A Clinical Trial of PRAX-944 in Participants With Essential Tremor
A Phase 2 Clinical Trial Evaluating the Efficacy, Safety, Tolerability, and Pharmacokinetics of PRAX-944 in Adults With Essential Tremor
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
New South Whales
-
New Lambton Heights, New South Whales, Australia, 2305
- Praxis Research Site
-
-
Queensland
-
Southport, Queensland, Australia, 4215
- Praxis Research Site
-
-
Victoria
-
Fitzroy, Victoria, Australia, 3065
- Praxis Research Site
-
Melbourne, Victoria, Australia, 3004
- Praxis Research Site
-
Parkville, Victoria, Australia, 3050
- Praxis Research Site
-
-
-
-
-
Christchurch, New Zealand, 8011
- Praxis Research Site
-
-
Auckland
-
Grafton, Auckland, New Zealand, 1023
- Praxis Research Site
-
-
-
-
Florida
-
Port Charlotte, Florida, United States, 33980
- Praxis Research Site
-
-
Washington
-
Spokane, Washington, United States, 99202
- Praxis Research Site
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Clinical diagnosis of ET consistent with Movement Disorders Society Criteria, a duration of ET of at least 3 years and with onset before the age of 65
- TETRAS upper limb score (ie, sum of bilateral upper limb items 4a, 4b, and 4c) of ≥10 as rated by the Investigator at Screening and Baseline OR A score of ≥2 on 2 or more of the following TETRAS activities of daily living (ADL) subscale items: (2) Feeding with a spoon, (3) Drinking from a glass, (5) Dressing, (6) Pouring, (9) Writing OR A score of ≥2 on 1 of the following TETRAS ADL subscale items: (2) Feeding with a spoon, (3) Drinking from a glass, (5) Dressing, (6) Pouring, or (9) Writing AND a score of ≥2 on both of the following TETRAS ADL subscale items: (10) Working and (12) Social Impact
- If currently receiving any medication for ET, is on a stable dose of any of these medications for ET for 28 days prior to Screening and is willing to maintain stable doses throughout the trial. If receiving primidone for ET, is willing and able to discontinue 14 days prior to Day 1.
- Body mass index (BMI) between 18 and 40 kg/m2 (inclusive).
Exclusion Criteria:
- Sporadically using a benzodiazepine, sleep medication, or anxiolytic that would confound the assessment of tremor.
- Trauma to the nervous system within 3 months preceding the onset of tremor.
- History of other medical, neurological or psychiatric condition that may explain or cause tremor, including but not limited to Parkinson's disease, dystonia, cerebellar disease, family history of Fragile X syndrome, traumatic brain injury, alcohol abuse or withdrawal, benzodiazepine abuse or withdrawal, multiple sclerosis, polyneuropathy, and endocrine states such as hyperthyroidism.
- Prior magnetic resonance-guided focused ultrasound or surgical intervention for ET such as deep brain stimulation or thalamotomy.
- Botulinum toxin injection for ET in the 6 months prior to Screening.
- Unwilling or unable to refrain from alcohol 24 hours before and during clinical trial visits.
- History of substance use disorder
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Part A: Open-label 20 and 40 mg PRAX-944
Once daily, oral dosing with 7 days of 20 mg and 7 days of 40 mg
|
Once daily oral treatment
|
|
Experimental: Part B: Open-label titration PRAX-944 (120 mg) followed by blinded PRAX-944
Once daily, oral dosing with titration to 120 mg: 3 days of 20 mg, 4 days of 40 mg, 7 days of 60 mg, 7 days of 80 mg, 7 days of 100 mg, 28 days of 120 mg
|
Once daily oral treatment with titration
|
|
Active Comparator: Part B: Open-label titration PRAX-944 (120 mg) followed by blinded placebo
Once daily, oral dosing with titration to 120 mg: 3 days of 20 mg, 4 days of 40 mg, 7 days of 60 mg, 7 days of 80 mg, 7 days of 100 mg, 14 days of 120 mg, 14 days placebo
|
Once daily oral treatment with titration followed by placebo
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Part A: Change From Baseline in Essential Tremor Rating Assessment Scale (TETRAS) Upper Limb Score
Time Frame: Baseline (Day 0), Days 7 and 14
|
The TETRAS upper limb score is calculated as the sum of the 6 separate upper-limb maneuvers assessed by the clinician: forward-outstretched postural tremor [right], forward outstretched postural tremor [left], lateral wing-beating postural tremor [right], lateral wing-beating postural tremor [left], kinetic tremor [right], kinetic tremor [left], each on a 0 (no tremor) to 4 (maximum tremor) severity scale in 0.5-point increments.
