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A Clinical Study of IRL790 in Patients With Parkinson's Disease Experiencing Levodopa Induced Dyskinesia

Primary Purpose

Parkinson Disease

Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
IRL790
Placebo
Sponsored by
Integrative Research Laboratories AB
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Parkinson Disease

Eligibility Criteria

50 Years - 85 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Male or female aged 50-85 years inclusive.
  2. Female patients had to be of non-childbearing potential (defined as pre-menopausal females with a documented tubal ligation or hysterectomy; or post-menopausal females defined as 12 months of amenorrhoea [in questionable cases a blood sample with simultaneous follicle stimulation hormone (FSH) 25-140 IE/L and estradiol <200 pmol/L was confirmatory]).
  3. Male patients had to be willing to use condom and contraceptive methods with a failure rate of < 1% to prevent pregnancy7 and drug exposure of a partner and refrain from donating sperm from the date of dosing until three months after dosing of the IMP.
  4. A diagnosis of idiopathic PD according to the United Kingdom Parkinson's Disease Society brain bank diagnostic criteria.
  5. Showing a clear peak-dose dyskinetic response to regular L-Dopa medication. Patients with additional complex dyskinesia patterns including, but not limited to, diphasic dyskinesias or end of dose dyskinesias could be included if peak dose dyskinesias were also present.
  6. On stable doses of anti-parkinson treatment for at least one month prior to inclusion and expected to remain stable on the same doses throughout the study.
  7. Clinical laboratory tests within normal limits or clinically acceptable to the Investigator/Sponsor.
  8. Able to understand study specific procedures and willing and able to give written informed consent for participation in the study.

Exclusion Criteria:

  1. History of any clinically significant disease or disorder which, in the opinion of the Investigator, could either put the patient at risk because of participation in the study, or influence the results or the patient's ability to participate in the study.
  2. History of or present clinically significant psychiatric diagnosis, at discretion of the Investigator.
  3. History of seizures, including febrile seizure in childhood.
  4. History or presence of hepatic or renal disease or other condition known to interfere with the absorption, distribution, metabolism or excretion of drugs.
  5. Any clinically significant illness, medical/surgical procedure or trauma within four weeks of the first administration of IMP.
  6. Any planned major surgery within the duration of the study.
  7. Previous surgery for PD. . A Hoehn and Yahr score of 5 when "off".

9. Prolonged QTcF (>450 ms), cardiac arrhythmias or any clinically significant abnormalities in the resting ECG at the time of screening, as judged by the Investigator.

10. History of severe allergy/hypersensitivity or on-going allergy/hypersensitivity, as judged by the Investigator, or history of hypersensitivity to drugs with a similar chemical structure or class to IRL790. 11. Administration of another new chemical entity (defined as a compound which has not been approved for marketing) or participation in any other clinical study that included drug treatment with less than three months between administration of last dose and first dose of IMP in this study. 12. History of alcohol abuse and/or use of drugs of abuse. 13. Investigator considered the patient unlikely to comply with study procedures, restrictions and requirements.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Placebo Comparator

    Arm Label

    IRL790

    Placebo

    Arm Description

    IRL790 Capsule 10 mg, oral administration

    Placebo capsule, identical appearance, oral administration

    Outcomes

    Primary Outcome Measures

    Adverse Events
    Medical Dictionary for Regulatory Activities Preferred Term
    Physical examination
    Number of participants with clinically significant abnormal physical examination findings
    Electrocardiogram (ECG) recordings
    Number of participants with clinically significant abnormal electrocardiogram readings
    Heart rate
    Beats per minute
    Blood pressure
    mm Hg
    Safety laboratory measurements
    Number of participants with clinically significant abnormal laboratory values

