Multiple system atrophy

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ORPHA:102OMIM:146500G23.3G23.2
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44Active trials67Specialists8Treatment centers

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UniteRare data is sourced from FDA.gov, ClinicalTrials.gov, Orphanet, OMIM, and NORD.
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Overview

Multiple system atrophy (MSA) is a rare and progressive brain disease that affects many parts of the nervous system at the same time. It is sometimes called Shy-Drager syndrome, striatonigral degeneration, or olivopontocerebellar atrophy — names that were used in the past before doctors understood these were all the same condition. MSA causes a buildup of an abnormal protein called alpha-synuclein inside brain cells, which slowly damages areas of the brain that control movement, balance, and automatic body functions. People with MSA may experience a wide range of symptoms. These include problems with balance and coordination, stiff or slow movements similar to Parkinson's disease, and trouble with automatic body functions like blood pressure, bladder control, and sweating. Symptoms usually begin in a person's 50s or 60s and get worse over time. There is currently no cure for MSA and no treatment that slows the disease down. However, many symptoms can be managed with medications and therapies to improve quality of life. A team of specialists — including neurologists, urologists, and physical therapists — work together to help people live as comfortably as possible. Research into new treatments is ongoing.

Also known as:

Key symptoms:

Problems with balance and frequent fallsSlow, stiff movements similar to Parkinson's diseaseSlurred or quiet speechDizziness or fainting when standing up (due to low blood pressure)Bladder problems such as urgency, leaking, or difficulty emptying the bladderConstipationReduced or absent sweatingDifficulty swallowingBreathing problems, especially during sleepErectile dysfunction in menTremor (shaking) of the hands or limbsUncoordinated movements and difficulty with fine motor tasksStiff or rigid musclesChanges in handwritingEmotional changes or depression

Clinical phenotype terms (27)— hover any for plain English
Orofacial dyskinesiaHP:0002310Resting tremorHP:0002322Abnormal rapid eye movement sleepHP:0002494Axial dystoniaHP:0002530Orthostatic hypotension due to autonomic dysfunctionHP:0004926Autonomic bladder dysfunctionHP:0005341Autonomic erectile dysfunctionHP:0008652
Inheritance

Sporadic

Usually appears on its own, not inherited from a parent

Age of Onset

Adult

Begins in adulthood (age 18 or older)

Orphanet ↗OMIM ↗NORD ↗

FDA & Trial Timeline

10 events
Sep 2026Autologous Stem Cell Therapy in Patients With Multiple System Atrophy

Biocells Medical — PHASE2

TrialNOT YET RECRUITING
May 2026Expansion Study of ALT001 in Patients With Multiple System Atrophy

yilong Wang — EARLY_PHASE1

TrialNOT YET RECRUITING
Apr 2026Optimizing Adaptive Intensive Behavioral Therapy for Obesity During the Transition to Older Adulthood

University of Alabama at Birmingham — NA

TrialNOT YET RECRUITING
Mar 2026Skeletal Muscle Multi-omics Analysis and Risk Tailoring in Sudden Cardiac Death

China National Center for Cardiovascular Diseases

TrialNOT YET RECRUITING
Mar 2026Neuromuscular and Multi-Omics Synergy of Combined Creatine × HMB Supplementation Plus Exercise to Improve Muscle Function in Sarcopenic Frailty

Universidad de Burgos — NA

TrialNOT YET RECRUITING
Mar 2026Muscle-Specific Multimodal AI for Sarcopenia Diagnosis

Seoul National University Bundang Hospital — NA

TrialNOT YET RECRUITING
Feb 2026A Study of PLH-2301 in Subjects With Sarcopenia

Pluto Inc. — PHASE2

TrialNOT YET RECRUITING
Feb 2026MSA-01 in Multiple System Atrophy

Tokyo University — PHASE3

TrialRECRUITING
Jan 2026Facility-Based Multi-Modal Rehab vs. Home-Based Resistance Exercise for Quality of Life in Breast Cancer Survivors

Valeria Chiu — NA

TrialRECRUITING
Dec 2025Slowing Cognitive Decline in Alpha-synucleinopathies by Enhancing Physical Activity

University Hospital, Bonn — NA

TrialRECRUITING

Data sourced from FDA regulatory filings and ClinicalTrials.gov. Updated periodically.

