Mild Cognitive Impairment, Lewy Body Dementia, Parkinson's Disease Rapid Eye Movement Sleep Behavior Disorder, Parkinson's Disease DementiaPhase 2CLIN-011NCT04739423
A Study of Clenbuterol (CST-103) Co-administered With Nadolol (CST-107) in Subjects With Neurodegenerative Disorders
A Phase 2 study of Mild Cognitive Impairment, Lewy Body Dementia, Parkinson's Disease Rapid Eye Movement Sleep Behavior Disorder, Parkinson's Disease Dementia, run by CuraSen Therapeutics, Inc. at 7 sites in 3 countries.
Trial summary
This is a Phase II, randomized, placebo-controlled, double-blind, crossover study on the CNS and pharmacodynamic effects of clenbuterol (CST-103) co-administered with nadolol (CST-107) in 4 subject populations with Neurodegenerative Disorders. Read more about this study
- Who is it for?
- Ages 40 to 80 years
- Conditions the study is for
- Mild Cognitive Impairment, Lewy Body Dementia, Parkinson's Disease Rapid Eye Movement Sleep Behavior Disorder, Parkinson's Disease Dementia
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 41 participants
- Where
- 7 sitesin 3 countries
- Study dates
- 28 Jun 2021to 31 Aug 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 40 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Subjects with PD:
- Male or female subjects ≥ 40 and ≤ 80 years of age, at time of informed consent.
- Diagnosed with Parkinson's Disease, as defined by the United Kingdom Parkinson Disease Brain Bank criteria, associated with REM sleep behavior disorder (PD)
- Modified Hoehn \& Yahr ≥ stage 1 and ≤ stage 3 during "On" period as documented in the 3 months prior to Screening or completed at Screening.
- Montreal Cognitive Assessment (MoCA) score ≥ 18 and ≤ 28.
- Subjects with MCI:
Show all 29Show fewer
- Male or female subjects ≥ 50 and ≤ 80 years of age, at time of informed consent.
- Meet the criteria for amnestic Mild Cognitive Impairment (MCI) as per the National Institute on Aging-Alzheimer's Association core clinical criteria.
- Montreal Cognitive Assessment (MoCA) score ≥ 18 and ≤ 26.
- No dementia according to the International Classifications of Diseases (ICD)-10 and Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV.
- Memory complaint reported by the subject or his/her partner, family member or caregiver.
- Score of greater than or equal to one standard deviation below age and educational norms in the Digit Symbol Substitution Test (DSST) during Screening.
- Cognitive decline not primarily caused by vascular, traumatic, or medical problems.
- Subjects with Dementia with Lewy Bodies (DLB) or Parkinson's Disease Dementia (PDD):
- Male or female subjects ≥ 50 and ≤ 80 years of age, at time of informed consent.
- Diagnosis of dementia associated with Dementia with Lewy Bodies or Parkinson's disease (PDD).
- Documented cognitive fluctuations endorsed on the Dementia Cognitive Fluctuation Scale (DCFS) with a combined score of ≥8 in items 4, 11, 12 and 14.
- Montreal Cognitive Assessment (MoCA) score ≥ 18 and ≤ 26.
- Have informant or caregiver throughout the study who will submit written consent to cooperate with this study, who routinely accompanies and/or stays with subject 12 hours or more a week, assists with treatment compliance, provides assessments and is able to escort the subject on required visits to study institution.
- Modified Hoehn \& Yahr ≥ stage 1 and ≤ stage 3 during "On" period as documented in the 3 months prior to Screening or completed at Screening.
- Stable concomitant medical and/or psychiatric illnesses in the judgement of the PI.
- For ALL Subjects:
- Unless confirmed to be azoospermic (vasectomized or secondary to medical cause), males must agree to use a male condom from Day 1 throughout the study when having penile-vaginal intercourse with a woman of childbearing potential who is not currently pregnant.
