The main purpose of this study is to determine the safety of BIIB014 and how well BIIB014 is tolerated when given at different doses to patients with moderate to late-stage Parkinson's Disease who are also taking the Parkinson's medication, levodopa (L-DOPA). This study will also explore: 1. the pharmacokinetics of BIIB014 in Parkinson's patients who are also taking L-DOPA (this will be done by measuring the levels of BIIB014 in the blood at several different times during the study), and 2. the activity of BIIB014 when given to Parkinson's patients who are also taking L-DOPA (this will be done by performing different Parkinson's Disease assessments during the study to examine change in waking OFF time, change in time with troublesome dyskinesia, change in Unified PD Rating Scale (UPDRS) scores, and Clinical Global Improvement). Patients who enter this study will be randomly assigned to receive either BIIB014 or a placebo but because the study is blinded, neither they nor their study doctor will know which study treatment they are taking. The study will be divided into 2 parts: * Part A: a, rapid, sequential cohort, dose escalation to establish MTD, followed by * Part B: a parallel-group exploration of the two highest tolerated doses versus placebo. Note: As Part A of the study is now concluded, some of the study design information presented below (e.g., number of study arms) pertains only to Part B.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
83
Research Sites
Bangalore, India
Research Site
Chennai, India
Research Site
Hyderabaad, India
Research Site
Ludhiana, India
Research Site
Mumbai, India
Research Site
New Delhi, India
Research Site
Secunderabad, India
Research Site
Ashkelon, Israel
Research Site
Jerusalem, Israel
Research Site
Ramat Gan, Israel
...and 5 more locations
Number and proportion of subjects with adverse events
Time frame: up to end of study
Assessment of clinical laboratory parameters
Time frame: up to end of study
Assessment of vital signs
Time frame: up to end of study
Assessment of ECG parameters.
Time frame: up to end of study
Assess PK by measuring concentrations of BIIB014 and its N-acetyl metabolite in blood plasma.
Time frame: up to 24h following last dose (Part A only)
Explore activity of BIIB014 by evaluating standard Parkinson's disease assessments
Time frame: up to 8h following last dose (Part A); up to 24h following last dose (Part B only)
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