Treatments

No FDA-approved treatments are currently listed for Multiple system atrophy.

20 clinical trialsare actively recruiting — trials can provide access to cutting-edge therapies.

View clinical trials →

Clinical Trials

20 recruitingView all trials with filters →
Phase 33 trials
Phase 3 Efficacy and Durability of Ampreloxetine for the Treatment of Symptomatic nOH in Participants With Multiple System Atrophy
Phase 3
Active
· Sites: Scottsdale, Arizona; Fountain Valley, California +77 more · Age: 3099 yrs
A Trial of Amlenetug (Lu AF82422) in Participants With Multiple System Atrophy (MSA)
Phase 3
Active
PI: Email contact via H. Lundbeck A/S (H. Lundbeck A/S) · Sites: Scottsdale, Arizona; Little Rock, Arkansas +72 more · Age: 4075 yrs
MSA-01 in Multiple System Atrophy
Phase 3
Actively Recruiting
· Sites: Nagoya, Aichi-ken; Chiba, Chiba +10 more · Age: 3079 yrs
Phase 26 trials
A Trial to Test if TEV-56286 is Effective for Treatment of Participants With Multiple System Atrophy
Phase 2
Actively Recruiting
PI: Tev Medical Expert, Study Director (Teva Branded Pharmaceutical Products R&D LLC) · Sites: La Jolla, California; Los Angeles, California +52 more · Age: 3075 yrs
A Phase 2a Study of Foralumab Nasal in Patients With Multiple System Atrophy (MSA)
Phase 2
Actively Recruiting
· Sites: Boston, Massachusetts · Age: 3085 yrs
Safety, Tolerability, and Pharmacokinetics of Exidavnemab in Patients With Parkinson's Disease and Patients With Multiple System Atrophy
Phase 2
Active
· Sites: Bydgoszcz; Krakow +5 more · Age: 4085 yrs
An Extension Trial to Test if TEV-56286 is Effective in Relieving Multiple System Atrophy
Phase 2
Actively Recruiting
PI: Teva Medical Expert, MD (Teva Branded Pharmaceutical Products R&D LLC) · Sites: Boca Raton, Florida; Spokane, Washington +3 more · Age: 3099 yrs
A Phase 2 Study of YA-101 in Patients With Multiple System Atrophy
Phase 2
Actively Recruiting
· Sites: Los Angeles, California; Boston, Massachusetts +7 more · Age: 3099 yrs
A Phase 2 Study of ONO-2808 in Patients With Multiple System Atrophy
Phase 2
Active
PI: Project Leader (Ono Pharmaceutical Co. Ltd) · Sites: Fountain Valley, California; Los Angeles, California +33 more · Age: 3080 yrs
Other10 trials
Natural History Study of Synucleinopathies
Actively Recruiting
PI: Horacio C Kaufmann, MD (NYU MEDICAL CENTER) · Sites: Boston, Massachusetts; Ann Arbor, Michigan +6 more · Age: 1899 yrs
Shanghai Clinical Cohort - Parkinson's Disease (Reserve)
Actively Recruiting
· Sites: Shanghai
North American Prodromal Synucleinopathy Consortium
Enrolling by Invitation
PI: Yo-El Ju, MD (Washington University School of Medicine) · Sites: Sun City, Arizona; Los Angeles, California +8 more · Age: 1899 yrs
Clinical Laboratory Evaluation of Chronic Autonomic Failure
Active
PI: Justin Y Kwan, M.D. (National Institute of Neurological Disorders and S) · Sites: Bethesda, Maryland · Age: 18120 yrs
AB-1005 Long-Term Follow-up Study
Enrolling by Invitation
· Sites: San Francisco, California; Columbus, Ohio
Multiple System Atrophy Multidisciplinary Clinic
Actively Recruiting
PI: Steven Vernino, M.D. (University of Texas Southwestern Medical Center) · Sites: Dallas, Texas · Age: 1899 yrs
TSPO PET in the Evaluation of Neuroinflammation in Patients with Multiple System Atrophy
Actively Recruiting
· Sites: Hunan, Changsha · Age: 3580 yrs
Prodromal Model of Parkinson's Disease Confined to The Peripheral Nervous System
Enrolling by Invitation
PI: Astrid J. Terkelsen, MD, DrMedSc, PhD, Professor (Department of clinical medicine, Aarhus University) · Sites: Aarhus, Jutland · Age: 1885 yrs
North American Prodromal Synucleinopathy Consortium Stage 2
Actively Recruiting
PI: Yo-El Ju, MD, MCSI (Washington University School of Medicine) · Sites: Los Angeles, California; Redwood City, California +7 more · Age: 1899 yrs
Pain and Autonomic Symptoms in Parkinson's Disease and Atypical Parkinsonisms
Actively Recruiting
PI: Maria Nolano, MD, PhD (Isituti Clinici Scientifici Maugeri SpA SB - IRCCS) · Sites: Telese Terme, Benevento; Lumezzane, Brescia +7 more · Age: 1899 yrs

