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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