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Study to Evaluate the Efficacy, Safety and Tolerability of PXT002331 (Foliglurax) in Reducing Motor Complications of Levodopa Therapy in Parkinson Disease's Patients (AMBLED)

Primary Purpose

Parkinson Disease

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Placebo oral capsule
PXT002331 - dose 1
PXT002331 - dose 2
Sponsored by
Prexton Therapeutics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Parkinson Disease focused on measuring Levodopa-Induced Dyskinesia (LID), Wearing-off, Foliglurax, Parkinson's Disease, mGluR4 PAM

Eligibility Criteria

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

Inclusion Criteria:

  • Males or females diagnosed after the age of 30 years with idiopathic PD for at least 3 years
  • Disease severity of 2 to 4 on the modified Hoehn and Yahr scale when in the OFF state
  • Been treated with a stable regimen of levodopa-containing therapy
  • Subjects who are on a long-acting formulation of levodopa-containing therapy, including Apodespan PR (or equivalent), must be on a stable dose for at least 6 weeks prior to the first screening visit
  • Experienced motor fluctuations with wearing off over a period of at least 3 months prior to randomisation
  • Experienced LID over a period of at least 3 months prior to randomisation
  • Female subjects will be women of non-childbearing potential
  • Subjects must pass a Hauser diary concordance test
  • Subjects are able, with or without the help of a caregiver, to understand the purpose and risks of the study and provide signed and dated informed consent and authorisation to use confidential health information in accordance with national and local subject privacy regulations

Exclusion Criteria:

  • Subjects with atypical, secondary or drug-induced Parkinsonism
  • Subjects with a Mini-Mental State Examination (MMSE) score <25
  • Any known contraindication to the use of levodopa, including a history of malignant melanoma or a history of narrow-angle glaucoma.
  • Subjects who have had a clinically significant illness within 4 weeks of first dose, as determined by the Investigator.
  • Any advanced, severe or unstable disease (other than PD) that may interfere with the primary and secondary study outcome evaluations
  • Subjects who have undergone prior neurosurgical operation for PD or transcranial magnetic stimulation.
  • Subjects who are participating in another clinical study (eg, attending follow-up visits) or who have participated in a clinical study involving administration of an investigational drug (new chemical entity) in the past 3 months prior to the baseline visit.
  • Female subjects of childbearing potential
  • Subjects who are pregnant (as determined by positive serum pregnancy test at screening and/or baseline), breastfeeding or lactating.
  • Subjects who, in the opinion of the Investigator, should not participate in this study.

Sites / Locations

  • Universitätsklinik für Innere Medizin VI Innsbruck, Neurologisches Studienzentrum
  • Centre Hospitalier Universitaire d'Amiens
  • Centre Hospitalier de la Côte Basque
  • Hôpital Avicenne APHP
  • Hôpital Pierre Wertheimer
  • CHU Gabriel-Montpied
  • CHU Grenoble - Pôle Psychiatrie et Neurologie
  • CHRU - Hôpital Roger Salengro
  • CHU de Nice - Hôpital Pasteur
  • Hopital Pitie-Salpetriere
  • CHU de Poitiers
  • Hôpital Universitaire
  • CHU de Nantes - Hôpital Nord Laennec
  • Hôpitaux Universitaires de Strasbourg - Hôpital de Hautepierre
  • Centre Hospitalier Universitaire de Toulouse - Hôpital Purpan
  • Practice for Neurology, Psychiatry & Psychotherapy Dr. med. I. Schoell & colleagues
  • St. Joseph-Krankenhaus Berlin-Weissensee
  • University Hospital Erlangen - Abteilung fur Molekulare Neurologie
  • Neurological Praxis
  • Am Klinikum 1 Jena
  • Paracelsus-Elena-Klinik Kassel
  • MVZ Kliniken Mühldorf a. Inn
  • Villa Margherita
  • Fondazione Universita G. D'Annunzio Centro Studi sull'invecchiamento Centro di Ricerca Clinica
  • Universita degli Studi di Salerno
  • IRCCS Centro Neurolesi Bonino Pulejo
  • Fondazione I.R.C.C.S. Istituto Neurologico Carlo Besta
  • Azienda Ospedaliero Universitaria Pisana - Stabilimento Ospedaliero di Santa Chiara
  • Policlinico Tor Vergata
  • IRCCS San Raffaele Pisana
  • Università degli Studi di Roma "La Sapienza"
  • Humanitas Research Hospital
  • IRCCS Fondazione Ospedale San Camillo (SC)
  • Hospital de la Santa Creu i Sant Pau
  • Hospital Universitario Vall d'Hebron
  • Hospital Clínic de Barcelona
  • Hospital General Universitario de Elche
  • Hospital Universitari General de Catalunya
  • Hospital Universitario Virgen del Rocío
  • Hospital Universitari i Politècnic La Fe
  • Fairfield General Hospital
  • Imperial College Healthcare NHS Trust - Charing Cross Hospital
  • Clinical Ageing Research Unit, Campus for Ageing and Vitality
  • North Tyneside General Hospital
  • Plymouth Hospitals NHS Trust - Derriford Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Placebo Comparator

