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AzTrials

Early-stage Parkinson's DiseasePhase 2ORCHESTRANCT04658186

A 18-month Study to Evaluate the Efficacy, Safety, Tolerability and Pharmacokinetics of Oral UCB0599 in Study Participants With Early-stage Parkinson's Disease

A Phase 2 study testing UCB0599 in people with Early-stage Parkinson's Disease, run by UCB Biopharma SRL at 115 sites in 9 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

The purpose of the study is to assess the safety and tolerability of UCB0599 and to demonstrate the superiority of UCB0599 over placebo with regard to clinical symptoms of disease progression over 12 and 18 months in participants diagnosed with early-stage Parkinson's Disease. Read more about this study

Who is it for?
Ages 40 to 75 years
Conditions the study is for
Early-stage Parkinson's Disease
What is being tested?
UCB0599
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
496 participants
Where
115 sitesin 9 countries
Study dates
30 Dec 2020to 6 Sep 2024
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 40 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Study participant must be 40 to 75 years of age inclusive, at the time of signing the informed consent
  • Study participant has Parkinson's Disease (PD), with a diagnosis made by a neurologist according to the 2015 Movement Disorder Society criteria within 2 years of Baseline Visit (including diagnosis during Screening)
  • The following diagnostic criteria must be met: bradykinesia AND at least ONE of the following: muscular rigidity, or resting tremor
  • A Screening Dopamine Transporter Imaging with Single Photon Emission Computed Tomography (DaT-SPECT), or a historical DaT-SPECT within 3 months of the Screening Visit that has been qualified by the central reader, shows evidence of dopamine transporter deficit per study requirements and as determined by a central reader
  • Study participant is in the ≤2.5 modified Hoehn and Yahr stage at Screening
  • Study participant has never taken medications for the treatment of motor symptoms of PD and is not expected to require starting symptomatic treatment (ST) with a high likelihood in the next 6 months as far as clinical judgement allows
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  • Study participant has never taken part in disease-modifying treatment studies directed at neurodegenerative disease (NDD)
  • Study participant does not take N-acetyl cysteine or other cysteine donors or glutathione precursors on a regular basis as a food supplement
  • Study participant is willing, competent, and able to comply with all aspects of the protocol, including follow-up schedule and biospecimen collection
  • Study participant has a body mass index (BMI) of 16 to 34kg/m² (inclusive)
  • Contraception i) A male participant must agree to use contraception during the Treatment Period and for at least 90 days after the last dose ofstudy medication and refrain from donating sperm during this period ii) A female participant is eligible to participate if she is not pregnant, not breastfeeding, andat least one of the following conditions applies: Not a woman of childbearing potential (WOCBP) OR A WOCBP who agrees to follow the contraceptive guidance during the Treatment Period and for at least 1 month after the last dose of study medication. The study participant must have a negative serum pregnancy test at Screening, which is to be confirmed negative by urine testing prior to the first dose of study medication at Baseline (Visit 3). If oral contraception is used, an additional barrier method will be required during the study as a study medication related-gastrointestinal upset or a drug interaction by CYP3A4 induction could interfere with efficacy

Who cannot join

  • Study participant has a known hypersensitivity to any components (and/or its excipients) of the study medication or comparative drugs as stated in the protocol
  • Study participant has a brain magnetic resonance imaging (MRI) scan performed during Screening indicative of a clinically significant abnormality or a historical MRI scan during the 6 months before Screening Visit 1 of sufficient quality to show such abnormalities. In case of doubt, the significance is determined on a case-by-case basis in close collaboration with the Medical Monitor and should not include abnormalities like age-appropriate brain atrophy, minor white matter signals, or mild vasculopathy
  • Study participant has any contraindication for the brain MRI or Dopamine Transporter Imaging with Single Photon Emission Computed Tomography (DaT-SPECT) imaging
  • Study participant has a Montreal Cognitive Assessment (MoCA) score less than 23, indicating mild cognitive impairment or other significant cognitive impairment or clinical dementia at Screening that, in the opinion of the Investigator, would interfere with study evaluation
  • Study participant has abnormalities in lumbar spine previously known or determined by a Screening lumbar x-ray (if conducted) that could preclude lumbar puncture, in the opinion of the Investigator. The participant must be excluded from lumbar puncture but not from study participation
  • Study participant has clinically significant electrocardiogram (ECG) abnormality at Screening, in the opinion of the Investigator
  • Study participant has past history of use of medications for the treatment of motor symptoms of PD. Short (up to 4 weeks) past use of medications for the treatment of motor symptoms is permitted following a sufficient washout period. Medications included are: levodopa (maximum 400mg per day), dopamine agonists, monoamine oxidase B (MAO-B) inhibitors, anticholinergics, or amantadine. A sufficient washout period is at least 3 months prior to the Baseline Visit