TETRAS Part 4 score for both upper limbs ranged from 0 to 24, higher scores indicated more severe tremor.
A negative change from baseline indicated less tremor.
Baseline is defined as the last non-missing value collected prior to receiving first dose of study drug.
Change from baseline will be defined as assessment value minus baseline value.
|
Baseline (Day 0), Days 7 and 14
|
|
Part B: Number of Participants With Adverse Events (AE), Related AE, and AE Leading to Treatment Discontinuation
Time Frame: Up to Day 70
|
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention.
Incidence and Severity of Adverse Events have been reported.
|
Up to Day 70
|
|
Part B: Number of Participants With Clinically Significant Abnormalities in Vital Signs, Laboratory Values and Electrocardiogram Parameters
Time Frame: Up to Day 70
|
Vital signs parameters included body temperature, pulse rate, respiratory rate, blood pressure (systolic and diastolic), clinical laboratory measures (chemistry, hematology, urinalysis, and coagulation), electrocardiogram parameters (heart rate, PR, QRS, QT, and corrected QT intervals).
Any change in vital sign abnormalities that was clinically significant in the medical and scientific judgment of the investigator and not related to an underlying disease was reported as an unsolicited adverse event (AE).
Any clinically significant abnormality associated with underlying disease does not require reporting as an (S)AE unless judged by the investigator to be more severe than expected for the participant's condition.
|
Up to Day 70
|
|
Part B: Number of Participants With Suicidal Ideation or Behavior Assessed Using Columbia Suicide Severity Rating Scale (C-SSRS)
Time Frame: Up to Day 70
|
The C-SSRS is described as a scale developed at Columbia University that has 2-6 questions each in categories of Suicidal Ideation, Intensity of Ideation, Suicidal Behavior, and Actual Attempts.
Four constructs were measured.
Severity of Suicidal ideation is rated on a 5-point ordinal scale.
Intensity of ideation is comprised of 5 items (frequency, duration, controllability, deterrents, and reason for ideation), each rated on a 5-point ordinal scale.
Suicidal behavior is rated on a nominal scale that includes actual, aborted, and interrupted attempts; preparatory behavior; and non-suicidal self-injurious behavior.
Lethality, assesses actual attempts; actual lethality is rated on a 6-point ordinal scale, and if actual lethality is 0, potential lethality of attempts is rated on a 3-point ordinal scale.The higher the C-SSRS score, the higher the suicide risk (ie.
worse outcome).
|
Up to Day 70
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Part A: Change From Baseline in Essential Tremor Rating Assessment Scale (TETRAS) Performance Subscale
Time Frame: Baseline (Day 0), Days 7 and 14
|
The TETRAS is an essential tremor and activities of daily living rating scale.
The full scale has 2 sections, the Performance subscale (PS) and the ADL subscale.
The PS consists of 9 items covering different body regions.
These 9 items are rated on a 5-point scale (ranging from 0 to 4).
One item, Item 4, consists of ratings for 3 tasks rated separately for upper limbs on both sides of the body for a total of 6 ratings.
The total score of the 9 items (14 ratings) ranges from 0 to 70 with higher scores indicating greater tremor severity.
The total score and individual item ratings will be evaluated as outcomes in this trial.
Baseline is defined as the last non-missing value collected prior to receiving first dose of study drug.
|
Baseline (Day 0), Days 7 and 14
|
|
Part A: Change From Baseline in Essential Tremor Rating Assessment Scale (TETRAS) Upper Limb Score Measured by Accelerometry
Time Frame: Baseline (Day 0), Days 7 and 14
|
Accelerometer was used to evaluate record coordinates and accelerations in the 3D space over time.
The 3 maneuvers in the upper limb item will be completed for both arms, first for the right arm and then for the left.
Each upper limb sub-item is scored on a scale from 0 to 4 including to 0.1 increments.
The accelerometer upper limb total score, ranges from 0 to 24.
A decrease in score is indicative of improvement.
Baseline is defined as the last non-missing value collected prior to receiving first dose of study drug.
Change from baseline will be defined as assessment value minus baseline value.
|
Baseline (Day 0), Days 7 and 14
|
|
Part A: Change From Baseline in Essential Tremor Rating Assessment Scale (TETRAS) Performance Subscale Individual Items # 6 (Spiral Drawing) and Items #7 (Handwriting)
Time Frame: Baseline (Day 0), Days 7 and 14
|
The TETRAS ADL subscale is a 12-item assessment of typical daily activities that are impacted by tremor.
Activities are assessed in the following functional domains: speaking, feeding, drinking, personal hygiene, dressing, writing, and social activity.