Experimental

Experimental

Arm Label

PLACEBO

PXT002331 - 10mg

PXT002331 - 30mg

Arm Description

Outcomes

Primary Outcome Measures

Change from baseline to end of Treatment Period in the daily awake OFF time based on subject Hauser diary entries

Secondary Outcome Measures

Full Information

First Posted
May 19, 2017
Last Updated
March 16, 2020
Sponsor
Prexton Therapeutics
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1. Study Identification

Unique Protocol Identification Number
NCT03162874
Brief Title
Study to Evaluate the Efficacy, Safety and Tolerability of PXT002331 (Foliglurax) in Reducing Motor Complications of Levodopa Therapy in Parkinson Disease's Patients
Acronym
AMBLED
Official Title
A Multi-centre, Double-blind, Randomised, Placebo-controlled, Parallel-arm Phase IIa Trial to Evaluate the Efficacy, Safety and Tolerability of 28-Day Oral Treatment With PXT002331 (Foliglurax) in Reducing Motor Complications of Levodopa Therapy in Subjects With Parkinson's Disease Experiencing End-of-dose Wearing Off and Levodopa-Induced Dyskinesia (AMBLED)
Study Type
Interventional

2. Study Status

Record Verification Date
March 2020
Overall Recruitment Status
Completed
Study Start Date
July 4, 2017 (Actual)
Primary Completion Date
February 19, 2020 (Actual)
Study Completion Date
March 2, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Prexton Therapeutics

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 will be a double-blind, randomised, placebo-controlled parallel-arm phase II proof of concept in subjects with PD treated with a stable dose of levodopa who are experiencing both end-of-dose wearing off and Levodopa-Induced Dyskinesia (LID)

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Parkinson Disease
Keywords
Levodopa-Induced Dyskinesia (LID), Wearing-off, Foliglurax, Parkinson's Disease, mGluR4 PAM

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
157 (Actual)