Trial locations and contacts

115 sites in 9 countries.

115 sites in 9 countries

United States57 sites
  • Pd0053 50544

    Augusta, Georgia, 30912-0004

  • Pd0053 50529

    Baltimore, Maryland, 21201-1606

  • Pd0053 50547

    Baltimore, Maryland, 21287

  • Pd0053 50140

    Birmingham, Alabama, 35233

  • Pd0053 50396

    Boca Raton, Florida, 33486

  • Pd0053 50243

    Boston, Massachusetts, 02114

  • Pd0053 50524

    Bradenton, Florida, 34205

  • Pd0053 50107

    Burlington, Vermont, 05401-1473

  • Pd0053 50084

    Charleston, South Carolina, 29425

  • Pd0053 50542

    Charlottesville, Virginia, 22908

  • Pd0053 50401

    Chicago, Illinois, 60611

  • Pd0053 50310

    Chicago, Illinois, 60612-3863

  • Pd0053 50372

    Cleveland, Ohio, 44106

  • Pd0053 50311

    Cleveland, Ohio, 44195

  • Pd0053 50255

    Columbus, Ohio, 43210

  • Pd0053 50402

    Crab Orchard, West Virginia, 25827

  • Pd0053 50392

    Danbury, Connecticut, 06810

  • Pd0053 50531

    Englewood, Colorado, 80113

  • Pd0053 50410

    Fairfax, Virginia, 22031

  • Pd0053 50538

    Farmington, Connecticut, 06030

  • Pd0053 50386

    Farmington Hills, Michigan, 48334

  • Pd0053 50519

    Fountain Valley, California, 92708

  • Pd0053 50385

    Fresno, California, 93710

  • Pd0053 50525

    Houston, Texas, 77030-5301

  • Pd0053 50113

    Houston, Texas, 77030

  • Pd0053 50549

    Iowa City, Iowa, 52242

  • Pd0053 50074

    Kansas City, Kansas, 66160

  • Pd0053 50292

    Kirkland, Washington, 98034-3030

  • Pd0053 50532

    Knoxville, Tennessee, 37920

  • Pd0053 50416

    La Jolla, California, 92037

  • Pd0053 50397

    Las Vegas, Nevada, 89104

  • Pd0053 50121

    Lexington, Kentucky, 40536-0284

  • Pd0053 50539

    Little Rock, Arkansas, 72205

  • Pd0053 50118

    Los Angeles, California, 90033-5315

  • Pd0053 50543

    Memphis, Tennessee, 38157

  • Pd0053 50199

    Miami, Florida, 33136

  • Pd0053 50299

    New Brunswick, New Jersey, 08903

  • Pd0053 50395

    New Orleans, Louisiana, 70121

  • Pd0053 50077

    New York, New York, 10021

  • Pd0053 50521

    New York, New York, 10029

  • Pd0053 50119

    New York, New York, 10032

  • Pd0053 50526

    Philadelphia, Pennsylvania, 19107

  • Pd0053 50506

    Phoenix, Arizona, 85004-1150

  • Pd0053 50081

    Phoenix, Arizona, 85013

  • Pd0053 50510

    Portland, Oregon, 97239

  • Pd0053 50536

    Saint Paul, Minnesota, 55130

  • Pd0053 50400

    San Antonio, Texas, 78229

  • Pd0053 50419

    Spokane, Washington, 99202

  • Pd0053 50530

    Stony Brook, New York, 11794

  • Pd0053 50394

    Tampa, Florida, 33613

  • Pd0053 50527

    Toledo, Ohio, 43606

  • Pd0053 50391

    Tucson, Arizona, 85710

  • Pd0053 50398

    Tulsa, Oklahoma, 74136

  • Pd0053 50534

    Virginia Beach, Virginia, 23456

  • Pd0053 50535

