Multicenter, open-label dose-escalation study
Multicenter, open-label, phase 1 study of Cu(II)ATSM administered orally to patients with early idiopathic Parkinson's disease. The study will be conducted in two phases. In the first phase, dose cohorts of six patients each will receive escalating daily doses of Cu(II)ATSM to establish the recommended phase 2 dose (RP2D). The starting dose will be 12 mg/day, which has been shown to be well tolerated in an ongoing phase 1 pharmacokinetic and dose-finding study of Cu(II)ATSM in patients with ALS (ClinicalTrials.gov identifier NCT02870634). In the second phase of the study, an expansion cohort of 20 patients will be treated at the RP2D to confirm tolerability and assess preliminary evidence of efficacy. In both the dose escalation and expansion cohorts, once the first 28 days of treatment are completed, at the discretion of the investigator a patient may continue to receive Cu(II)ATSM treatment for a maximum of six 28-day treatment cycles.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
31
copper-containing synthetic small molecule
Macquarie University
Macquarie Park, New South Wales, Australia
The Royal Melbourne Hospital
Melbourne, Victoria, Australia
Recommended phase 2 dose
Recommended phase 2 dose as determined by the number of patients in each dose cohort with intolerance over up to six months treatment
Time frame: 6 months
Treatment-related changes in disease severity
Treatment-related changes in disease severity assessed by the Unified Parkinson Disease Rating Scale (UPDRS)
Time frame: 6 months
Treatment-related changes in motor function
Treatment related changes in motor function assessed by the UPDRS Part III score and UPDRS ambulatory capacity subscore
Time frame: 6 months
Treatment-related changes in cognitive function
Treatment related changes in cognitive function assessed by the Montreal Cognitive Assessments (MoCA)
Time frame: 6 months
Treatment-related changes in quality of life
Treatment related changes in quality of life assessed by the 39-item Parkinson Disease Questionnaire (PDQ-39)
Time frame: 6 months
Treatment-related changes in constipation
Treatment related changes in constipation assessed by the Wexler Constipation Score
Time frame: 6 months
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