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Parkinson DiseasePhase 1NCT04045678

A Multiple Ascending Dose Study With LY03003 in Patients With Early-stage Parkinson's Disease

A Phase 1 study testing LY03003 ( Rotigotine, extended-release microspheres) in people with Parkinson Disease, run by Luye Pharma Group Ltd. at 3 sites in China.

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 study is to evaluate the safety and tolerability and to characterize the pharmacokinetics of multiple ascending dose (MAD) of LY03003 following intramuscular injections. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Parkinson Disease
What is being tested?
LY03003 ( Rotigotine, extended-release microspheres)
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
30 participants
Where
3 sitesChina
Study dates
10 Oct 2017to 21 Jun 2019
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 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patient had Parkinson's Disease that meet the clinical diagnostic criteria of the brain bank of the Parkinson's Disease Association of the United Kingdom.
  • Patient was Hoehn \& Yahr stage ≤3 (excluding stage 0) ;
  • Patient was male or female aged 18 to 75 years;
  • Patient had a Mini Mental State Examination (MMSE) score of ≥25;
  • Patient had a Unified Parkinson's Disease Rating Scale (UPDRS) motor score (Part III) of ≥10 but ≤30 at Screening.
  • Patient who signed the informed consent form volunteered to participate in this clinical trial and could cooperate with the prescribed inspections.

Who cannot join

  • Patient had atypical Parkinson's syndrome(s) due to drugs (e.g., metoclopramide, flunarizine), metabolic neurogenetic disorders (e.g., Wilson's disease), encephalitis, cerebrovascular disease, or degenerative disease (e.g., progressive supranuclear palsy);
  • Patient had a history of pallidotomy, thalamotomy, deep brain stimulation, or fetal tissue transplant;
  • Patient had dementia, schizophrenia or hallucinations, or clinically significant depression;
  • Patient had a lifetime history of suicide attempt (including an active attempt, interrupted attempt, or aborted attempt), or presence of suicidal ideation in the past 6 months as indicated by a positive response ("Yes") to either Question 4 or Question 5 of the Columbia-Suicide Severity Rating Scale (C-SSRS) at Screening;
  • Patient had a history of orthostatic hypotension with a decrease of ≥20 mmHg in systolic blood pressure (SBP) or ≥10 mmHg in diastolic blood pressure when changing from the supine to the standing position and keeping in the standing position for 3 minutes;
  • Patient had received therapy with a dopamine (DA) agonist either concurrently or had done so within 28 days prior to the Screening;
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  • Patient had received therapy with 1 of the following drugs either concurrently or within 28 days prior to Screening: monoamine oxidase B (MAO-B) inhibitors (e.g., pargyline, selegiline), DA releasing agents (e.g., amphetamine), reserpine, DA-antagonists (e.g., metoclopramide), neuroleptics, or other medications that may interact with DA function;
  • Patient was currently (at the time of Screening) receiving central nervous system active therapy (e.g., sedatives, hypnotics, antidepressants, anxiolytics), unless the dose had been stable for at least 28 days prior to Screening Visit and was likely to remain stable for the duration of the study;
  • Patient had a current diagnosis of epilepsy, had a history of seizures as an adult within 1 year prior to Screening, had a history of stroke or transient ischemic attack within 3 months prior to Screening;
  • Patient had a history of known intolerance/hypersensitivity to non-dopaminergic antiemetics, such as domperidone, ondansetron, tropisetron;
  • Patient had clinically significant liver dysfunction (which defined as total bilirubin above the upper limit of normal range, or alanine transferase (ALT) and / or aspartate transferase (AST) 2 times higher than the upper limit of normal range);
  • Patient had clinically significant renal insufficiency (serum creatinine >2.0 mg/dL [ >178 μmol/L]);
  • Patient had clinically significant cardiac insufficiency and/or had myocardial infarction in the past 12 months;
  • Patient had a history of allergic to any medication;
  • Heavy smoker, alcoholic, drug addict;
  • Female patients who were pregnant or were breastfeeding or were of childbearing potential without adequate contraception; male patients who cannot take adequate contraception during the study;
  • Patient who was inappropriate to participant in the study in the judgment of the Investigator.

Trial locations and contacts

3 sites in 1 country.

China3 sites
  • Chinese PLA General Hospital

    Beijing

  • Xuanwu Hospital Capital Medical University

    Beijing

  • Shengjing Hospital of China Medical University

    Shenyang

Other trials in China

About this study

Official title: A Randomized, Double-blinded, Multiple Ascending Dose Study in Patients With Early-stage Parkinson's Disease to Evaluate the Pharmacokinetics and Safety of LY03003 Following Intramuscular Injections

This study is to evaluate the safety and tolerability and to characterize the pharmacokinetics of multiple ascending dose (MAD) of LY03003 following intramuscular injections.

