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Parkinson DiseasePhase 2NCT04435431

A Clinical Study of Mesdopetam in Patients With Parkinson's Disease Experiencing Levodopa Induced Dyskinesia

A Phase 2 study testing Mesdopetam in people with Parkinson Disease, run by Integrative Research Laboratories AB at 44 sites in 6 countries.

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 Phase 2b study investigating the efficacy and safety of mesdopetam as adjunct therapy on daily ON-time without troublesome dyskinesia in patients with Parkinson disease. Mesdopetam is taken for 84 days. Read more about this study

Who is it for?
Ages 30 to 79 years
Conditions the study is for
Parkinson Disease
What is being tested?
Mesdopetam
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
155 participants
Where
44 sitesin 6 countries
Study dates
29 Oct 2020to 9 Dec 2022
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 30 to 79 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female ≥30 and ≤79 years of age at the time of screening.
  • Signed a current Ethics Committee approved informed consent form (ICF).
  • PD, per UK Parkinson's Disease Society (UKPDS) Brain Bank Clinical Diagnostic Criteria.
  • Minimal amount of 2 hours of levodopa-induced daily "ON-time with troublesome dyskinesia" during waking hours
  • Functional impact of dyskinesias determined as a score of ≥2 as per Question 4.2 of the MDS-UPDRS.
  • On a stable regimen of antiparkinson medications for at least 30 days prior to first home diary completion which must include a levodopa preparation administered 3-8 times/day (excluding nighttime levodopa) and willing to continue the same doses and regimens during study participation. Rescue medications such as Madopar dispersable and Apomorphine injections are allowed if prescribed PRN prior to study entry.
  • Any other current and allowed prescription/non-prescription medications and/or nutritional supplements taken regularly must have been at a stable dose and regimen for at least 30 days prior to first home diary completion and the patient must be willing to continue the same doses and regimens during study participation (this criterion does not apply to medications that are being taken pre-study only on an as-needed basis).
  • Able to complete 24-hour patient home diaries of which two valid diaries must be presented at visit 1.

Who cannot join

  • History of neurosurgical intervention related to PD (e.g. deep brain stimulation).
  • Treatment with pump delivered antiparkinsonian therapy (i.e. subcutaneous apomorphine or levodopa/carbidopa intestinal infusion).
  • History of seizures within two years prior to screening.
  • History of stroke or transient ischemic attack (TIA) within two years prior to screening.
  • History of cancer within five years prior to screening, with the following exceptions: adequately treated non-melanomatous skin cancers, localized bladder cancer, non metastatic prostate cancer or in situ cervical cancer.
  • Presence of cognitive impairment, as evidenced by a Mini-Mental State Examination (MMSE) score of less than 24 during screening.
Show all 19Show fewer
  • A Hoehn and Yahr stage of 5.
  • Ongoing treatment with amantadine at time of screening or within 6 weeks prior first home diary completion.
  • Treatment with Inbrija (levodopa inhalation powder) at time of screening or within 4 weeks prior first home diary completion.
  • Any history of a significant heart condition or cardiac arrhythmias within the past 5 years, any repolarisation deficits or any other clinically significant abnormal ECG as judged by the Investigator.
  • Severe or ongoing unstable medical condition including a history of poorly controlled diabetes; obesity associated with metabolic syndrome; uncontrolled hypertension; cerebrovascular disease, or any form of clinically significant cardiac disease, clinically significant symptomatic orthostatic hypotension (a fall and/or a discomfort); clinically significant hepatic disease, severe renal impairment, i.e. creatinine clearance <30 mL/min (stage IV or V).
  • Any history of a neurological disorder other than PD or a psychiatric disorder, including history of Diagnostic and Statistical Manual of Mental Disorders (DSM) IV diagnosed major depression or psychosis. Patients with illusions or hallucinations with no loss of insight will be eligible. Patients with mild depression who are well controlled on a stable dose of an antidepressant medication for at least 4 weeks before screening will be eligible.
  • Enrolment in any other clinical study involving medication, medical devices or surgical procedures, current or within three months prior to screening visit, or previous participation in the present study. Patients enrolled in non-interventional clinical trials will be eligible.
  • Drug and/or alcohol abuse.
  • History of severe drug allergy or hypersensitivity.
  • If female, is pregnant or lactating, or has a positive pregnancy test result pre-dose.
  • Patients unwilling to use two forms of contraception (one of which being a barrier method (see Section 8.1) during the treatment period and 90 days for men and 30 days for women after last IMP dose.
  • Any planned major surgery within the duration of the study.
  • Any other condition or symptoms preventing the patient from entering the study, according to the Investigator's judgement.

