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Safety, Efficacy, and Tolerability of NBI-827104 for the Treatment of Essential Tremor

Primary Purpose

Essential Tremor

Status
Completed
Phase
Phase 2
Locations
Netherlands
Study Type
Interventional
Intervention
NBI-827104
Placebo
Sponsored by
Neurocrine Biosciences
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Essential Tremor focused on measuring Movement disorder, Tremor syndrome

Eligibility Criteria

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

Inclusion Criteria:

  1. Male or female subjects, 18 to 75 years of age, inclusive at screening.
  2. Body mass index (BMI) between 18 and 35 kg/m², inclusive, at screening.
  3. Diagnosis of Essential Tremor (inclusive of Essential Tremor plus) as defined by the Movement Disorders Society Consensus Criteria for Tremor.
  4. Confirmation of bilateral upper limb action tremor in the absence of overt dystonia, ataxia, or parkinsonism.
  5. History of onset of tremor before 65 years of age.
  6. Tremor Performance score of ≥ 2 on at least 2 of the 6 upper limb manoeuvres (Item 4) on the TETRAS Performance Subscale and a total TETRAS Performance score ≥15 at screening.
  7. All women of childbearing potential and all males must practice effective contraception during the study and be willing and able to continue contraception for at least 90 days after their last dose of study drug.

Exclusion Criteria:

  1. Evidence of any acute (at screening or prior to first dose) or chronic disease or condition that could interfere with, or for which the treatment might interfere with, the conduct of the study, or that would pose an unacceptable risk to the subject in the opinion of the investigator.
  2. Have direct or indirect trauma to the nervous system within 3 months preceding the onset of tremor.
  3. Have known history of other medical or neurological conditions that may cause or explain subject's tremor.
  4. Have had prior magnetic resonance guided focused ultrasound or surgical intervention (e.g., deep brain stimulation, ablative thalamotomy or gamma knife thalamotomy).
  5. Have a history or evidence of clinically significant cardiac conduction abnormality, uncontrolled bradyarrhythmia, heart failure, or long QT syndrome.

Sites / Locations

  • Neurocrine Clinical Site

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Sequence 1

Sequence 2

Arm Description

In treatment period 1 participants will receive increasing doses of NBI-827104 for 28 days. After a 14-day washout period, participants will receive matching placebo for 28 days in treatment period 2.

In treatment period 1 participants will receive matching placebo for 28 days. After a 14-day washout period, participants will receive increasing doses of NBI-827104 for 28 days in treatment period 2.

Outcomes

Primary Outcome Measures

Change from Baseline to Day 28 of Each Treatment Period in Amplitude at Peak Frequency of Postural Tremor

Secondary Outcome Measures

Change from Baseline in Essential Tremor Rating Assessment Scale (TETRAS) Performance Score
Change from Baseline in TETRAS Activities of Daily Living (ADL) Score
Clinical Global Impression of Change (CGI-C)

Full Information

First Posted
May 5, 2021
Last Updated
July 8, 2022
Sponsor
Neurocrine Biosciences
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1. Study Identification

Unique Protocol Identification Number
NCT04880616
Brief Title
Safety, Efficacy, and Tolerability of NBI-827104 for the Treatment of Essential Tremor
Official Title
A Phase 2 Randomized, Double-Blind, Placebo-Controlled, Crossover Study to Assess the Safety, Tolerability, Pharmacokinetics and Efficacy of NBI-827104 in Subjects With Essential Tremor
Study Type
Interventional

2. Study Status

Record Verification Date
July 2022
Overall Recruitment Status
Completed
Study Start Date
April 20, 2021 (Actual)
Primary Completion Date
May 25, 2022 (Actual)
Study Completion Date
June 8, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Neurocrine Biosciences

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
The main objective of this study is to evaluate the efficacy, safety, and tolerability of NBI-827104 in adults with essential tremor.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Essential Tremor
Keywords
Movement disorder, Tremor syndrome

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Crossover Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
31 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Sequence 1
Arm Type
Experimental
Arm Description
In treatment period 1 participants will receive increasing doses of NBI-827104 for 28 days. After a 14-day washout period, participants will receive matching placebo for 28 days in treatment period 2.
Arm Title
Sequence 2
Arm Type
Experimental
Arm Description
In treatment period 1 participants will receive matching placebo for 28 days. After a 14-day washout period, participants will receive increasing doses of NBI-827104 for 28 days in treatment period 2.
Intervention Type
Drug
Intervention Name(s)
NBI-827104
Intervention Description
Capsules for oral administration
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Capsules matching NBI-827104 for oral administration
Primary Outcome Measure Information:
Title
Change from Baseline to Day 28 of Each Treatment Period in Amplitude at Peak Frequency of Postural Tremor
Time Frame
Baseline and Day 28 of each treatment period
Secondary Outcome Measure Information:
Title
Change from Baseline in Essential Tremor Rating Assessment Scale (TETRAS) Performance Score
Time Frame
Baseline up to Day 28 of each treatment period
Title
Change from Baseline in TETRAS Activities of Daily Living (ADL) Score
Time Frame
Baseline up to Day 28 of each treatment period
Title
Clinical Global Impression of Change (CGI-C)
Time Frame
Up to Day 28 of each treatment period

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: Male or female subjects, 18 to 75 years of age, inclusive at screening. Body mass index (BMI) between 18 and 35 kg/m², inclusive, at screening. Diagnosis of Essential Tremor (inclusive of Essential Tremor plus) as defined by the Movement Disorders Society Consensus Criteria for Tremor. Confirmation of bilateral upper limb action tremor in the absence of overt dystonia, ataxia, or parkinsonism. History of onset of tremor before 65 years of age. Tremor Performance score of ≥ 2 on at least 2 of the 6 upper limb manoeuvres (Item 4) on the TETRAS Performance Subscale and a total TETRAS Performance score ≥15 at screening. All women of childbearing potential and all males must practice effective contraception during the study and be willing and able to continue contraception for at least 90 days after their last dose of study drug. Exclusion Criteria: Evidence of any acute (at screening or prior to first dose) or chronic disease or condition that could interfere with, or for which the treatment might interfere with, the conduct of the study, or that would pose an unacceptable risk to the subject in the opinion of the investigator. Have direct or indirect trauma to the nervous system within 3 months preceding the onset of tremor. Have known history of other medical or neurological conditions that may cause or explain subject's tremor. Have had prior magnetic resonance guided focused ultrasound or surgical intervention (e.g., deep brain stimulation, ablative thalamotomy or gamma knife thalamotomy). Have a history or evidence of clinically significant cardiac conduction abnormality, uncontrolled bradyarrhythmia, heart failure, or long QT syndrome.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Development Lead
Organizational Affiliation
Neurocrine Biosciences
Official's Role
Study Director
Facility Information:
Facility Name
Neurocrine Clinical Site
City
Leiden
State/Province
CL
ZIP/Postal Code
2333
Country
Netherlands

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Safety, Efficacy, and Tolerability of NBI-827104 for the Treatment of Essential Tremor

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