    Williamsville, New York, 14221

  • Pd0053 50399

    Winfield, Illinois, 60190

  • Pd0053 50546

    Worcester, Massachusetts, 01655

Other trials in United States

Germany12 sites
  • Pd0053 40515

    Berlin

  • Pd0053 40138

    Bonn

  • Pd0053 40530

    Dresden

  • Pd0053 40711

    Erbach im Odenwald

  • Pd0053 40023

    Erlangen

  • Pd0053 40710

    Essen

  • Pd0053 40532

    Haag in Oberbayern

  • Pd0053 40024

    Hanover

  • Pd0053 40249

    Kiel

  • Pd0053 40174

    Mainz

  • Pd0053 40529

    Marburg

  • Pd0053 40531

    Regensburg

Other trials in Germany

Poland11 sites
  • Pd0053 40694

    Bydgoszcz

  • Pd0053 40719

    Jelenia Góra

  • Pd0053 40539

    Katowice

  • Pd0053 40538

    Krakow

  • Pd0053 40696

    Krakow

  • Pd0053 40700

    Lodz

  • Pd0053 40702

    Lublin

  • Pd0053 40535

    Oświęcim

  • Pd0053 40536

    Warsaw

  • Pd0053 40699

    Warsaw

  • Pd0053 40705

    Warsaw

Other trials in Poland

France10 sites
  • Pd0053 40197

    Amiens

  • Pd0053 40527

    Bordeaux

  • Pd0053 40424

    Créteil

  • Pd0053 40526

    Lille

  • Pd0053 40130

    Marseille

  • Pd0053 40635

    Nantes

  • Pd0053 40524

    Nîmes

  • Pd0053 40525

    Paris

  • Pd0053 40131

    Strasbourg

  • Pd0053 40528

    Toulouse

Other trials in France

Spain9 sites
  • Pd0053 40045

    A Coruña

  • Pd0053 40159

    Barcelona

  • Pd0053 40267

    Barcelona

  • Pd0053 40046

    Córdoba

  • Pd0053 40540

    Madrid

  • Pd0053 40542

    Móstoles

  • Pd0053 40352

    Pamplona

  • Pd0053 40541

    San Sebastián

  • Pd0053 40049

    Seville

Other trials in Spain

United Kingdom6 sites
  • Pd0053 40175

    London

  • Pd0053 40543

    London

  • Pd0053 40698

    London

  • Pd0053 40544

    Motherwell

  • Pd0053 40306

    Newcastle upon Tyne

  • Pd0053 40457

    Plymouth

Other trials in United Kingdom

Italy5 sites
  • Pd0053 40555

    Brescia

  • Pd0053 40533

    Padova

  • Pd0053 40257

    Roma

  • Pd0053 40534

    Roma

  • Pd0053 40697

    Roma

Other trials in Italy

Canada4 sites
  • Pd0053 50374

    Calgary

  • Pd0053 50390

    Kelowna

  • Pd0053 50387

    Ottawa

  • Pd0053 50389

    Toronto

Other trials in Canada

Netherlands1 site
  • Pd0053 40359

    Nijmegen

Other trials in Netherlands

About this study

Official title: A Double-Blind, Placebo-Controlled, Randomized, 18-Month Phase 2a Study to Evaluate the Efficacy, Safety, Tolerability, and Pharmacokinetics of Oral UCB0599 in Study Participants With Early Parkinson's Disease

The purpose of the study is to assess the safety and tolerability of UCB0599 and to demonstrate the superiority of UCB0599 over placebo with regard to clinical symptoms of disease progression over 12 and 18 months in participants diagnosed with early-stage Parkinson's Disease.