    Secondary Outcome Measures

    Unified Dyskinesia Rating Scale (UDysRS)
    The change from baseline to day 28 of treatment (Visit 4) in the sum of the items comprising the Unified Dyskinesia Rating Scale (UDysRS). The UDysRS is administered to assess dyskinesia. The scoring range is 0-104, where higher score means more dyskinesia.
    Unified Parkinson's Disease Rating Scale (UPDRS)
    The UPDRS assess symptoms of Parkinson's disease. The scoring range from 0-199, where higher score means more severe disease.
    Parkinson Kinetigraph (PKG)
    Wrist worn kinetigraph capturing electronic readings of movement activity.
    Clinical Global impression of change (CGI-C)
    Global impression of change
    Pharmacokinetic assessment
    Plasma concentration at Cmax
    Pharmacokinetic assessment
    Trough level plasma concentration

    Full Information

    First Posted
    April 10, 2018
    Last Updated
    May 9, 2018
    Sponsor
    Integrative Research Laboratories AB
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03531060
    Brief Title
    A Clinical Study of IRL790 in Patients With Parkinson's Disease Experiencing Levodopa Induced Dyskinesia
    Official Title
    A Randomised, Double-blind, Placebo-controlled, Phase Ib Study Evaluating the Safety and Tolerability of IRL790 in Patients With Parkinson's Disease (PD) Experiencing Levodopa (L-Dopa) Induced Dyskinesia (LID).
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    April 2018
    Overall Recruitment Status
    Completed
    Study Start Date
    November 8, 2016 (Actual)
    Primary Completion Date
    April 12, 2017 (Actual)
    Study Completion Date
    April 12, 2017 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Integrative Research Laboratories AB

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    This is a Phase 1b study investigating the safety and tolerability of IRl790 as adjunct therapy in patients with Parkinson disease. IRL790/placebo is taken for 28 days.
    Detailed Description
    Consenting patients were screened for eligibility as per study-specific inclusion/exclusion criteria within 8-28 days before start of Investigational Medicinal Product (IMP) administration (Visit 1; Screening Visit). At Visit 2 (Day -7) a kinetigraph device (the Parkinson's KinetiGraph™, Global Kinetics Corporation, Melbourne, Victoria, Australia) was attached to the right or left wrist (the parkinsonian dominant side) and baseline patient movement data were recorded during a run-in period of seven consecutive days. Following baseline assessments at Visit 3 (Day 1) patients were randomized to receive IRL790 or placebo (3:1). The treatment allocation was double-blinded, i.e. it was not disclosed to the patients, the site staff or the Sponsor. During the treatment period, Visits 4-8 were performed on Days 4, 7, 10, 14 and 28 (end of treatment) and a follow-up phone call was performed on Day 21. Dose adjustments of IRL790 could be made until Day 14, following pre-defined criteria. A follow-up visit (Visit 9) was performed 7-10 days after the last IMP dose.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Parkinson Disease

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1, Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    15 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    IRL790
    Arm Type
    Experimental
    Arm Description
    IRL790 Capsule 10 mg, oral administration
    Arm Title
    Placebo
    Arm Type
    Placebo Comparator
    Arm Description
    Placebo capsule, identical appearance, oral administration
    Intervention Type
    Drug
    Intervention Name(s)
    IRL790
    Intervention Description
    IRL790 capsule 10 mg
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo
    Intervention Description
    Placebo capsule
    Primary Outcome Measure Information:
    Title
    Adverse Events
    Description
    Medical Dictionary for Regulatory Activities Preferred Term
    Time Frame
    4 weeks
    Title
    Physical examination
    Description
    Number of participants with clinically significant abnormal physical examination findings
    Time Frame
    4 weeks
    Title
    Electrocardiogram (ECG) recordings
    Description
    Number of participants with clinically significant abnormal electrocardiogram readings
    Time Frame
    4 weeks
    Title
    Heart rate
    Description
    Beats per minute
    Time Frame
    4 weeks
    Title
    Blood pressure
    Description
    mm Hg
    Time Frame
    4 weeks
    Title
    Safety laboratory measurements
    Description
    Number of participants with clinically significant abnormal laboratory values
    Time Frame
    4 weeks
    Secondary Outcome Measure Information:
    Title
    Unified Dyskinesia Rating Scale (UDysRS)
    Description
    The change from baseline to day 28 of treatment (Visit 4) in the sum of the items comprising the Unified Dyskinesia Rating Scale (UDysRS). The UDysRS is administered to assess dyskinesia. The scoring range is 0-104, where higher score means more dyskinesia.
    Time Frame
    4 weeks
    Title
    Unified Parkinson's Disease Rating Scale (UPDRS)
    Description
    The UPDRS assess symptoms of Parkinson's disease. The scoring range from 0-199, where higher score means more severe disease.
    Time Frame
    4 weeks
    Title
    Parkinson Kinetigraph (PKG)
    Description
    Wrist worn kinetigraph capturing electronic readings of movement activity.
    Time Frame
    Change from run-in to week 4 of treatment
    Title
    Clinical Global impression of change (CGI-C)
    Description
    Global impression of change
    Time Frame
    4 weeks
    Title
    Pharmacokinetic assessment
    Description
    Plasma concentration at Cmax
    Time Frame
    4 weeks
    Title
    Pharmacokinetic assessment
    Description
    Trough level plasma concentration
    Time Frame
    4 weeks