- Females of childbearing potential (i.e., not postmenopausal or surgically sterile) who have a male partner must have a negative serum pregnancy test result and must agree to one of the following from start of Screening through 30 days after the last study medication administration: use a reliable method of birth control, or monogamous relationship with a male partner of confirmed sterility, or practice complete abstinence.
- Females of non-childbearing potential may be enrolled if it is documented that they are postmenopausal.
- Body weight greater or equal to 50 kg and body mass index (BMI) between 18 and 35 kg/m2, inclusive at Screening.
- Stable medical conditions for 3 months prior to Screening visit (e.g., controlled hypertension, dyslipidemia).
- Willing to follow the protocol requirements and comply with protocol restrictions.
- Capable of providing informed consent and complying with study procedures. Subjects who are unable to provide consent may use a Legally Authorized Representative.
Who cannot join
- Poorly controlled hypertension despite lifestyle modifications and/or pharmacotherapy.
- Pulmonary disease, including asthma if requiring the use of a β2-Adrenergic bronchodilator, or evidence of clinically significant moderate or severe pulmonary symptoms.
- Clinical signs indicating syndromes such as corticobasal degeneration, supranuclear gaze palsy, multiple system atrophy, chronic traumatic encephalopathy, signs of frontal dementia, history of stroke, head injury or encephalitis, cerebellar signs, early severe autonomic involvement, or Babinski sign.
- Current evidence or history in past two years of epilepsy, focal brain lesion, head injury with loss of consciousness or meeting DSM-IV diagnostic criteria for psychotic disorders.
- Evidence of any significant clinical disorder or laboratory finding (or in the case of potassium levels below normal range) that renders the participant unsuitable for receiving an investigational drug.
- History of malignant disease, including solid tumors and hematologic malignancies (except basal cell and squamous cell carcinomas of the skin that have been completely excised and are considered cured).
Show all 19Show fewer
- Any clinically significant illness or disease as determined by medical and surgical history, physical examination, 12-lead electrocardiogram (ECG) and clinical laboratory assessments conducted at Screening.
- Clinically significant abnormalities of ECG, including QTcF > 450 ms, for males and QTcF > 470 ms for females, and/or HR < 50 beats per minute, or evidence of clinically significant bundle branch blocks, as indicated by 12-lead ECG.
- Calculated creatinine clearance of ≤70 mL/min according to the Cockcroft-Gault equation.
- Current use of any prohibited prescription medication (high-dose aspirin, paracetamol or levodopa, β-AR agonists or β-AR blockers, hypnotics or benzodiazepines other than clonazepam, monoamine oxidase inhibitors, opioids ), over-the-counter medication, or herbal supplements/products.
- Prior treatment with any investigational drug ≤90 days prior to dosing (Day 1), or ≤5 half-lives of the drug (whichever is longer), or current enrollment in any other study treatment or disease study, except for observational studies.
- Known or suspected alcohol or substance abuse within the past 12 months and/or positive test for alcohol or drugs of abuse.
- Active suicidal ideation within 3 months prior to study Screening.
- Positive screening test for hepatitis C antibody (HCV Ab) or current hepatitis B infection (defined as positive for hepatitis B surface antigen [HBsAg] at Screening).
- Positive screening test for human immunodeficiency virus (HIV).
- Current infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).
- Contraindications to wearing the BioStamp digital device sensors, which include but are not limited to implanted pacemakers, defibrillators, or other active implantable devices.
- Known allergies or hypersensitivities to adhesives or hydrogel.
- Other reasons for which the PI considers it is not in the best interest of the participant to undertake the study.
Trial locations and contacts
7 sites in 3 countries.
