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Parkinson's DiseasePhase 1NCT03272165

Single Ascending Dose Study of MEDI1341 in Healthy Volunteers

A Phase 1 study testing MEDI1341 in people with Parkinson's Disease, run by AstraZeneca at 2 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This is a study of single ascending intravenous doses of MEDI1341 or placebo in up to 48 healthy volunteers, aged 18 to 65 years. The study will include up to 6 planned cohorts; each cohort will comprise 8 participants. Read more about this study

Who is it for?
Ages 18 to 80 yearsHealthy volunteers can take part
Conditions the study is for
Parkinson's Disease
What is being tested?
MEDI1341
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
50 participants
Where
2 sitesUnited States
Study dates
17 Oct 2017to 31 Mar 2021
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 80 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Participants must be healthy, with no clinically significant abnormality identified on the medical or laboratory evaluation at screening
  • Participants must weigh ≥50 kg and must have a body mass index between 18 and 32 kg/m^2, inclusive
  • Participants must have a 12-lead electrocardiogram recorded at screening that is normal for the appropriate age group and shows no abnormalities that will compromise safety in this study
  • Participants must have no clinically significant findings on the clinical neurological examinations at screening and at baseline or on the ophthalmic examination at screening.

Who cannot join

  • Nicotine use within 6 months before screening
  • Considered to be at a high risk of developing a stroke
  • Significant medical history of dizziness, blackouts, fainting, or vaso-vagal attacks
  • History of any significant ophthalmic disorder, including congenital, genetic or acquired conditions affecting the retina or choroid
  • History of severe allergy or history of hypersensitivity to immunizations or immunoglobulins
  • History of any significant psychiatric disorder
Show all 14Show fewer
  • History of alcohol abuse
  • History of cancer within 5 years of screening
  • History of drug abuse
  • Any contraindication to Lumbar Puncture
  • Any clinically significant abnormality in ECG rhythm, conduction or morphology
  • Positive serologic findings at screening for human immunodeficiency virus (HIV) antibodies, hepatitis B surface antigen, or hepatitis C virus antibodies
  • Use of prescription or non-prescription drugs
  • For female participants, a positive serum or urine pregnancy test result at screening

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • Research Site

    Dallas, Texas, 75247

  • Research Site

    Madison, Wisconsin, 53704

Other trials in United States

About this study

Official title: A Randomized, Double-blind, Placebo-controlled Study of the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Single Ascending Doses of MEDI1341 in Healthy Male and Female Volunteers

This is a study of single ascending intravenous doses of MEDI1341 or placebo in up to 48 healthy volunteers, aged 18 to 65 years. The study will include up to 6 planned cohorts; each cohort will comprise 8 participants.

Each participant will receive a single 60 minute intravenous infusion of MEDI1341 or placebo and will undergo scheduled assessments over a period of 13 weeks.

The main aim of the study is to assess the safety and tolerability of single doses of MEDI1341 in healthy volunteers.

Read the detailed description

This is a randomized, double-blind, placebo-controlled study of single ascending intravenous doses of MEDI1341 in male and nonfertile female healthy volunteers, aged 18 to 65 years.

The study will include up to 6 planned cohorts; each cohort will comprise 8 participants. Within each cohort, 6 participants will be randomized to receive MEDI1341 and 2 will be randomized to receive placebo. A Safety Review Committee will review data from each cohort before progression to the next higher dose cohort occurs. On Day 1, each randomized participant will receive a single 60 minute intravenous infusion of MEDI1341 or placebo and will undergo scheduled safety, pharmacokinetic, pharmacodynamic, and immunogenicity assessments. Additional study assessments will occur on Days 2, 4, 8, 15, 22, 29, 43, 57, and 92.

Being tested
MEDI1341, Placebo
Keywords
Healthy Volunteers, Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, Immunogenicity
Medical subject headings
Parkinson Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • MEDI1341Drug

    Also called TAK-341

    Participants will receive IV infusion of MEDI1341 doses as stated in the arms' description.

  • PlaceboDrug

    Participants will receive IV infusion of placebo matched to MEDI1341.