Specialists

Showing 25 of 67View all specialists →
AF
Alexandra FOUBERT-SAMIER
Specialist
PI on 1 active trial1 Multiple system atrophy publication
HM
Horacio C Kaufmann, MD
NEW YORK, NY
Specialist
PI on 4 active trials
DM
David Russell, MD
Specialist
PI on 3 active trials
IP
Ioana Grintescu, MD, PhD
Specialist
PI on 1 active trial
HM
Horacio Kaufmann, MD
NEW YORK, NY
Specialist
PI on 10 active trials
MM
Michio Hirano, MD
NEW YORK, NY
Specialist
PI on 10 active trials
IM
Italo Biaggioni, MD
NASHVILLE, TN
Specialist
PI on 24 active trials
IM
Italo Biaggioni, M.D.
NASHVILLE, TN
Specialist
PI on 4 active trials
PM
Phillip A Low, MD
ROCHESTER, MN
Specialist
PI on 2 active trials
AM
Alessandro Filla, MD
Specialist
PI on 3 active trials1 Multiple system atrophy publication
TM
Tao Feng, M.D.
STANFORD, CA
Specialist
PI on 1 active trial
YM
Yilong Wang, M.D.
Specialist
PI on 1 active trial
FM
Fumihiko Urano, MD
SAINT LOUIS, MO
Specialist
PI on 1 active trial
SM
Scot C. Remick, MD
SCARBOROUGH, ME
Specialist
PI on 9 active trials
YM
Yilong Wang, MD,PhD
Specialist
PI on 3 active trials
CP
Cynthia Gagnon, Ph.D.
PHOENIX, AZ
Specialist
PI on 1 active trial
DP
David S Ditor, PhD
Specialist
PI on 3 active trials
WM
Wolfgang Singer, MD
ROCHESTER, MN
Specialist
PI on 3 active trials1 Multiple system atrophy publication
MP
Mark A Hasegawa-Johnson, Ph.D.
Specialist
PI on 1 active trial
TM
Thomas Klockgether, MD
Specialist
PI on 2 active trials

Treatment Centers

8 centers
🏥 NORD

Baylor College of Medicine Rare Disease Center

Baylor College of Medicine

📍 Houston, TX

🏥 NORD

Stanford Medicine Rare Disease Center

Stanford Medicine

📍 Stanford, CA

🔬 UDN

NIH Clinical Center Undiagnosed Diseases Program

National Institutes of Health

📍 Bethesda, MD

🔬 UDN

UCLA UDN Clinical Site

UCLA Health

📍 Los Angeles, CA

🔬 UDN

Baylor College of Medicine UDN Clinical Site

Baylor College of Medicine

📍 Houston, TX

🔬 UDN

Harvard/MGH UDN Clinical Site

Massachusetts General Hospital

📍 Boston, MA

🏥 NORD

Mayo Clinic Center for Individualized Medicine

Mayo Clinic

📍 Rochester, MN

👤 Mayo Clinic Center for Individualized Medicine

🏥 NORD

UCLA Rare Disease Day Program

UCLA Health

📍 Los Angeles, CA

Travel Grants

No travel grants are currently matched to Multiple system atrophy.

