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Double-Blind, Multicenter, Sham Surgery Controlled Study of CERE-120 in Subjects With Idiopathic Parkinson's Disease

Primary Purpose

Idiopathic Parkinson's Disease

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
CERE-120 (Adeno-Associated Virus Serotype 2 [AAV2]-Neurturin [NTN])
Sham Surgery
Sponsored by
Sangamo Therapeutics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Idiopathic Parkinson's Disease

Eligibility Criteria

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

Inclusion Criteria:

  • Diagnosis of bilateral, idiopathic Parkinson's Disease (PD) based on UK Brain Bank criteria with motor complications despite adequate oral antiparkinsonian therapy.
  • At least 5 years disease duration, relative to the anticipated date of surgery, since diagnosis of PD.
  • Males or nonpregnant females 35-75 years of age, inclusive.
  • A UPDRS motor scale score of 30 or greater in the practically defined off condition during the 30-day eligibility evaluation period.
  • Stable doses of antiparkinsonian medications and parkinsonian features for the 60-day period preceding the surgical procedure.
  • No conditions that would render the subject unsuitable for surgery, or that would interfere with any of the assessments of efficacy or safety in this trial.
  • Subject's informed consent prior to the performance of any study-specific procedures.

Exclusion Criteria:

  • Subjects with atypical or secondary parkinsonism.
  • Any subject, in the judgment of the investigator, for whom participation in the study would pose a safety risk including, but not limited to, a history of any clinically significant medical, psychiatric, or laboratory abnormality.
  • History of treatment of PD by any procedure involving intracranial surgery or implantation of a device.
  • MRI of the brain within 12 months before the surgical procedure that indicates the presence of an abnormality that may interfere with the assessments of safety or efficacy or would, in the judgment of the investigator, represent a surgical risk to the subject.
  • Any disorder that precludes a surgical procedure (e.g., signs of sepsis or inadequately treated infection) or alters wound healing.
  • Receipt of antiplatelet agents for at least 10 days prior to the surgical procedure.
  • A score of less than or equal to 27 on the Folstein Mini-Mental examination performed during the eligibility evaluation period or clinical evidence of cognitive impairment that would affect the subject's ability to sign the informed consent or perform any of the protocol required assessments.
  • Chemotherapy, cytotoxic therapy, or immunotherapy within 6 weeks prior to the surgical procedure.
  • Vaccinations within 30 days prior to the surgical procedure.
  • History, within 2 years before the surgical procedure, of drug or alcohol abuse.
  • Treatment with neuroleptics within 1 year before the surgical procedure.
  • Any medical disability (e.g., severe degenerative arthritis, compromised nutritional state, peripheral neuropathy) that would interfere with the assessment of efficacy and safety in this trial or would compromise the ability of the subject to undergo study procedures (e.g., MRI, PET), or give informed consent.
  • History of prior gene transfer therapy.
  • Treatment with an investigational agent within 60 days before the surgical procedure.

Sites / Locations

  • University of Alabama, Birmingham
  • University of California, San Francisco
  • Rush University Medical Center
  • Mount Sinai School of Medicine
  • Duke University Medical Center
  • Cleveland Clinic
  • Oregon Health and Science University
  • Pennsylvania Hospital
  • Baylor College of Medicine

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Sham Comparator

Arm Label

1

2

Arm Description

Intracerebral administration of CERE-120

Sham Neurosurgery

Outcomes

Primary Outcome Measures

UPDRS Part III OFF
The UPDRS (Unified Parkinson's Disease Rating Scale) is a clinical rating scale that assesses the symptomatic burden of Parkinson's Disease. The scale has four main sections, and each item is scored from a 0 to a 4 (higher number is more severe manifestation). Part III is a subsection devoted to motor function, has 14 questions, resulting in a score range of 0 (unaffected) to 56 (severely affected). The scale is administered by a trained clinician, and patients were assessed in a practically defined "off" condition, 12 hours or more after the last administration of medication.

Secondary Outcome Measures

Full Information

First Posted
November 15, 2006
Last Updated
November 8, 2022
Sponsor
Sangamo Therapeutics
Collaborators
Ceregene
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1. Study Identification

Unique Protocol Identification Number
NCT00400634
Brief Title
Double-Blind, Multicenter, Sham Surgery Controlled Study of CERE-120 in Subjects With Idiopathic Parkinson's Disease
Official Title
Multicenter, Randomized, Double-Blind, Sham Surgery-Controlled Study of CERE-120 (Adeno-Associated Virus Serotype 2 [AAV2]-Neurturin [NTN]) to Assess the Efficacy and Safety of Bilateral Intraputaminal (IPu) Delivery in Subjects With Idiopathic Parkinson's Disease
Study Type
Interventional

2. Study Status

Record Verification Date
August 2019
Overall Recruitment Status
Completed
Study Start Date
November 2006 (undefined)
Primary Completion Date
November 2008 (Actual)
Study Completion Date
November 2008 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sangamo Therapeutics
Collaborators
Ceregene

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this double blind study is to determine whether CERE-120 (adeno-associated virus serotype 2 [AAV2]-neurturin [NTN]) is effective and safe in the treatment of patients with idiopathic Parkinson's Disease. CERE-120 is administered via bilateral stereotactic injections targeting the putaminal region of the brain. The design of this study involves approximately 34 patients receiving CERE-120 treatment via stereotactic surgery and approximately 17 patients receiving sham stereotactic surgery (no CERE-120 administered).