8. Arms, Groups, and Interventions

Arm Title
PLACEBO
Arm Type
Placebo Comparator
Arm Title
PXT002331 - 10mg
Arm Type
Experimental
Arm Title
PXT002331 - 30mg
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
Placebo oral capsule
Intervention Description
BID
Intervention Type
Drug
Intervention Name(s)
PXT002331 - dose 1
Intervention Description
Oral
Intervention Type
Drug
Intervention Name(s)
PXT002331 - dose 2
Intervention Description
Oral
Primary Outcome Measure Information:
Title
Change from baseline to end of Treatment Period in the daily awake OFF time based on subject Hauser diary entries
Time Frame
28 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
35 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Males or females diagnosed after the age of 30 years with idiopathic PD for at least 3 years Disease severity of 2 to 4 on the modified Hoehn and Yahr scale when in the OFF state Been treated with a stable regimen of levodopa-containing therapy Subjects who are on a long-acting formulation of levodopa-containing therapy, including Apodespan PR (or equivalent), must be on a stable dose for at least 6 weeks prior to the first screening visit Experienced motor fluctuations with wearing off over a period of at least 3 months prior to randomisation Experienced LID over a period of at least 3 months prior to randomisation Female subjects will be women of non-childbearing potential Subjects must pass a Hauser diary concordance test Subjects are able, with or without the help of a caregiver, to understand the purpose and risks of the study and provide signed and dated informed consent and authorisation to use confidential health information in accordance with national and local subject privacy regulations Exclusion Criteria: Subjects with atypical, secondary or drug-induced Parkinsonism Subjects with a Mini-Mental State Examination (MMSE) score <25 Any known contraindication to the use of levodopa, including a history of malignant melanoma or a history of narrow-angle glaucoma. Subjects who have had a clinically significant illness within 4 weeks of first dose, as determined by the Investigator. Any advanced, severe or unstable disease (other than PD) that may interfere with the primary and secondary study outcome evaluations Subjects who have undergone prior neurosurgical operation for PD or transcranial magnetic stimulation. Subjects who are participating in another clinical study (eg, attending follow-up visits) or who have participated in a clinical study involving administration of an investigational drug (new chemical entity) in the past 3 months prior to the baseline visit. Female subjects of childbearing potential Subjects who are pregnant (as determined by positive serum pregnancy test at screening and/or baseline), breastfeeding or lactating. Subjects who, in the opinion of the Investigator, should not participate in this study.
Facility Information:
Facility Name
Universitätsklinik für Innere Medizin VI Innsbruck, Neurologisches Studienzentrum
City
Innsbruck
ZIP/Postal Code
6020
Country
Austria
Facility Name
Centre Hospitalier Universitaire d'Amiens
City
Amiens
ZIP/Postal Code
80054
Country
France
Facility Name
Centre Hospitalier de la Côte Basque
City
Bayonne
ZIP/Postal Code
64100
Country
France
Facility Name
Hôpital Avicenne APHP
City
Bobigny
ZIP/Postal Code
93009
Country
France
Facility Name
Hôpital Pierre Wertheimer
City
Bron
ZIP/Postal Code
69500
Country
France
Facility Name
CHU Gabriel-Montpied
City
Clermont-Ferrand
ZIP/Postal Code
63003
Country
France
Facility Name
CHU Grenoble - Pôle Psychiatrie et Neurologie
City
Grenoble
ZIP/Postal Code
38043
Country
France
Facility Name
CHRU - Hôpital Roger Salengro
City
Lille
ZIP/Postal Code
59037
Country
France
Facility Name
CHU de Nice - Hôpital Pasteur
City
Nice
ZIP/Postal Code
06002
Country
France
Facility Name
Hopital Pitie-Salpetriere
City
Paris
ZIP/Postal Code
75013
Country
France
Facility Name
CHU de Poitiers
City
Poitiers
