Fixed-Dose Trial in Early Parkinson's Disease (PD)

Last updated: July 26, 2024
Sponsor: Cerevel Therapeutics, LLC
Overall Status: Completed

Phase

3

Condition

N/A

Treatment

Tavapadon

Placebo

Clinical Study ID

NCT04201093
CVL-751-PD-001
2019-002949-38
  • Ages 40-80
  • All Genders

Study Summary

The purpose of this study is to evaluate the clinical efficacy, safety and pharmacokinetics (PK) of 2 fixed doses of tavapadon and placebo in participants with early PD.

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  • Male and female participants aged 40 to 80 years, inclusive, at the time of signingthe informed consent form (ICF)

  • Sexually active men or women of childbearing potential must agree to use acceptable (at minimum) or highly effective birth control, or remain abstinent during the trialand for 4 weeks after the last dose of trial treatment

  • Participants who are capable of giving signed informed consent, which includescompliance with the requirements and restrictions listed in the ICF and in theprotocol

  • Participants with a diagnosis of PD that is consistent with the UK Parkinson'sDisease Society Brain Bank diagnostic criteria

  • Participants with modified Hoehn and Yahr stage 1, 1.5, or 2

  • Participants with disease duration (from time of diagnosis) of less than (<) 3 yearsand disease progression in the 3 years before signing the ICF

  • Participants with an MDS-UPDRS Part II score >=2 and Part III score >=10 at theScreening Visit and at the Baseline Visit

  • Participants with early PD who, in the opinion of the investigator, requirepharmacologic intervention for disease management

  • Participants who are treatment naïve or have a history of prior incidental treatmentwith dopaminergic agents (including Levodopa [L-Dopa] and dopamine receptor agonistmedications) for <3 months in total but not within 2 months of the Baseline Visit.Prior and concurrent use of monoamine oxidase B (MAO-B) inhibitors is permitted ifuse was initiated >90 days before the Baseline Visit and the dosage will remainstable for the duration of the trial (i.e, no change in the MAO-B inhibitor dose ispermitted during the trial)

  • Participants who are willing and able to refrain from any PD medications that arenot permitted by the protocol (including dopaminergic agents) throughoutparticipation in the trial.

Exclusion

Key Exclusion Criteria:

  • Participants with a history or clinical features consistent with essential tremor,atypical or secondary parkinsonian syndrome (including, but not limited to,progressive supra nuclear palsy, multiple system atrophy, cortico-basaldegeneration, or drug-induced or post stroke parkinsonism).

  • Participants with a history of nonresponse or insufficient response to L-Dopa attherapeutic dosages.

  • Participants with a history or current diagnosis of a clinically significant impulsecontrol disorder (Disruptive, Impulse Control, and Conduct Disorder per DSM-5).

  • Participants with the presence of or history of brain tumor, hospitalization forsevere head trauma, epilepsy (as defined by the International League AgainstEpilepsy), or seizures.

  • Participants with a history of psychosis or hallucinations within the previous 12months.

  • Participants who answer "yes" on the Columbia-Suicide Severity Rating Scale (C-SSRS)Suicidal Ideation Item 4 or Item 5 (Active Suicidal Ideation with Some Intent toAct, Without Specific Plan, or Active Suicidal Ideation with Specific Plan andIntent) and whose most recent episode meeting the criteria for C-SSRS Item 4 or Item 5 occurred within the last 6 months, OR Participants who answer "yes" on any of the 5 C-SSRS Suicidal Behavior Items (actual attempt, interrupted attempt, abortedattempt, preparatory acts, or behavior) and whose most recent episode meeting thecriteria for any of these 5 C-SSRS Suicidal Behavior Items occurred within the last 2 years, OR Participants who, in the opinion of the investigator, present a seriousrisk of suicide.

