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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 septembre 2026 mis à jour par: 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

Aperçu de l'étude

Statut

Recrutement

Les conditions

Intervention / Traitement

Type d'étude

Interventionnel

Inscription (Estimé)

6

Phase

  • La phase 1

Contacts et emplacements

Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.

Coordonnées de l'étude

Lieux d'étude

      • Vienna, L'Autriche, 1180
        • Recrutement
        • PROSENEX Study Centre at the ATOMOS Klinik Währing
        • Contact:
          • Dieter Volc, Dr.
          • Numéro de téléphone: +43 (0)1 261660
          • E-mail: dieter@volc.at

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

  • Adulte
  • Adulte plus âgé

Accepte les volontaires sains

Non

La description

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

Plan d'étude

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

  • Objectif principal: Traitement
  • Répartition: N / A
  • Modèle interventionnel: Affectation à un seul groupe
  • Masquage: Aucun (étiquette ouverte)

Armes et Interventions

Groupe de participants / Bras
Intervention / Traitement
Expérimental: 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

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Description de la mesure
Délai
Incidence of local and systemic treatment-emergent adverse events (TEAEs)
Délai: 6 months
Incidence of local and systemic treatment-emergent adverse events (TEAEs) (occurrence, intensity, duration, and relationship to IMP) over 6-months
6 months

Mesures de résultats secondaires

Mesure des résultats
Description de la mesure
Délai
Titers of vaccine-induced antibodies in blood and CSF
Délai: 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
Délai: 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
Délai: 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
Délai: 6 months
Change from baseline in GFAP and Neurofilament light chain in CSF
6 months
Avidity of antibodies induced for aggregated aSyn
Délai: 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
Délai: 6 months
Selectivity of antibodies induced by TRB-001 for aggregated aSyn
6 months
Change from baseline of the seed amplification assay signal (CSF)
Délai: 6 months
Change from baseline of the seed amplification assay signal (CSF)
6 months
Correlation between measures of the antibody response
Délai: 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
Délai: 6 months
Change from baseline in MDS-UPDRS I, II, III, IV
6 months
Change from baseline in PD symptoms
Délai: 6 months
Change from baseline in PD symptoms using the wearable device STAT-ON(TM)
6 months
Change in symptomatic PD medication
Délai: 6 months
Change from baseline in symptomatic PD medication (Levodopa equivalent dose)
6 months
Change in levels of circulating extracellular vesicle (EV)-based biomarkers
Délai: 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
Délai: 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
Délai: 12 months
Incidence of local and systemic TEAEs over 12- months
12 months
Change from baseline in total aSyn levels
Délai: 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
Délai: 12 months
Change from baseline in levels of aggregated aSyn in blood
12 months
Titers of vaccine-induced antibodies in blood
Délai: 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
Délai: 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
Délai: 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
Délai: 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

Collaborateurs et enquêteurs

C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.

Les enquêteurs

  • Directeur d'études: Achim Schneeberger, Dr., Tridem Bioscience FlexCo

Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude (Réel)

28 juillet 2026

Achèvement primaire (Estimé)

1 décembre 2026

Achèvement de l'étude (Estimé)

1 juillet 2027

Dates d'inscription aux études

Première soumission

17 août 2026

Première soumission répondant aux critères de contrôle qualité

17 août 2026

Première publication (Réel)

20 août 2026

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Réel)

10 septembre 2026

Dernière mise à jour soumise répondant aux critères de contrôle qualité

7 septembre 2026

Dernière vérification

1 septembre 2026

Plus d'information

Termes liés à cette étude

Plan pour les données individuelles des participants (IPD)

Prévoyez-vous de partager les données individuelles des participants (DPI) ?

INDÉCIS

Informations sur les médicaments et les dispositifs, documents d'étude

Étudie un produit pharmaceutique réglementé par la FDA américaine

Non

Étudie un produit d'appareil réglementé par la FDA américaine

Non

Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .

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