ZIP/Postal Code
86000
Country
France
Facility Name
Hôpital Universitaire
City
Rouen
ZIP/Postal Code
76031
Country
France
Facility Name
CHU de Nantes - Hôpital Nord Laennec
City
Saint-Herblain
ZIP/Postal Code
44805
Country
France
Facility Name
Hôpitaux Universitaires de Strasbourg - Hôpital de Hautepierre
City
Strasbourg
Country
France
Facility Name
Centre Hospitalier Universitaire de Toulouse - Hôpital Purpan
City
Toulouse
ZIP/Postal Code
31059
Country
France
Facility Name
Practice for Neurology, Psychiatry & Psychotherapy Dr. med. I. Schoell & colleagues
City
Bad Homburg
ZIP/Postal Code
61348
Country
Germany
Facility Name
St. Joseph-Krankenhaus Berlin-Weissensee
City
Berlin
ZIP/Postal Code
13088
Country
Germany
Facility Name
University Hospital Erlangen - Abteilung fur Molekulare Neurologie
City
Erlangen
ZIP/Postal Code
91054
Country
Germany
Facility Name
Neurological Praxis
City
Gera
ZIP/Postal Code
07551
Country
Germany
Facility Name
Am Klinikum 1 Jena
City
Jena
ZIP/Postal Code
07747
Country
Germany
Facility Name
Paracelsus-Elena-Klinik Kassel
City
Kassel
ZIP/Postal Code
34128
Country
Germany
Facility Name
MVZ Kliniken Mühldorf a. Inn
City
Mühldorf
Country
Germany
Facility Name
Villa Margherita
City
Arcugnano
ZIP/Postal Code
36057
Country
Italy
Facility Name
Fondazione Universita G. D'Annunzio Centro Studi sull'invecchiamento Centro di Ricerca Clinica
City
Chieti
ZIP/Postal Code
66100
Country
Italy
Facility Name
Universita degli Studi di Salerno
City
Fisciano
ZIP/Postal Code
84084
Country
Italy
Facility Name
IRCCS Centro Neurolesi Bonino Pulejo
City
Messina
ZIP/Postal Code
98123
Country
Italy
Facility Name
Fondazione I.R.C.C.S. Istituto Neurologico Carlo Besta
City
Milano
ZIP/Postal Code
20133
Country
Italy
Facility Name
Azienda Ospedaliero Universitaria Pisana - Stabilimento Ospedaliero di Santa Chiara
City
Pisa
ZIP/Postal Code
56126
Country
Italy
Facility Name
Policlinico Tor Vergata
City
Roma
ZIP/Postal Code
00133
Country
Italy
Facility Name
IRCCS San Raffaele Pisana
City
Roma
ZIP/Postal Code
163
Country
Italy
Facility Name
Università degli Studi di Roma "La Sapienza"
City
Roma
ZIP/Postal Code
185
Country
Italy
Facility Name
Humanitas Research Hospital
City
Rozzano
ZIP/Postal Code
20089
Country
Italy
Facility Name
IRCCS Fondazione Ospedale San Camillo (SC)
City
Venezia
ZIP/Postal Code
30126
Country
Italy
Facility Name
Hospital de la Santa Creu i Sant Pau
City
Barcelona
ZIP/Postal Code
8025
Country
Spain
Facility Name
Hospital Universitario Vall d'Hebron
City
Barcelona
ZIP/Postal Code
8035
Country
Spain
Facility Name
Hospital Clínic de Barcelona
City
Barcelona
ZIP/Postal Code
8036
Country
Spain
Facility Name
Hospital General Universitario de Elche
City
Elche
ZIP/Postal Code
3203
Country
Spain
Facility Name
Hospital Universitari General de Catalunya
City
Sant Cugat del Vallès
ZIP/Postal Code
8195
Country
Spain
Facility Name
Hospital Universitario Virgen del Rocío
City
Sevilla
ZIP/Postal Code
41013
Country
Spain
Facility Name
Hospital Universitari i Politècnic La Fe
City
Valencia
ZIP/Postal Code
46010
Country
Spain
Facility Name
Fairfield General Hospital
City
Bury
ZIP/Postal Code
BL9 7TD
Country
United Kingdom
Facility Name
Imperial College Healthcare NHS Trust - Charing Cross Hospital
City
London
ZIP/Postal Code
W6 8RF
Country
United Kingdom
Facility Name
Clinical Ageing Research Unit, Campus for Ageing and Vitality
City
Newcastle upon Tyne
ZIP/Postal Code
NE4 5PL
Country
United Kingdom
Facility Name
North Tyneside General Hospital
City
North Shields
ZIP/Postal Code
NE29 8NH
Country
United Kingdom
Facility Name
Plymouth Hospitals NHS Trust - Derriford Hospital
City
Plymouth
ZIP/Postal Code
PL6 8DH
Country
United Kingdom

12. IPD Sharing Statement

Learn more about this trial

Study to Evaluate the Efficacy, Safety and Tolerability of PXT002331 (Foliglurax) in Reducing Motor Complications of Levodopa Therapy in Parkinson Disease's Patients

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