  • Participants with substance abuse or dependence disorder, including alcohol,benzodiazepines, and opioids, but excluding nicotine, within the past 6 months (180days)

  • Participants with dementia or cognitive impairment that, in the judgement of theinvestigator, would exclude the participant from understanding the ICF orparticipating in the trial

  • Participants with any condition that could possibly affect drug absorption,including bowel resections, bariatric weight loss surgery, or gastrectomy (this doesnot include gastric banding).

  • Participants who have a positive result for human immunodeficiency virus (HIV)antibodies, hepatitis B surface antigen (HbsAg), or hepatitis C virus (HCV)antibodies at screening.

  • Participants with a history of myocardial infarction with residual atrial, nodal, orventricular arrhythmias that are not controlled with medical and/or surgicalintervention; second- or third-degree atrioventricular block; sick sinus syndrome;severe or unstable angina; or congestive heart failure within the last 12 months. Arecent (less than or equal to [<=] 12 months) history of myocardial infarction withsecondary arrhythmias is exclusionary regardless of the therapeutic control.

  • Participants with a history of neuroleptic malignant syndrome.

  • Participants who are currently receiving moderate or strong CYP3A4 inducers orCYP3A4 inhibitors (except for topical administration).

  • Participants with a positive urine drug screen for illicit drugs are excluded andmay not be retested or rescreened. Participants with a positive urine drug screenresulting from use of marijuana (any Tetrahydrocannabinol [THC]-containing product),prescription, or over-the-counter medications or products that, in theinvestigator's documented opinion, do not signal a clinical condition that wouldimpact the safety of the participant or interpretation of the trial results maycontinue evaluation for the trial following consultation and approval by the medicalmonitor

  • Participants with a Montreal Cognitive Assessment (MoCA) score <26

  • Participants with clinically significant orthostatic hypotension (eg, syncope)

  • Participants with a 12-lead ECG demonstrating a QTcF interval >450 msec

  • Participants with moderate or severe renal impairment (creatinine clearance asestimated by Cockcroft-Gault formula <30 mL/min or on dialysis)

  • Participants with any of the following abnormalities in clinical laboratory tests atthe Screening Visit, as assessed by the central laboratory and confirmed by a singlerepeat measurement, if deemed necessary:

  • Aspartate Aminotransferase (AST) or Alanine Aminotransferase (ALT) >=3 × UpperLimit Normal (ULN).

  • Total bilirubin >=1.5 × ULN. Participants with a history of Gilbert's syndromemay be eligible provided they have a value <ULN for direct bilirubin.

  • Participants with other abnormal laboratory test results, vital sign results, or ECGfindings unless, in the judgment of the investigator, the findings are not medicallysignificant and would not impact the safety of the participants or theinterpretation of the trial results.

Study Design

Total Participants: 522
Treatment Group(s): 2
Primary Treatment: Tavapadon
Phase: 3
Study Start date:
December 13, 2019
Estimated Completion Date:
June 28, 2024

