Parkinson DiseasePhase 2NCT03624920
Safety and Efficacy of THN102 in Patients With Parkinson's Disease and Excessive Daytime Sleepiness
A Phase 2 study testing THN102 Dosage A, THN102 Dosage B and THN102 Dosage C in people with Parkinson Disease, run by Theranexus at 34 sites in 5 countries.
Trial summary
This is a randomized, placebo-controlled, 3-way cross-over phase IIa trial comparing two dose levels of THN102 to placebo in patients suffering from Parkinson's disease associated with excessive daytime sleepiness. Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- Parkinson Disease
- What is being tested?
- THN102 Dosage A, THN102 Dosage B and THN102 Dosage C
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 77 participants
- Where
- 34 sitesin 5 countries
- Study dates
- 12 Jul 2018to 24 Feb 2020
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
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
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Subjects with a diagnosis of idiopathic Parkinson's disease as defined by the Movement Disorders Society (MDS).
- Subjects with Hoehn and Yahr scale score ≤ 4.
- Body mass index > 18 kg/m2 and < 35 kg/m2.
- Subjects should have a complaint of daytime sleepiness impacting their quality of life and/or daytime functioning (e.g. falling asleep while reading or watching television, while eating or talking with other people).
- Epworth Sleepiness Scale (ESS) score ≥ 14.
Who cannot join
- Subjects with known or with a suspected sleep apnea syndrome or who have any other cause of excessive daytime sleepiness, such as shift work sleep disorder.
- Psychiatric and neurological disorders (other than Parkinson's disease),
- Cardiovascular disorders such as - but not limited to
- Uncontrolled moderate to severe hypertension
- History or current diagnosis of electrocardiogram (ECG) abnormalities indicating significant risk of safety for patients participating in the study
- Recent myocardial infarction
Show all 15Show fewer
- Stable or unstable angina pectoris
- Cardiac insufficiency or history of heart failure
- Previous history of cardiac valvular surgery
- Subjects with current impulse control disorder.
- Subjects showing dementia or with MoCA < 23.
- Subjects with current suicidal risk
- Current or recent (within one year) history of substance abuse or dependence disorder
- Other active clinically significant illness
- Subjects with hepatic or renal impairment
Trial locations and contacts
34 sites in 5 countries.
34 sites in 5 countries
Germany9 sites
Praxis Dr. Safavi, Neuroakademie Alzenau
Alzenau in Unterfranken, 63755
Charité - Universitätsmedizin Berlin, Klinik für Neurologie, Campus Benjamin Franklin
Berlin, 12203
Neurologische Praxis Dipl. med. Christian Oehlwein
Gera, 05551
Pharmakologisches Studienzentrum Chemnitz
Mittweida, 09648
Technische Universität München, Klinikum rechts der Isar, Neurologische Klinik und Poliklinik, Neuro-Kopf-Zentrum
München, 81675
Praxis Dr. med. Arnfin Bergmann
Neuburg am Inn, 86633
Neurozentrum Sophienstrasse
Stuttgart, 70178
NeuroPoint
Ulm, 89073
Gemeinschaftspraxis Dr. med. Joachim Springub / Wolfgang Schwarz, Studienzentrum Nord-West, *ausgelagerte Praxisräume:
Westerstede, 26655
Czechia8 sites
I. neurologická klinika Fakultní nemocnice u sv. Anny
Brno, 65691
Neurologická klinika Fakultní nemocnice Hradec Králové
Hradec Králové, 50005
Neurologická klinika Fakultní nemocnice Ostrava
Ostrava Poruba, 70852
Neurologická klinika 1.LF UK a VFN v Praze
Prague, 12821
NEURO - Praha, s.r.o.
Prague, 14000
Axon Clinical, s.r.o.