7 sites in 3 countries
Australia3 sites
Wesley Medical Research Ltd
Brisbane, Queensland, QLD 4066
Royal Melbourne Hospital
Melbourne, Victoria, 3050
The University of Sydney
Sydney, New South Wales, 2006
United Kingdom3 sites
MAC
Blackpool, Lancashire, FY2 0JH
MAC
Manchester, M13 9NQ
MAC
Tankersley, Barnsley, S75 3DL
About this study
Official title: A Phase II, Randomized, Placebo-Controlled, Double-Blind, Crossover, Study of the Pharmacodynamic Effects of CST-103 Co-administered With CST-107 on the Central Nervous System in Subjects With Neurodegenerative Disorders
This is a Phase II, randomized, placebo-controlled, double-blind, crossover study on the CNS and pharmacodynamic effects of clenbuterol (CST-103) co-administered with nadolol (CST-107) in 4 subject populations with Neurodegenerative Disorders.
Read the detailed description
Approximately 40 subjects with Parkinson's Disease (PD) with REM Sleep Behavior Disorder (RBD) and Depressive Symptoms, Mild Cognitive Impairment (MCI) with Depressive Symptoms, Dementia with Lewy Bodies (DLB) with Cognitive Fluctuations, and Parkinson's Disease Dementia (PDD) with Cognitive Fluctuations were to be enrolled in a 2 period, 2-way crossover design following study eligibility confirmation during the screening period. The number of subjects enrolled in each cohort could change as emerging data are reviewed from this and other studies.
During each treatment period, subjects received daily doses of clenbuterol (CST-103) co-administered with nadolol (CST-107) or matching placebo for 14 days. Each treatment period was separated by a washout period of 14 days (+5-day window).
All subjects completed clinical and pharmacodynamic assessments during each treatment period and PK blood samples were collected prior to, during and after study medication administration.
- Being tested
- clenbuterol (CST-103), nadolol (CST-107), matching placebo
- Medical subject headings
- Cognitive Dysfunction, Lewy Body Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
clenbuterol (CST-103), nadolol (CST-107), matching placeboDrug
clenbuterol (CST-103) and matching placebo orange capsules; nadolol (CST-107) and matching placebo white capsules
| Study group | Role | What they receive |
|---|---|---|
| CST-103/CST-107 to Placebo | Experimental | Subjects will receive daily doses of CST-103 co-administered with CST-107 for 14 days, followed by a washout period of no drug for 14 days, followed by matching placebo for CST-103 and matching placebo for CST-107 for 14 days. Receives: Drug: clenbuterol (CST-103), nadolol (CST-107), matching placebo |
| Placebo to CST-103/CST-107 | Experimental | Subjects will receive daily doses of matching placebo for CST-103 co-administered with matching placebo for CST-107 for 14 days, followed by a washout period of no drug for 14 days, followed by daily doses of CST-103 co-administered with CST-107 for 14 days. Receives: Drug: clenbuterol (CST-103), nadolol (CST-107), matching placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in Negative Emotional Bias in the Facial Expression Recognition Task (FERT)
Faces with six different basic emotions (happiness, fear, anger, disgust, sadness, surprise) are briefly displayed on a screen and participants are required to indicate the expression of the face via a button-press. Cohort A only.
Measured: Days 7 and 14 of each Treatment Period (Two 14-day periods)
Change From Baseline in Cognitive Fluctuations
Dementia Cognitive Fluctuation Scale (DCFS). Number of participants with improvement relative to screening. Cohort B only.
Measured: Screening, Days 1 and 14 of each Treatment Period (Two 14-day periods)
Secondary outcomes (4)
Change From Baseline in CANTAB Cognitive Assessments
The CANTAB cognitive assessments consists of a series of interrelated computerized tests of memory, attention, and executive function, administered via a touch sensitive screen. This includes the immediate and delayed Verbal Recognition Memory (VRM) recall and recognition tests that measure the ability to encode and subsequently retrieve verbal information.
Measured: Days 1, 7, 14 of each Treatment Period (Two 14-day periods)
Digital Wearable Device (BioStamp) - Sleeping Heart Rate
A wireless device that measures physical activity and sleep while at home.
Measured: Screening, Days 1-14 of each Treatment Period (Two 14-day periods)
Digital Wearable Device (BioStamp) - Sleeping Heart Rate Variability (HRV)
A wireless device that measures physical activity and sleep while at home.