Trial locations and contacts

44 sites in 6 countries.

44 sites in 6 countries

United States14 sites
  • Parkinson's Disease and Movement Disorders Center of Boca Raton

    Boca Raton, Florida, 33486

  • Colorado Springs Neurological Associates

    Colorado Springs, Colorado, 80907

  • University of Texas Southwestern Medical Center

    Dallas, Texas, 75390

  • NeuroStudies.net, LLC

    Decatur, Georgia, 30030

  • University of Kentucky, Department of Neurology

    Lexington, Kentucky, 40536

  • Collaborative Neuroscience Research (CNS Research)

    Long Beach, California, 90806

  • Avantis Clinical Research

    Miami, Florida, 33155

  • Elias Research Associates (Allied Biomedical Research Institute)

    Miami, Florida, 33155

  • Pharmax Research of South Florida, Inc.

    Miami, Florida, 33175

  • Life Medical Research Group Corp

    Miami Gardens, Florida, 33014

  • Parkinson's Disease and Movement Disorders Center of Silicon Valley

    Palo Alto, California, 94301

  • Movement Disorders Center of Arizona

    Scottsdale, Arizona, 85258

  • Inland Northwest Research

    Spokane, Washington, 99202

  • The Movement Disorder Clinic of Oklahoma

    Tulsa, Oklahoma, 74136

Other trials in United States

Poland10 sites
  • Centrum Medyczne Neuromed

    Bydgoszcz, 85-163

  • Specjalistyczna Praktyka Lekarska

    Katowice, 40-097

  • Centrum Medyczne PLEJADY

    Krakow, 30-363

  • Specjalistyczne Gabinety Sp z o.o.

    Krakow, 30-539

  • Krakowska Akademia Neurologii

    Krakow, 31-505

  • Instytut Zdrowia

    Oświęcim, 32-600

  • Neuro-Care

    Siemianowice Śląskie, 41-100

  • Centrum Medyczne NeuroProtect

    Warsaw, 01-684

  • Next Stage sp.z o.o.

    Warsaw, 02-042

  • ClinHouse Centrum Medyczne

    Zabrze, 41-807

Other trials in Poland

France6 sites
  • Centre Hospitalier Regional Universitaire de Lille

    Lille, 59037

  • CHU Dupuytren 1 - Neurologie

    Limoges, 87042

  • CHU Carémeau

    Nîmes, 30029

  • CHU de Poitiers

    Poitiers, 86021

  • CHU Rennes-Pontchaillou

    Rennes, 35033

  • CHU Charles Nicolle; Service de Neurologie

    Rouen, 76031

Other trials in France

Israel5 sites
  • Rambam Health Care Campus, Department of Neurology

    Haifa, 3109601

  • Hadassah University Hospital-Ein Kerem, Department of Neurology

    Jerusalem, 9112001

  • Rabin Medical Centre - Beilinson Hospital, Department of Neurology

    Petah Tikva, 4941492

  • The Chaim Sheba Medical Centre, Department of Neurology

    Ramat Gan, 5265601

  • Tel Aviv Sourasky Medical Centre; Movement Disorders Unit

    Tel Aviv, 6423906

Other trials in Israel

Italy5 sites
  • IRCCS - Ospedale "San Martino"

    Genova, 16132

  • Azienda Ospedaliera di Padova

    Padova, 35128

  • IRCCS San Raffaele Pisana

    Roma, 00163

  • Fondazione Policlinico Gemelli IRCCS

    Roma, 00168

  • AOU San Giovanni di Dio e Ruggi d'Aragona, Clinica Neurologica

    Salerno, 84131

Other trials in Italy

Serbia4 sites
  • Clinical Hospital Center Zvezdara, Clinical department of Neurology

