Clinical trial • Phase IV • Neurology
ambroxol hydrochloride; clenbuterol hydrochloride for Parkinson's disease
Phase IV trial of ambroxol hydrochloride; clenbuterol hydrochloride for Parkinson's disease.
Overview
- Trial Therapeutic Area
- Neurology
- Trial Disease
- Parkinson's disease
- Trial Stage
- Phase IV
- Drug Modality
- Small molecule|Other
Key dates
- Initial CTIS Submission Date
- 03-09-2024
- First CTIS Authorization Date
- 23-09-2024
Trial design
Microcrystalline cellulose (placebo); dose and schedule not specified-controlled Phase IV trial across 1 site in Netherlands.
- Comparator
- Microcrystalline cellulose (placebo); dose and schedule not specified
- Target Sample Size
- 80
- Trial Duration For Participant
- 420
Eligibility
Recruits 80 No vulnerable populations selected. Inclusion criterion requires participants to be "Able to write written informed consent, understanding study protocol and perform protocol related actions". Subject information and informed consent forms are listed in the trial documents. No assent or parental consent procedures are described..
- Pregnancy Exclusion
- Pregnant or breastfeeding women
- Vulnerable Population
- No vulnerable populations selected. Inclusion criterion requires participants to be "Able to write written informed consent, understanding study protocol and perform protocol related actions". Subject information and informed consent forms are listed in the trial documents. No assent or parental consent procedures are described.
Inclusion criteria
- {"criterion_text":"- Diagnosis of Parkinson's Disease according to Movement Disorders Society (MDS) criteria"}
- {"criterion_text":"- GBA1-mutation"}
- {"criterion_text":"- Disease duration of PD < 10 years at time of inclusion"}
- {"criterion_text":"- Able to write written informed consent, understanding study protocol and perform protocol related actions"}
- {"criterion_text":"- Willingness and ability to self-administer oral ambroxol or placebo medication"}
Exclusion criteria
- {"criterion_text":"- The refusal to be informed about an unforeseen clinical finding"}
- {"criterion_text":"- Use of an implanted Deep Brain Stimulation (DBS) system"}
- {"criterion_text":"- History of known sensitivity to the study medication"}
- {"criterion_text":"- Pregnant or breastfeeding women"}
- {"criterion_text":"- MRI incompatible implants in the body"}
- {"criterion_text":"- Any clinically significant or unstable medical or surgical condition that in the opinion of the principal investigator may put the participant at risk when participating in the study or may influence the results of the study or affect the participant’s ability to take part in the study, as determined by medical history, physical examinations, electrocardiogram (ECG), or laboratory tests."}
Endpoints
Primary endpoints
- {"endpoint_text":"- Comparison of MDS-UPDRS part III motor subscale in the practically defined OFF medication state at 60 weeks","definition_or_measurement_approach":"MDS-UPDRS part III motor subscale assessed in the practically defined OFF medication state at 60 weeks; comparison between treatment groups."}
Secondary endpoints
- {"endpoint_text":"- Safety and tolerability by examination of adverse events","definition_or_measurement_approach":"Assessment of safety and tolerability by monitoring and recording adverse events."}
- {"endpoint_text":"- F-DOPA PET","definition_or_measurement_approach":"F-DOPA PET imaging to assess relevant brain biochemical/functional parameters."}
- {"endpoint_text":"- MRI","definition_or_measurement_approach":"Magnetic Resonance Imaging (MRI) as an imaging endpoint."}
- {"endpoint_text":"- Montreal Cognitive Assessment (MoCA)","definition_or_measurement_approach":"Cognitive function assessed using the MoCA instrument."}
- {"endpoint_text":"- Non-Motor Symptoms scale (NMSS)","definition_or_measurement_approach":"Assessment of non-motor symptoms using the NMSS questionnaire."}
- {"endpoint_text":"- Parkinson’s Disease Quality of life questionnaire with 39 items (PDQ-39)","definition_or_measurement_approach":"Health-related quality of life measured using the PDQ-39 questionnaire."}
- {"endpoint_text":"- GCase activity measuring sphinglolipids in PBMCs and plasma","definition_or_measurement_approach":"Biochemical measurement of GCase activity and sphingolipids in PBMCs and plasma samples."}
Recruitment
- Planned Sample Size
- 80
- Recruitment Window Months
- 30
- Consent Approach
- Written informed consent is required from participants themselves. Inclusion criteria specify participants must be "Able to write written informed consent, understanding study protocol and perform protocol related actions". Subject information and informed consent form documents are listed in the trial documents. No assent/parental consent procedures or languages are specified.
Geography
- Total Number Of Sites
- 1
- Total Number Of Participants
- 80
Netherlands
- Earliest CTIS Part Ii Submission Date
- 17-09-2024
- Latest Decision Or Authorization Date
- 23-09-2024
- Processing Time Days
- 6
- Number Of Sites
- 1
- Number Of Participants
- 80
Sites
- Site Name
- Universitair Medisch Centrum Groningen
- Department Name
- Neurology
- Principal Investigator Name
- Teus van Laar
- Principal Investigator Email
- t.van.laar@umcg.nl
- Contact Person Name
- Teus van Laar
- Contact Person Email
- t.van.laar@umcg.nl
- Number Of Participants
- 80
Sponsor
Primary sponsor
- Full Name
- Universitair Medisch Centrum Groningen
- Organisation Type
- Hospital/Clinic/Other health care facility
- Country Of Registered Address
- Netherlands
Investigational products
- Investigational Product Name
- AMBROXOL
- Active Substance
- ambroxol hydrochloride; clenbuterol hydrochloride
- Modality
- Small molecule
- Routes Of Administration
- ORAL
- Route
- oral
- Authorisation Status
- Authorised
- Maximum Dose
- 1800 mg (max daily dose amount)
- Investigational Product Name
- Microcrystalline cellulose
- Modality
- Other
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