Parkinson DiseasePhase 2NCT05318937
A Study to Evaluate the Effects of SAGE-718 in Participants With Parkinson's Disease Cognitive Impairment
A Phase 2 study testing SAGE-718 in people with Parkinson Disease and Cognitive Dysfunction, run by Supernus Pharmaceuticals, Inc. at 38 sites in United States.
Trial summary
The primary purpose of this study is to evaluate the effect of SAGE-718 on cognitive performance in participants with Parkinson's disease mild cognitive impairment (PD-MCI). Read more about this study
- Who is it for?
- Ages 50 to 75 years
- Conditions the study is for
- Parkinson Disease, Cognitive Dysfunction
- What is being tested?
- SAGE-718
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 86 participants
- Where
- 38 sitesUnited States
- Study dates
- 6 Jun 2022to 23 Feb 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 50 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Meet the following criteria for PD-MCI: Have a confirmed diagnosis of idiopathic Parkinson's disease (PD) according to 2015 Movement Disorder Society (MDS) clinical diagnostic criteria and meet MDS Task Force criteria for MCI in PD (excluding requirement for United Kingdom PD Brain Bank diagnostic criteria).
- Meet the following criteria for Montreal Cognitive Assessment (MoCA): For participants meeting Level 1 PD-MCI criteria, have a MoCA score of 20 to 25 (inclusive) at Screening; For participants meeting Level 2 PD-MCI criteria (within the past year), have a MoCA score of 18 to 25 (inclusive) at Screening.
- Meet criteria for modified Hoehn \& Yahr Stage I to III (mild to moderate motor severity) at Screening.
- Have stable motor symptoms for at least 4 weeks prior to Screening, in the opinion of the investigator.
- Must be able to complete the Color Trails Test 1 (including the ability to follow rater redirection and correct errors), and, based on participant's performance and investigator's opinion, participant is expected to be capable of engaging in prolonged cognitive testing for the duration of the study.
Who cannot join
- Have a diagnosis of dementia of any etiology, including but not limited to: Dementia with Lewy bodies, Alzheimer's dementia, and vascular dementia.
- Have any parkinsonism other than PD, including secondary parkinsonism or atypical parkinsonism.
- In the opinion of the investigator, be experiencing fluctuations in motor symptoms associated with PD that will interfere with completing study procedures.
- Have an ongoing central nervous system condition other than PD that in the opinion of the investigator could influence the outcome of the study.
- Have experienced significant psychotic symptoms, including hallucinations or delusions, within the past 3 months, in the opinion of the investigator.
- Have a history of brain surgery, deep brain stimulation, or any history of hospitalization due to a brain injury.
- Have a history, presence, and/or current evidence clinically relevant intracranial abnormality (e.g., stroke, hemorrhage, space-occupying lesion).
Trial locations and contacts
38 sites in 1 country.
38 sites in 1 country
United States38 sites
Sage Investigational Site
Albany, New York, 12208
Sage Investigational Site
Bloomington, Minnesota, 55425
Sage Investigational Site
Boca Raton, Florida, 33431
Sage Investigational Site
Boca Raton, Florida, 33486
Sage Investigational Site
Burlington, Vermont, 05401
Sage Investigational Site
Chicago, Illinois, 60611
Sage Investigational Site
Cincinnati, Ohio, 45221
Sage Investigational Site
Columbus, Ohio, 43221
Sage Investigational Site
Decatur, Georgia, 30030
Sage Investigational Site
Englewood, Colorado, 80113
Sage Investigational Site
Fresno, California, 93710
Sage Investigational Site
Hialeah, Florida, 33012
Sage Investigational Site
Houston, Texas, 77030
Sage Investigational Site
Kansas City, Kansas, 66160
Sage Investigational Site
Las Vegas, Nevada, 89106
Sage Investigational Site
Little Rock, Arkansas, 72205
Sage Investigational Site
Long Beach, California, 90806
Sage Investigational Site
Los Angeles, California, 90048
Sage Investigational Site
Madison, Wisconsin, 53792
Sage Investigational Site
Memphis, Tennessee, 38157
Sage Investigational Site
Miami, Florida, 33032
Sage Investigational Site
Nashville, Tennessee, 37232
Sage Investigational Site
New York, New York, 10019
Sage Investigational Site
Orlando, Florida, 32789
Sage Investigational Site
Port Orange, Florida, 32127
Sage Investigational Site
Raleigh, North Carolina, 27607
Sage Investigational Site
Reseda, California, 91335
Sage Investigational Site
Sacramento, California, 95816
Sage Investigational Site
San Antonio, Texas, 78229
Sage Investigational Site
Stony Brook, New York, 11794-8121
Sage Investigational Site
Sun City, Arizona, 85351
Sage Investigational Site
Tampa, Florida, 33609
Sage Investigational Site
Tampa, Florida, 33613
Sage Investigational Site
Toledo, Ohio, 43614
Sage Investigational Site
Vernon, Connecticut, 06066
Sage Investigational Site
Virginia Beach, Virginia, 23502
Sage Investigational Site
Williamsville, New York, 14221
Sage Investigational Site
Woodmere, New York, 11598
About this study
Official title: A Randomized, Double-blind, Placebo-controlled Study to Evaluate the Effects of SAGE-718 in Parkinson's Disease Cognitive Impairment
The primary purpose of this study is to evaluate the effect of SAGE-718 on cognitive performance in participants with Parkinson's disease mild cognitive impairment (PD-MCI).
