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Study Assessing Tolerability and Safety of AFFITOPE® PD03A in Patients With Early Parkinson's Disease (AFF011)

Primary Purpose

Parkinson Disease, Neurodegenerative Diseases

Status
Completed
Phase
Phase 1
Locations
Austria
Study Type
Interventional
Intervention
Low dose AFFITOPE® PD03A + Adjuvant
High dose AFFITOPE® PD03A + Adjuvant
Adjuvant without active component
Sponsored by
Affiris AG
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Parkinson Disease

Eligibility Criteria

45 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Individuals with IPS diagnosed for less than 4 years and who present in Hoehn & Yahr Stages I/II and fulfill the United Kingdom Parkinson's Disease Society Brain Bank Criteria
  • The result of a DAT-SPECT and MRI examination of the patient's brain has to be consistent with the diagnosis of PD
  • Written Informed Consent Form signed and dated by the patient
  • Age between 45 and 70
  • Female patients of childbearing potential are eligible if they use a medically accepted contraceptive method
  • A potential participant treated with conventional PD therapies must be on stable doses for at least 3 months prior to Visit 0 and during the entire trial period and must be a stable responder
  • Accepted PD medications include the following: levodopa (alone or in combination with benserazide, carbidopa), Catechol-O-methyltransferase inhibitors (entacapone, tolcapone), amantadine, non-ergot dopamine agonists (pramipexol, ropinirol, rotigotine), monoamine oxidase-B inhibitors (rasagiline, selegiline) and anticholinergic medication
  • A potential participant has to be on stable doses of all medications he/she is taking because of consisting illnesses according to medical history (except PD therapies, these will be recorded separately) for at least 30 days prior to Visit 0, if considered relevant by the PI
  • Upon PI's opinion, no visual or auditory impairments that would reduce the patients' ability to complete study questionnaires or be unable to receive instructions for these

Exclusion Criteria:

  • Pregnant women
  • Sexually active women of childbearing potential who are not using a medically accepted birth control method throughout the study
  • Participation in another clinical trial within 3 months before Visit 0
  • History of questionable compliance to visit schedule; patients not expected to complete the clinical trial
  • Presence or history of allergy to components of the vaccine, if considered relevant by the PI
  • Contraindication for MRI imaging such as metallic endoprosthesis or stent implantation in the last 6 months or allergy to MRI contrast agent
  • Contraindication for DAT-SPECT
  • Contraindication for lumbar puncture such as anticoagulation
  • Dementia
  • History and/or presence of autoimmune disease, if considered relevant by the PI
  • Recent (≤3 years since last specific treatment) history of cancer (Exceptions: basal cell carcinoma, intraepithelial cervical neoplasia)
  • Active infectious disease (e.g., Hepatitis B, C)
  • Presence and/or history of Immunodeficiency (e.g., HIV)
  • Significant systemic illness (e.g., chronic renal failure, chronic liver disease, poorly controlled diabetes, poorly controlled congestive heart failure, other deficiencies), if considered relevant by the PI
  • History of significant psychiatric illness such as schizophrenia, bipolar affective disorder or psychotic depression
  • Parkinson-like disease secondary to drug therapy side effects (e.g., due to exposure to medications that deplete dopamine [reserpine, tetrabenazine] or block dopamine receptors [neuroleptics, antiemetics]
  • Parkinson-plus syndromes (e.g. MSA, PSP)
  • Heredodegenerative disorders
  • Alcoholism or substance abuse within the past year (alcohol or drug intoxication)
  • Prior and/or current treatment with experimental immunotherapeutics including intravenous immunoglobulin
  • Prior and/or current treatment with immunosuppressive drugs
  • Change in dose of standard treatments for PD within 3 months prior to Visit 0
  • Change in dose of previous and current medications which the patient is taking because of consisting illnesses according medical history (except PD therapies, these will be recorded separately) within the last 30 days prior to Visit 0, if clinically relevant
  • Treatment with deep brain stimulation
  • Venous status rendering it impossible to place an i.v. access
  • L-Dopa related motor complications (response fluctuations and/or dyskinesia)
  • Evidence for genetic forms of PD: leucine-rich repeat kinase 2 and Parkin