The impact to each function is rated on a 5-point Likert scale from 0 to 4. The ADL subscale score is calculated as the sum of all 12 items and ranges from 0 to 48 with higher scores reflecting higher impact.
Baseline is defined as the last non-missing value collected prior to receiving first dose of study drug.
Change from baseline will be defined as assessment value minus baseline value.
|
Baseline (Day 0), Days 7 and 14
|
|
Part A: Number of Participants With Adverse Events (AE), Related AE, and AE Leading to Treatment Discontinuation
Time Frame: Up to Day 21
|
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention.
Incidence and Severity of Adverse Events have been reported.
|
Up to Day 21
|
|
Part A: Number of Participants With Clinically Significant Abnormalities in Vital Signs, Laboratory Values and Electrocardiogram Parameters
Time Frame: Up to Day 21
|
Vital signs parameters included body temperature, pulse rate, respiratory rate, blood pressure (systolic and diastolic), clinical laboratory measures (chemistry, hematology, urinalysis, and coagulation), electrocardiogram parameters (heart rate, PR, QRS, QT, and corrected QT intervals).
Any change in vital sign abnormalities that was clinically significant in the medical and scientific judgment of the investigator and not related to an underlying disease was reported as an unsolicited adverse event (AE).
Any clinically significant abnormality associated with underlying disease does not require reporting as an (S)AE unless judged by the investigator to be more severe than expected for the participant's condition.
|
Up to Day 21
|
|
Part A: Number of Participants With Suicidal Ideation or Behavior Assessed Using Columbia Suicide Severity Rating Scale (C-SSRS)
Time Frame: Up to Day 21
|
The C-SSRS is described as a scale developed at Columbia University that has 2-6 questions each in categories of Suicidal Ideation, Intensity of Ideation, Suicidal Behavior, and Actual Attempts.
Four constructs were measured.
Severity of Suicidal ideation is rated on a 5-point ordinal scale.
Intensity of ideation is comprised of 5 items (frequency, duration, controllability, deterrents, and reason for ideation), each rated on a 5-point ordinal scale.
Suicidal behavior is rated on a nominal scale that includes actual, aborted, and interrupted attempts; preparatory behavior; and non-suicidal self-injurious behavior.
Lethality, assesses actual attempts; actual lethality is rated on a 6-point ordinal scale, and if actual lethality is 0, potential lethality of attempts is rated on a 3-point ordinal scale.The higher the C-SSRS score, the higher the suicide risk (ie.
worse outcome).
|
Up to Day 21
|
|
Part B: Change From Baseline in Essential Tremor Rating Assessment Scale (TETRAS) Upper Limb Score During OLT Phase
Time Frame: Baseline (Day 0) and Day 42
|
The TETRAS upper limb score is calculated as the sum of the 6 separate upper-limb maneuvers assessed by the clinician: forward-outstretched postural tremor [right], forward outstretched postural tremor [left], lateral wing-beating postural tremor [right], lateral wing-beating postural tremor [left], kinetic tremor [right], kinetic tremor [left], each on a 0 (no tremor) to 4 (maximum tremor) severity scale in 0.5-point increments.
TETRAS Part 4 score for both upper limbs ranged from 0 to 24, higher scores indicated more severe tremor.
A negative change from baseline indicated less tremor.
Baseline is defined as the last non-missing value collected prior to receiving first dose of study drug.
Change from baseline will be defined as assessment value minus baseline value.
|
Baseline (Day 0) and Day 42
|
|
Part B: Change From Baseline in Essential Tremor Rating Assessment Scale (TETRAS) Upper Limb Score During OLT Phase
Time Frame: Baseline (Day 0), Days 7 and 21
|
The TETRAS upper limb score is calculated as the sum of the 6 separate upper-limb maneuvers assessed by the clinician: forward-outstretched postural tremor [right], forward outstretched postural tremor [left], lateral wing-beating postural tremor [right], lateral wing-beating postural tremor [left], kinetic tremor [right], kinetic tremor [left], each on a 0 (no tremor) to 4 (maximum tremor) severity scale in 0.5-point increments.
TETRAS Part 4 score for both upper limbs ranged from 0 to 24, higher scores indicated more severe tremor.
A negative change from baseline indicated less tremor.
Baseline is defined as the last non-missing value collected prior to receiving first dose of study drug.
Change from baseline will be defined as assessment value minus baseline value.
|
Baseline (Day 0), Days 7 and 21
|
|
Part B: Change From Baseline in Essential Tremor Rating Assessment Scale (TETRAS) Performance Subscale During OLT Phase
Time Frame: Baseline (Day 0) and Days 7, 21 and 42
|
TETRAS Performance Subscale was used to assess essential tremor as scored by the independent video raters.
