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An Unblinded, Single Arm, Pilot Observational Study to Test the Safety, Tolerability, Immunogenicity and the Biological Effects of TRB-001 Vaccination.

7. september 2026 opdateret af: Tridem Bioscience FlexCo

An Unblinded, Single Arm, Pilot Observational Study to Test the Safety, Tolerability, Immunogenicity and the Biological Effects of TRB-001 Vaccination in Individuals Who Have Previously Undergone aSyn Immunotherapy

An unblinded, single arm, pilot observational study to test the safety, tolerability, immunogenicity and the biological effects of TRB-001 vaccination in individuals who have previously undergone aSyn immunotherapy

Studieoversigt

Status

Rekruttering

Betingelser

Intervention / Behandling

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

6

Fase

  • Fase 1

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Studiesteder

      • Vienna, Østrig, 1180
        • Rekruttering
        • PROSENEX Study Centre at the ATOMOS Klinik Währing
        • Kontakt:
          • Dieter Volc, Dr.
          • Telefonnummer: +43 (0)1 261660
          • E-mail: dieter@volc.at

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ingen

Beskrivelse

Inclusion Criteria:

  • At least 18-years of age
  • Female or male with previous treatment with active aSyn immunotherapy
  • Parkinson's disease diagnosis (any stage)
  • Understands and agrees to comply with the study procedures and provides written informed consent

Exclusion Criteria:

  • Women of childbearing potential without use of contraception
  • Women who are pregnant or lactating
  • Contraindication for MRI or lumbar puncture
  • Known or suspected allergy, or history of anaphylaxis, to vaccines or their excipients, if considered relevant by the investigator
  • Presence or history of autoimmune disease or immunodeficiency, if considered relevant by the investigator
  • Presence of active infectious disease (hepatitis B, hepatitis C, or human immunodeficiency virus (HIV))
  • Significant cognitive impairment or clinical dementia, or a Montreal Cognitive Assessment (MoCA) score <26
  • High suspicion of other parkinsonian syndromes, such as multiple system atrophy, progressive supranuclear palsy, drug-induced Parkinsonism and post-encephalitic Parkinsonism
  • Any relevant systemic illness. This includes cardiovascular, hepatic, gastroenterological, respiratory, endocrinological, hematologic disease, or any other condition that, in the investigator's opinion, could interfere with the analyses of safety and efficacy in this study, unless patient has been on stable doses of medication for any of these concurrent illnesses for at least 3 months prior to study entry
  • Unstable psychiatric illness, including psychosis, suicidal ideation, untreated major depression, schizophrenia, or bipolar affective disorder within 90 days before Visit 1, as determined by the investigator
  • History of drug or alcohol abuse within the past 5 years
  • Recent history (≤2 years) of cancer (exceptions; basal cell carcinoma, intraepithelial cervical neoplasia)
  • Birthmarks, tattoos, wounds, or skin conditions that may obscure the assessment of injection site reactions
  • Participation in the active treatment phase of any non-PD clinical trial within 30 days prior to Visit 1
  • Dose limiting toxicity to previous immunization with aSyn-based PD vaccine
  • Current immunosuppressive therapy
  • Employee at the study site, spouse/partner or relative of any study staff (e.g. investigator, sub-investigators, or study nurse) or relationship to sponsor

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: N/A
  • Interventionel model: Enkelt gruppeopgave
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Verum Arm
Each participant will receive 1 immunization with Vaccine at week 0. Participants may also receive a 2nd immunization at week 4-6, pending safety and immunogenicity results and decision from PI, Sponsor, and Medical Monitor.
This is an unblinded, single arm, pilot observational study to test the safety, tolerability, immunogenicity and the biological effects of TRB-001 vaccination in individuals who have previously undergone aSyn immunotherapy. After the screening period, all participants who are enrolled in the study will receive a first intradermal TRB-001 immunization at a dose of 100μg. Patients antibody response will be assessed at week two (compared to baseline). Based on the safety and immunogenicity results, the PI, Medical Monitor, and Sponsor will decide on a potential second immunization with TRB-001. Regarding immunogenicity, a predefined cut-off will be used. The patient may be offered another injection to be applied 4-6 weeks after the first immunization with TRB-001. Participants will be evaluated at week 24. Assessments will include safety, immunogenicity, blood-/CS

