Active, not recruiting
Phase 2
A Study to Evaluate the Efficacy of Prasinezumab (RO7046015/PRX002) in Participants With Early Parkinson's Disease
Condition(s) studied
Parkinson's Disease
Investigational drug(s) / intervention(s)
RO7046015RO7046015Placebo
RO7046015: RO7046015 will be administered at dose of 4500 milligrams (mg) for participants with body-weight greater than or equal to (\>/=) 65 kilograms (kg) or 3500 mg for participants with body-weight less than (\<) 65 kg.
RO7046015: RO7046015 will be administered at dose of 1512 mg to all participants in the indicated arm.
Placebo: RO7046015 placebo will be administered to all participants in the indicated arm.
Study summary
This multicenter, randomized, double-blind, placebo-controlled, Phase 2 study will evaluate the efficacy of intravenous prasinezumab (RO7046015/PRX002) versus placebo over 52 weeks in participants with early Parkinson's Disease (PD) who are untreated or treated with monoamine oxidase B (MAO-B) inhibitors since baseline. The study will consist of three parts: a 52-week, double-blind, placebo-controlled treatment period (Part 1) after which eligible participants will continue into an all-participants-on-treatment blinded dose extension for an additional 52 weeks (Part 2). Participants who complete Part 2 (including the 12-week treatment-free follow up visit assessing long term safety and efficacy of RO7046015) will be offered participation in Part 3 open-label extension (all-participants-on-RO7046015-treatment) for an additional 520 weeks.
Eligibility
Inclusion Criteria:
* Idiopathic PD with bradykinesia plus one of the other cardinal signs of PD (resting tremor, rigidity) being present, without any other known or suspected cause of PD untreated or treated with MAO-B inhibitor
* Body weight range between: \>/=45 kg/ 99 pounds (lbs) and less than or equal to (\</=) 110 kg/242 lbs
* Body mass index (BMI) of 18 to 34 kilograms per meter-squared (kg/m\^2)
* A diagnosis of PD for 2 years or less at screening
* Hoehn and Yahr Stage I or II
* A screening brain DaT-SPECT consistent with PD (central reading)
* Clinical status does not require dopaminergic PD medication and is not expected to require dopaminergic treatment within 52 weeks from baseline
* If presently being treated for PD, a stable dose of MAO-B inhibitor (rasagiline or selegiline) for at least 90 days prior to baseline and not expected to change within 52 weeks
* For women of childbearing potential: use of highly effective contraceptive methods (that result in a failure rate of \<1 percent \[%\] per year) during the treatment period and for at least 30 days (or longer if required by local regulations) after the last dose of study drug
* For men with female partners of childbearing potential or pregnant female partners, must use a condom during the treatment period and for at least 30 days (or longer if required by local regulations) after the last dose of study drug to avoid exposing the embryo. Men must refrain from donating sperm during this same period. The female partners should use a contraception method with a failure rate of \<1% per year during the treatment period and for at least 30 days (or longer if required by local regulations) after the last dose of study drug. Use of contraceptive measures is not required for male participants enrolled in Part 3.
Exclusion Criteria:
* Medical history indicating a Parkinson syndrome other than idiopathic PD, including but not limited to, progressive supranuclear gaze palsy, multiple system atrophy, drug-induced parkinsonism, essential tremor, primary dystonia
* Known carriers of certain familial PD genes (as specified in study protocol)
* History of PD related freezing episodes or falls
* A diagnosis of a significant CNS disease other than Parkinson's disease; history of repeated head injury; history of epilepsy or seizure disorder other than febrile seizures as a child
* Mini Mental State Examination (MMSE) \</=25
* Reside in a nursing home or assisted care facility
* History of or screening brain magnetic resonance imaging (MRI) scan indicative of clinically significant abnormality
* Concomitant disease or condition that could interfere with, or treatment of which might interfere with, the conduct of the study, or that would, in the opinion of the Investigator, pose an unacceptable risk to the participant in this study or interfere with the participant's ability to comply with study procedures or abide by study restrictions, or with the ability to interpret safety data
* Any significant cardiovascular condition
* Any significant laboratory abnormality
* Lactating women
* Prior treatment with dopaminergic medication (for example, levodopa or a dopaminergic agonist) with no clinical treatment response or a clinical treatment response inconsistent with PD (for example, absence of observable response to a sufficiently high-dose of levodopa \[i.e., ≥ 600 mg/day\])
* Use of any of the following: catechol-O-methyl transferase (COMT) inhibitors (entacapone, tolcapone), amantadine or anticholinergics, or dopaminergic medication (levodopa and both ergot and non-ergot \[pramipexole, ropinirole, rotigotine\] dopamine agonists) for more than a total of 60 days or within 60 days of baseline
* Anti-epileptic medication for non-seizure-related treatment which has not remained stable for at least 60 days prior to baseline
* Anti-depressant or anxiolytic use that has not remained stable for at least 90 days prior to baseline. The use of fluoxetine and fluvoxamine is not permitted. For patients treated with a MAO-B inhibitor and an antidepressant (except fluoxetine and fluvoxamine), a 6-month period of stable and tolerated dosing before baseline is required.
* Use of any of the following within 90 days prior to baseline: antipsychotics (including clozapine and olanzapine), metoclopramide, alpha methyldopa, clozapine, olanzapine, flunarizine, amoxapine, amphetamine derivatives, reserpine, bupropion, buspirone, cocaine, mazindol, methamphetamine, methylphenidate, norephedrine, phentermine, phenylpropanolamine, and modafinil
* Participated in an investigational drug, device, surgical , or stem cell study in PD
* Any prior treatment with an investigational PD-related vaccine (including active immunization or passive immunotherapy with monoclonal antibodies).