Study groups in NCT03272165
Study groupRoleWhat they receive
PlaceboPlacebo comparatorParticipants will receive a single intravenous (IV) infusion of placebo matched to MEDI1341 and will be followed up for 13 weeks.
Receives: Drug: Placebo
Cohort 1: MEDI1341 Dose 1ExperimentalParticipants will receive a single IV infusion of MEDI1341 Dose 1 and will be followed up for 13 weeks.
Receives: Drug: MEDI1341
Cohort 2: MEDI1341 Dose 2ExperimentalParticipants will receive a single IV infusion of MEDI1341 Dose 2 and will be followed up for 13 weeks.
Receives: Drug: MEDI1341
Cohort 3: MEDI1341 Dose 3ExperimentalParticipants will receive a single IV infusion of MEDI1341 Dose 3 and will be followed up for 13 weeks.
Receives: Drug: MEDI1341
Cohort 4: MEDI1341 Dose 4ExperimentalParticipants will receive a single IV infusion of MEDI1341 Dose 4 and will be followed up for 13 weeks.
Receives: Drug: MEDI1341
Cohort 5: MEDI1341 Dose 5ExperimentalParticipants will receive a single IV infusion of MEDI1341 Dose 5 and will be followed up for 13 weeks.
Receives: Drug: MEDI1341
Cohort 6: MEDI1341 Dose 6ExperimentalParticipants will receive a single IV infusion of MEDI1341 Dose 6 and will be followed up for 13 weeks.
Receives: Drug: MEDI1341

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs)

    An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A serious adverse event (SAE) is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. The TEAEs are defined as events present at baseline that worsened in intensity after administration of study drug or events absent at baseline that emerged after administration of study drug.

    Measured: Day 1 through 92 days after a single dose of study drug

  2. Number of Participants With Abnormal Vital Signs, Physical and Neurological Examinations, and Body Weight Measurements Reported as TEAEs

    Vital signs assessment included body temperature, respiration rate, pulse rate, and blood pressure. Participants with abnormal vital signs, physical and neurological examinations, and body weight measurements reported as TEAEs are reported.

    Measured: Day 1 through 92 days after a single dose of study drug

  3. Change from Baseline in 12-Lead Electrocardiogram (ECG) Data in Paper and Digital Recordings (PR Interval, QRS Duration, QT Interval, QTcF Interval, and RR Interval)

    Changes from baseline in 12-Lead ECG data in paper recordings (PR interval, QRS duration, QT interval, and QTcF interval) and digital recordings (PR interval, QRS duration, QT interval, QTcF interval, and RR interval) are reported.

    Measured: 12-lead paper ECG: Baseline (Day -49) to Day 92; Digital ECG: Baseline (Day 1) to Day 92

  4. Change from Baseline in Heart Rate by 12-Lead ECG in Paper and Digital Recordings

    Change from baseline in heart rate by 12-Lead ECG in paper and digital recordings are reported.

    Measured: 12-lead paper ECG: Baseline (Day -49) to Day 92; Digital ECG: Baseline (Day 1) to Day 92

  5. Number of Participants With Abnormal Laboratory Parameters Reported as TEAEs

    Laboratory assessment included hematology, clinical chemistry, and urinalysis. Participants with abnormal laboratory parameters reported as TEAEs are reported.

    Measured: Day 1 through 92 days after a single dose of study drug

  6. Number of Abnormal Findings for Ophthalmic Assessment (Ophthalmic Examination and Slit-lamp Examination) for Placebo and Cohorts 4 to 6 at Follow-up Visit

    Number of abnormal findings for ophthalmic assessment (ophthalmic examination and slit-lamp examination) at follow-up visit (Day 57) are reported.

    Measured: Follow-up Visit (Day 57)

  7. Intraocular Pressure at Screening for Placebo and Cohorts 4 to 6

    Intraocular pressure at Screening (Day -49) is reported.

    Measured: Screening (Day -49)

  8. Intraocular Pressure at Day 29 for Placebo and Cohorts 4 to 6

    Intraocular pressure at Day 29 is reported.

    Measured: Day 29

  9. Intraocular Pressure at Day 92 for Placebo and Cohorts 4 to 6

    Intraocular pressure at Day 92 is reported.

    Measured: Day 92

  10. Number of Participants With Injection Site Reactions

    Participants who had injection site reactions (bleeding, bruising, erythema, swelling, or induration) on Day 1 are reported.

    Measured: Day 1

  11. Visual Analogue Scale (VAS) Pain Score for Site Reaction Pain

    The VAS (0 to 10 cm) was used to describe reaction site pain. The score 0 means 'no pain at all' and 10 score means 'worst pain imaginable'. The higher the VAS score, the greater the reaction site pain experienced.

    Measured: Day 1 (within 24 hours after end of infusion)

  12. Number of Participants With Suicidal Ideation and Suicidal Behavior Assessed by Columbia Suicide Severity Rating Scale (C-SSRS)

    The C-SSRS is a scale capturing occurrence, severity, and frequency of suicide-related thoughts and behaviours, and has a binary response (yes/no).

    • Suicidal Ideation: a "yes" answer to any one of 5 suicidal ideation questions: wish to be dead, non-specific active suicidal thoughts, active suicidal ideation with any methods (not plan) without intent to act, active suicidal ideation with some intent to act without specific plan, active suicidal ideation with specific plan and intent.
    • Suicidal Behaviour: a "yes" answer to any of 5 suicidal behaviour questions: preparatory acts or behaviour, aborted attempt, interrupted attempt, actual attempt (non-fatal), completed suicide.