Being tested
UCB0599, Placebo
Keywords
Early-stage parkinson's disease, UCB0599, Phase 2, Early-stage PD
Medical subject headings
Parkinson Disease

What participants receive

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

  • UCB0599Drug

    Drug: UCB0599 Pharmaceutical form: Granules in capsules Route of administration: Oral use Participants will receive UCB0599 in a pre-specified sequence during the Treatment Period.

  • PlaceboDrug

    Drug: Placebo Pharmaceutical form: Capsules Route of administration: Oral use Participants will receive Placebo in a pre-specified sequence during the Treatment Period.

Study groups in NCT04658186
Study groupRoleWhat they receive
UCB0599 High Dose ArmExperimentalParticipants will be randomized to receive a predefined high dosage of UCB0599 during the Treatment Period.
Receives: Drug: UCB0599
Placebo ArmPlacebo comparatorParticipants will be randomized to receive a predefined dosage of Placebo during the Treatment Period.
Receives: Drug: Placebo
UCB0599 Low Dose ArmExperimentalParticipants will be randomized to receive a predefined low dosage of UCB0599 during the Treatment Period.
Receives: Drug: UCB0599

What is being measured

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

  1. Movement Disorder Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Parts I-III Sum Score at Day 0

    MDS-UPDRS is a multimodal scale. Part I assessed non-motor experiences of daily living and has 2 components (0-52 possible points). Part IA contains 6 questions and is assessed by the examiner (0-24 possible points). Part IB contains 7 questions on non-motor experiences of daily living completed by participant (0-28 possible points). Part II assessed motor experiences of daily living (0-52 possible points) and includes 13 questions completed by participant. Part III assessed motor signs of PD and was administered by rater (0-52 possible points). Part III contained 33 questions based on 18 items. For all questions of each part, numeric score response options linked to accepted clinical terms: 0 to 4, 0=Normal, 1=Slight, 2=Mild, 3=Moderate, 4=Severe. Total Score equals sum of Parts I, II, and III (Score: 0-236). Higher score = more severe PD symptoms.

    Measured: Day 0

  2. Movement Disorder Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Parts I-III Sum Score at Month 2

    MDS-UPDRS is a multimodal scale. Part I assessed non-motor experiences of daily living and has 2 components (0-52 possible points). Part IA contains 6 questions and is assessed by the examiner (0-24 possible points). Part IB contains 7 questions on non-motor experiences of daily living completed by participant (0-28 possible points). Part II assessed motor experiences of daily living (0-52 possible points) and includes 13 questions completed by participant. Part III assessed motor signs of PD and was administered by rater (0-52 possible points). Part III contained 33 questions based on 18 items. For all questions of each part, numeric score response options linked to accepted clinical terms: 0 to 4, 0=Normal, 1=Slight, 2=Mild, 3=Moderate, 4=Severe. Total Score equals sum of Parts I, II, and III (Score: 0-236). Higher score = more severe PD symptoms.

    Measured: Month 2

  3. Movement Disorder Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Parts I-III Sum Score at Month 4

    MDS-UPDRS is a multimodal scale. Part I assessed non-motor experiences of daily living and has 2 components (0-52 possible points). Part IA contains 6 questions and is assessed by the examiner (0-24 possible points). Part IB contains 7 questions on non-motor experiences of daily living completed by participant (0-28 possible points). Part II assessed motor experiences of daily living (0-52 possible points) and includes 13 questions completed by participant. Part III assessed motor signs of PD and was administered by rater (0-52 possible points). Part III contained 33 questions based on 18 items. For all questions of each part, numeric score response options linked to accepted clinical terms: 0 to 4, 0=Normal, 1=Slight, 2=Mild, 3=Moderate, 4=Severe. Total Score equals sum of Parts I, II, and III (Score: 0-236). Higher score = more severe PD symptoms.