* Prior participation in any RO7046015 or PRX002 study
* Receipt of any non-PD investigational product or device, or participation in a non-PD drug research study within a period of 30 days (or 5 half-lives of the drug, whichever is longer) before baseline
* Receipt of any monoclonal antibody or an investigational immunomodulator within 180 days (or 5 half-lives, whichever is longer) before baseline
* Immunomodulating drugs within 30 days prior to baseline
* Allergy to any of the components of RO7046015 such as citrate, trehalose and polysorbate (Tween) 20 or a known hypersensitivity or an Infusion-related reaction (IRR) to the administration of any other monoclonal antibody
* Any contraindications to obtaining a brain MRI. Patients with a hypersensitivity to iodine may receive an alternative thyroid blocking agent.
* For participants consenting to provide optional cerebrospinal fluid (CSF) samples by lumbar puncture (LP): LP will only be performed if the participant does not have any contraindication to undergoing an LP
* Donation of blood over 500 milliliters (mL) within three months prior to screening
Primary outcome measure(s)
- Change From Baseline in Movement Disorder Society-Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Total Score (Sum of Parts I, II, and III) at Week 52 — From baseline to Week 52
The MDS-UPDRS is a multimodal scale consisting of four parts. Part I assessed non-motor experiences of daily living and has 2 components (Range 0-52). Part IA contains 6 questions and are assessed by the examiner (Range 0-24). Part IB contains 7 questions on non-motor experiences of daily living which was completed by the participant (Range 0-28). Part II assessed motor experiences of daily living (Range 0-52). It contained 13 questions completed by the participant. Part III assessed the motor signs of Parkinson's Disease (PD) and was administered by the rater (Range 0-132). Part III contained 33 scores based on 18 items. For each question a numeric score is assigned between 0-4, where 0 = Normal, 1 = Slight, 2 = Mild, 3 = Moderate, 4 = Severe. The MDS-UPDRS Total Score equals the sum of Parts I,II, and III (Range: 0-236). A higher score indicated more severe symptoms of Parkinson's disease.
Trial sites (55)
| Facility | City | Region | Status |
| Uab Medicine |
Birmingham |
Alabama |
|
| Barrow Neurology Clinics |
Phoenix |
Arizona |
|
| Neurology Center of North Orange County |
Fullerton |
California |
|
| USC Keck Medical Center of USC |
Los Angeles |
California |
|
| University of California at San Francisco |
San Francisco |
California |
|
| CenExel Rocky Mountain Clinical Research, LLC |
Englewood |
Colorado |
|
| Associated Neurologists of Southern CT PC |
Fairfield |
Connecticut |
|
| Molecular Neurolmaging |
New Haven |
Connecticut |
|
| Aventura Neurologic Associates |
Aventura |
Florida |
|
| Parkinson's Disease and Movement Disorders Center of Boca Raton |
Boca Raton |
Florida |
|
| USF Parkinsons Disease and Movement Disorders Center |
Tampa |
Florida |
|
| Northwestern University |
Evanston |
Illinois |
|
| University of Kansas Medical Center |
Kansas City |
Kansas |
|
| Beth Israel Deaconess Medical Center |
Boston |
Massachusetts |
|
| Quest Research Institute |
Farmington Hills |
Michigan |
|
| Corewell Health Neurology and Epilepsy - Beltline |
Grand Rapids |
Michigan |
|
| Henry Ford Health System |
West Bloomfield |
Michigan |
|
| Columbia University |
New York |
New York |
|
| University of Rochester Medical Center |
Rochester |
New York |
|
| The Movement Disorder Clinic of Oklahoma |
Tulsa |
Oklahoma |
|
| Oregon Health & Science Uni |
Portland |
Oregon |
|
| UNIVERSITY of PENNSYLVANIA |
Philadelphia |
Pennsylvania |
|
| Vanderbilt University Medical Center |
Nashville |
Tennessee |
|
| Baylor College |
Houston |
Texas |
|
| Central Texas Neurology Consultants |
Round Rock |
Texas |
|
| University of Vermont Medical Center |
Burlington |
Vermont |
|
| Medizinische Universität Innsbruck |
Innsbruck |
Austria |
|
| Groupe Hospitalier Pellegrin |
Bordeaux |
France |
|
| Hopital Gabriel Montpied |
Clermont-Ferrand |
France |
|
| Hopital Henri Mondor |
Créteil |
France |
|
| Hôpital Michallon - Centre d'Investigation Clinique |
Grenoble |
France |
|
| hopital de la Timone |
Marseille |
France |
|
| CHU de Nice Hopital Pasteur |
Nice |
France |
|
| Hopital Pitie-Salpetriere APHP |
Paris |
France |
|
| CHU Poitiers |
Poitiers |
France |
|
| CHU Rouen Charles Nicolle |
Rouen |
France |
|
| CHU de Nantes - Hopital Laennec |
Saint-Herblain |
France |
|
| CIC - Hôpital Purpan |
Toulouse |
France |
|
| Klinik fur Neurologie |
Berlin |
Germany |
|
| Heinrich-Heine Universitätsklinik Düsseldorf |
Düsseldorf |
Germany |
|
+ 15 more sites — see the full list on the official registry below.