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Study of IRX4204 for Treatment of Early Parkinson's Disease

Primary Purpose

Parkinson's Disease

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
IRX4204
Sponsored by
Io Therapeutics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Parkinson's Disease focused on measuring PD, Parkinson's Disease

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Participant is 40-80 years of age, inclusive.
  2. Participant has a clinical diagnosis of PD based on the UK Brain Bank Criteria.
  3. Participant has Hoehn and Yahr stage < 3.
  4. Participant may be treated with PD symptomatic therapy on a stable dose for at least 30 days prior to the Screening Visit. Dose levels of PD symptomatic therapies will remain stable through the patient's participation in the study, unless a change of dose level is indicated because of adverse events.
  5. Participant must be willing and able to provide informed consent.
  6. Females must be of either non-child bearing potential based on:

    • post-menopausal for at least 2 years, or
    • surgically sterilized If of child bearing potential, must be neither pregnant or breastfeeding at Screening, and must be willing to avoid pregnancy by using medically accepted contraception (use of an intrauterine device or use of a double barrier method when engaging in sexual intercourse with a male partner) for 4 weeks prior to and 4 weeks following the last dose of study medication.

Exclusion Criteria:

  1. Has any form of parkinsonism other than idiopathic PD
  2. Are currently experiencing motor fluctuations (end of dose wearing off or dyskinesias) reflective of later stage PD
  3. Has evidence of dementia or significant cognitive dysfunction
  4. Has clinically significant abnormal laboratory value and/or clinically significant unstable medical or psychiatric illness.
  5. The subject has any disorder that may interfere with drug absorption, distribution, metabolism or excretion.
  6. The subject has evidence of clinically significant gastrointestinal, cardiovascular, hepatic, renal, hematological, neoplastic, endocrine, alternative neurological, immunodeficiency, pulmonary, or other disorder or disease.
  7. Pregnancy or breastfeeding

Sites / Locations

  • Molecular NeuroImaging, [MNI]

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

IRX4204

Arm Description

IRX4204 20 mg QD for Days 1-30

Outcomes

Primary Outcome Measures

striatal binding ratio (SBR)
The percent change from baseline to end of dosing period (Day 30) of the striatal binding ratio (SBR)

Secondary Outcome Measures

Total Motor and UPDRS scores
The change in motor and UPDRS scores to end of dosing period (Day 30)
Safety including hematology and chemistry laboratories, vital signs, and adverse events
Clinically significant changes in hematology and chemistry laboratories, vital signs, and frequency of adverse events

Full Information

First Posted
August 7, 2014
Last Updated
May 7, 2015
Sponsor
Io Therapeutics
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1. Study Identification

Unique Protocol Identification Number
NCT02438215
Brief Title
Study of IRX4204 for Treatment of Early Parkinson's Disease
Official Title
An Open-Label, Single Site Study Using [123I]β-CIT Single Photon Emission Tomography (SPECT) to Evaluate Dopamine Transporter Binding Following Treatment With IRX4204 in Early Parkinson's Disease Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
May 2015
Overall Recruitment Status
Completed
Study Start Date
August 2014 (undefined)
Primary Completion Date
May 2015 (Actual)
Study Completion Date
May 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Io Therapeutics

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is a single site, open-label study designed to examine dopamine transporter density using [123I]β-CIT SPECT imaging before and following treatment with IRX4204 for a 30-day period in early Parkinson's disease patients. In addition, clinical evaluations will be performed to evaluate the effect of IRX4204 treatment on the motor and cognitive symptoms of PD.
Detailed Description
Fifteen patients with early PD were enrolled in this open label study, in 3 cohorts of 5 patients each, treated with IRX4204 at 5 mg/day, 10mg/day, or 20 mg/day. Patients were administered IRX4204 orally once daily. Baseline assessments were performed for total motor score, and Unified Parkinson's Disease Rating Scale (UPDRS). Follow-up assessments of these clinical outcome measures were performed at 14 and 29 days of treatment. [123]β-CIT SPECT imaging for assessment of dopamine active transporter (DAT) expression was performed at baseline, and on day 30 of IRX4204 treatment. Patients had clinical hematology and chemistry laboratory tests, and recording of adverse events, performed at baseline and at follow up visits.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Parkinson's Disease
Keywords
PD, Parkinson's Disease

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
15 (Actual)

8. Arms, Groups, and Interventions

Arm Title
IRX4204
Arm Type
Experimental
Arm Description
IRX4204 20 mg QD for Days 1-30
Intervention Type
Drug
Intervention Name(s)
IRX4204
Other Intervention Name(s)
NRX194204
Intervention Description
IRX4204 is a potent and highly selective orally available and brain penetrant RXR nuclear receptor agonist small compound administered as gel capsules.
Primary Outcome Measure Information:
Title
striatal binding ratio (SBR)
Description
The percent change from baseline to end of dosing period (Day 30) of the striatal binding ratio (SBR)
Time Frame
30 days
Secondary Outcome Measure Information:
Title
Total Motor and UPDRS scores
Description
The change in motor and UPDRS scores to end of dosing period (Day 30)
Time Frame
30 days
Title
Safety including hematology and chemistry laboratories, vital signs, and adverse events
Description
Clinically significant changes in hematology and chemistry laboratories, vital signs, and frequency of adverse events
Time Frame
30 Days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Participant is 40-80 years of age, inclusive. Participant has a clinical diagnosis of PD based on the UK Brain Bank Criteria. Participant has Hoehn and Yahr stage < 3. Participant may be treated with PD symptomatic therapy on a stable dose for at least 30 days prior to the Screening Visit. Dose levels of PD symptomatic therapies will remain stable through the patient's participation in the study, unless a change of dose level is indicated because of adverse events. Participant must be willing and able to provide informed consent. Females must be of either non-child bearing potential based on: post-menopausal for at least 2 years, or surgically sterilized If of child bearing potential, must be neither pregnant or breastfeeding at Screening, and must be willing to avoid pregnancy by using medically accepted contraception (use of an intrauterine device or use of a double barrier method when engaging in sexual intercourse with a male partner) for 4 weeks prior to and 4 weeks following the last dose of study medication. Exclusion Criteria: Has any form of parkinsonism other than idiopathic PD Are currently experiencing motor fluctuations (end of dose wearing off or dyskinesias) reflective of later stage PD Has evidence of dementia or significant cognitive dysfunction Has clinically significant abnormal laboratory value and/or clinically significant unstable medical or psychiatric illness. The subject has any disorder that may interfere with drug absorption, distribution, metabolism or excretion. The subject has evidence of clinically significant gastrointestinal, cardiovascular, hepatic, renal, hematological, neoplastic, endocrine, alternative neurological, immunodeficiency, pulmonary, or other disorder or disease. Pregnancy or breastfeeding
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ken Marek, MD
Organizational Affiliation
Molecular NeuroImaging, [MNI]
Official's Role
Principal Investigator
Facility Information:
Facility Name
Molecular NeuroImaging, [MNI]
City
New Haven
State/Province
Connecticut
ZIP/Postal Code
06510
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Study of IRX4204 for Treatment of Early Parkinson's Disease

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