Clinical trial • Phase II • Neurology
ADENO-ASSOCIATED VIRAL VECTOR SEROTYPE 2 ENCODING GLIAL CELL LINE-DERIVED NEUROTROPHIC FACTOR for Parkinson's Disease
Phase II trial of ADENO-ASSOCIATED VIRAL VECTOR SEROTYPE 2 ENCODING GLIAL CELL LINE-DERIVED NEUROTROPHIC FACTOR for Parkinson's Disease.
Overview
- Trial Therapeutic Area
- Neurology
- Trial Disease
- Parkinson's Disease
- Trial Stage
- Phase II
- Drug Modality
- Gene therapy | Diagnostic agent
Key dates
- Initial CTIS Submission Date
- 05-12-2025
- First CTIS Authorization Date
- 03-04-2026
Trial design
open-label, none/not specified-controlled Phase II trial across 3 sites in Poland.
- Open Label
- Yes
- Comparator
- None/Not specified
- Target Sample Size
- 12
- Trial Duration For Participant
- 180
Eligibility
Recruits 12 Vulnerable population selected. Signed informed consent required from participants for both the PIA study and the Long-Term Follow-Up; no specific assent process or additional consent handling for vulnerable subgroups is described in the available documents..
- Vulnerable Population
- Vulnerable population selected. Signed informed consent required from participants for both the PIA study and the Long-Term Follow-Up; no specific assent process or additional consent handling for vulnerable subgroups is described in the available documents.
Inclusion criteria
- {"criterion_text":"- Participants must be 45 to 75 years of age inclusive, at the time of signing the informed consent"}
- {"criterion_text":"- >10 years since the diagnosis of Parkinson's Disease (PD)"}
- {"criterion_text":"- Presence of bradykinesia plus any of the following: rigidity, resting tremor, postural instability"}
- {"criterion_text":"- Modified Hoehn and Yahr stage III-IV in the practically defined OFF state"}
- {"criterion_text":"- Movement Disorder Society Unified Parkinson’s Disease Rating Scale (MDS-UPDRS) Part III score >40 in the practically defined OFF state"}
- {"criterion_text":"- Stable anti-PD medication regimen for ≤4 weeks"}
- {"criterion_text":"- ≥30% reduction in MDS-UPDRS Part III following a levodopa challenge"}
- {"criterion_text":"- Compliance with standard contraceptive requirements"}
- {"criterion_text":"- Signed informed consent to participante both in PIA and the Long-Term Follow-Up"}
Exclusion criteria
- {"criterion_text":"- Evidence of secondary or atypical parkinsonism"}
- {"criterion_text":"- Chronic immunosuppressive therapy"}
- {"criterion_text":"- Prior cell or gene therapy"}
- {"criterion_text":"- Relevant laboratory values abnormalities"}
- {"criterion_text":"- Presence or history of psychosis or impulse control disorder"}
- {"criterion_text":"- Presence of untreated or suboptimally treated depression (Beck Depression Inventory [BDI]-II score ≥20)"}
- {"criterion_text":"- Suicidal ideation (Columbia-Suicide Severity Rating Scale [C-SSRS] items 4 and/or 5 positive)"}
- {"criterion_text":"- Clinically significant cognitive impairment (Montreal Cognitive Assessment [MoCA] score <25)"}
- {"criterion_text":"- Presence or history of malignancy (except cutaneous squamous or basal cell carcinomas)"}
- {"criterion_text":"- Contraindications to MRI, surgery, and/or anesthesia (in prone position)"}
- {"criterion_text":"- Use of PD pump therapies (intestinal gel, subcutaneous apomorphine)"}
- {"criterion_text":"- Prior brain surgery (including deep brain stimulation [DBS])"}
Endpoints
Primary endpoints
- {"endpoint_text":"- End-of-infusion volumetric putaminal coverage as assessed by MRI (Stage 1 and 2)","definition_or_measurement_approach":"Volumetric putaminal coverage measured by MRI at end of infusion (Stage 1 and 2)"}
Secondary endpoints
- {"endpoint_text":"- Duration of surgical procedure (Stage 1 and 2)","definition_or_measurement_approach":"Measured duration of the surgical procedure (Stage 1 and 2)"}
- {"endpoint_text":"- Change in total volumetric putaminal coverage within approximately 60-120 min from end of infusion (Stage 1)","definition_or_measurement_approach":"Change in total volumetric putaminal coverage measured by MRI approximately 60–120 minutes after end of infusion (Stage 1)"}
- {"endpoint_text":"- Accuracy of cannula tip placement at targeted first and last infusion stops in putamen (Stage 1 and 2)","definition_or_measurement_approach":"Assessment of cannula tip placement accuracy at first and last targeted infusion stops (Stage 1 and 2)"}
