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
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

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
Site Name
Charite Universitaetsmedizin Berlin KöR
Department Name
Klinik für Neurochirurgie
Contact Person Name
Gerd-Helge Schneider
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
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)

Related trials

Other published trials that may interest you.