- Conditions
- Parkinson Disease, Cognitive Dysfunction
- Being tested
- SAGE-718-matching placebo, SAGE-718
- Medical subject headings
- Parkinson Disease, Cognitive Dysfunction
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
SAGE-718-matching placeboDrug
Oral capsules
SAGE-718Drug
Oral capsules
| Study group | Role | What they receive |
|---|---|---|
| Placebo | Placebo comparator | Participants received SAGE-718-matching placebo, oral capsules, once daily (QD), in the morning for 42 days. Receives: Drug: SAGE-718-matching placebo |
| SAGE-718 | Experimental | Participants received SAGE-718, 1.2 milligrams (mg), oral capsules, QD in the morning for 42 days. Receives: Drug: SAGE-718 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in the Wechsler Adult Intelligence Scale-IV (WAIS-IV) Coding Test Score
The WAIS-IV coding test is a valid and sensitive measure of cognitive dysfunction that correlates with real-world functional outcomes (e.g., the ability to accomplish everyday tasks) and recovery from functional disability used to assess processing speed. The participant is required to identify the symbols matched to numbers using a key and write in the symbol beneath the associated number. The total score ranges from 0 to 135 and is based on the total number of codes correctly completed over a 120-second time limit. Higher scores indicate better processing speed. Positive change from baseline indicates better processing speed. Least Squares (LS) Means were calculated using a mixed-effects model for repeated measures (MMRM) approach.
Measured: Baseline, Day 42
Secondary outcomes (3)
Number of Participants With at Least One Treatment-emergent Adverse Event (TEAE)
An adverse event (AE) was defined as any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom or disease temporally associated with the use of a medicinal (investigational) product whether or not related to the medicinal (investigational) product. A TEAE is defined as any AE on or after the first dose of IP or any worsening of a pre-existing medical condition/AE with onset after the start of IP and throughout the study.
Measured: Up to Day 70
Number of Participants With at Least One TEAE by Severity
A TEAE is defined as any AE on or after the first dose of IP or any worsening of a pre-existing medical condition/AE with onset after the start of IP and throughout the study. Severity was assessed as:
- Mild: symptoms barely noticeable to participant or does not make participant uncomfortable; does not influence performance or functioning; prescription drug not ordinarily needed for relief of symptoms
- Moderate: symptoms of a sufficient severity to make participant uncomfortable; performance of daily activity is influenced; participant is able to continue in study; treatment for symptoms may be needed
- Severe: symptoms cause severe discomfort; symptoms cause incapacitation or significant impact on participant's daily life; severity may cause cessation of treatment with IP; treatment for symptoms may be given and/or participant hospitalized.
Participant with multiple instances of events is counted only once using maximum intensity.
Measured: Up to Day 70
Number of Participants Who Withdrew From Study Due to TEAEs
An AE was defined as any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom or disease temporally associated with the use of a medicinal (investigational) product whether or not related to the medicinal (investigational) product. A TEAE is defined as any AE on or after the first dose of IP or any worsening of a pre-existing medical condition/AE with onset after the start of IP and throughout the study.
Measured: Up to Day 70
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Apr 2022
- Study start6 Jun 2022
- Primary completion17 Jan 2024
- Study completion23 Feb 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Parkinson DiseaseStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 86 participants (actual)
Sponsor and investigators
- Lead sponsor
- Supernus Pharmaceuticals, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05318937
- Sponsor's protocol ID
- 718-CNP-202
- Status last verified
- Sep 2025
- First submitted
- 1 Apr 2022
- Last updated
- 12 Sep 2025
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No: Data sharing will be consistent with the results submission policy of ClinicalTrials.gov.