The performance subscale consists of 9 items, i.e. item 1 (head), item 2 (face), item 3 (voice), each of the 6 sub-items for item 4 (upper limb), the maximum of the 4 sub-items for item 5 (lower limb), 2 sub-items (right and left side) for item 6 (Archimedes spirals), item 7 (handwriting), 2 sub-items (right and left side) for item 8 (dot approximation), and item 9 (standing) for a total score ranging from 0 to 64 from 16 sub-items.
Each item is rated on a scale of 0 to 4, including 0.5 increments.
A lower score is indicative of improvement.
The total score has been presented.
Baseline is defined as the last non-missing value collected prior to receiving first dose of study drug.
Change from baseline will be defined as assessment value minus baseline value.
|
Baseline (Day 0) and Days 7, 21 and 42
|
|
Part B: Change From Baseline in Essential Tremor Rating Assessment Scale (TETRAS) Upper Limb Score Measured by Accelerometry During OLT Phase
Time Frame: Baseline (Day 0), and Days 7, 21 and 42
|
Accelerometer was used to evaluate record coordinates and accelerations in the 3D space over time.
The 3 maneuvers in the upper limb item will be completed for both arms, first for the right arm and then for the left.
Each upper limb sub-item is scored on a scale from 0 to 4 including to 0.1 increments.
The accelerometer upper limb total score, ranges from 0 to 24.
A decrease in score is indicative of improvement.
Baseline is defined as the last non-missing value collected prior to receiving first dose of study drug.
Change from baseline will be defined as assessment value minus baseline value.
|
Baseline (Day 0), and Days 7, 21 and 42
|
|
Part B: Change From Baseline in TETRAS Performance Subscale Individual Items # 6 (Spiral Drawing) and Items #7 (Handwriting)
Time Frame: Baseline (Day 0), Days 7, 21 and 42
|
TETRAS Performance Subscale was used to assess essential tremor as scored by the independent video raters.
The performance subscale consists of 9 items, i.e. item 1 (head), item 2 (face), item 3 (voice), each of the 6 sub-items for item 4 (upper limb), the maximum of the 4 sub-items for item 5 (lower limb), 2 sub-items (right and left side) for item 6 (Archimedes spirals), item 7 (handwriting), 2 sub-items (right and left side) for item 8 (dot approximation), and item 9 (standing) for a total score ranging from 0 to 64 from 16 sub-items.
Each item is rated on a scale of 0 to 4, including 0.5 increments.
A lower score is indicative of improvement.
Baseline is defined as the last non-missing value collected prior to receiving first dose of study drug.
Change from baseline will be defined as assessment value minus baseline value.
|
Baseline (Day 0), Days 7, 21 and 42
|
|
Part B: Change From Baseline in TETRAS Activities of Daily Living (ADL) Score
Time Frame: Baseline (Day 0), Days 7, 21 and 42
|
The TETRAS ADL subscale is a 12-item assessment of typical daily activities that are impacted by tremor.
Activities are assessed in the following functional domains: speaking, feeding, drinking, personal hygiene, dressing, writing, and social activity.
The impact to each function is rated on a 5-point Likert scale from 0 to 4. The ADL subscale score is calculated as the sum of all 12 items and ranges from 0 to 48 with higher scores reflecting higher impact.
Baseline is defined as the last non-missing value collected prior to receiving first dose of study drug.
Change from baseline will be defined as assessment value minus baseline value.
|
Baseline (Day 0), Days 7, 21 and 42
|
|
Part B: Change From Baseline in Quality of Life in Essential Tremor Questionnaire (QUEST) Total Scores.
Time Frame: Baseline (Day 0), Days 7, 21 and 42
|
Quality of Life in Essential Tremor Questionnaire (QUEST) is a patient-reported ET-specific 30-item, specific quality of life scale.
Items contribute to five dimensions.
Physical/ADL (9 items ), Psychosocial (9 items), Communication (3 items), Hobbies/Leisure (3 items), and Work/Finances (6 items).
The QUEST total and subscale scores are calculated as the sum of all applicable items divided by the number of applicable items times 100.
Higher score indicates greater dissatisfaction with that domain of QOL.
Maximal score 100: worse quality of life.
Minimal Score 0: best quality of life.
Baseline is defined as the last non-missing value collected prior to receiving first dose of study drug.
Change from baseline will be defined as assessment value minus baseline value.
|
Baseline (Day 0), Days 7, 21 and 42
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: VP, Clinical Development, Praxis Precision Medicines
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
- PRAX-944-221
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.