    Measured: Month 4

  4. Movement Disorder Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Parts I-III Sum Score at Month 6

    MDS-UPDRS is a multimodal scale. Part I assessed non-motor experiences of daily living and has 2 components (0-52 possible points). Part IA contains 6 questions and is assessed by the examiner (0-24 possible points). Part IB contains 7 questions on non-motor experiences of daily living completed by participant (0-28 possible points). Part II assessed motor experiences of daily living (0-52 possible points) and includes 13 questions completed by participant. Part III assessed motor signs of PD and was administered by rater (0-52 possible points). Part III contained 33 questions based on 18 items. For all questions of each part, numeric score response options linked to accepted clinical terms: 0 to 4, 0=Normal, 1=Slight, 2=Mild, 3=Moderate, 4=Severe. Total Score equals sum of Parts I, II, and III (Score: 0-236). Higher score = more severe PD symptoms.

    Measured: Month 6

  5. Movement Disorder Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Parts I-III Sum Score at Month 8

    MDS-UPDRS is a multimodal scale. Part I assessed non-motor experiences of daily living and has 2 components (0-52 possible points). Part IA contains 6 questions and is assessed by the examiner (0-24 possible points). Part IB contains 7 questions on non-motor experiences of daily living completed by participant (0-28 possible points). Part II assessed motor experiences of daily living (0-52 possible points) and includes 13 questions completed by participant. Part III assessed motor signs of PD and was administered by rater (0-52 possible points). Part III contained 33 questions based on 18 items. For all questions of each part, numeric score response options linked to accepted clinical terms: 0 to 4, 0=Normal, 1=Slight, 2=Mild, 3=Moderate, 4=Severe. Total Score equals sum of Parts I, II, and III (Score: 0-236). Higher score = more severe PD symptoms.

    Measured: Month 8

  6. Movement Disorder Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Parts I-III Sum Score at Month 10

    MDS-UPDRS is a multimodal scale. Part I assessed non-motor experiences of daily living and has 2 components (0-52 possible points). Part IA contains 6 questions and is assessed by the examiner (0-24 possible points). Part IB contains 7 questions on non-motor experiences of daily living completed by participant (0-28 possible points). Part II assessed motor experiences of daily living (0-52 possible points) and includes 13 questions completed by participant. Part III assessed motor signs of PD and was administered by rater (0-52 possible points). Part III contained 33 questions based on 18 items. For all questions of each part, numeric score response options linked to accepted clinical terms: 0 to 4, 0=Normal, 1=Slight, 2=Mild, 3=Moderate, 4=Severe. Total Score equals sum of Parts I, II, and III (Score: 0-236). Higher score = more severe PD symptoms.

    Measured: Month 10

  7. Movement Disorder Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Parts I-III Sum Score at Month 12

    MDS-UPDRS is a multimodal scale. Part I assessed non-motor experiences of daily living and has 2 components (0-52 possible points). Part IA contains 6 questions and is assessed by the examiner (0-24 possible points). Part IB contains 7 questions on non-motor experiences of daily living completed by participant (0-28 possible points). Part II assessed motor experiences of daily living (0-52 possible points) and includes 13 questions completed by participant. Part III assessed motor signs of PD and was administered by rater (0-52 possible points). Part III contained 33 questions based on 18 items. For all questions of each part, numeric score response options linked to accepted clinical terms: 0 to 4, 0=Normal, 1=Slight, 2=Mild, 3=Moderate, 4=Severe. Total Score equals sum of Parts I, II, and III (Score: 0-236). Higher score = more severe PD symptoms.

    Measured: Month 12

  8. Movement Disorder Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Parts I-III Sum Score at Month 14

    MDS-UPDRS is a multimodal scale. Part I assessed non-motor experiences of daily living and has 2 components (0-52 possible points). Part IA contains 6 questions and is assessed by the examiner (0-24 possible points). Part IB contains 7 questions on non-motor experiences of daily living completed by participant (0-28 possible points). Part II assessed motor experiences of daily living (0-52 possible points) and includes 13 questions completed by participant. Part III assessed motor signs of PD and was administered by rater (0-52 possible points). Part III contained 33 questions based on 18 items. For all questions of each part, numeric score response options linked to accepted clinical terms: 0 to 4, 0=Normal, 1=Slight, 2=Mild, 3=Moderate, 4=Severe. Total Score equals sum of Parts I, II, and III (Score: 0-236). Higher score = more severe PD symptoms.