Connect with a study center

  • Erina, New South Wales

    Erina, New South Wales 02250
    Australia

    Site Not Available

  • Woolloongabba, Queensland

    Woolloongabba, Queensland 4102
    Australia

    Site Not Available

  • Parkville, Victoria

    Parkville, Victoria 3050
    Australia

    Site Not Available

  • Medical center VITA1, Pleven

    Pleven, 5800
    Bulgaria

    Site Not Available

  • Pleven

    Pleven, 5800
    Bulgaria

    Site Not Available

  • Pleven, Bulgaria

    Pleven, 5800
    Bulgaria

    Site Not Available

  • DCC Neoclinic

    Sofia, 1408
    Bulgaria

    Site Not Available

  • Multiprofile Hospital, Sofia

    Sofia, 1113
    Bulgaria

    Site Not Available

  • Sofia

    Sofia, 1407
    Bulgaria

    Site Not Available

  • Ottawa, Ontario

    Ottawa, Ontario K1Y4E9
    Canada

    Site Not Available

  • Toronto, Ontario

    Toronto, Ontario M5T 2S8
    Canada

    Site Not Available

  • Ville de Quebec

    Québec, Ville De Quebec G1J1Z4
    Canada

    Site Not Available

  • Canada, Ville De Quebec

    Quebec, G1J1Z4
    Canada

    Site Not Available

  • Poliklinika, Chocen,

    Choceň, Chocen 565 01
    Czechia

    Site Not Available

  • Prague,

    Prague, 100 00
    Czechia

    Site Not Available

  • Rychnov nad Kněžnou

    Rychnov Nad Kněžnou, 516 01
    Czechia

    Site Not Available

  • Creteil

    Créteil, Creteil 94010
    France

    Site Not Available

  • Boulevard Pinel, Bron

    Bron, 69500
    France

    Site Not Available

  • Grenoble cedex

    Grenoble, 38043
    France

    Site Not Available

  • Nancy, France

    Nancy, 54035
    France

    Site Not Available

  • Nîmes cedex

    Nîmes, 30029
    France

    Site Not Available

  • Muenster

    Münster, Muenster 48149
    Germany

    Site Not Available

  • Bad Homburg

    Bad Homburg, 61348
    Germany

    Site Not Available

  • Duesseldorf,

    Duesseldorf, 40225
    Germany

    Site Not Available

  • Haag in Oberbayern

    Haag In Oberbayern, 83527
    Germany

    Site Not Available

  • Stadtroda

    Stadtroda, 07646
    Germany

    Site Not Available

  • Springub

    Westerstede, 26655
    Germany

    Site Not Available

  • Ashkelon

    Ashkelon, 7830406
    Israel

    Site Not Available

  • Haifa

    Haifa, 3109601
    Israel

    Site Not Available

  • Jerusalem

    Jerusalem, 91120
    Israel

    Site Not Available

  • Petah Tiqva

    Petah tikva, 49100
    Israel

    Site Not Available

  • Ramat Gan

    Ramat Gan, 5265601
    Israel

    Site Not Available

  • Shoham

    Shoham, 6083531
    Israel

    Site Not Available

  • Tel Aviv

    Tel Aviv, 6100000
    Israel

    Site Not Available

  • Milano

    Milano, 20126
    Italy

    Site Not Available

  • Padova

    Padova, 35128
    Italy

    Site Not Available

  • Pisa

    Pisa, 56126
    Italy

    Site Not Available

  • Rome

    Rome, 00179
    Italy

    Site Not Available

  • Lodz

    Łódź, Lodz 90-640
    Poland

    Site Not Available

  • Katowice

    Katowice, 40-123
    Poland

    Site Not Available

  • Kraków

    Kraków, 30-510
    Poland

    Site Not Available

  • Lublin

    Lublin, 20-016
    Poland

    Site Not Available

  • Singua

    Warsaw, 02-777
    Poland

    Site Not Available

  • Warsaw

    Warsaw, 01-868
    Poland

    Site Not Available

  • Elche

    Elche, Alicante 03203
    Spain

    Site Not Available

  • Barcelona

    Barcelona, 08190
    Spain

    Site Not Available

  • Madrid

    Madrid, 28006
    Spain

    Site Not Available

  • Madrid, Spain

    Madrid, 28036
    Spain

    Site Not Available

  • Sevilla

    Sevilla, 41013
    Spain

    Site Not Available

  • Terrassa

    Terrassa, 08222
    Spain

    Site Not Available

  • Valencia

    Valencia, 46026
    Spain

    Site Not Available

  • Zaporiizhzhya

    Zaporizhzhya, Zaporiizhzhya 69600
    Ukraine

    Site Not Available

  • Zaporozhya

    Zaporozhye, Zaporozhya 69035
    Ukraine

