Phase 1 Clinical Trial to Evaluate the Safety, Efficacy, and Pharmacokinetics of IPS101A in Parkinson's Disease Patients
Dose-Escalation, Single-Center, Open-label Phase 1 Clinical Trial to Evaluate the Safety, Efficacy, and Pharmacokinetics of Adeno-associated Virus(AAV) Gene Therapy Product IPS101A in Parkinson's Disease Patients With Hoehn-Yahr Stage 4-5, Diagnosed in More Than 10 Years and Uncontrolled by All Available Monotherapy or Combination Therapy
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: ChoLong Park
- Phone Number: +82-2-3499-4266
- Email: clpark@innopeutics.com
Study Contact Backup
- Name: Tae-gyun Kim
- Email: contact@innopeutics.com
Study Locations
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-
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Seoul, South Korea
- Recruiting
- Severance Hospital
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Contact:
- Professor, MD, PhD
- Email: phlee@yuhs.ac
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Subjects who have a diagnosis of Parkinson's disease that meets the UK Parkinson's Disease Society Brain Bank Clinical Diagnostic Criteria at the time of the Screening Visit.
- Male or female subjects aged 50 to 80 years (inclusive) at the time of providing written informed consent, with a documented diagnosis of Parkinson's disease.
- Subjects with a duration of Parkinson's disease of at least 10 years prior to the Screening Visit, based on medical history and/or medical records.
- Subjects with Parkinson's disease that is inadequately controlled despite all available standard-of-care treatments, including monotherapy or combination therapy, as determined by the Investigator.
- Subjects with a Hoehn & Yahr stage of 4 or 5 in the off state at the Screening Visit.
Exclusion Criteria:
- Subjects with Parkinson's disease dementia (PDD) who meet the diagnostic criteria established by the Movement Disorder Society (MDS) Task Force, as determined by the Investigator at Screening.
- Subjects with a Korean Mini-Mental State Examination (K-MMSE) score ≤ 24 at the Screening assessment.
- Subjects in whom imaging findings suggestive of Parkinsonism-plus syndrome are observed on PET and MRI performed at the Screening Visit, as assessed by the Investigator and/or a qualified imaging specialist.
- Subjects who do not meet the diagnostic criteria for Parkinson's disease dementia but present with major visual hallucinations, as judged by the Investigator.
- Subjects with drug-induced parkinsonism, confirmed by clinical history and/or medical records, and determined by the Investigator.
- Subjects who are judged by the investigator to be unsuitable for participation in this clinical trial.
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: Low dose (1.0 x 10^10 vg/patient)
IPS101A
|
The investigational product (IP) will be administered as a single dose.
All subjects will receive stereotactic injections into the left and right substantia nigra of the midbrain, with one administration per side.
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Experimental: High dose(2.0 x 10^10 vg/patient)
IPS101A
|
The investigational product (IP) will be administered as a single dose.
All subjects will receive stereotactic injections into the left and right substantia nigra of the midbrain, with one administration per side.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Safety Evaluation: dose-limiting toxicity (DLT)
Time Frame: Baseline to Week 8
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Frequency and proportion of subjects who developed dose-limiting toxicity (DLT)
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Baseline to Week 8
|
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Safety Evaluation: Severity and frequency of reported adverse events
Time Frame: Baseline to Week 52
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Assess severity and frequency of reported adverse events
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Baseline to Week 52
|
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Safety Evaluation: clinically-relevant changes in laboratory testing assessed by medical personnel
Time Frame: Baseline to Week 52
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The clinical significance of laboratory test results after administration of a clinical trial drug is confirmed by comparing them with those before administration.
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Baseline to Week 52
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Safety Evaluation: clinically-relevant changes in physical exams assessed by medical personnel
Time Frame: Baseline to Week 52
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The results of the physical examination after administration of the clinical trial drug are compared with those before administration to determine whether clinically significant symptoms occur.
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Baseline to Week 52
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change from Baseline in Movement Disorder Society-sponsored revision of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS) scores (defined on/off)
Time Frame: Baseline to Weeks 4, 12, 24, 36, and 52.
|
Each symptom is rated on a scale of 0 to 4, with higher scores indicating more severe Parkinson's disease.
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Baseline to Weeks 4, 12, 24, 36, and 52.
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Change from Baseline in Hoehn & Yahr stage (defined on/off)
Time Frame: Weeks 1, 4, 12, 24, 36, and 52.
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This scale is classified from 0 to 5, with a higher score indicating a more severe degree of Parkinson's disease.
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Weeks 1, 4, 12, 24, 36, and 52.
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Change from Baseline in Non-Motor Symptoms Scale for Parkinson's Disease (NMSS)
Time Frame: Weeks 4, 12, 24, 36, and 52.
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This scale is rated on a scale of severity (0-3 points) and frequency (1-4 points).
A higher score indicates more severe Parkinson's disease.
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Weeks 4, 12, 24, 36, and 52.
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Change from Baseline in Parkinson's Disease Questionnaire (PDQ-39) scores
Time Frame: Weeks 4, 12, 24, 36, and 52
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The scale consists of 800 points, and a higher score indicates a lower quality of life.
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Weeks 4, 12, 24, 36, and 52
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Distribution evaluation of IPS101A (AAV9 vector distribution evaluation)-CSF
Time Frame: Baseline to Week 52
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After IP administration, the detection of AAV genome was measured using q-PCR.
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Baseline to Week 52
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Distribution evaluation of IPS101A (AAV9 vector distribution evaluation)-blood
Time Frame: Baseline to Week 52
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After IP administration, the detection of AAV genome was measured using q-PCR.
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Baseline to Week 52
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Evaluation of humoral (anti-AAV9 antibodies) and cellular (IFN-γ activity) immune responses to AAV9
Time Frame: Baseline to Week 52
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After IP administration, the detection of AAV genome was measured using ELISA
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Baseline to Week 52
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Assessment of AAV9 shedding in biological specimens-urine
Time Frame: Baseline to Week 52
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After IP administration, the detection of AAV genome was measured using q-PCR.
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Baseline to Week 52
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Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
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 (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
- IPS101A-10
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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