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A Multiple Ascending Dose Study With LY03003 in Patients With Early-stage Parkinson's Disease

Primary Purpose

Parkinson Disease

Status
Completed
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
LY03003 ( Rotigotine, extended-release microspheres)
Placebo, extended-release microspheres
Sponsored by
Luye Pharma Group Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Parkinson Disease focused on measuring parkinson disease, LY03003

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Patient had Parkinson's Disease that meet the clinical diagnostic criteria of the brain bank of the Parkinson's Disease Association of the United Kingdom.
  2. Patient was Hoehn & Yahr stage ≤3 (excluding stage 0) ;
  3. Patient was male or female aged 18 to 75 years;
  4. Patient had a Mini Mental State Examination (MMSE) score of ≥25;
  5. Patient had a Unified Parkinson's Disease Rating Scale (UPDRS) motor score (Part III) of ≥10 but ≤30 at Screening.
  6. Patient who signed the informed consent form volunteered to participate in this clinical trial and could cooperate with the prescribed inspections.

Exclusion Criteria:

  1. Patient had atypical Parkinson's syndrome(s) due to drugs (e.g., metoclopramide, flunarizine), metabolic neurogenetic disorders (e.g., Wilson's disease), encephalitis, cerebrovascular disease, or degenerative disease (e.g., progressive supranuclear palsy);
  2. Patient had a history of pallidotomy, thalamotomy, deep brain stimulation, or fetal tissue transplant;
  3. Patient had dementia, schizophrenia or hallucinations, or clinically significant depression;
  4. Patient had a lifetime history of suicide attempt (including an active attempt, interrupted attempt, or aborted attempt), or presence of suicidal ideation in the past 6 months as indicated by a positive response ("Yes") to either Question 4 or Question 5 of the Columbia-Suicide Severity Rating Scale (C-SSRS) at Screening;
  5. Patient had a history of orthostatic hypotension with a decrease of ≥20 mmHg in systolic blood pressure (SBP) or ≥10 mmHg in diastolic blood pressure when changing from the supine to the standing position and keeping in the standing position for 3 minutes;
  6. Patient had received therapy with a dopamine (DA) agonist either concurrently or had done so within 28 days prior to the Screening;
  7. Patient had received therapy with 1 of the following drugs either concurrently or within 28 days prior to Screening: monoamine oxidase B (MAO-B) inhibitors (e.g., pargyline, selegiline), DA releasing agents (e.g., amphetamine), reserpine, DA-antagonists (e.g., metoclopramide), neuroleptics, or other medications that may interact with DA function;
  8. Patient was currently (at the time of Screening) receiving central nervous system active therapy (e.g., sedatives, hypnotics, antidepressants, anxiolytics), unless the dose had been stable for at least 28 days prior to Screening Visit and was likely to remain stable for the duration of the study;
  9. Patient had a current diagnosis of epilepsy, had a history of seizures as an adult within 1 year prior to Screening, had a history of stroke or transient ischemic attack within 3 months prior to Screening;
  10. Patient had a history of known intolerance/hypersensitivity to non-dopaminergic antiemetics, such as domperidone, ondansetron, tropisetron;
  11. Patient had clinically significant liver dysfunction (which defined as total bilirubin above the upper limit of normal range, or alanine transferase (ALT) and / or aspartate transferase (AST) 2 times higher than the upper limit of normal range);
  12. Patient had clinically significant renal insufficiency (serum creatinine >2.0 mg/dL [ >178 μmol/L]);
  13. Patient had clinically significant cardiac insufficiency and/or had myocardial infarction in the past 12 months;
  14. Patient had a history of allergic to any medication;
  15. Heavy smoker, alcoholic, drug addict;
  16. Female patients who were pregnant or were breastfeeding or were of childbearing potential without adequate contraception; male patients who cannot take adequate contraception during the study;
  17. Patient who was inappropriate to participant in the study in the judgment of the Investigator.

Sites / Locations

  • Chinese PLA General Hospital
  • Xuanwu Hospital Capital Medical University
  • Shengjing Hospital of China Medical University

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

LY03003

Placebo

Arm Description

Outcomes

Primary Outcome Measures

Frequency of adverse events
Adverse events to evaluate the safety and tolerability of LY03003