Sites / Locations

  • Medical University Innsbruck, Department of Neurology
  • Studienzentrum der PROSENEX, AmbulatoriumbetriebsgesmbH an der Confraternität -Privatklinik Josefstadt

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

Low dose AFFITOPE® PD03A + Adjuvant

High dose AFFITOPE® PD03A + Adjuvant

Adjuvant without active component

Arm Description

4 injections of 15µg AFFITOPE® PD03A/ adjuvanted, once every 4 weeks 1 boost immunization 36 weeks after first injection

4 injections of 75µg AFFITOPE® PD03A/ adjuvanted, once every 4 weeks 1 boost immunization 36 weeks after first injection

4 injections of Placebo once every 4 weeks 1 administration 36 weeks after first injection

Outcomes

Primary Outcome Measures

Number of patients who withdraw due to Adverse Events (AEs)
The withdrawal criteria (continuation decision) in regards to the number of patients who withdraw due to AEs as well as the reason for withdrawal will be evaluated.
Occurrence of Adverse Events and Serious Adverse Events
Evaluation of Adverse Events and Serious Adverse Events in regards to autoimmune reactions
New findings or Change in pre-existing findings assessed in physical and neurological examinations over time (study period)
Change in vital signs and Body mass over time (study period)
The Evaluation of vital signs includes the changes in blood pressure, heart rate, respiratory rate and Body temperature over time (measured at each visit).
Safety related Evaluation of MRI results of patients' brain after visit 5 and visit 8 compared to baseline
MRI safety measures will e.g. include the occurrence of inflammatory reactions (meningoencephalitis), new/changed hemorrhages and lacunar infarcts.
Clinical significance/changes in laboratory parameters over time (study period)
Laboratory assessment includes hematology, biochemistry, coagulation, serology and urinanalysis.

Secondary Outcome Measures

Immunological activity of AFFITOPE® vaccine PD03A
Titer of vaccination induced antibodies directed towards vaccine components, alpha- and beta synuclein
Change in motor symptoms at visit 8 and visit 11 compared to baseline
Change in motor symptoms: MDS Unified Parkinson's Disease Rating Scale (UPDRS) II and III
Change in non-motor symptoms at visit 8 and visit 11 compared to baseline
Change in non-motor symptoms: PDQ-39 (Parkinson's Disease Quality of Life-39)/PD non-motor symptom score, MDS UPDRS I (Movement Disorder Society Unified Parkinson's Disease Rating scale), cognitive test battery, HAM-D (Hamilton Depression Rating Scale)

Full Information

First Posted
September 4, 2014
Last Updated
October 28, 2016
Sponsor
Affiris AG
Collaborators
PROSENEX AmbulatoriumbetriebsGMBH, Medical University Innsbruck, Forschungszentrum Juelich
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1. Study Identification

Unique Protocol Identification Number
NCT02267434
Brief Title
Study Assessing Tolerability and Safety of AFFITOPE® PD03A in Patients With Early Parkinson's Disease
Acronym
AFF011
Official Title
A Randomized, Placebo-controlled, Parallel Group, Patient-blinded, Multi-center, Phase I Pilot Study to Assess Tolerability and Safety of Two Doses of AFFITOPE® PD03A Formulated With Adjuvant to Patients With Early Parkinson's Disease
Study Type
Interventional

2. Study Status

Record Verification Date
October 2016
Overall Recruitment Status
Completed
Study Start Date
December 2014 (undefined)
Primary Completion Date
August 2016 (Actual)
Study Completion Date
August 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Affiris AG
Collaborators
PROSENEX AmbulatoriumbetriebsGMBH, Medical University Innsbruck, Forschungszentrum Juelich