Measured: Screening, Days 1-14 of each Treatment Period (Two 14-day periods)
Digital Wearable Device (BioStamp) - Sleeping Heart Rate Variability (HRV) - Root Mean Square of Successive Differences (RMSSD)
A wireless device that measures physical activity and sleep while at home.
Measured: Screening, Days 1-14 of each Treatment Period (Two 14-day periods)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Feb 2021
- Study start28 Jun 2021
- Primary completion4 Jul 2022
- Study completion31 Aug 2022
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 Mild Cognitive Impairment, Lewy Body Dementia, Parkinson's Disease Rapid Eye Movement Sleep Behavior Disorder, Parkinson's Disease DementiaStudies 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
- Two 14-day periods, 2-way crossover design
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 41 participants (actual)
Sponsor and investigators
- Lead sponsor
- CuraSen Therapeutics, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Chief Medical Officer, Study director, CuraSen Therapeutics, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04739423
- Sponsor's protocol ID
- CST103/CST107-CLIN-011
- Acronym
- CLIN-011
- Status last verified
- Oct 2024
- First submitted
- 29 Jan 2021
- Last updated
- 2 Dec 2024
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 2 Dec 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase II, Randomized, Placebo-Controlled, Double-Blind, Crossover, Study of the Pharmacodynamic Effects of CST-103 Co-administered With CST-107 on the Central Nervous System in Subjects With Neurodegenerative Disorders
- ClinicalTrials.gov ID
- NCT04739423
- Acronym / sponsor ID
- CLIN-011 / CST103/CST107-CLIN-011
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 41 participants (actual)
- Lead sponsor
- CuraSen Therapeutics, Inc.Industry (pharma, biotech, devices)
- Study start
- 28 Jun 2021 (actual)
- Primary completion
- 4 Jul 2022 (actual)
- Study completion
- 31 Aug 2022 (actual)
- First posted
- 4 Feb 2021 (actual)
- Results
- Posted 2 Dec 2024
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 Phase II, randomized, placebo-controlled, double-blind, crossover study on the CNS and pharmacodynamic effects of clenbuterol (CST-103) co-administered with nadolol (CST-107) in 4 subject populations with Neurodegenerative Disorders.
Detailed description
Approximately 40 subjects with Parkinson's Disease (PD) with REM Sleep Behavior Disorder (RBD) and Depressive Symptoms, Mild Cognitive Impairment (MCI) with Depressive Symptoms, Dementia with Lewy Bodies (DLB) with Cognitive Fluctuations, and Parkinson's Disease Dementia (PDD) with Cognitive Fluctuations were to be enrolled in a 2 period, 2-way crossover design following study eligibility confirmation during the screening period. The number of subjects enrolled in each cohort could change as emerging data are reviewed from this and other studies.
During each treatment period, subjects received daily doses of clenbuterol (CST-103) co-administered with nadolol (CST-107) or matching placebo for 14 days. Each treatment period was separated by a washout period of 14 days (+5-day window).
All subjects completed clinical and pharmacodynamic assessments during each treatment period and PK blood samples were collected prior to, during and after study medication administration.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
- Model description
- Two 14-day periods, 2-way crossover design
| Arm | Type | Receives |
|---|---|---|
| CST-103/CST-107 to Placebo | Experimental | Drug: clenbuterol (CST-103), nadolol (CST-107), matching placeboSubjects will receive daily doses of CST-103 co-administered with CST-107 for 14 days, followed by a washout period of no drug for 14 days, followed by matching placebo for CST-103 and matching placebo for CST-107 for 14 days. |
| Placebo to CST-103/CST-107 | Experimental | Drug: clenbuterol (CST-103), nadolol (CST-107), matching placeboSubjects will receive daily doses of matching placebo for CST-103 co-administered with matching placebo for CST-107 for 14 days, followed by a washout period of no drug for 14 days, followed by daily doses of CST-103 co-administered with CST-107 for 14 days. |
Who may qualify
- Ages
- 40 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (29 listed)
- Male or female subjects ≥ 40 and ≤ 80 years of age, at time of informed consent.