    Measured: Month 14

  9. Movement Disorder Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Parts I-III Sum Score at Month 16

    MDS-UPDRS is a multimodal scale. Part I assessed non-motor experiences of daily living and has 2 components (0-52 possible points). Part IA contains 6 questions and is assessed by the examiner (0-24 possible points). Part IB contains 7 questions on non-motor experiences of daily living completed by participant (0-28 possible points). Part II assessed motor experiences of daily living (0-52 possible points) and includes 13 questions completed by participant. Part III assessed motor signs of PD and was administered by rater (0-52 possible points). Part III contained 33 questions based on 18 items. For all questions of each part, numeric score response options linked to accepted clinical terms: 0 to 4, 0=Normal, 1=Slight, 2=Mild, 3=Moderate, 4=Severe. Total Score equals sum of Parts I, II, and III (Score: 0-236). Higher score = more severe PD symptoms.

    Measured: Month 16

  10. Movement Disorder Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Parts I-III Sum Score at Month 18

    MDS-UPDRS is a multimodal scale. Part I assessed non-motor experiences of daily living and has 2 components (0-52 possible points). Part IA contains 6 questions and is assessed by the examiner (0-24 possible points). Part IB contains 7 questions on non-motor experiences of daily living completed by participant (0-28 possible points). Part II assessed motor experiences of daily living (0-52 possible points) and includes 13 questions completed by participant. Part III assessed motor signs of PD and was administered by rater (0-52 possible points). Part III contained 33 questions based on 18 items. For all questions of each part, numeric score response options linked to accepted clinical terms: 0 to 4, 0=Normal, 1=Slight, 2=Mild, 3=Moderate, 4=Severe. Total Score equals sum of Parts I, II, and III (Score: 0-236). Higher score = more severe PD symptoms.

    Measured: Month 18

Secondary outcomes (13)
  1. MDS-UPDRS Part III Subscale

    MDS-UPDRS part III includes motor items assessing speech, facial expression, rigidity, finger tapping, hand movements, pronation supination movements of hands, toe tapping, leg agility, arising from chair, gait, freezing of gait, postural stability, posture, global spontaneity of movement (body bradykinesia), postural tremor of the hands, kinetic tremor of the hands, rest tremor amplitude, and constancy of rest tremor. It included 33 scores based on 18-items, each anchored with 5 responses: 0 = normal, 1 = slight, 2 = mild, 3 = moderate, and 4 = severe. The scale range was from 0 to 132, with a lower score indicating better motor function and a higher score indicating more severe motor symptoms.

    Measured: Day 0, Months 2, 4, 6, 8, 10, 12, 14, 16, 18

  2. MDS-UPDRS Part III Early-stage Parkinson's Disease (ePD) Subscore on Selected Items

    The early-stage Parkinson's disease (ePD) subscore is derived from a 15-item subset of the MDS-UPDRS Part III (Motor Examination). It includes all rigidity assessments (neck, upper limbs [right/left], and lower limbs [right/left]) and bradykinesia-related tasks: finger tapping (right/left), hand movements (right/left), pronation-supination of hands (right/left), toe tapping (right/left), and leg agility (right/left). Each item is scored on a 5-point likert scale (0 = no problem to 4 = severe), resulting in a total ePD subscore range of 0 to 60. Higher scores indicate greater motor impairment, while lower scores reflect better motor function.

