for people ages 40-80 (full criteria)
at San Francisco, California and other locations
study started
completion around
Principal Investigator
by Julio Rojas-Martinez, MD
Headshot of Julio Rojas-Martinez
Julio Rojas-Martinez



ORION Trial is a trial to evaluate the efficacy and safety of AMX0035 in participants with Progressive Supranuclear Palsy (PSP), consisting of a randomized double blind placebo controlled phase, followed by an optional open-label extension phase.

Official Title

A Phase 3 Study of Safety and Efficacy of AMX0035 in Progressive Supranuclear Palsy (ORION)


AMX0035 is a combination therapy designed to reduce neuronal death through blockade of key cellular death pathways originating in the endoplasmic reticulum (ER) and mitochondria. This clinical trial is designed to demonstrate that AMX0035 is safe and tolerable, and to assess its effect on disease progression as measured by the Progressive Supranuclear Palsy (PSP) Rating Scale (PSPRS) over a 52-week double-blind phase.


Progressive Supranuclear Palsy, PSP, Neurodegenerative Diseases, Atypical Parkinsonism, Steele-Richardson-Olszewski Syndrome, ORION, Amylyx, Paralysis, Parkinsonian Disorders, AMX0035


You can join if…

Open to people ages 40-80

  • Male or female 40 to 80 years of age, inclusive
  • Diagnosis of possible or probable PSP Richardson Syndrome
  • Presence of PSP symptoms for <5 years
  • Score of <40 on the total (28-item) Progressive Supranuclear Palsy Rating Scale (PSPRS)
  • Able to walk independently or with minimal assistance
  • Minimum score of 24 on the Mini Mental State Examination (MMSE)
  • Must reside outside a skilled nursing facility or dementia care facility at the time of screening. Residence in an assisted living facility is allowed
  • Must have a study partner willing to attend study visits and provide information on participant's status
  • Capable of providing informed consent
  • Capable and willing to comply with trial procedures including visits to the trial clinic, visit requirements and treatment schedule, including MRI scans
  • Female participants of childbearing potential must agree to use effective birth control for the duration of the study and for 6 months after last dose of study drug.
  • Males must agree to use effective birth control method for the duration of the study and for 6 months after the last dose of study drug. Men must not plan to donate sperm..

You CAN'T join if...

  • Require use of a feeding tube
  • Evidence of any neurological disorder that could explain signs of PSP
  • Evidence of any clinically significant neurological disorder other than PSP, including significant cerebrovascular abnormalities, vascular dementia, motor neuron disease or ALS, Huntington's disease, normal pressure hydrocephalus, brain tumor, seizure disorder, multiple sclerosis, or known structural brain abnormalities.
  • History of autosomal dominant PSP due to a Microtubule Associated Protein Tau (MAPT) mutation
  • History of an autosomal dominant mutation associated with Frontotemporal Lobar Degeneration (FTLD)
  • Prior or current diagnosis of schizophrenia, schizoaffective disorder, or bipolar disorder
  • Presence of unstable psychiatric disease, cognitive impairment (e.g., major cognitive dysfunction), dementia, major depression, or substance abuse that would impair ability of the participant to provide informed consent and follow instructions
  • Abnormal liver function
  • Renal insufficiency
  • Ongoing anemia
  • History of Class III/IV heart failure per New York Heart Association (NYHA)


  • UCSF (UCSF) accepting new patients
    San Francisco California 94158 United States
  • Parkinson's & Movement Disorder Institute accepting new patients
    Fountain Valley California 92708 United States

Lead Scientist at UCSF

  • Julio Rojas-Martinez, MD
    Associate Professor, Neurology, School of Medicine. Authored (or co-authored) 148 research publications. Research interests: Clinical trials · plasma biomarkers · non-pharmacological management


accepting new patients
Start Date
Completion Date
Amylyx Pharmaceuticals Inc.
Phase 3 research study
Study Type
Expecting 600 study participants
Last Updated