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NCT03922711

A Study to Assess the Safety and Effectiveness of Pridopidine Compared to Placebo in the Treatment of Levodopa-Induced Dyskinesia in Patients With Parkinson's Disease

Terminated Phase 2 Results posted Last updated 1 July 2022
What this trial tests

Phase 2 trial testing Pridopidine in Parkinson Disease in 23 participants. Terminated before completion.

Timeline
22 May 2019
Primary endpoint
22 July 2020
22 July 2020

Quick facts

Lead sponsorPrilenia
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment23
Start date22 May 2019
Primary completion22 July 2020
Estimated completion22 July 2020
Sites33 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Prilenia — full company profile →

Who can join

Adults 30 to 85, any sex, with Parkinson Disease. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Change From Baseline in Levodopa-induced Dyskinesia as Measured by UDysRS Score Primary · Baseline; Visit 7 (at Week 16) planned. Since the study was terminated early due to the COVID-19 pandemic, analysis of the primary endpoint was done at Visit 5 (Week 8/10) in those patients who were on study drug at this visit.

Mean change from baseline (BL) in the sum of Parts 1, 3 and 4 of the Unified Dyskinesia Rating Scale (UdysRS), in the ON state. The UDysRS comprises 2 primary sections i.e. Historical \[Part 1 (ON-Dyskinesia) and Part 2 (OFF-Dystonia)\] and Objective \[Part 3 (Impairment) and Part 4 (Disability)\] assessment. ON-Dyskinesia are choreic and dystonic movements that occur when the Parkinson's disease (PD) medicine is working. Lower UDysRS values mean better patient outcome i.e. less dyskinesia. The UDysRS score for this study is calculated as sum of the parts, with scores of 0-44 for Part 1, 0-2

Baseline
GroupValue95% CI
Pridopidine Total32.0± 10.44
Placebo35.9± 6.44
Visit 5
GroupValue95% CI
Pridopidine Total14.7± 5.13
Placebo26.1± 11.02
Change from baseline at Visit 5
GroupValue95% CI
Pridopidine Total-17.3± 6.03
Placebo-9.7± 9.43

Adverse events — posted to ClinicalTrials.gov

Time frame: From screening onwards, through to Week 18 (planned); this included 2 weeks' safety follow-up after treatment completion. The study was discontinued early due to the COVID-19 pandemic. Actual exposure (mean treatment duration) was 38 days in all patients receiving pridopidine and 93 days in all patients receiving placebo.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Pridopidine 100 mg BID
Serious: 0/12 (0%)
Deaths: 0/12
Pridopidine 150 mg BID
Serious: 0/3 (0%)
Deaths: 0/3
Placebo
Serious: 1/8 (13%)
Deaths: 0/8

Serious adverse events (1 terms)

ReactionSystemPridopidine 100 mg BIDPridopidine 150 mg BIDPlacebo
DiverticulitisInfections and infestations
Other adverse events (66 terms — click to expand)

ReactionSystemPridopidine 100 mg BIDPridopidine 150 mg BIDPlacebo
Dry mouthGastrointestinal disorders
NauseaGastrointestinal disorders
FatigueGeneral disorders
Decreased appetiteMetabolism and nutrition disorders
DizzinessNervous system disorders
TinnitusEar and labyrinth disorders
HeadacheNervous system disorders
ParkinsonismNervous system disorders
InsomniaPsychiatric disorders
VertigoEar and labyrinth disorders
Dry eyeEye disorders
Abnormal faecesGastrointestinal disorders
ConstipationGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
Faeces discolouredGastrointestinal disorders
ColitisGastrointestinal disorders
DyspepsiaGastrointestinal disorders
VomitingGastrointestinal disorders
Chest painGeneral disorders
Drug ineffectiveGeneral disorders
Feeling abnormalGeneral disorders
Feeling jitteryGeneral disorders
Gait disturbanceGeneral disorders
Oedema peripheralGeneral disorders
Temperature intoleranceGeneral disorders
Drug effect decreasedGeneral disorders
NasopharyngitisInfections and infestations
BronchitisInfections and infestations
Urinary tract infectionInfections and infestations
Localised infectionInfections and infestations
FallInjury, poisoning and procedural complications
Head injuryInjury, poisoning and procedural complications
Bacterial test positiveInvestigations
Blood potassium increasedInvestigations
Platelet count decreasedInvestigations
Protein urine presentInvestigations
Weight decreasedInvestigations
White blood cell count increasedInvestigations
ArthralgiaMusculoskeletal and connective tissue disorders
Muscle spasmsMusculoskeletal and connective tissue disorders

Most-reported serious reactions: Diverticulitis.

Data from ClinicalTrials.gov NCT03922711 adverse events section.

Sponsor's own description

This is a multicenter, randomized, three-arm, parallel-group, double-blind, placebo-controlled, study to evaluate the efficacy, safety and pharmacokinetics (PK) of pridopidine vs. placebo for the treatment of Levodopa Induced Dyskinesia (LID) in patients with Parkinson Disease.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Recent advances in dopaminergic strategies for the treatment of Parkinson's disease.
    Mao Q, Qin WZ, Zhang A, Ye N. · · 2020 · cited 63× · PMID 32112042 · DOI 10.1038/s41401-020-0365-y
  2. Targeting Sigma Receptors for the Treatment of Neurodegenerative and Neurodevelopmental Disorders.
    Malar DS, Thitilertdecha P, Ruckvongacheep KS, Brimson S, et al · · 2023 · cited 39× · PMID 37166702 · DOI 10.1007/s40263-023-01007-6
  3. Sigma-1 Receptors in Depression: Mechanism and Therapeutic Development.
    Ren P, Wang J, Li N, Li G, et al · · 2022 · cited 36× · PMID 35784746 · DOI 10.3389/fphar.2022.925879
  4. Pathophysiological Mechanisms and Experimental Pharmacotherapy for L-Dopa-Induced Dyskinesia.
    Fabbrini A, Guerra A. · · 2021 · cited 34× · PMID 33953618 · DOI 10.2147/jep.s265282
  5. Therapeutic Strategies Targeting Mitochondrial Calcium Signaling: A New Hope for Neurological Diseases?
    Rodríguez LR, Lapeña-Luzón T, Benetó N, Beltran-Beltran V, et al · · 2022 · cited 29× · PMID 35052668 · DOI 10.3390/antiox11010165
  6. Newly Approved and Investigational Drugs for Motor Symptom Control in Parkinson's Disease.
    Di Luca DG, Reyes NGD, Fox SH. · · 2022 · cited 21× · PMID 35841520 · DOI 10.1007/s40265-022-01747-7
  7. The Sigma Receptors in Alzheimer's Disease: New Potential Targets for Diagnosis and Therapy.
    Wang T, Jia H. · · 2023 · cited 19× · PMID 37569401 · DOI 10.3390/ijms241512025
  8. Targeting Sigma-1 Receptor: A Promising Strategy in the Treatment of Parkinson's Disease.
    Siddiqui T, Bhatt LK. · · 2023 · cited 16× · PMID 37259012 · DOI 10.1007/s11064-023-03960-6

Verify or expand the search:

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Other Prilenia trials

Trials by the same sponsor.

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