GDNF Gene Therapy for Parkinson's Disease
Open-Label Safety Study of Glial Cell Line-Derived Neurotrophic Factor Gene Transfer (AAV2- GDNF) in Parkinson's Disease
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 Contact
Study Contact
- Name: Amber Van Laar, MD
- Email: avanlaar@brainneubio.com
Study Locations
-
-
California
-
Irvine, California, United States, 92697
- University of California Irvine
-
San Francisco, California, United States, 94103
- University of California San Francisco
-
-
Ohio
-
Columbus, Ohio, United States, 43210
- The Ohio State University Medical Center
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Key Inclusion Criteria:
- Male and female adults 35-75 years of age (inclusive)
- Diagnosed with Parkinson's disease
- Modified Hoehn and Yahr stage I-III OFF medication
Time since receiving a clinical diagnosis of PD and disease severity consistent with one of the following:
- EITHER: Less than 5 years since clinical diagnosis of PD and mild to moderate UPDRS III OFF score
- OR: At least 4 years since clinical diagnosis of PD and moderate to severe UPDRS III OFF score
- Responsiveness to levodopa
Key Exclusion Criteria:
- Atypical parkinsonism
- Severe dyskinesia
- Presence of dementia, psychosis, substance abuse or qualify as "severe depression"
- Prior brain surgery (i.e. deep brain stimulator or DBS implantation) or other brain imaging abnormalities
- Receiving an investigational drug
- History of cancer or poorly controlled medical conditions that would increase surgical risk
- Inability to tolerate laying flat in an MRI or allergy to gadolinium
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Earlier stage PD
|
Bilateral image-guided infusion of AAV2-GDNF into putamen, single dose
|
|
Experimental: Later stage PD
|
Bilateral image-guided infusion of AAV2-GDNF into putamen, single dose
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
The incidence of Treatment-Emergent Adverse Events (TEAE) assessed clinically by physical and neurological examinations
Time Frame: 5 years
|
Evaluation of the safety and tolerability through the assessment of incidence of TEAE, identified by MedDRA preferred term and grouped by MedDRA System Organ Class, as well as clinically meaningful changes in clinical exams or laboratory assays.
|
5 years
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Motor symptoms as assessed by the Movement Disorder Society's Unified Parkinson's Disease Rating Scale (MDS-UPDRS)
Time Frame: 18 months
|
Change from baseline in the MDS-UPDRS.
The MDS-UPDRS contains 4 subscales: Part I, non-motor aspects of experiences of daily living (13 items); Part II, motor aspects of experiences of daily living (13 items); Part III, motor examination (33 scores based on 18 items); Part IV, motor complications (6 items).
The rating for each item, or sub-item, is from 0 (normal) to 4 (severe).
The total score for each Part is obtained from the sum of the corresponding item scores.
|
18 months
|
|
Non-motor symptoms of Parkinson's disease as assessed by the Non-Motor Symptom Scale (NMSS)
Time Frame: 18 months
|
Change from baseline in the NMSS.
The NMSS evaluates 9 domains of non-motor of severity and frequency of PD symptoms associated with cardiovascular health, sleep and fatigue, mood and cognition, perceptual problems and hallucinations, attention and memory, gastrointestinal tract, urinary, sexual function, and a miscellaneous domain for other common non-motor conditions.
Severity x frequency scores range 0-108, with 0 being less severe and less frequent.
|
18 months
|
|
Brain dopaminergic cell integrity as measured by DaTscan
Time Frame: 18 months
|
Percentage and absolute changes in Ioflupane retention as a marker for dopamine transporter protein expressed by dopamine producing cells within the brain.
Measured by quantitative analysis of DaTscan SPECT imaging.
|
18 months
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Estimated)
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 (Estimated)
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
- GDNF-102
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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