Prague, 15030
Neurologické oddělení Nemocnice Na Homolce
Prague, 15030
Institut neuropsychiatrické péče
Prague
France7 sites
Hôpital NEurologique Pierre Wertheimer
Bron, 69677
CHRU Hopital Salengro
Lille, 59037
CHU de la Timone Service de Neuro et pathologie du mouvement
Marseille, 13385
CHRU Guy de Chauliac
Montpellier, 34195
ICM Centre d'Investigation Clinique Hôpital Pitié Salpêtrière
Paris, 75013
CHU Charles Nicolle
Rouen, 76031
CHU Purpan CIC Hall D 2eme etage
Toulouse, 31059
Hungary7 sites
Nyírő Gyula Országos Pszichiátriai és Addiktológiai Intézet, Neurológiai Osztály
Budapest, 1135
Észak-Közép-budai Centrum
Budapest
Debreceni Egyetem Kenézy Gyula Egyetemi Kórház Neurológiai Osztály
Debrecen, 4031
Borsod-Abaúj-Zemplén Megyei Központi Kórház és Egyetemi Oktató Kórház, Stroke, Vascularis és Általános Neurológiai és Toxikológiai Osztály
Miskolc, 3526
PTE KK Neurológiai Klinika
Pécs, 7623
Szegedi Tudományegyetem ÁOK Szent-Györgyi Albert Klinikai Központ Neurológiai Klinika
Szeged, 6725
Theranexus Investigational site
Szeged
United States3 sites
MGH Neurological Clinical Research Institute
Boston, Massachusetts, 02114
Houston Methodist Hospital
Houston, Texas, 77030
University of Kansas Medical Center
Kansas City, Kansas, 66160
About this study
This is a randomized, placebo-controlled, 3-way cross-over phase IIa trial comparing two dose levels of THN102 to placebo in patients suffering from Parkinson's disease associated with excessive daytime sleepiness.
Read the detailed description
The treatment duration is 2 weeks per period. Each treatment period is followed by a one-week washout period.
- Conditions
- Parkinson Disease
- Being tested
- THN102 Dosage A, THN102 Dosage B, THN102 Dosage C
- Medical subject headings
- Parkinson Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
THN102 Dosage ADrug
Also called Placebo
THN102 Dosages A: placebo
THN102 Dosage BDrug
Also called Dosage B
THN102 Dosage B : 200mg/2mg
THN102 Dosage CDrug
Also called Dosage C
THN102 Dosage C: 200mg/18mg
| Study group | Role | What they receive |
|---|---|---|
| THN102 Dosage A | Placebo comparator | THN102 Dosage A is a Placebo Receives: Drug: THN102 Dosage A |
| THN102 Dosage B | Experimental | THN102 Dosage B : 200 mg/2 mg THN102 is a combination of modafinil 100mg and flecainide 1 mg daily dosage is 200 mg of modafinil and 2 mg of flecainide Receives: Drug: THN102 Dosage B |
| THN102 Dosage C | Experimental | THN102 Dosage C : 200 mg/18 mg THN102 is a combination of modafinil 100mg and flecainide 9 mg daily dosage is 200 mg of modafinil and 18 mg of flecainide Receives: Drug: THN102 Dosage C |
What is being measured
The primary outcome is the main question the study is designed to answer.
Safety Adverse Events
Number of participants with spontaneously reported treatment-related adverse events
Measured: 2 weeks
Secondary outcomes (5)
Epworth Sleeping Scale (ESS)
Range of the scale : 0 to 24. A low score indicates a good outcome. Results shown are corresponding to a change from baseline of the ESS score.
Measured: 2 weeks
Psychomotor Vigilance Test (PVT) : Reaction Time (Miliseconds) Change From Baseline
PVT measures reaction time in milliseconds. The results below are corresponding to the reaction time change from baseline.
Measured: 2 weeks
Montreal Cognitive Assessment Battery (MoCA)
MoCA score reflects the cognitive capacities of a person. Range of the total score of 10 test items: 0 to 30 points. A high score indicates good cognitive functioning. A score of 26 and above is considered normal.
The results below are shown as change from baseline of the MoCA score.
Measured: 2 weeks
Efficacy in Improving Sleepiness (ESS). Responders Rate, Change From Baseline
ESS score responder rate, defined as the proportion of subjects with at least 25% ESS improvement from baseline, at the end of each treatment period
Measured: 2 weeks
Efficacy in Improving Sleepiness (ESS). Patients in Remission, Change From Baseline
Number of patients in remission (=without residual sleepiness), i.e. ESS < 11 at the end of each treatment period
Measured: 2 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Aug 2018
- Study start12 Jul 2018
- Primary completion20 Dec 2019
- Study completion24 Feb 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Parkinson DiseaseStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Model description
- Complete 3 way-Crossover
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 77 participants (actual)
Sponsor and investigators
- Lead sponsor
- Theranexus
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Jean-Christophe Corvol, Prof, Study chair, Hôpital La Pitié-Salpêtrière, 75651 Paris, France, Tel. +33 1 42 16 57 66, mail: jean-christophe.corvol@aphp.fr
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03624920
- Sponsor's protocol ID
- THN102-202
- Status last verified
- Oct 2020
- First submitted
- 10 Jul 2018
- Last updated
- 1 Dec 2020
- Results posted
- Yes, on ClinicalTrials.gov
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 1 Dec 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Safety and Efficacy of THN102 in Patients With Parkinson's Disease and Excessive Daytime Sleepiness
- ClinicalTrials.gov ID
- NCT03624920
- Acronym / sponsor ID
- THN102-202
- Conditions
- Parkinson Disease
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 77 participants (actual)
- Lead sponsor
- TheranexusIndustry (pharma, biotech, devices)
- Study start
- 12 Jul 2018 (actual)
- Primary completion
- 20 Dec 2019 (actual)
- Study completion
- 24 Feb 2020 (actual)
- First posted
- 10 Aug 2018 (actual)
- Results
- Posted 1 Dec 2020
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a randomized, placebo-controlled, 3-way cross-over phase IIa trial comparing two dose levels of THN102 to placebo in patients suffering from Parkinson's disease associated with excessive daytime sleepiness.
