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|Radiopharmaceutical|Small molecule
Key dates
- Initial CTIS Submission Date
- 27-03-2024
- First CTIS Authorization Date
- 09-08-2024
Trial design
Randomised, sham surgery (sham surgical procedure control arm; sham surgery-controlled) Phase II trial across 10 sites in Poland, Germany.
- Randomised
- Yes
- Comparator
- Sham surgery (sham surgical procedure control arm; sham surgery-controlled)
- Target Sample Size
- 72
- Trial Duration For Participant
- 548
Eligibility
Recruits 72 No vulnerable populations selected (isVulnerablePopulationSelected: false). Trial includes adults only (45-75 years). Informed consent is obtained via subject information and informed consent forms (documents L1_ICF_... present for PL and DE; surgical ICFs also provided). No assent or minor consent procedures are indicated..
- Vulnerable Population
- No vulnerable populations selected (isVulnerablePopulationSelected: false). Trial includes adults only (45-75 years). Informed consent is obtained via subject information and informed consent forms (documents L1_ICF_... present for PL and DE; surgical ICFs also provided). No assent or minor consent procedures are indicated.
Inclusion criteria
- {"criterion_text":"- Male and female adults 45-75 years of age inclusive\n- Diagnosed with Parkinson’s Disease in the past 4 to 10 years (inclusive) as defined by the following: •\tPresence of bradykinesia PLUS any of the following: •\tRigidity •\tRest Tremor •\tPostural Instability\n- Modified Hoehn and Yahr stage II-III in the practically defined OFF medication state (≥ 12 hours from last dose of anti-parkinsonian medications)\n- Responsiveness to levodopa"}
Exclusion criteria
- {"criterion_text":"- Known history or current evidence of medical, genetic, or neurological conditions that may provide an alternative to an idiopathic PD diagnosis\n- Presence or history of significant vascular and/or cardiovascular disease\n- Presence of significant cognitive impairment, poorly controlled depression/anxietyc\n- Presence or history of psychosis or impulse control disorder\n- History of malignancy other than treated cutaneous squamous or basal cell carcinomas\n- Presence of clinically relevant conditions that could compromise surgical suitability and/or subject safety\n- Contraindication to magnetic resonance imaging and/or use gadolinium-based contrast agents\n- Prior history of brain surgery including, but not limited: DBS, pallidotomy, focused ultrasound thalamotomy, or other experimental neurosurgical procedure\n- Chronic immunosuppressive therapy (e.g., chronic steroids, tumor necrosis factor antagonists, chemotherapy)"}
Endpoints
Primary endpoints
- {"endpoint_text":"- Change from Baseline to Month 18 in normalized Good ON time measured with PD Motor Diary","definition_or_measurement_approach":"Measured as change from baseline to Month 18 in normalized Good ON time as recorded by participant PD Motor Diary (PD Motor Diary used to assess ON/OFF time)."}
Secondary endpoints
- {"endpoint_text":"- Change from Baseline to Month 18 in the following measures: \t-MDS-UPDRS part III score in the practically defined OFF state \t-FDOPA uptake in the putamen as assessed by PET \t-Normalized OFF time measured with PD Motor Diary \t-MDS-UPDRS part III score in the ON state \t-MDS-UPDRS part II score in the OFF state \t-UDysRS total score \t-PDQ-39 summary index \t-NMSS total score\n- Incidence and severity of AEs, TEAEs, and SAEs\n- Vital signs\n- Safety laboratory assessments\n- Neurological and physical examinations\n- Antibody responses to AAV2 and/or GDNF\n- T-cell responses against AAV2 and/or GDNF\n- C-SSRS\n- Shedding of AAV2-GDNF","definition_or_measurement_approach":"Secondary measures include standard clinical scales and assessments: MDS-UPDRS parts II/III in defined ON/OFF states, FDOPA PET uptake in putamen (assessed by PET imaging), normalized OFF/ON time via PD Motor Diary, UDysRS total score, PDQ-39 summary index, NMSS total score. Safety endpoints assessed by incidence/severity of AEs/TEAEs/SAEs, vital signs, safety laboratory tests, neurological/physical exams. Immunogenicity measured by antibody and T-cell responses to AAV2 and/or GDNF. Suicidality assessed by C-SSRS. Shedding assessed for AAV2-GDNF."}
Recruitment
- Registry Or Advocacy Recruitment
- True, myTomorrows; Impatients N.V. (listed with role 'Patient recruitment'); plus use of Advocacy Pack letters to advocacy groups (advocacy groups not specified by name in CTIS).
