Study to Evaluate the Efficacy, Safety, and Tolerability of PXT002331 (Foliglurax) in Reducing Levodopa-Induced Dyskinesia and Wearing OFF in Subjects With Parkinson's Disease Experiencing Motor Complications of Levodopa Therapy (ATTUNED)
This is a Multi-center, Double-blind, Randomized, Placebo-controlled, Parallel-arm Phase IIa proof of concept in subjects with PD treated with a stable dose of levodopa who are experiencing Motor Complications of Levodopa Therapy
Inclusion Criteria:
* Between 35 and 85 years of age, inclusive, at the time of signing informed consent
* Diagnosed after the age of 30 years with idiopathic PD
* A documented medical history of idiopathic PD for at least 3 years
* Disease severity of 2 to 4 on the modified Hoehn and Yahr scale when in the OFF state
* Been treated with a stable regimen of levodopa-containing therapy
* Subjects must be receiving at least 3 doses per day of levodopa-containing therapy, and must be on a stable dose for at least 2 weeks for immediate-release levodopa or at least 6 weeks for prolonged-release levodopa preparations prior to the first screening visit
* Experienced LID over a period of at least 3 months prior to randomization
* If needed, in the opinion of the investigator, subjects must have a caregiver
* Female subjects will be women of non-childbearing potential
Exclusion Criteria:
* Patient is currently participating in or has participated in another study in the last 3 months
* Subjects with atypical, secondary, or drug-induced Parkinsonism
* Subjects with a history of dyskinesia that was exclusively diphasic, OFF state, myoclonic, dystonic, or akathetic without peak-dose dyskinesia
* Subjects with a MoCA score of \<25
* Subjects who have, or who had a history of, any clinically significant hepatic or gallbladder disorder, as determined by the investigator
* Subjects who have dementia, currently active psychosis, or hallucinations.
* Suicide attempt within 1 year prior to the first screening visit, or severe suicidal ideation within 6 months prior to the first screening visit
* Subject has a current diagnosis of epilepsy,
* Any known contraindication to the use of levodopa, including a history of malignant melanoma or a history of narrow-angle glaucoma
* Carcinoma or successfully treated squamous cell carcinoma of the skin and no sing of disease recurrence for at least 5 years
* Subjects who have had a clinically significant illness within 4 weeks before the first dose, as determined by the investigator
* Subjects with scheduled surgeries/hospitalizations during the study period
* Any advanced, severe, or unstable disease (other than PD) that may interfere with the primary and secondary study outcome evaluations
* Subjects who have undergone prior neurosurgical operation for PD,
* Subjects currently taking (or expected to be administered during the course of the study) any of the prohibited medications (amantadine, safinamide, dopamine-antagonists).
Outcomes
Primary Outcomes
Change from baseline in Unified Dyskinesia Rating Scale (UDysRS) total score in subjects with PD experiencing levodopa-induced dyskinesia.
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NCT03331848 - Study to Evaluate the Efficacy, Safety, and Tolerability of PXT002331 (Foliglurax) in Reducing Levodopa-Induced Dyskinesia and Wearing OFF in Subjects With Parkinson's Disease Experiencing Motor Complications of Levodopa Therapy (ATTUNED) | Crick | Crick