Secondary Outcome Measures

Time of maximum concentration (Tmax) of total LY03003
Maximum concentration in plasma (Cmax) of total LY03003
Area under the concentration-time curve (AUC) from zero up to the last measured concentration [AUC (0-t)] of LY03003
Area under the concentration-time curve (AUC) from time zero up to the infinite time [AUC (0-∞)] of LY03003
Apparent volume of distribution (Vd) of LY03003
Terminal half-life (t1/2) of total LY03003
Total body clearance of LY03003
Maximum steady-state drug concentration of LY03003
Minimum steady-state drug concentration of LY03003
Average steady-state concentration of LY03003
Area under the concentration-time curve (AUC) at steady-state concentration of LY03003
Fluctuation degree in steady-state concentration of LY03003
Change from baseline to the end of the treatment period in the Unified Parkinson's Disease Rating Scale (UPDRS) part (Ⅱ+Ⅲ) Total Score
The Unified Parkinson´s Disease Rating Scale Part Ⅱ measures "Activities in Daily Living". The total score ranges from 0 (Best score possible) to 52 (Worst score possible). The Unified Parkinson´s Disease Rating Scale Part Ⅲ is an accepted and validated scale for the assessment of motor function in Parkinson´s disease. Each of the 27 sub-items in the UPDRS III is measured on a scale of 0 to 4, where 0 is normal and 4 represents severe abnormalities. The total scores therefore ranges from 0 to 108.

Full Information

First Posted
July 30, 2019
Last Updated
September 21, 2020
Sponsor
Luye Pharma Group Ltd.
Collaborators
Beijing Bozhiyin T&S Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT04045678
Brief Title
A Multiple Ascending Dose Study With LY03003 in Patients With Early-stage Parkinson's Disease
Official Title
A Randomized, Double-blinded, Multiple Ascending Dose Study in Patients With Early-stage Parkinson's Disease to Evaluate the Pharmacokinetics and Safety of LY03003 Following Intramuscular Injections
Study Type
Interventional

2. Study Status

Record Verification Date
September 2020
Overall Recruitment Status
Completed
Study Start Date
October 10, 2017 (Actual)
Primary Completion Date
April 16, 2019 (Actual)
Study Completion Date
June 21, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Luye Pharma Group Ltd.
Collaborators
Beijing Bozhiyin T&S Co., Ltd.

4. Oversight

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

5. Study Description

Brief Summary
This study is to evaluate the safety and tolerability and to characterize the pharmacokinetics of multiple ascending dose (MAD) of LY03003 following intramuscular injections.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Parkinson Disease
Keywords
parkinson disease, LY03003

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
LY03003
Arm Type
Experimental
Arm Title
Placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
LY03003 ( Rotigotine, extended-release microspheres)
Intervention Description
Patients to be enrolled to 70 mg dose group will receive 14 mg in the first week, 28 mg in the second week, 42 mg in the third week,56 mg in the fourth week and then 70 mg in the next 5 weeks. Patients to be enrolled to 84 mg dose group will receive 14 mg in the first week, 28 mg in the second week, 42 mg in the third week,56 mg in the fourth week, 70mg in the fifth week and then 84 mg in the next 5 weeks.
Intervention Type
Drug
Intervention Name(s)
Placebo, extended-release microspheres
Intervention Description
Patients to be enrolled to 70 mg dose group will receive 14 mg in the first week, 28 mg in the second week, 42 mg in the third week,56 mg in the fourth week and then 70 mg in the next 5 weeks. Patients to be enrolled to 84 mg dose group will receive 14 mg in the first week, 28 mg in the second week, 42 mg in the third week,56 mg in the fourth week, 70mg in the fifth week and then 84 mg in the next 5 weeks.
Primary Outcome Measure Information:
Title
Frequency of adverse events
Description
Adverse events to evaluate the safety and tolerability of LY03003
Time Frame
From screening up to day 50
Secondary Outcome Measure Information:
Title
Time of maximum concentration (Tmax) of total LY03003
Time Frame
From the first injection of stable doses up to day 50
Title
Maximum concentration in plasma (Cmax) of total LY03003
Time Frame
From the first injection of stable doses up to day 50
Title
Area under the concentration-time curve (AUC) from zero up to the last measured concentration [AUC (0-t)] of LY03003
Time Frame
From the first injection of stable doses up to day 50
Title
Area under the concentration-time curve (AUC) from time zero up to the infinite time [AUC (0-∞)] of LY03003
Time Frame
From the first injection of stable doses up to day 50
Title
Apparent volume of distribution (Vd) of LY03003
Time Frame
From the first injection of stable doses up to day 50
Title
Terminal half-life (t1/2) of total LY03003
Time Frame
From the first injection of stable doses up to day 50
Title
Total body clearance of LY03003
Time Frame
From the first injection of stable doses up to day 50
Title
Maximum steady-state drug concentration of LY03003
Time Frame
From the first injection of stable doses up to day 50
Title
Minimum steady-state drug concentration of LY03003
Time Frame
From the first injection of stable doses up to day 50
Title
Average steady-state concentration of LY03003
Time Frame
From the first injection of stable doses up to day 50
Title
Area under the concentration-time curve (AUC) at steady-state concentration of LY03003
Time Frame
From the first injection of stable doses up to day 50
Title
Fluctuation degree in steady-state concentration of LY03003
Time Frame
From the first injection of stable doses up to day 50
Title
Change from baseline to the end of the treatment period in the Unified Parkinson's Disease Rating Scale (UPDRS) part (Ⅱ+Ⅲ) Total Score
Description
The Unified Parkinson´s Disease Rating Scale Part Ⅱ measures "Activities in Daily Living". The total score ranges from 0 (Best score possible) to 52 (Worst score possible). The Unified Parkinson´s Disease Rating Scale Part Ⅲ is an accepted and validated scale for the assessment of motor function in Parkinson´s disease. Each of the 27 sub-items in the UPDRS III is measured on a scale of 0 to 4, where 0 is normal and 4 represents severe abnormalities. The total scores therefore ranges from 0 to 108.
Time Frame
Screening, baseline, days 29 and day 50