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Incidence of local and systemic treatment-emergent adverse events (TEAEs)
Tidsramme: 6 months
Incidence of local and systemic treatment-emergent adverse events (TEAEs) (occurrence, intensity, duration, and relationship to IMP) over 6-months
6 months

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Titers of vaccine-induced antibodies in blood and CSF
Tidsramme: 6 months
Titers of vaccine-induced antibodies (immunizing peptide, aSyn monomer; area under the curve for both parameters) in blood and CSF (peptide only) over 6 months compared to baseline
6 months
Change from baseline in total aSyn levels
Tidsramme: 6 months
Change from baseline in total aSyn levels as assessed by ELISA in blood and CSF
6 months
Change in levels of aggregated aSyn in blood and CSF
Tidsramme: 6 months
Change from baseline in levels of aggregated aSyn in blood and CSF
6 months
Change in GFAP and Neurofilament light chain in CSF
Tidsramme: 6 months
Change from baseline in GFAP and Neurofilament light chain in CSF
6 months
Avidity of antibodies induced for aggregated aSyn
Tidsramme: 6 months
Avidity of antibodies induced for aggregated aSyn as assessed after the vaccination with TRB-001 compared to baseline
6 months
Selectivity of antibodies induced by TRB-001
Tidsramme: 6 months
Selectivity of antibodies induced by TRB-001 for aggregated aSyn
6 months
Change from baseline of the seed amplification assay signal (CSF)
Tidsramme: 6 months
Change from baseline of the seed amplification assay signal (CSF)
6 months
Correlation between measures of the antibody response
Tidsramme: 6 months
Correlation between measures of the antibody response (peptide titer, aSyn titer, avidity, titers x avidity, selectivity and biomarkers of the disease) (change from baseline in total aSyn levels, levels of aggregated aSyn in blood and CSF)
6 months
Change in MDS-UPDRS I, II, III, and IV
Tidsramme: 6 months
Change from baseline in MDS-UPDRS I, II, III, IV
6 months
Change from baseline in PD symptoms
Tidsramme: 6 months
Change from baseline in PD symptoms using the wearable device STAT-ON(TM)
6 months
Change in symptomatic PD medication
Tidsramme: 6 months
Change from baseline in symptomatic PD medication (Levodopa equivalent dose)
6 months
Change in levels of circulating extracellular vesicle (EV)-based biomarkers
Tidsramme: 6 months
Change from baseline in Levels of circulating extracellular vesicle (EV)-based biomarkers
6 months
Change in the number of vaccine specific B- and T cell clones
Tidsramme: 6 months
Change from baseline in the number of vaccine specific B- and T cell clones as assessed by B/T cell receptor sequencing
6 months
Incidence of local and systemic TEAEs
Tidsramme: 12 months
Incidence of local and systemic TEAEs over 12- months
12 months
Change from baseline in total aSyn levels
Tidsramme: 12 months
Change from baseline in total aSyn levels as assessed by ELISA in blood
12 months
Change from baseline in levels of aggregated aSyn in blood
Tidsramme: 12 months
Change from baseline in levels of aggregated aSyn in blood
12 months
Titers of vaccine-induced antibodies in blood
Tidsramme: 12 months
Titers of vaccine-induced antibodies (immunizing peptide, aSyn monomer; area under the curve for both parameters) in blood
12 months
Change from baseline in MDS-UPDRS I, II, III, IV at 12 month time period
Tidsramme: 12 months
Change from baseline in MDS-UPDRS I, II, III, IV
12 months
Change from baseline in PD symptoms at 12 month time period
Tidsramme: 12 months
Change from baseline in PD symptoms using the wearable device STAT-ONTM
12 months
Change from baseline in symptomatic PD medication at 12 month time period
Tidsramme: 12 months
Change from baseline in symptomatic PD medication (Levodopa equivalent dose) Change from baseline in the number of vaccine specific B- and T cell clones as assessed by B/T cell receptor sequencing
12 months

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Efterforskere

  • Studieleder: Achim Schneeberger, Dr., Tridem Bioscience FlexCo

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

28. juli 2026

Primær færdiggørelse (Anslået)

1. december 2026

Studieafslutning (Anslået)

1. juli 2027

Datoer for studieregistrering

Først indsendt

17. august 2026

Først indsendt, der opfyldte QC-kriterier

17. august 2026

Først opslået (Faktiske)

20. august 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

10. september 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

7. september 2026

Sidst verificeret

1. september 2026

Mere information

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