Study at a glance
From the registry record, last updated by the sponsor on 12 Sep 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-blind, Placebo-controlled Study to Evaluate the Effects of SAGE-718 in Parkinson's Disease Cognitive Impairment
- ClinicalTrials.gov ID
- NCT05318937
- Acronym / sponsor ID
- 718-CNP-202
- Conditions
- Parkinson Disease, Cognitive Dysfunction
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 86 participants (actual)
- Lead sponsor
- Supernus Pharmaceuticals, Inc.Industry (pharma, biotech, devices)
- Study start
- 6 Jun 2022 (actual)
- Primary completion
- 17 Jan 2024 (actual)
- Study completion
- 23 Feb 2024 (actual)
- First posted
- 8 Apr 2022 (actual)
- Results
- Posted 6 Feb 2025
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary purpose of this study is to evaluate the effect of SAGE-718 on cognitive performance in participants with Parkinson's disease mild cognitive impairment (PD-MCI).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Placebo | Placebo comparator | Drug: SAGE-718-matching placeboParticipants received SAGE-718-matching placebo, oral capsules, once daily (QD), in the morning for 42 days. |
| SAGE-718 | Experimental | Drug: SAGE-718Participants received SAGE-718, 1.2 milligrams (mg), oral capsules, QD in the morning for 42 days. |
Who may qualify
- Ages
- 50 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Meet the following criteria for PD-MCI: Have a confirmed diagnosis of idiopathic Parkinson's disease (PD) according to 2015 Movement Disorder Society (MDS) clinical diagnostic criteria and meet MDS Task Force criteria for MCI in PD (excluding requirement for United Kingdom PD Brain Bank diagnostic criteria).
- Meet the following criteria for Montreal Cognitive Assessment (MoCA): For participants meeting Level 1 PD-MCI criteria, have a MoCA score of 20 to 25 (inclusive) at Screening; For participants meeting Level 2 PD-MCI criteria (within the past year), have a MoCA score of 18 to 25 (inclusive) at Screening.
- Meet criteria for modified Hoehn \& Yahr Stage I to III (mild to moderate motor severity) at Screening.
- Have stable motor symptoms for at least 4 weeks prior to Screening, in the opinion of the investigator.
- Must be able to complete the Color Trails Test 1 (including the ability to follow rater redirection and correct errors), and, based on participant's performance and investigator's opinion, participant is expected to be capable of engaging in prolonged cognitive testing for the duration of the study.
Key exclusion criteria (7 listed)
- Have a diagnosis of dementia of any etiology, including but not limited to: Dementia with Lewy bodies, Alzheimer's dementia, and vascular dementia.
- Have any parkinsonism other than PD, including secondary parkinsonism or atypical parkinsonism.
- In the opinion of the investigator, be experiencing fluctuations in motor symptoms associated with PD that will interfere with completing study procedures.
- Have an ongoing central nervous system condition other than PD that in the opinion of the investigator could influence the outcome of the study.
- Have experienced significant psychotic symptoms, including hallucinations or delusions, within the past 3 months, in the opinion of the investigator.
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 |
|---|---|---|
| SAGE-718-matching placeboOral capsules | Drug | Placebo |
| SAGE-718Oral capsules | Drug | SAGE-718 |
Primary outcome
Change From Baseline in the Wechsler Adult Intelligence Scale-IV (WAIS-IV) Coding Test Score
Time frame: Baseline, Day 42
The WAIS-IV coding test is a valid and sensitive measure of cognitive dysfunction that correlates with real-world functional outcomes (e.g., the ability to accomplish everyday tasks) and recovery from functional disability used to assess processing speed. The participant is required to identify the symbols matched to numbers using a key and write in the symbol beneath the associated number. The total score ranges from 0 to 135 and is based on the total number of codes correctly completed over a 120-second time limit. Higher scores indicate better processing speed. Positive change from baseline indicates better processing speed. Least Squares (LS) Means were calculated using a mixed-effects model for repeated measures (MMRM) approach.
3 secondary outcomes
Number of Participants With at Least One Treatment-emergent Adverse Event (TEAE)
Time frame: Up to Day 70
Number of Participants With at Least One TEAE by Severity
Time frame: Up to Day 70
Number of Participants Who Withdrew From Study Due to TEAEs
Time frame: Up to Day 70
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Sep 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: No. Data sharing will be consistent with the results submission policy of ClinicalTrials.gov.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
38 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing SAGE-718 in people with Parkinson Disease and Cognitive Dysfunction, run by Supernus Pharmaceuticals, Inc. at 38 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 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 12 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 38 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 6 Feb 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?
Change From Baseline in the Wechsler Adult Intelligence Scale-IV (WAIS-IV) Coding Test Score (time frame: Baseline, Day 42). 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 12 Sep 2025.