- Digital Remote Recruitment
- True, use of digital channels including Google Ads, Clinical Trial Landing Page, landing page screenshots and myTomorrows patient navigator scripts as recruitment channels (documents available in PL and DE).
- Planned Sample Size
- 72
- Recruitment Window Months
- 44
- Consent Approach
- Informed consent obtained from participating adults (participants provide consent). Subject information and informed consent forms (L1_ICF) and surgical ICFs are provided (documents available in Polish and German for publication; English protocol available). No assent procedures (minors not included). Specific ICF addenda and other subject information materials are provided (data protection notice, travel policy, consent navigator materials).
Methods
- myTomorrows digital recruitment materials: Google Ads copy, Clinical Trial Landing Page copy and Landing Page screenshots (documents named myTomorrows_Google Ads copy, Clinical Trial Landing Page Copy, Landing Page Screenshots) — digital advertising and landing page for patient-facing recruitment (documents available for PL and DE).
- myTomorrows Patient Navigator Script — patient navigator outreach via myTomorrows platform (patient support/navigation).
- Patient Database Letter — letter to patient databases (documents: Patient Database Letter for PL and DE).
- Advocacy Pack Letter — outreach to advocacy groups via an advocacy pack letter (documents present for PL and DE).
- Dear Doctor Letter — clinician outreach to referring physicians (documents present for PL and DE).
- Patient Brochure / PD Phase 2 Patient Brochure — informational printed/digital brochure for prospective participants (documents present for PL and DE).
- Third-party-supported recruitment and site support (organisations with duties such as Patient recruitment, Patient Travel, Patient Retention and Recruitment, Patient Navigator, Site Training Platform) as listed in third-party roles.
Geography
- Total Number Of Sites
- 10
- Total Number Of Participants
- 55
Poland
- Latest Decision Or Authorization Date
- 26-01-2026
- Number Of Sites
- 5
- Number Of Participants
- 35
Sites
- Site Name
- Copernicus Podmiot Leczniczy Sp. z o.o.
- Department Name
- Oddział Neurologiczny i Udarowy
- Contact Person Name
- Jarosław Sławek
- Contact Person Email
- sekretariat.neurologia.zaspa@copernicus.gda.pl
- Site Name
- Specjalistyczna Praktyka Lekarska Prof. Grzegorz Opala
- Department Name
- not applicable
- 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
- neurochirurgia@brodnowski.pl
- Site Name
- Mazowiecki Szpital Brodnowski Sp. z o.o.
- Department Name
- Zespół Oddziałów Neurologii
- Contact Person Name
- Dariusz Koziorowski
- Contact Person Email
- neurologia@brodnowski.pl
- Site Name
- Samodzielny Publiczny Szpital Kliniczny Im. Prof. W. Orlowskiego CMKP
- Department Name
- Klinika Neurologii i Epileptologii
- Contact Person Name
- Urszula Fiszer
- Contact Person Email
- kl.neurologii@szpital-orlowskiego.pl
Germany
- Latest Decision Or Authorization Date
- 23-01-2026
- Number Of Sites
- 5
- Number Of Participants
- 20
Sites
- Site Name
- Universitaetsklinikum Tuebingen AöR
- Department Name
- Neurologie mit Schwerpunkt Neurodegenerative Erkrankungen
- Contact Person Name
- Thomas Gasser
- Contact Person Email
- ths-pumpentherapie@med.uni-tuebingen.de
- Site Name
- Charite Universitaetsmedizin Berlin KöR
- Department Name
- Klinik für Neurochirurgie
- Contact Person Name
- Gerd-Helge Schneider
- Contact Person Email
- sekretariat_nch_mitte@charite.de
- Site Name
- Philipps-Universitaet Marburg
- Department Name
- Klinik und Poliklinik für Neurologie
- Principal Investigator Name
- David Pedrosa
- Principal Investigator Email
- david.pedrosa@staff.uni-marburg.de
- Contact Person Name
- David Pedrosa
- Contact Person Email
- david.pedrosa@staff.uni-marburg.de
- Site Name
- Universitaetsklinikum Wuerzburg AöR
- Department Name
- Neurologische Klinik und Poliklinik
- Contact Person Name
- Jens Volkmann
- Contact Person Email
- NL_direktion@ukw.de
- Site Name
- Universitaetsklinikum Tuebingen AöR
- Department Name
- Department für Neurochirurgie und Neurotechnologie
- Principal Investigator Name
- Georgios Naros
- Principal Investigator Email
- ciras@med.uni-tuebingen.de
- Contact Person Name
- Georgios Naros
- Contact Person Email
- ciras@med.uni-tuebingen.de
Sponsor
Primary sponsor
- Full Name
- Askbio Inc.
