Allopregnanolone As a Regenerative Treatment for Parkinson's Disease

Last updated: October 21, 2024
Sponsor: Roberta Brinton
Overall Status: Active - Not Recruiting

Phase

1

Condition

N/A

Treatment

Allopregnanolone

Clinical Study ID

NCT06263010
CIBS-2023-01
  • Ages 40-85
  • All Genders

Study Summary

The goal of this open-label, pilot clinical trial is to test allopregnanolone as a regenerative treatment in patients with Parkinson's disease (PD). The main questions this study aims to answer are:

  1. Is a large-scale clinical trial testing how well it works in patients with PD feasible?

  2. Is allopregnanolone safe and well-tolerated in patients with PD.

  3. Can we see any signals of changes in imaging and clinical scales?

Participants will receive a weekly infusion in their vein of allopregnanolone for a total of 12 weeks. There is no placebo so everyone receives allopregnanolone and "Open-label" means the study is not blinded so both the participant and investigators know the assigned treatment.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • History of Idiopathic sporadic Parkinson disease

  • Hoehn & Yahr stage 1-4

  • Have been on stable doses of all anti-Parkinson's medications for 30 days prior toscreening

  • Provision of signed and dated informed consent form

Exclusion

Exclusion Criteria:

  • Evidence of Parkinsonian syndrome.

  • Any conditions that would contraindicate MRI studies.

  • Undergone deep brain stimulation (DBS) surgery as treatment for PD.

  • Iodine allergy, known serious hypersensitivity to ioflupane I-123, or otherinability to undergo DaTscan.

  • Clinically significant abnormal laboratory value and/or clinically significantunstable medical or psychiatric illness.

  • History within the last 5 years of a primary or recurrent malignant disease, withthe exception of resected cutaneous squamous cell carcinoma in situ, basal cellcarcinoma, cervical carcinoma in situ, or prostate cancer in situ with apost-treatment prostatic-specific antigen within normal range.

  • Serious or unstable illnesses including cardiovascular, hepatic, renal,gastroenterologic, respiratory, endocrinologic, neurologic (other than PD),psychiatric, immunologic, or hematologic disease, and any other conditions that, inthe investigator's opinion, could interfere with the safety and efficacy analyses inthis study.

  • History of chronic alcohol or substance abuse/dependence within the past 3 years.

  • Current use of benzodiazepines, anticonvulsants, antipsychotics, or other drugs thatmight interact with the gamma-aminobutyric acid-A (GABA-A) receptor complex; use ofcalcium-channel blockers (e.g., amlodipine); use of dietary supplements containingPregnenolone.

  • Treatment with another investigational drug within 3 months of screening.

Study Design

Total Participants: 10
Treatment Group(s): 1
Primary Treatment: Allopregnanolone
Phase: 1
Study Start date:
January 12, 2024
Estimated Completion Date:
May 31, 2025

Study Description

This is an open-label, pilot clinical trial of allopregnanolone (Allo) as a regenerative treatment for Parkinson's disease. A total of 10 study participants will receive weekly infusions of Allo for 12 weeks. Participants will be male and female, age 40-80 years with a history of idiopathic, sporadic PD who have a Hoehn & Yahr stage 1-4. Allo is a potent neuroregenerative agent that promotes proliferation of human neural stem cells and has the potential to function as a regenerative therapeutic to restore motor function in persons with PD. Results from several preclinical studies in rodent models of PD confirm improved motor function after Allo treatment.

Primary Objective: To assess the feasibility of a large-scale trial to determine the efficacy of weekly infusions of Allo in in patients with Idiopathic sporadic PD.

Secondary Objectives: To evaluate the safety and tolerability of weekly infusions of Allo in participants with idiopathic sporadic PD, and assess single-dose pharmacokinetics of allopregnanolone.

Tertiary / Exploratory Objectives: To assess efficacy signals of weekly infusions of Allo in participants with idiopathic sporadic PD.

  • Determine target engagement of Allo using dopamine transporter (DaT) imaging and magnetic resonance imaging (MRI).

  • Evaluate effect of Allo on motor function tests.

  • Evaluate the effect of Allo on cognitive function tests and clinical ratings.

  • Compare response to Allo administration between APOE4 carriers and non-carriers.

Connect with a study center

  • The University of Arizona Clinical & Translational Science Research Center

    Tucson, Arizona 85721
    United States

    Site Not Available

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.