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Study AFF011 is a randomized controlled parallel Group phase I study to investigate the safety and tolerability of two doses of the vaccine AFFITOPE® PD03A given to patients with early Parkinson's disease. In total 36 patients will be enrolled in 3 independent groups (2 treatment groups, 1 Placebo group), each consisting of 12 patients. The patients will be randomized to either receive 15µg or 75µg AFFITOPE® PD03A formulated with adjuvant or the reference substance without active component (Placebo). Over a study duration of 52 weeks, the study participants receive 4 injections as basic immunization in a 4-weekly interval and 1 boost immunization 36 weeks after the first injection. Male and female patients aged 45 to 70 years can participate in the trial. 2 study sites in Austria (Innsbruck and Vienna) will be involved. AFF011 is part of a project SYMPATH funded by the European Commission (FP7-HEALTH-2013-INNOVATION-1 project; N° HEALTH-F4-2013-602999).

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
36 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Low dose AFFITOPE® PD03A + Adjuvant
Arm Type
Experimental
Arm Description
4 injections of 15µg AFFITOPE® PD03A/ adjuvanted, once every 4 weeks 1 boost immunization 36 weeks after first injection
Arm Title
High dose AFFITOPE® PD03A + Adjuvant
Arm Type
Experimental
Arm Description
4 injections of 75µg AFFITOPE® PD03A/ adjuvanted, once every 4 weeks 1 boost immunization 36 weeks after first injection
Arm Title
Adjuvant without active component
Arm Type
Placebo Comparator
Arm Description
4 injections of Placebo once every 4 weeks 1 administration 36 weeks after first injection
Intervention Type
Biological
Intervention Name(s)
Low dose AFFITOPE® PD03A + Adjuvant
Intervention Description
s.c. injection
Intervention Type
Biological
Intervention Name(s)
High dose AFFITOPE® PD03A + Adjuvant
Intervention Description
s.c. injection
Intervention Type
Biological
Intervention Name(s)
Adjuvant without active component
Intervention Description
s.c. injection
Primary Outcome Measure Information:
Title
Number of patients who withdraw due to Adverse Events (AEs)
Description
The withdrawal criteria (continuation decision) in regards to the number of patients who withdraw due to AEs as well as the reason for withdrawal will be evaluated.
Time Frame
12 months
Title
Occurrence of Adverse Events and Serious Adverse Events
Description
Evaluation of Adverse Events and Serious Adverse Events in regards to autoimmune reactions
Time Frame
12 months
Title
New findings or Change in pre-existing findings assessed in physical and neurological examinations over time (study period)
Time Frame
12 months
Title
Change in vital signs and Body mass over time (study period)
Description
The Evaluation of vital signs includes the changes in blood pressure, heart rate, respiratory rate and Body temperature over time (measured at each visit).
Time Frame
12 months
Title
Safety related Evaluation of MRI results of patients' brain after visit 5 and visit 8 compared to baseline
Description
MRI safety measures will e.g. include the occurrence of inflammatory reactions (meningoencephalitis), new/changed hemorrhages and lacunar infarcts.
Time Frame
12 months
Title
Clinical significance/changes in laboratory parameters over time (study period)
Description
Laboratory assessment includes hematology, biochemistry, coagulation, serology and urinanalysis.
Time Frame
12 months
Secondary Outcome Measure Information:
Title
Immunological activity of AFFITOPE® vaccine PD03A
Description
Titer of vaccination induced antibodies directed towards vaccine components, alpha- and beta synuclein
Time Frame
12 months
Title
Change in motor symptoms at visit 8 and visit 11 compared to baseline
Description
Change in motor symptoms: MDS Unified Parkinson's Disease Rating Scale (UPDRS) II and III
Time Frame
12 months
Title
Change in non-motor symptoms at visit 8 and visit 11 compared to baseline
Description
Change in non-motor symptoms: PDQ-39 (Parkinson's Disease Quality of Life-39)/PD non-motor symptom score, MDS UPDRS I (Movement Disorder Society Unified Parkinson's Disease Rating scale), cognitive test battery, HAM-D (Hamilton Depression Rating Scale)
Time Frame
12 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