    Site Not Available

  • Dnipro

    Dnipro, 49027
    Ukraine

    Site Not Available

  • Kharkiv

    Kharkiv, 61068
    Ukraine

    Site Not Available

  • Birmingham, Alabama

    Birmingham, Alabama 35233
    United States

    Site Not Available

  • Pheonix, Arizona

    Phoenix, Arizona 85004
    United States

    Site Not Available

  • Little Rock, Arkansas

    Little Rock, Arkansas 72205
    United States

    Site Not Available

  • Fountain Valley, California

    Fountain Valley, California 92708
    United States

    Site Not Available

  • Los Angeles, California

    Los Angeles, California 90048
    United States

    Site Not Available

  • Pasadena, California

    Pasadena, California 91105
    United States

    Site Not Available

  • Reseda, California

    Reseda, California 91335
    United States

    Site Not Available

  • Denver, Colorado

    Denver, Colorado 80210
    United States

    Site Not Available

  • Englewood, Colorado

    Englewood, Colorado 80113
    United States

    Site Not Available

  • Adventura, Florida

    Adventura, Florida 33180
    United States

    Site Not Available

  • Atlantis, Florida

    Atlantis, Florida 33462
    United States

    Site Not Available

  • United States, Florida

    Aventura, Florida 33180
    United States

    Site Not Available

  • Boca Raton, Florida

    Boca Raton, Florida 33486
    United States

    Site Not Available

  • Ormond Beach, Florida

    Ormond Beach, Florida 32174
    United States

    Site Not Available

  • Tampa, Florida

    Tampa, Florida 33613
    United States

    Site Not Available

  • Augusta, Georgia

    Augusta, Georgia 30912
    United States

    Site Not Available

  • Savannah, Georgia

    Savannah, Georgia 31406
    United States

    Site Not Available

  • Chicago, Illinois

    Chicago, Illinois 60612
    United States

    Site Not Available

  • Winfield, Illinois

    Winfield, Illinois 60190
    United States

    Site Not Available

  • Kansas City, Kansas

    Kansas City, Kansas 66160
    United States

    Site Not Available

  • Lexington, Kentucky

    Lexington, Kentucky 40536
    United States

    Site Not Available

  • Scarborough, Maine

    Scarborough, Maine 04074
    United States

    Site Not Available

  • Boston, Massachusetts

    Boston, Massachusetts 02215
    United States

    Site Not Available

  • East Lansing, Michigan

    East Lansing, Michigan 48824
    United States

    Site Not Available

  • Farmington Hills, Michigan

    Farmington Hills, Michigan 48334
    United States

    Site Not Available

  • Las Vegas, Nevada

    Las Vegas, Nevada 89106
    United States

    Site Not Available

  • Asheville, North Carolina

    Asheville, North Carolina 28806
    United States

    Site Not Available

  • Durham, North Carolina

    Durham, North Carolina 27705
    United States

    Site Not Available

  • Raleigh, North Carolina

    Raleigh, North Carolina 27607
    United States

    Site Not Available

  • Columbus, Ohio

    Columbus, Ohio 43221
    United States

    Site Not Available

  • Dayton, Ohio

    Dayton, Ohio 45459
    United States

    Site Not Available

  • Toledo, Ohio

    Toledo, Ohio 43614
    United States

    Site Not Available

  • Philadelphia, Pennsylvania

    Philadelphia, Pennsylvania 19107
    United States

    Site Not Available

  • Georgetown, Texas

    Georgetown, Texas 78628
    United States

    Site Not Available

  • Houston, Texas

    Houston, Texas 77030
    United States

    Site Not Available

  • Lubbock, Texas

    Lubbock, Texas 79410
    United States

    Site Not Available

  • Burlington, Vermont

    Burlington, Vermont 05401
    United States

    Site Not Available

  • Virginia Beach, Virginia

    Virginia Beach, Virginia 23456
    United States

    Site Not Available

  • United States, Washington

    Spokane, Washington 99202
    United States

    Site Not Available

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