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
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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