    Belgrade, 11000

  • University Clinical Center of Serbia, Clinic for Neurology

    Belgrade, 11000

  • University Clinical Center Kragujevac, Clinic for Neurology (Site 601)

    Kragujevac, 34000

  • University Clinical Center Kragujevac, Clinic for Neurology (Site 602)

    Kragujevac, 34000

Other trials in Serbia

About this study

Official title: A Randomized, Double-blind, Placebo-controlled Phase IIB Study Evaluating the Efficacy of Mesdopetam on Daily ON-time Without Troublesome Dyskinesia in Patients With Parkinson's Disease

This is a Phase 2b study investigating the efficacy and safety of mesdopetam as adjunct therapy on daily ON-time without troublesome dyskinesia in patients with Parkinson disease. Mesdopetam is taken for 84 days.

Read the detailed description

At the screening visit consenting patients will be screened for eligibility according to study specific inclusion/exclusion criteria within 8 weeks before start of Investigational Medicinal Product (IMP) administration. A diary concordance training will be performed and following the screening visit the patient will be asked to self-administer three 24-hour home diaries and to bring the completed diaries to the baseline visit for assessment prior randomization.

At the baseline visit, patients will be randomized to receive one of three doses of mesdopetam (dose 1, dose 2 and dose 3) or placebo b.i.d.

During the first week a dose run-in phase will take place, where all patients allocated to mesdopetam will receive a run-in dose of mesdopetam twice daily and patients allocated to placebo will receive placebo twice daily. At Visit 2, patients will receive mesdopetam dose 1, dose 2 or dose 3 or placebo b.i.d., as randomized and continue the same dose for the rest of the treatment period until end of treatment (EOT). Dose reductions are restricted and the dose can only be reduced once. Dose reductions are permitted from visit 2 (day 9) until visit 3 (day 28), where after the dose should be kept stable until EOT.

The treatment allocation will be double-blind, i.e. it will not be disclosed to the patients, the site staff or the Sponsor.

During the treatment period, changes in disease state and ON phase dyskinesia will be assessed using the Movement Disorder Society revised Unified Parkinson's Disease Rating Scale (MDS-UPDRS), the modified Unified Dyskinesia Rating Scale (UDysRS), i.e. parts 1, 3 and 4, and Clinician's Global Impression of Severity (CGI-S). Furthermore, patients will self-administer three 24-hour home diaries prior to visit 3 (week 4), visit 4 (week 8) and visit 5 (week 12) to assess daily motor function.

Blood samples for pharmacokinetic (PK) analysis will be collected at visit 4 (week 8) and visit 5 (week 12).

Visit 6 (follow-up) will be performed for all patients, including any patients that discontinue the IMP early, 5-8 days after last administration of IMP.

Being tested
Mesdopetam, Placebo
Medical subject headings
Parkinson Disease

What participants receive

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

  • MesdopetamDrug

    Also called IRL790

    Oral use

  • PlaceboDrug

    Oral use

Study groups in NCT04435431
Study groupRoleWhat they receive
Mesdopetam dose 1ExperimentalMesdopetam capsule (mg), dose 1, 1 capsule b.i.d. for 84 days.
Receives: Drug: Mesdopetam
Mesdopetam dose 2ExperimentalMesdopetam capsule (mg), dose 2, 1 capsule b.i.d. for 84 days.
Receives: Drug: Mesdopetam
Mesdopetam dose 3ExperimentalMesdopetam capsule (mg), dose 3, 1 capsule b.i.d. for 84 days.
Receives: Drug: Mesdopetam
PlaceboPlacebo comparatorPlacebo capsule, 1 capsule b.i.d. for 84 days
Receives: Drug: Placebo

What is being measured

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

  1. Change in Average Daily Hours of ON-time Without Troublesome Dyskinesia With Mesdopetam Compared to Placebo as Assessed With 24-hour Patient Home Diaries From Baseline to End of Treatment.