45 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Individuals with IPS diagnosed for less than 4 years and who present in Hoehn & Yahr Stages I/II and fulfill the United Kingdom Parkinson's Disease Society Brain Bank Criteria The result of a DAT-SPECT and MRI examination of the patient's brain has to be consistent with the diagnosis of PD Written Informed Consent Form signed and dated by the patient Age between 45 and 70 Female patients of childbearing potential are eligible if they use a medically accepted contraceptive method A potential participant treated with conventional PD therapies must be on stable doses for at least 3 months prior to Visit 0 and during the entire trial period and must be a stable responder Accepted PD medications include the following: levodopa (alone or in combination with benserazide, carbidopa), Catechol-O-methyltransferase inhibitors (entacapone, tolcapone), amantadine, non-ergot dopamine agonists (pramipexol, ropinirol, rotigotine), monoamine oxidase-B inhibitors (rasagiline, selegiline) and anticholinergic medication A potential participant has to be on stable doses of all medications he/she is taking because of consisting illnesses according to medical history (except PD therapies, these will be recorded separately) for at least 30 days prior to Visit 0, if considered relevant by the PI Upon PI's opinion, no visual or auditory impairments that would reduce the patients' ability to complete study questionnaires or be unable to receive instructions for these Exclusion Criteria: Pregnant women Sexually active women of childbearing potential who are not using a medically accepted birth control method throughout the study Participation in another clinical trial within 3 months before Visit 0 History of questionable compliance to visit schedule; patients not expected to complete the clinical trial Presence or history of allergy to components of the vaccine, if considered relevant by the PI Contraindication for MRI imaging such as metallic endoprosthesis or stent implantation in the last 6 months or allergy to MRI contrast agent Contraindication for DAT-SPECT Contraindication for lumbar puncture such as anticoagulation Dementia History and/or presence of autoimmune disease, if considered relevant by the PI Recent (≤3 years since last specific treatment) history of cancer (Exceptions: basal cell carcinoma, intraepithelial cervical neoplasia) Active infectious disease (e.g., Hepatitis B, C) Presence and/or history of Immunodeficiency (e.g., HIV) Significant systemic illness (e.g., chronic renal failure, chronic liver disease, poorly controlled diabetes, poorly controlled congestive heart failure, other deficiencies), if considered relevant by the PI History of significant psychiatric illness such as schizophrenia, bipolar affective disorder or psychotic depression Parkinson-like disease secondary to drug therapy side effects (e.g., due to exposure to medications that deplete dopamine [reserpine, tetrabenazine] or block dopamine receptors [neuroleptics, antiemetics] Parkinson-plus syndromes (e.g. MSA, PSP) Heredodegenerative disorders Alcoholism or substance abuse within the past year (alcohol or drug intoxication) Prior and/or current treatment with experimental immunotherapeutics including intravenous immunoglobulin Prior and/or current treatment with immunosuppressive drugs Change in dose of standard treatments for PD within 3 months prior to Visit 0 Change in dose of previous and current medications which the patient is taking because of consisting illnesses according medical history (except PD therapies, these will be recorded separately) within the last 30 days prior to Visit 0, if clinically relevant Treatment with deep brain stimulation Venous status rendering it impossible to place an i.v. access L-Dopa related motor complications (response fluctuations and/or dyskinesia) Evidence for genetic forms of PD: leucine-rich repeat kinase 2 and Parkin
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Werner Poewe, MD
Organizational Affiliation
Medical University Innsbruck, Department of Neurology, Innsbruck 6020, Austria
Official's Role
Principal Investigator
Facility Information:
Facility Name
Medical University Innsbruck, Department of Neurology
City
Innsbruck
ZIP/Postal Code
6020
Country
Austria
Facility Name
Studienzentrum der PROSENEX, AmbulatoriumbetriebsgesmbH an der Confraternität -Privatklinik Josefstadt
City
Vienna
ZIP/Postal Code
1080
Country
Austria

12. IPD Sharing Statement

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Study Assessing Tolerability and Safety of AFFITOPE® PD03A in Patients With Early Parkinson's Disease

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