    Measured: Day 0, Months 2, 4, 6, 8, 10, 12, 14, 16, 18

  3. MDS-UPDRS Part II Subscale

    MDS-UPDRS part II includes motor items assessing speech, saliva and drooling, chewing and swallowing, eating tasks (cutting food and handling utensils), dressing, hygiene, handwriting, doing hobbies and other activities, turning in bed, tremor, getting out of bed, a car or a deep chair, walking and balance, and freezing. Each of the items in the UPDRS is measured on a scale. It included 13-items, each anchored with 5 responses: 0 = normal, 1 = slight, 2 = mild, 3 = moderate, and 4 = severe. The scale range for Part II was 0-52, with higher scores reflecting greater severity.

    Measured: Day 0, Months 2, 4, 6, 8, 10, 12, 14, 16, 18

  4. MDS-UPDRS Part I Subscale

    MDS-UPDRS part I include several non-motor aspects of experiences of daily living including cognitive impairment, hallucinations and psychosis, depressed mood, anxious mood, apathy, features of dopamine dysregulation syndrome during part 1A and sleep problems, daytime sleepiness, pain and other sensation, urinary problems, constipation problems, lightheadedness on standing, and fatigue during Part 1B. Part I assessed non-motor experiences of daily living and has 2 components (Range 0-52). Part IA contained 6 questions and were assessed by examiner (Range 0-24). Part IB contained 7 questions on non-motor experiences of daily living which were completed by participant (Range 0-28). Each of items in UPDRS is measured on a scale of 0 to 4, where 0 is normal and 4 (higher score) represents severe abnormalities/worse outcome. Total Score Range 0 to 52. Total score is sum of Part IA (0-24) and Part IB (0-28) subscale scores. Higher scores indicated greater severity of non-motor symptoms.

    Measured: Day 0, Months 2, 4, 6, 8, 10, 12, 14, 16, 18

  5. Emerging Symptoms in Participants as Measured by MDS-UPDRS Part II

    The participant was considered to have an emerging symptom for the item, if the change from Baseline for the item is greater than 0 for 2 consecutive visits. The magnitude of change from Baseline was not considered to determine the emerging symptom. Movement Disorder Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS) part II includes motor items assessing speech, saliva and drooling, chewing and swallowing, eating tasks (cutting food and handling utensils), dressing, hygiene, handwriting, doing hobbies and other activities, turning in bed, tremor, getting out of bed, a car or a deep chair, walking and balance, and freezing. This included 13-items, each anchored with 5 responses: 0 = normal, 1 = slight, 2 = mild, 3 = moderate, and 4 = severe. The scale range for Part II was 0-52, with higher scores reflecting greater severity.

    Measured: Baseline to Month 18

  6. Time to Worsening of the Disease as Measured by MDS-UPDRS Part III

    Time to worsening of the disease on the MDS-UPDRS III scale as defined by a 5-point increase in MDS-UPDRS III, within the 18-month period. MDS-UPDRS part III includes motor items assessing speech, facial expression, rigidity, finger tapping, hand movements, pronation supination movements of hands, toe tapping, leg agility, arising from chair, gait, freezing of gait, postural stability, posture, global spontaneity of movement (body bradykinesia), postural tremor of the hands, kinetic tremor of the hands, rest tremor amplitude, and constancy of rest tremor. It included 33 scores based on 18-items, each anchored with 5 responses: 0 = normal, 1 = slight, 2 = mild, 3 = moderate, and 4 = severe. The scale range was from 0 to 132, with a lower score indicating better motor function and a higher score indicating more severe motor symptoms.

    Measured: Baseline to Month 18

  7. Montreal Cognitive Assessment (MoCA)

    The Montreal Cognitive Assessment (MoCA) is a standardized screening tool used to evaluate mild cognitive impairment across multiple cognitive functions i.e. visuospatial/executive function, naming, memory, attention, language, abstraction, delayed recall, and orientation. The total possible score is calculated by summing the scores across all functions ranges from: 0 to 30. A score of 26 or above is considered normal, a lower score indicates cognitive impairment.