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- United States
Contract research organisations
- Name
- Gray Consulting Inc.
- Responsibilities
- Patient Travel
- Name
- Longboat Clinical Limited
- Responsibilities
- Site Training Platform
- Name
- Cti Clinical Trial Services Inc.
- Responsibilities
- Multiple operational roles (sponsorDuties codes: 1,12,13,2,4,5)
- Name
- CTI Clinical Trial and Consulting Services Europe GmbH
- Responsibilities
- Multiple operational roles (sponsorDuties codes: 1,12,2,5)
- Name
- WCG Clinical Inc.
- Responsibilities
- Central Rater and ePRO/eCOA
- Name
- 4g Clinical LLC
- Responsibilities
- sponsorDuties code: 3
Third parties
- {"country":"France","full_name":"Genosafe S.A.S.","duties_or_roles":"sponsorDuties codes: 4","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Gray Consulting Inc.","duties_or_roles":"Patient Travel","organisation_type":"Pharmaceutical company"}
- {"country":"Spain","full_name":"CTI Laboratory Services Spain S.L.","duties_or_roles":"sponsorDuties codes: 4","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Medidata Solutions Inc.","duties_or_roles":"sponsorDuties codes: 7","organisation_type":"Non-Pharmaceutical company"}
- {"country":"Ireland","full_name":"Longboat Clinical Limited","duties_or_roles":"Site Training Platform (sponsorDuties code: 15)","organisation_type":"Non-Pharmaceutical company"}
- {"country":"United States","full_name":"WCG Clinical Inc.","duties_or_roles":"Central Rater and ePRO/eCOA (sponsorDuties code: 15)","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Cti Clinical Trial Services Inc.","duties_or_roles":"sponsorDuties codes: 1,12,13,2,4,5","organisation_type":"Pharmaceutical company"}
- {"country":"Germany","full_name":"CTI Clinical Trial and Consulting Services Europe GmbH","duties_or_roles":"sponsorDuties codes: 1,12,2,5","organisation_type":"Pharmaceutical company"}
- {"country":"Germany","full_name":"Bayer AG","duties_or_roles":"Central Imaging; sponsorDuties codes: 12,8","organisation_type":"Pharmaceutical company"}
- {"country":"United Kingdom","full_name":"Publicis Healthcare Communications Group Limited","duties_or_roles":"Patient Retention and Recruitment (sponsorDuties code: 15)","organisation_type":"Non-Pharmaceutical company"}
- {"country":"United States","full_name":"4g Clinical LLC","duties_or_roles":"sponsorDuties codes: 3","organisation_type":"Non-Pharmaceutical company"}
- {"country":"Finland","full_name":"Blueprint Genetics Oy","duties_or_roles":"sponsorDuties codes: 4","organisation_type":"Hospital/Clinic/Other health care facility"}
- {"country":"United States","full_name":"Clearpoint Neuro Inc.","duties_or_roles":"Provision and oversight of surgical software (sponsorDuties code: 15)","organisation_type":"Pharmaceutical company"}
- {"country":"Netherlands","full_name":"Impatients N.V.","duties_or_roles":"Patient recruitment (sponsorDuties code: 15)","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Scarritt Group Inc.","duties_or_roles":"Investigator Meeting (sponsorDuties code: 15)","organisation_type":"Non-Pharmaceutical company"}
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 USE
- Route
- INTRAPUTAMINAL USE
- Maximum Dose
- 12000000000000 (units: Other)
- Investigational Product Name
- Fluorodopa (18F)
- Active Substance
- FLUORODOPA (18F)
- Modality
- Radiopharmaceutical
- Routes Of Administration
- INTRAVENOUS
- Route
- INTRAVENOUS
- Maximum Dose
- 888 (units: MBq total)
- Investigational Product Name
- ProHance, 279,3 mg/ml (0,5 mmol/ml), roztwór do wstrzykiwan
- Active Substance
- GADOTERIDOL
- Modality
- Small molecule
- Routes Of Administration
- INTRAPUTAMINAL USE
- Route
- INTRAPUTAMINAL USE
- Maximum Dose
- 8 (units: Aµmol micromole(s) total)
- Investigational Product Name
- Carbidopa
- Active Substance
- CARBIDOPA
- Modality
- Small molecule
- Routes Of Administration
- ORAL
- Route
- ORAL
- Maximum Dose
- 200 mg (max total)
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