Search all travel grants →NORD Financial Assistance ↗

Community

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Latest news about Multiple system atrophy

Disease timeline:

New recruiting trial: Observation Study to Evaluate the Efficacy and Safety of Ifosfamide/Mesna in Patients With Metastatic Castration-resistant Prostate Cancer

A new clinical trial is recruiting patients for Multiple system atrophy

New recruiting trial: Concurrent Chemotherapy and Radiation Therapy for Newly Diagnosed Nasal NK Cell Lymphoma

A new clinical trial is recruiting patients for Multiple system atrophy

New recruiting trial: Shanghai Clinical Cohort - Parkinson's Disease (Reserve)

A new clinical trial is recruiting patients for Multiple system atrophy

New recruiting trial: Natural History Study of Synucleinopathies

A new clinical trial is recruiting patients for Multiple system atrophy

New recruiting trial: A Study of the Effect of (S)-Pindolol Benzoate (ACM-001.1) on Lean Body Mass (LBM) in Obese Patents During (PROACT 1), and Post-semaglutide Therapy (PROACT 2)

A new clinical trial is recruiting patients for Multiple system atrophy

New recruiting trial: The STAND-UP Study

A new clinical trial is recruiting patients for Multiple system atrophy

New recruiting trial: [18F]ACI-15916 PET in α-synucleinopathies

A new clinical trial is recruiting patients for Multiple system atrophy

New recruiting trial: Overnight Trials With Heat Stress in Autonomic Failure Patients With Supine Hypertension

A new clinical trial is recruiting patients for Multiple system atrophy

New recruiting trial: Slowing Cognitive Decline in Alpha-synucleinopathies by Enhancing Physical Activity

A new clinical trial is recruiting patients for Multiple system atrophy

New recruiting trial: Sporadic Degenerative Ataxia With Adult Onset: Natural History Study

A new clinical trial is recruiting patients for Multiple system atrophy

Caregiver Resources

NORD Caregiver Resources

Support, advocacy, and financial assistance for caregivers of rare disease patients.

Mental Health Support

Rare disease caregiving can be isolating. Connect with counseling and peer support.

Family & Caregiver Grants

Financial assistance programs specifically for caregivers of rare disease patients.

Social Security Disability

Learn how rare disease patients may qualify for SSDI/SSI benefits.

Questions for your doctor

Bring these to your next appointment

  • Q1.Which type of MSA do I have — the movement type (MSA-P) or the balance type (MSA-C) — and what does that mean for my symptoms?,What symptoms should I watch for that would mean I need emergency care?,Are there any clinical trials I might be eligible for?,What can I do right now to stay as mobile and independent as possible?,How should I manage my blood pressure drops, and are there any lifestyle changes that will help?,When should I start thinking about advance care planning and palliative care?,What specialists should be part of my care team, and how often should I see them?

Common questions about Multiple system atrophy

What is Multiple system atrophy?

Multiple system atrophy (MSA) is a rare and progressive brain disease that affects many parts of the nervous system at the same time. It is sometimes called Shy-Drager syndrome, striatonigral degeneration, or olivopontocerebellar atrophy — names that were used in the past before doctors understood these were all the same condition. MSA causes a buildup of an abnormal protein called alpha-synuclein inside brain cells, which slowly damages areas of the brain that control movement, balance, and automatic body functions. People with MSA may experience a wide range of symptoms. These include probl

How is Multiple system atrophy inherited?

Multiple system atrophy follows a sporadic inheritance pattern. Genetic counseling can help families understand recurrence risk and testing options.

At what age does Multiple system atrophy typically begin?

Typical onset of Multiple system atrophy is adult. Age of onset can vary across affected individuals.

Are there clinical trials for Multiple system atrophy?

Yes — 20 recruiting clinical trials are currently listed for Multiple system atrophy on UniteRare. See the clinical trials section on this page for phase, sponsor, and site details sourced from ClinicalTrials.gov.

Which specialists treat Multiple system atrophy?

25 specialists and care centers treating Multiple system atrophy are listed on UniteRare, sourced from ClinicalTrials.gov principal investigators, published research, and the NPPES NPI registry.