    Measured: Screening, Month 18

  8. Change From Screening in Dopamine Transporter Imaging With Single Photon Emission Computed Tomography (DaT-SPECT) Mean Striatum Specific Binding Ratios (SBR)

    The change from screening in mean striatum specific binding ratios (SBR) was assessed by DaT-SPECT using 123I-Ioflupane as radiopharmaceutical. The whole striatum was calculated as the average of the SBR data values for the four following "small" regions: left caudate small, left putamen small, right caudate small and right putamen small. The SBR was calculated for each region with the occipital cortex as a reference region, where a lower SBR indicates worse disease. The following formula was used to calculate this: (Average [Small region] - Average [Occipital region])/ (Average [Occipital region]).

    Measured: Screening, Months 12 and 18

  9. Time to Start of Symptomatic Treatment (ST)

    Time to start of symptomatic treatment (ST) within the 18-month period.

    Measured: Baseline to Month 18

  10. Symptomatic Treatment (ST) Intake

    Cumulative number of participants on symptomatic treatment (ST) at 18 months are reported.

    Measured: Month 18

  11. Percentage of Participants With Treatment-emergent Adverse Events (TEAEs)

    An AE is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study medication, whether or not considered related to the study medication. A TEAE is defined as any AE with a start date on or after the first dose of treatment or any unresolved event already present before administration of treatment that worsens in intensity following exposure to the treatment.

    Measured: From Baseline up to 30 days of safety follow-up after the last dose of the study drug (up to 19 months)

  12. Percentage of Participants With Serious TEAEs

    Serious adverse event: Death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, a persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions, or a congenital anomaly/birth defect. Important medical events that may not result in death, be life-threatening, or require hospitalization may be considered serious when, based upon appropriate medical judgment, they may jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the outcomes listed in this definition.

    Measured: From Baseline up to 30 days of safety follow-up after the last dose of the study drug (up to 19 months)

  13. Percentage of Participants With TEAEs Leading to Participant Withdrawal

    An AE is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study medication, whether or not considered related to the study medication. A TEAE is defined as any AE with a start date on or after the first dose of treatment or any unresolved event already present before administration of treatment that worsens in intensity following exposure to the treatment.

    Measured: From Baseline up to 30 days of safety follow-up after the last dose of the study drug (up to 19 months)

Timeline

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

  1. First posted8 Dec 2020
  2. Study start30 Dec 2020
  3. Primary completion6 Sep 2024
  4. Study completion6 Sep 2024

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
496 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04658186
Sponsor's protocol ID
PD0053
Other IDs
2020-003265-19
Acronym
ORCHESTRA
Status last verified
Oct 2025
First submitted
1 Dec 2020
Last updated
31 Oct 2025
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Data from this trial may be requested by qualified researchers six months after product approval in the US and/or Europe, or global development is discontinued, and 18 months after trial completion. Investigators may request access to anonymized individual patient-level data and redacted trial documents which may include: analysis-ready datasets, study protocol, annotated case report form, statistical analysis plan, dataset specifications, and clinical study report. Prior to use of the data, proposals need to be approved by an independent review panel at www.Vivli.org and a signed data sharing agreement will need to be executed. All documents are available in English only, for a prespecified time, typically 12 months, on a password protected portal. This plan may change if the risk of re-identifying trial participants is determined to be too high after the trial is completed; in this case and to protect participants, individual patient-level data would not be made available.

Publications

  • Price DL, Khan A, Angers R, Cardenas A, Prato MK, Bani M, Bonhaus DW, Citron M, Biere AL. In vivo effects of the alpha-synuclein misfolding inhibitor minzasolmin supports clinical development in Parkinson's disease. NPJ Parkinsons Dis. 2023 Jul 17;9(1):114. doi: 10.1038/s41531-023-00552-7.

    PubMed 37460603

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing UCB0599 in people with Early-stage Parkinson's Disease, run by UCB Biopharma SRL at 115 sites in 9 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 11 inclusion and 7 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 31 Oct 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 115 sites in United States, Germany, Poland, France, Spain and 4 more countries. 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 31 Oct 2025). 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?

Movement Disorder Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Parts I-III Sum Score at Day 0 (time frame: Day 0). The study lists 10 primary outcomes in all. 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 NCT04658186, which also lists 1 linked publication.

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 31 Oct 2025.

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