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patient had Parkinson's Disease that meet the clinical diagnostic criteria of the brain bank of the Parkinson's Disease Association of the United Kingdom. Patient was Hoehn & Yahr stage ≤3 (excluding stage 0) ; Patient was male or female aged 18 to 75 years; Patient had a Mini Mental State Examination (MMSE) score of ≥25; Patient had a Unified Parkinson's Disease Rating Scale (UPDRS) motor score (Part III) of ≥10 but ≤30 at Screening. Patient who signed the informed consent form volunteered to participate in this clinical trial and could cooperate with the prescribed inspections. Exclusion Criteria: Patient had atypical Parkinson's syndrome(s) due to drugs (e.g., metoclopramide, flunarizine), metabolic neurogenetic disorders (e.g., Wilson's disease), encephalitis, cerebrovascular disease, or degenerative disease (e.g., progressive supranuclear palsy); Patient had a history of pallidotomy, thalamotomy, deep brain stimulation, or fetal tissue transplant; Patient had dementia, schizophrenia or hallucinations, or clinically significant depression; Patient had a lifetime history of suicide attempt (including an active attempt, interrupted attempt, or aborted attempt), or presence of suicidal ideation in the past 6 months as indicated by a positive response ("Yes") to either Question 4 or Question 5 of the Columbia-Suicide Severity Rating Scale (C-SSRS) at Screening; Patient had a history of orthostatic hypotension with a decrease of ≥20 mmHg in systolic blood pressure (SBP) or ≥10 mmHg in diastolic blood pressure when changing from the supine to the standing position and keeping in the standing position for 3 minutes; Patient had received therapy with a dopamine (DA) agonist either concurrently or had done so within 28 days prior to the Screening; Patient had received therapy with 1 of the following drugs either concurrently or within 28 days prior to Screening: monoamine oxidase B (MAO-B) inhibitors (e.g., pargyline, selegiline), DA releasing agents (e.g., amphetamine), reserpine, DA-antagonists (e.g., metoclopramide), neuroleptics, or other medications that may interact with DA function; Patient was currently (at the time of Screening) receiving central nervous system active therapy (e.g., sedatives, hypnotics, antidepressants, anxiolytics), unless the dose had been stable for at least 28 days prior to Screening Visit and was likely to remain stable for the duration of the study; Patient had a current diagnosis of epilepsy, had a history of seizures as an adult within 1 year prior to Screening, had a history of stroke or transient ischemic attack within 3 months prior to Screening; Patient had a history of known intolerance/hypersensitivity to non-dopaminergic antiemetics, such as domperidone, ondansetron, tropisetron; Patient had clinically significant liver dysfunction (which defined as total bilirubin above the upper limit of normal range, or alanine transferase (ALT) and / or aspartate transferase (AST) 2 times higher than the upper limit of normal range); Patient had clinically significant renal insufficiency (serum creatinine >2.0 mg/dL [ >178 μmol/L]); Patient had clinically significant cardiac insufficiency and/or had myocardial infarction in the past 12 months; Patient had a history of allergic to any medication; Heavy smoker, alcoholic, drug addict; Female patients who were pregnant or were breastfeeding or were of childbearing potential without adequate contraception; male patients who cannot take adequate contraception during the study; Patient who was inappropriate to participant in the study in the judgment of the Investigator.
Facility Information:
Facility Name
Chinese PLA General Hospital
City
Beijing
Country
China
Facility Name
Xuanwu Hospital Capital Medical University
City
Beijing
Country
China
Facility Name
Shengjing Hospital of China Medical University
City
Shenyang
Country
China

12. IPD Sharing Statement

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A Multiple Ascending Dose Study With LY03003 in Patients With Early-stage Parkinson's Disease

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