Detailed description
The treatment duration is 2 weeks per period. Each treatment period is followed by a one-week washout period.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 3
- Model description
- Complete 3 way-Crossover
| Arm | Type | Receives |
|---|---|---|
| THN102 Dosage A | Placebo comparator | Drug: THN102 Dosage ATHN102 Dosage A is a Placebo |
| THN102 Dosage B | Experimental | Drug: THN102 Dosage BTHN102 Dosage B : 200 mg/2 mg THN102 is a combination of modafinil 100mg and flecainide 1 mg daily dosage is 200 mg of modafinil and 2 mg of flecainide |
| THN102 Dosage C | Experimental | Drug: THN102 Dosage CTHN102 Dosage C : 200 mg/18 mg THN102 is a combination of modafinil 100mg and flecainide 9 mg daily dosage is 200 mg of modafinil and 18 mg of flecainide |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Subjects with a diagnosis of idiopathic Parkinson's disease as defined by the Movement Disorders Society (MDS).
- Subjects with Hoehn and Yahr scale score ≤ 4.
- Body mass index > 18 kg/m2 and < 35 kg/m2.
- Subjects should have a complaint of daytime sleepiness impacting their quality of life and/or daytime functioning (e.g. falling asleep while reading or watching television, while eating or talking with other people).
- Epworth Sleepiness Scale (ESS) score ≥ 14.
Key exclusion criteria (15 listed)
- Subjects with known or with a suspected sleep apnea syndrome or who have any other cause of excessive daytime sleepiness, such as shift work sleep disorder.
- Psychiatric and neurological disorders (other than Parkinson's disease),
- Cardiovascular disorders such as - but not limited to
- Uncontrolled moderate to severe hypertension
- History or current diagnosis of electrocardiogram (ECG) abnormalities indicating significant risk of safety for patients participating in the study
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| THN102 Dosage AAlso: PlaceboTHN102 Dosages A: placebo | Drug | THN102 Dosage A |
| THN102 Dosage BAlso: Dosage BTHN102 Dosage B : 200mg/2mg | Drug | THN102 Dosage B |
| THN102 Dosage CAlso: Dosage CTHN102 Dosage C: 200mg/18mg | Drug | THN102 Dosage C |
Primary outcome
Safety Adverse Events
Time frame: 2 weeks
Number of participants with spontaneously reported treatment-related adverse events
5 secondary outcomes
Epworth Sleeping Scale (ESS)
Time frame: 2 weeks
Psychomotor Vigilance Test (PVT) : Reaction Time (Miliseconds) Change From Baseline
Time frame: 2 weeks
Montreal Cognitive Assessment Battery (MoCA)
Time frame: 2 weeks
Efficacy in Improving Sleepiness (ESS). Responders Rate, Change From Baseline
Time frame: 2 weeks
Efficacy in Improving Sleepiness (ESS). Patients in Remission, Change From Baseline
Time frame: 2 weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 Dec 2020.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Jean-Christophe Corvol, Prof study chair
Hôpital La Pitié-Salpêtrière, 75651 Paris, France, Tel. +33 1 42 16 57 66, mail: jean-christophe.corvol@aphp.fr
34 sites in 5 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing THN102 Dosage A, THN102 Dosage B and THN102 Dosage C in people with Parkinson Disease, run by Theranexus at 34 sites in 5 countries.
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 5 inclusion and 15 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 1 Dec 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 34 sites in Germany, Czechia, France, Hungary, 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 1 Dec 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
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?
Safety Adverse Events (time frame: 2 weeks). 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 1 Dec 2020.