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    50 Years
    Maximum Age & Unit of Time
    85 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Male or female aged 50-85 years inclusive. Female patients had to be of non-childbearing potential (defined as pre-menopausal females with a documented tubal ligation or hysterectomy; or post-menopausal females defined as 12 months of amenorrhoea [in questionable cases a blood sample with simultaneous follicle stimulation hormone (FSH) 25-140 IE/L and estradiol <200 pmol/L was confirmatory]). Male patients had to be willing to use condom and contraceptive methods with a failure rate of < 1% to prevent pregnancy7 and drug exposure of a partner and refrain from donating sperm from the date of dosing until three months after dosing of the IMP. A diagnosis of idiopathic PD according to the United Kingdom Parkinson's Disease Society brain bank diagnostic criteria. Showing a clear peak-dose dyskinetic response to regular L-Dopa medication. Patients with additional complex dyskinesia patterns including, but not limited to, diphasic dyskinesias or end of dose dyskinesias could be included if peak dose dyskinesias were also present. On stable doses of anti-parkinson treatment for at least one month prior to inclusion and expected to remain stable on the same doses throughout the study. Clinical laboratory tests within normal limits or clinically acceptable to the Investigator/Sponsor. Able to understand study specific procedures and willing and able to give written informed consent for participation in the study. Exclusion Criteria: History of any clinically significant disease or disorder which, in the opinion of the Investigator, could either put the patient at risk because of participation in the study, or influence the results or the patient's ability to participate in the study. History of or present clinically significant psychiatric diagnosis, at discretion of the Investigator. History of seizures, including febrile seizure in childhood. History or presence of hepatic or renal disease or other condition known to interfere with the absorption, distribution, metabolism or excretion of drugs. Any clinically significant illness, medical/surgical procedure or trauma within four weeks of the first administration of IMP. Any planned major surgery within the duration of the study. Previous surgery for PD. . A Hoehn and Yahr score of 5 when "off". 9. Prolonged QTcF (>450 ms), cardiac arrhythmias or any clinically significant abnormalities in the resting ECG at the time of screening, as judged by the Investigator. 10. History of severe allergy/hypersensitivity or on-going allergy/hypersensitivity, as judged by the Investigator, or history of hypersensitivity to drugs with a similar chemical structure or class to IRL790. 11. Administration of another new chemical entity (defined as a compound which has not been approved for marketing) or participation in any other clinical study that included drug treatment with less than three months between administration of last dose and first dose of IMP in this study. 12. History of alcohol abuse and/or use of drugs of abuse. 13. Investigator considered the patient unlikely to comply with study procedures, restrictions and requirements.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Per Svenningsson, MD, PhD
    Organizational Affiliation
    Karolinska Institutet, Stockholm
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    No

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    A Clinical Study of IRL790 in Patients With Parkinson's Disease Experiencing Levodopa Induced Dyskinesia

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