    Measured: Screening (Day -49) through 92 days after a single dose of study drug

  13. Number of Participants With Montreal Cognitive Assessment (MoCA) Total Score at Screening (Day -1)

    The MoCA is s standardized cognitive screening tool for mild cognitive impairment and dementia. The total score was used as outcome measure and this score ranges from 0-31, with higher scores representing better cognitive ability and scores below 26 were considered as cognitive dysfunction.

    Measured: Screening (Day -1)

  14. Number of Participants With MoCA Total Score at Day 92

    The MoCA is s standardized cognitive screening tool for mild cognitive impairment and dementia. The total score was used as outcome measure and this score ranges from 0-31, with higher scores representing better cognitive ability and scores below 26 were considered as cognitive dysfunction.

    Measured: Day 92

Secondary outcomes (11)
  1. Maximum Observed Serum Concentration (Cmax) of MEDI1341

    The Cmax of MEDI1341 is reported.

    Measured: Day 1 (predose; 0 minute and 8 and 24 hours at the end of infusion), and Days 4, 8, 15, 22, 29, 43, 57, and 92

  2. Time to Maximum Serum Concentration (tmax) of MEDI1341

    The tmax of MEDI1341 is reported.

    Measured: Day 1 (predose; 0 minute and 8 and 24 hours at the end of infusion), and Days 4, 8, 15, 22, 29, 43, 57, and 92

  3. Area Under the Serum Concentration-time Curve From Time 0 to the Last Measurable Concentration (AUC0-t) of MEDI1341

    The AUC0-t of MEDI1341 is reported.

    Measured: Day 1 (predose; 0 minute and 8 and 24 hours at the end of infusion), and Days 4, 8, 15, 22, 29, 43, 57, and 92

  4. Area Under the Concentration-time Curve From Time 0 to Infinity (AUC0-∞) of MEDI1341

    The AUC0-∞ of MEDI1341 is reported.

    Measured: Day 1 (predose; 0 minute and 8 and 24 hours at the end of infusion), and Days 4, 8, 15, 22, 29, 43, 57, and 92

  5. Terminal Half-life (t1/2λz) of MEDI1341

    The t1/2λz of MEDI1341 is reported.

    Measured: Day 1 (predose; 0 minute and 8 and 24 hours at the end of infusion), and Days 4, 8, 15, 22, 29, 43, 57, and 92

  6. Serum Clearance (CL) of MEDI1341

    The CL of MEDI1341 is reported.

    Measured: Day 1 (predose; 0 minute and 8 and 24 hours at the end of infusion), and Days 4, 8, 15, 22, 29, 43, 57, and 92

  7. Volume of Distribution at Steady State (Vss) of MEDI1341

    The Vss of MEDI1341 is reported.

    Measured: Day 1 (predose; 0 minute and 8 and 24 hours at the end of infusion), and Days 4, 8, 15, 22, 29, 43, 57, and 92

  8. Mean Residence Time (MRT) of MEDI1341

    The MRT of MEDI1341 is reported.

    Measured: Day 1 (predose; 0 minute and 8 and 24 hours at the end of infusion), and Days 4, 8, 15, 22, 29, 43, 57, and 92

  9. Percentage Change From Baseline in Plasma Concentrations of Total α-synuclein

    Maximum change from baseline through Day 92 and change from baseline at Day 92 in plasma concentrations of total α-synuclein are reported.

    Measured: Baseline (Day 1 predose) through Day 92

  10. Percentage Change From Baseline in Cerebrospinal Fluid Concentrations of Free α-synuclein

    Change from baseline in cerebrospinal fluid concentrations of free α-synuclein is reported.

    Measured: Baseline (Day 1 predose) and Day 29

  11. Percentage of Participants With Positive Antidrug Antibodies (ADAs) to MEDI1341 by Titer Levels at Day 92

    Percentage of participants with positive ADAs to MEDI1341 by titer levels are reported.

    Measured: Day 92

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Sep 2017
  2. Study start17 Oct 2017
  3. Primary completion31 Mar 2021
  4. Study completion31 Mar 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Participants are randomized to one of two groups within a cohort of 8 participants (N=6 MEDI1341; N=2 placebo)
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
50 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03272165
Sponsor's protocol ID
D6340C00001
Status last verified
Jun 2022
First submitted
29 Jun 2017
Last updated
9 Jun 2022
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers can request access to anonymised individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing MEDI1341 in people with Parkinson's Disease, run by AstraZeneca at 2 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 9 Jun 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs) (time frame: Day 1 through 92 days after a single dose of study drug). The study lists 14 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Jun 2022.

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