VY-AADC02 for Parkinson's Disease With Motor Fluctuations (RESTORE-1)
A Randomized, Sham Surgery Controlled, Double-blind, Multi-center, Phase 1 Clinical Trial, Evaluating the Safety of VY-AADC02 in Moderate to Advanced Parkinson's Disease Patients With Motor Fluctuations
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Locations
-
-
California
-
Irvine, California, United States, 92697
- UC Irvine
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Sacramento, California, United States, 95817
- UC Davis Health System
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San Francisco, California, United States, 94143
- University of California, San Francisco
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-
Colorado
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Aurora, Colorado, United States, 80045
- University of Colorado
-
-
Georgia
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Atlanta, Georgia, United States, 30322
- Emory University Hospital
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Illinois
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Chicago, Illinois, United States, 60611
- Northwestern Medical Faculty Foundation
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Kansas
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Kansas City, Kansas, United States, 66160
- University of Kansas Medical Center
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New York
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New York, New York, United States, 10017
- NYU Langone Medical Center
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-
Ohio
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Columbus, Ohio, United States, 43210
- Ohio State University Clinical Trials Management Office
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19107
- University of Philadelphia, Dept of Neurology
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Pittsburgh, Pennsylvania, United States, 15213
- University of Pittsburgh Medical Center (UPMC)
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Key Inclusion Criteria:
- Males and females, 40 to 75 years of age (inclusive)
- Diagnosis of PD, consistent with United Kingdom Brain Bank Criteria
- Motor responsiveness to dopaminergic therapy, demonstrated by improvement in Movement Disorder Society - Unified Parkinson's Disease Rating Scale (MDS-UPDRS III score)
- Disease duration from diagnosis of ≥4 years
- An average of ≥3 hours of OFF time (that is, periods of insufficient control of motor PD symptoms) per day over 3 consecutive days as confirmed by the PD Diary
- A stable, optimal regimen of Parkinson's medications including levodopa for at least weeks prior to screening evaluation. Participants must have a minimum duration of levodopa treatment of ≥1 year
- In the judgment of the Investigator, stable Parkinson's features and symptoms for at least 4 weeks prior to screening evaluation
- Agrees to defer any elective neurological surgery, including deep brain stimulation or ablation procedure for PD, levodopa or apomorphine infusion, or the addition of new dopaminergic formulations until after the study is completed, if medically appropriate
- Ability to travel to study visits
Key Exclusion Criteria:
- Atypical or secondary parkinsonism, including but not limited to symptoms believed to be due to trauma, brain tumor, infection, cerebrovascular disease, other neurological disease, or to drugs, chemicals, or toxins, as determined by the Investigator
- Montreal Cognitive Assessment (MoCA) score <26
- New or unstable psychiatric conditions (psychosis, depression) within 1 year of screening
- Brain imaging abnormalities in the striatum or other regions that would substantially increase risk of surgery
- Contraindication to magnetic resonance imaging (MRI) and/or gadolinium-based contrast agents
- Prior brain surgery, infusion therapies or planned treatments that could complicate the study procedure or negatively impact study evaluations as determined from participant interview, screening MRI, or medical records
- History of malignancy other than treated carcinoma in situ within 3 years of screening evaluation
- Prior gene transfer, current treatment with any investigational agent (drug or device) within 2 months of screening evaluation, or participation or plans to participate in another research study
- Severe, biphasic and/or uncontrolled dyskinesia
- Disabling or uncontrolled impulse control disorders
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: VY-AADC02 (NBIb-1817)
Single administration of up to 3.6 x 10^12 vector genomes (vg) of VY-AADC02
|
Adeno-associated viral vector serotype 2 encoding human aromatic L-amino acid decarboxylase (AAV2- hAADC) infusion into the brain
|
|
Placebo Comparator: Sham (Placebo) Surgery
Sham surgical procedure
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Bilateral partial burr/twist holes without dura penetration
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Number of participants with treatment-emergent adverse events (TEAEs)
Time Frame: Up to 5 years after surgery
|
Up to 5 years after surgery
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Change in Movement Disorder Society - Unified Parkinson's Disease Rating Scale (MDS-UPDRS) III score in the OFF state
Time Frame: Baseline to Day 360
|
Baseline to Day 360
|
|
Change in MDS-UPDRS II score
Time Frame: Baseline to Day 360
|
Baseline to Day 360
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Safety outcome measured by treatment emergent adverse events (TEAEs), serious adverse events (SAEs), changes in vital signs and clinical laboratory analysis, and immunogenicity
Time Frame: Baseline to Day 360
|
Baseline to Day 360
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Clinical Development Lead, Neurocrine Biosciences
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- PD-1105
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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