- {"endpoint_text":"- Incidence and severity of AEs including: SAES, TEAEs, TEAEs related to device and/or surgical procedure, TEAEs related to study drug (Stage 1 and 2)","definition_or_measurement_approach":"Adverse events recorded and categorised including SAE, TEAE and relationship to device/procedure/drug (Stage 1 and 2)"}
- {"endpoint_text":"- MoCA score (Stage 1 and 2)","definition_or_measurement_approach":"Montreal Cognitive Assessment score measured at specified visits (Stage 1 and 2)"}
- {"endpoint_text":"- BDI-II score (Stage 1 and 2)","definition_or_measurement_approach":"Beck Depression Inventory-II score measured at specified visits (Stage 1 and 2)"}
- {"endpoint_text":"- C-SSRS (Stage 1 and 2)","definition_or_measurement_approach":"Columbia-Suicide Severity Rating Scale assessments (Stage 1 and 2)"}
- {"endpoint_text":"- Vital sign parameters (Stage 1 and 2)","definition_or_measurement_approach":"Standard vital sign measurements (Stage 1 and 2)"}
- {"endpoint_text":"- Neurological and physical examinations (Stage 1 and 2)","definition_or_measurement_approach":"Clinical neurological and physical examinations (Stage 1 and 2)"}
- {"endpoint_text":"- Clinical laboratory measures (Stage 1 and 2)","definition_or_measurement_approach":"Laboratory tests evaluated per protocol (Stage 1 and 2)"}
- {"endpoint_text":"- Neuroimaging findings (Stage 1 and 2)","definition_or_measurement_approach":"Neuroimaging assessments (MRI) as specified (Stage 1 and 2)"}
- {"endpoint_text":"- Immunological responses to AAV2 and/or GDNF (Stage 1 and 2)","definition_or_measurement_approach":"Immunologic assays measuring responses to AAV2 and/or GDNF (Stage 1 and 2)"}
Recruitment
- Planned Sample Size
- 12
- Recruitment Window Months
- 31
- Consent Approach
- Signed informed consent is required from participants for both the PIA study and the Long-Term Follow-Up. Subject information and informed consent forms are provided (documents available in Polish). No specific assent process for minors is described; participant-provided consent is indicated.
Geography
- Total Number Of Sites
- 3
- Total Number Of Participants
- 12
Poland
- Earliest CTIS Part Ii Submission Date
- 03-03-2026
- Latest Decision Or Authorization Date
- 03-04-2026
- Processing Time Days
- 31
- Number Of Sites
- 3
- Number Of Participants
- 12
Sites
- Site Name
- Copernicus Podmiot Leczniczy Sp. z o.o.
- Department Name
- Oddzial Neurologiczny i Udarowy
- Contact Person Name
- Jaroslaw Slawek
- Contact Person Email
- sekretariat.kopernik@copernicus.gda.pl
- Site Name
- Specjalistyczna Praktyka Lekarska Prof. Grzegorz Opala
- Department Name
- Specjalistyczna Praktyka Lekarska Prof. Grzegorz Opala
- Contact Person Name
- Grzegorz Opala
- Contact Person Email
- opala.praktyka@gmail.com
- Site Name
- Mazowiecki Szpital Brodnowski Sp. z o.o.
- Department Name
- Interwencyjne Centrum Neuroterapii
- Contact Person Name
- Miroslaw Zabek
- Contact Person Email
- sekretariat@brodnowski.pl
Sponsor
Primary sponsor
- Full Name
- Askbio Inc.
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- United States
Third parties
- {"country":"Germany","full_name":"Bayer AG","duties_or_roles":"Sponsor duties codes listed in submission: 1, 10, 11, 12, 13, 15 (Central Imaging Service), 5, 6, 7, 8, 9; contact email: clinical-trials-contact@bayer.com","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Labcorp Central Laboratory Services LP","duties_or_roles":"Sample management (sponsor duty code 15); contact email: jean-paul.lewest@labcorp.com","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Greenphire LLC","duties_or_roles":"Concierge services (sponsor duty code 15); contact email: ctis_inquiry@greenphire.com","organisation_type":"Non-Pharmaceutical company"}
Co-sponsors
- AskBio France
Investigational products
- Investigational Product Name
- AAV2-GDNF
- Active Substance
- ADENO-ASSOCIATED VIRAL VECTOR SEROTYPE 2 ENCODING GLIAL CELL LINE-DERIVED NEUROTROPHIC FACTOR
- Modality
- Gene therapy
- Routes Of Administration
- Intraputaminal
- Route
- Intraputaminal
- Authorisation Status
- prodAuthStatus 1 (no marketing authorisation indicated)
- Maximum Dose
- 12000000000000 (doseUom: Other) / maxTotalDoseAmount as provided
- Investigational Product Name
- ProHance, 279,3 mg/ml (0,5 mmol/ml), roztwór do wstrzykiwan
- Active Substance
- GADOTERIDOL
- Modality
- Diagnostic agent
- Routes Of Administration
- Intraputaminal
- Route
- Intraputaminal
- Authorisation Status
- Authorised in PL (marketing authorisation number 8320, authorisationCountryCode: PL)
- Maximum Dose
- 8 Aµmol (maxTotalDoseAmount 8, doseUom: Aµmol micromole(s))
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