Being tested
LY03003 ( Rotigotine, extended-release microspheres), Placebo, extended-release microspheres
Keywords
parkinson disease, LY03003
Medical subject headings
Parkinson Disease

What participants receive

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

  • LY03003 ( Rotigotine, extended-release microspheres)Drug

    Patients to be enrolled to 70 mg dose group will receive 14 mg in the first week, 28 mg in the second week, 42 mg in the third week,56 mg in the fourth week and then 70 mg in the next 5 weeks.

    Patients to be enrolled to 84 mg dose group will receive 14 mg in the first week, 28 mg in the second week, 42 mg in the third week,56 mg in the fourth week, 70mg in the fifth week and then 84 mg in the next 5 weeks.

  • Placebo, extended-release microspheresDrug

    Patients to be enrolled to 70 mg dose group will receive 14 mg in the first week, 28 mg in the second week, 42 mg in the third week,56 mg in the fourth week and then 70 mg in the next 5 weeks.

    Patients to be enrolled to 84 mg dose group will receive 14 mg in the first week, 28 mg in the second week, 42 mg in the third week,56 mg in the fourth week, 70mg in the fifth week and then 84 mg in the next 5 weeks.

Study groups in NCT04045678
Study groupRoleWhat they receive
LY03003ExperimentalNot described
Receives: Drug: LY03003 ( Rotigotine, extended-release microspheres)
PlaceboPlacebo comparatorNot described
Receives: Drug: Placebo, extended-release microspheres

What is being measured

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

  1. Frequency of adverse events

    Adverse events to evaluate the safety and tolerability of LY03003

    Measured: From screening up to day 50

Secondary outcomes (13)
  1. Time of maximum concentration (Tmax) of total LY03003

    Measured: From the first injection of stable doses up to day 50

  2. Maximum concentration in plasma (Cmax) of total LY03003

    Measured: From the first injection of stable doses up to day 50

  3. Area under the concentration-time curve (AUC) from zero up to the last measured concentration [AUC (0-t)] of LY03003

    Measured: From the first injection of stable doses up to day 50

  4. Area under the concentration-time curve (AUC) from time zero up to the infinite time [AUC (0-∞)] of LY03003

    Measured: From the first injection of stable doses up to day 50

  5. Apparent volume of distribution (Vd) of LY03003

    Measured: From the first injection of stable doses up to day 50

  6. Terminal half-life (t1/2) of total LY03003

    Measured: From the first injection of stable doses up to day 50

  7. Total body clearance of LY03003

    Measured: From the first injection of stable doses up to day 50

  8. Maximum steady-state drug concentration of LY03003

    Measured: From the first injection of stable doses up to day 50

  9. Minimum steady-state drug concentration of LY03003

    Measured: From the first injection of stable doses up to day 50

  10. Average steady-state concentration of LY03003

    Measured: From the first injection of stable doses up to day 50

  11. Area under the concentration-time curve (AUC) at steady-state concentration of LY03003

    Measured: From the first injection of stable doses up to day 50

  12. Fluctuation degree in steady-state concentration of LY03003

    Measured: From the first injection of stable doses up to day 50

  13. Change from baseline to the end of the treatment period in the Unified Parkinson's Disease Rating Scale (UPDRS) part (Ⅱ+Ⅲ) Total Score

    The Unified Parkinson´s Disease Rating Scale Part Ⅱ measures "Activities in Daily Living". The total score ranges from 0 (Best score possible) to 52 (Worst score possible).

    The Unified Parkinson´s Disease Rating Scale Part Ⅲ is an accepted and validated scale for the assessment of motor function in Parkinson´s disease. Each of the 27 sub-items in the UPDRS III is measured on a scale of 0 to 4, where 0 is normal and 4 represents severe abnormalities. The total scores therefore ranges from 0 to 108.

    Measured: Screening, baseline, days 29 and day 50

Timeline

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

  1. First posted5 Aug 2019
  2. Study start10 Oct 2017
  3. Primary completion16 Apr 2019
  4. Study completion21 Jun 2019

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
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
30 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04045678
Sponsor's protocol ID
LY03003/CT-CHN-103
Status last verified
Sep 2020
First submitted
30 Jul 2019
Last updated
22 Sep 2020
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing LY03003 ( Rotigotine, extended-release microspheres) in people with Parkinson Disease, run by Luye Pharma Group Ltd. at 3 sites in China.

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 6 inclusion and 17 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 22 Sep 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in China. 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?

Frequency of adverse events (time frame: From screening up to day 50). 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 22 Sep 2020.

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