- Diagnosed with Parkinson's Disease, as defined by the United Kingdom Parkinson Disease Brain Bank criteria, associated with REM sleep behavior disorder (PD)
- Modified Hoehn \& Yahr ≥ stage 1 and ≤ stage 3 during "On" period as documented in the 3 months prior to Screening or completed at Screening.
- Montreal Cognitive Assessment (MoCA) score ≥ 18 and ≤ 28.
- Male or female subjects ≥ 50 and ≤ 80 years of age, at time of informed consent.
Key exclusion criteria (19 listed)
- Poorly controlled hypertension despite lifestyle modifications and/or pharmacotherapy.
- Pulmonary disease, including asthma if requiring the use of a β2-Adrenergic bronchodilator, or evidence of clinically significant moderate or severe pulmonary symptoms.
- Clinical signs indicating syndromes such as corticobasal degeneration, supranuclear gaze palsy, multiple system atrophy, chronic traumatic encephalopathy, signs of frontal dementia, history of stroke, head injury or encephalitis, cerebellar signs, early severe autonomic involvement, or Babinski sign.
- Current evidence or history in past two years of epilepsy, focal brain lesion, head injury with loss of consciousness or meeting DSM-IV diagnostic criteria for psychotic disorders.
- Evidence of any significant clinical disorder or laboratory finding (or in the case of potassium levels below normal range) that renders the participant unsuitable for receiving an investigational drug.
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 |
|---|---|---|
| clenbuterol (CST-103), nadolol (CST-107), matching placeboclenbuterol (CST-103) and matching placebo orange capsules; nadolol (CST-107) and matching placebo white capsules | Drug | CST-103/CST-107 to Placebo, Placebo to CST-103/CST-107 |
Primary outcome
Change From Baseline in Negative Emotional Bias in the Facial Expression Recognition Task (FERT)
Time frame: Days 7 and 14 of each Treatment Period (Two 14-day periods)
Faces with six different basic emotions (happiness, fear, anger, disgust, sadness, surprise) are briefly displayed on a screen and participants are required to indicate the expression of the face via a button-press. Cohort A only.
Change From Baseline in Cognitive Fluctuations
Time frame: Screening, Days 1 and 14 of each Treatment Period (Two 14-day periods)
Dementia Cognitive Fluctuation Scale (DCFS). Number of participants with improvement relative to screening. Cohort B only.
4 secondary outcomes
Change From Baseline in CANTAB Cognitive Assessments
Time frame: Days 1, 7, 14 of each Treatment Period (Two 14-day periods)
Digital Wearable Device (BioStamp) - Sleeping Heart Rate
Time frame: Screening, Days 1-14 of each Treatment Period (Two 14-day periods)
Digital Wearable Device (BioStamp) - Sleeping Heart Rate Variability (HRV)
Time frame: Screening, Days 1-14 of each Treatment Period (Two 14-day periods)
Digital Wearable Device (BioStamp) - Sleeping Heart Rate Variability (HRV) - Root Mean Square of Successive Differences (RMSSD)
Time frame: Screening, Days 1-14 of each Treatment Period (Two 14-day periods)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Dec 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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.
Chief Medical Officer study director
CuraSen Therapeutics, Inc.
7 sites in 3 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study of Mild Cognitive Impairment, Lewy Body Dementia, Parkinson's Disease Rapid Eye Movement Sleep Behavior Disorder, Parkinson's Disease Dementia, run by CuraSen Therapeutics, Inc. at 7 sites in 3 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 29 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 2 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 7 sites in Australia, United Kingdom, New Zealand. 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. 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 2 Dec 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 From Baseline in Negative Emotional Bias in the Facial Expression Recognition Task (FERT) (time frame: Days 7 and 14 of each Treatment Period (Two 14-day periods)). The study lists 2 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 2 Dec 2024.