6. Conditions and Keywords

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

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Arm Description
Intracerebral administration of CERE-120
Arm Title
2
Arm Type
Sham Comparator
Arm Description
Sham Neurosurgery
Intervention Type
Drug
Intervention Name(s)
CERE-120 (Adeno-Associated Virus Serotype 2 [AAV2]-Neurturin [NTN])
Intervention Description
CERE-120 5.4 x 10^11 vg
Intervention Type
Procedure
Intervention Name(s)
Sham Surgery
Intervention Description
Bilateral partial thickness burr holes placed, no intraparenchymal injections
Primary Outcome Measure Information:
Title
UPDRS Part III OFF
Description
The UPDRS (Unified Parkinson's Disease Rating Scale) is a clinical rating scale that assesses the symptomatic burden of Parkinson's Disease. The scale has four main sections, and each item is scored from a 0 to a 4 (higher number is more severe manifestation). Part III is a subsection devoted to motor function, has 14 questions, resulting in a score range of 0 (unaffected) to 56 (severely affected). The scale is administered by a trained clinician, and patients were assessed in a practically defined "off" condition, 12 hours or more after the last administration of medication.
Time Frame
Change from Baseline to 12 Month Visit
Other Pre-specified Outcome Measures:
Title
UPDRS Part III OFF
Description
The UPDRS (Unified Parkinson's Disease Rating Scale) is a clinical rating scale that assesses the symptomatic burden of Parkinson's Disease. The scale has four main sections, and each item is scored from a 0 to a 4 (higher number is more severe manifestation). Part III is a subsection devoted to motor function, has 14 questions, resulting in a score range of 0 (unaffected) to 56 (severely affected). The scale is administered by a trained clinician, and patients were assessed in a practically defined "off" condition, 12 hours or more after the last administration of medication.
Time Frame
Change from Baseline to 18 Month Visit

10. Eligibility

Sex
All
Minimum Age & Unit of Time
35 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Diagnosis of bilateral, idiopathic Parkinson's Disease (PD) based on UK Brain Bank criteria with motor complications despite adequate oral antiparkinsonian therapy. At least 5 years disease duration, relative to the anticipated date of surgery, since diagnosis of PD. Males or nonpregnant females 35-75 years of age, inclusive. A UPDRS motor scale score of 30 or greater in the practically defined off condition during the 30-day eligibility evaluation period. Stable doses of antiparkinsonian medications and parkinsonian features for the 60-day period preceding the surgical procedure. No conditions that would render the subject unsuitable for surgery, or that would interfere with any of the assessments of efficacy or safety in this trial. Subject's informed consent prior to the performance of any study-specific procedures. Exclusion Criteria: Subjects with atypical or secondary parkinsonism. Any subject, in the judgment of the investigator, for whom participation in the study would pose a safety risk including, but not limited to, a history of any clinically significant medical, psychiatric, or laboratory abnormality. History of treatment of PD by any procedure involving intracranial surgery or implantation of a device. MRI of the brain within 12 months before the surgical procedure that indicates the presence of an abnormality that may interfere with the assessments of safety or efficacy or would, in the judgment of the investigator, represent a surgical risk to the subject. Any disorder that precludes a surgical procedure (e.g., signs of sepsis or inadequately treated infection) or alters wound healing. Receipt of antiplatelet agents for at least 10 days prior to the surgical procedure. A score of less than or equal to 27 on the Folstein Mini-Mental examination performed during the eligibility evaluation period or clinical evidence of cognitive impairment that would affect the subject's ability to sign the informed consent or perform any of the protocol required assessments. Chemotherapy, cytotoxic therapy, or immunotherapy within 6 weeks prior to the surgical procedure. Vaccinations within 30 days prior to the surgical procedure. History, within 2 years before the surgical procedure, of drug or alcohol abuse. Treatment with neuroleptics within 1 year before the surgical procedure. Any medical disability (e.g., severe degenerative arthritis, compromised nutritional state, peripheral neuropathy) that would interfere with the assessment of efficacy and safety in this trial or would compromise the ability of the subject to undergo study procedures (e.g., MRI, PET), or give informed consent. History of prior gene transfer therapy. Treatment with an investigational agent within 60 days before the surgical procedure.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Joao Siffert, M.D.
Organizational Affiliation
Ceregene
Official's Role
Study Director
Facility Information:
Facility Name
University of Alabama, Birmingham
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35233
Country
United States
Facility Name
University of California, San Francisco
City
San Francisco
State/Province
California
ZIP/Postal Code
94143-0138
Country
United States
Facility Name
Rush University Medical Center
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60612
Country
United States
Facility Name
Mount Sinai School of Medicine
City
New York
State/Province
New York
ZIP/Postal Code
10029
Country
United States
Facility Name
Duke University Medical Center
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27705
Country
United States
Facility Name
Cleveland Clinic
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44195
Country
United States
Facility Name
Oregon Health and Science University
City
Portland
State/Province
Oregon
ZIP/Postal Code
97239
Country
United States
Facility Name
Pennsylvania Hospital
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19107
Country
United States
Facility Name
Baylor College of Medicine
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
20970382
Citation
Marks WJ Jr, Bartus RT, Siffert J, Davis CS, Lozano A, Boulis N, Vitek J, Stacy M, Turner D, Verhagen L, Bakay R, Watts R, Guthrie B, Jankovic J, Simpson R, Tagliati M, Alterman R, Stern M, Baltuch G, Starr PA, Larson PS, Ostrem JL, Nutt J, Kieburtz K, Kordower JH, Olanow CW. Gene delivery of AAV2-neurturin for Parkinson's disease: a double-blind, randomised, controlled trial. Lancet Neurol. 2010 Dec;9(12):1164-1172. doi: 10.1016/S1474-4422(10)70254-4. Epub 2010 Oct 20.
Results Reference
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Double-Blind, Multicenter, Sham Surgery Controlled Study of CERE-120 in Subjects With Idiopathic Parkinson's Disease

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