    This is a self-administered diary where patients assess their motor state every half hour during 24 hours. ON time without troublesome dyskinesia measures time when the medication is working without causing troublesome dyskinesia.

    Measured: Baseline to end of treatment (week 12)

Secondary outcomes (4)
  1. Change From Baseline in Mean Score of ON-phase Dyskinesia Assessed With the Sum Score of the Modified Unified Dyskinesia Rating Scale (UDysRS), Parts 1, 3 and 4, With Mesdopetam Compared to Placebo.

    The scoring range is 0-88, where higher score means more dyskinesia.

    Measured: Baseline to end of treatment (week 12)

  2. Change From Baseline in Mean Score of Disability Associated With ON-phase Dyskinesia Assessed With the Sum Score of Parts 1b and 4 of the Unified Dyskinesia Rating Scale (UDysRS), With Mesdopetam Compared to Placebo.

    The scoring range is 0-60, where higher score means more disability associated with dyskinesia.

    Measured: Baseline to end of treatment (week 12)

  3. Change From Baseline in Mean Score of Motor Symptoms of PD Assessed With MDS-UPDRS Total Score of Part 2 (M-EDL) (With Mesdopetam Compared to Placebo)

    This scale is a patient reported outcome measure assessing motor aspects of experiences of daily living. Minimum score is 0 and maximum score is 52. A higher score means more Parkinson's disease motor symptoms.

    Measured: Baseline to end of treatment (week 12)

  4. Change From Baseline in Average Daily Hours of OFF-time (With Mesdopetam Compared to Placebo).

    This is a self-administered diary where patients assess their motor state every half hour during 24 hours. OFF time means time means daily time spent when the medication is not working.

    Measured: Baseline to end of treatment (week 12)

Timeline

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

  1. First posted17 Jun 2020
  2. Study start29 Oct 2020
  3. Primary completion2 Dec 2022
  4. Study completion9 Dec 2022

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
155 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04435431
Sponsor's protocol ID
IRL790C005
Status last verified
Feb 2024
First submitted
15 Jun 2020
Last updated
6 Mar 2024
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Becanovic K, Vittoria de Donno M, Sousa VC, Tedroff J, Svenningsson P. Effects of a Novel Psychomotor Stabilizer, IRL790, on Biochemical Measures of Synaptic Markers and Neurotransmission. J Pharmacol Exp Ther. 2020 Jul;374(1):126-133. doi: 10.1124/jpet.119.264754. Epub 2020 May 1.

    PubMed 32358047
  • Waters S, Sonesson C, Svensson P, Tedroff J, Carta M, Ljung E, Gunnergren J, Edling M, Svanberg B, Fagerberg A, Kullingsjo J, Hjorth S, Waters N. Preclinical Pharmacology of [2-(3-Fluoro-5-Methanesulfonyl-phenoxy)Ethyl](Propyl)amine (IRL790), a Novel Dopamine Transmission Modulator for the Treatment of Motor and Psychiatric Complications in Parkinson Disease. J Pharmacol Exp Ther. 2020 Jul;374(1):113-125. doi: 10.1124/jpet.119.264226. Epub 2020 May 1.

    PubMed 32358046
  • Svenningsson P, Johansson A, Nyholm D, Tsitsi P, Hansson F, Sonesson C, Tedroff J. Safety and tolerability of IRL790 in Parkinson's disease with levodopa-induced dyskinesia-a phase 1b trial. NPJ Parkinsons Dis. 2018 Dec 6;4:35. doi: 10.1038/s41531-018-0071-3. eCollection 2018.

    PubMed 30534585

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Mesdopetam in people with Parkinson Disease, run by Integrative Research Laboratories AB at 44 sites in 6 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 8 inclusion and 19 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 6 Mar 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 44 sites in United States, Poland, France, Israel, Italy and 1 more country. 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 6 Mar 2024). 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?

Change in Average Daily Hours of ON-time Without Troublesome Dyskinesia With Mesdopetam Compared to Placebo as Assessed With 24-hour Patient Home Diaries From Baseline to End of Treatment. (time frame: Baseline to end of treatment (week 12)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04435431, which also lists 3 linked publications.

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 6 Mar 2024.

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