodegenerative disease characterized by failure of the autonomic nervous system and impaired movement. The symptoms reflect the
progressive loss of function and death of different types of nerve cells in the brain and spinal cord. It is a rapidly progressive
disease and causes profound disability. MSA is a Parkinsonian disorder characterized by a variable combination of slowed movement
and/or rigidity, autonomic instability that affects involuntary functions such as blood pressure maintenance and bladder control,
and impaired balance and/or coordination that predisposes to falls. A pathological hallmark of MSA is the accumulation of the
protein -synuclein within glia, the support cells of the central nervous system, and neuron loss in multiple brain regions.
MSA affects at least 15,000 individuals in the U.S., and while some of the symptoms of MSA can be treated with medications,
currently there are no drugs that are able to slow disease progression and there is no cure.1
1Multiple System Atrophy | National
Institute of Neurological Disorders and Stroke (nih.gov)
About Alterity Therapeutics Limited
Alterity Therapeutics is a clinical stage biotechnology
company dedicated to creating an alternate future for people living with neurodegenerative diseases. The Company is initially focused
on developing disease modifying therapies in Parkinson's disease and related disorders. Alterity recently reported positive data
for its lead asset, ATH434, in a Phase 2 clinical trial in participants with Multiple System Atrophy (MSA), a rare and rapidly progressive
Parkinsonian disorder. ATH434 is also being evaluated in a Phase 2 clinical trial in advanced MSA. In addition, Alterity has a broad drug
discovery platform generating patentable chemical compounds to treat the underlying pathology of neurological diseases. The Company is
based in Melbourne, Australia, and San Francisco, California, USA. For further information please visit the Company's website at
Authorisation & Additional information
This announcement was authorized by David Stamler, CEO of Alterity
Therapeutics Limited.
Investor and Media Contacts:
Head of Investor Relations and Business Development
Forward Looking Statements
This press release contains "forward-looking
statements" within the meaning of section 27A of the Securities Act of 1933 and section 21E of the Securities Exchange Act of 1934.
The Company has tried to identify such forward-looking statements by use of such words as "expects," "intends," "hopes,"
"anticipates," "believes," "could," "may," "evidences" and "estimates," and
other similar expressions, but these words are not the exclusive means of identifying such statements.
Important factors that could cause actual results
to differ materially from those indicated by such forward-looking statements are described in the sections titled "Risk Factors"
in the Company's filings with the SEC, including its most recent Annual Report on Form 20-F as well as reports on Form 6-K, including,
but not limited to the following: statements relating to the Company's drug development program, including, but not limited to the initiation,
progress and outcomes of clinical trials of the Company's drug development program, including, but not limited to, ATH434, and any other
statements that are not historical facts. Such statements involve risks and uncertainties, including, but not limited to, those risks
and uncertainties relating to the difficulties or delays in financing, development, testing, regulatory approval, production and marketing
of the Company's drug components, including, but not limited to, ATH434, the ability of the Company to procure additional future
sources of financing, unexpected adverse side effects or inadequate therapeutic efficacy of the Company's drug compounds, including, but
not limited to, ATH434, that could slow or prevent products coming to market, the uncertainty of obtaining patent protection for the Company's
intellectual property or trade secrets, the uncertainty of successfully enforcing the Company's patent rights and the uncertainty
of the Company freedom to operate.
Any forward-looking statement made by us in
this press release is based only on information currently available to us and speaks only as of the date on which it is made. We undertake

Frequently Asked Questions

What is the MSA Atrophy Index?

The MSA Atrophy Index (MSA-AI) is a neuroimaging measure for diagnosing and tracking disease progression in Multiple System Atrophy (MSA).

How does the MSA-AI improve MSA diagnosis?

MSA-AI uses advanced deep learning methods to allow for precise tracking of brain atrophy, leading to earlier and more accurate MSA diagnosis.

What clinical significance does the MSA-AI hold?

Statistically significant reductions in brain volume over 12 months correlate with worsening clinical scores in MSA patients, indicating its clinical relevance.

Who conducted the bioMUSE study?

The bioMUSE study, crucial for characterizing MSA progression, is conducted in collaboration with Vanderbilt University Medical Center.

What are the goals of Alterity Therapeutics?

Alterity Therapeutics focuses on developing disease-modifying treatments for neurodegenerative diseases like MSA.

Last updated: Jul 24, 2025