Progressive Supranuclear Palsy Clinical Trial
Official title:
A Randomized, Double-Blind, Placebo-Controlled Multiple Dose Study to Assess Efficacy, Safety, Tolerability, and Pharmacokinetics of ABBV-8E12 in Progressive Supranuclear Palsy
Verified date | February 2021 |
Source | AbbVie |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The purpose of this study was to assess efficacy, safety, tolerability, and pharmacokinetics of ABBV-8E12 in participants with progressive supranuclear palsy (PSP).
Status | Terminated |
Enrollment | 378 |
Est. completion date | November 20, 2019 |
Est. primary completion date | November 20, 2019 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 40 Years and older |
Eligibility | Key Inclusion Criteria: - Male or female participant with age 40 years or greater at the time of signed consent - Meets the criteria for possible or probable progressive supranuclear palsy (PSP; Steele-Richardson-Olszewski Syndrome) - Presence of PSP symptoms for less than 5 years - Participant is able to walk 5 steps with minimal assistance (stabilization of one arm or use of cane/walker) - Participant has an identified, reliable, study partner (e.g., caregiver, family member, social worker, or friend) Key Exclusion Criteria: - Participants who weigh less than 44 kg (97 lbs) at screening - Mini-Mental State Examination (MMSE) score less than 15 at screening - Any contraindication or inability to tolerate brain magnetic resonance imaging (MRI) - Participant resides at a skilled nursing or dementia care facility, or admission to such a facility is planned during the study period - Evidence of any clinically significant neurological disorder other than PSP - The participant has a history of or currently has schizophrenia, schizoaffective disorder or bipolar disorder according to Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-V) or International Classification of Diseases (ICD-10) criteria - Participant has had a significant illness or infection requiring medical intervention in the past 30 days |
Country | Name | City | State |
---|---|---|---|
Australia | Royal Adelaide Hospital /ID# 153157 | Adelaide | South Australia |
Australia | Q-Pharm Pty Limited /ID# 154410 | Herston | Queensland |
Australia | Alfred Hospital /ID# 153158 | Melbourne | Victoria |
Australia | Neurodegenerative Disorders Re /ID# 153770 | West Perth | Western Australia |
Australia | Westmead Hospital /ID# 154403 | Westmead | New South Wales |
Canada | University of Calgary /ID# 154393 | Calgary | Alberta |
Canada | OCT Research ULC /ID# 169688 | Kelowna | British Columbia |
Canada | Crchum /Id# 152819 | Montreal | Quebec |
Canada | Montreal Neurological Institut /ID# 156413 | Montreal | Quebec |
Canada | Toronto Western Hospital /ID# 152818 | Toronto | Ontario |
France | Chu de Bordeaux Hopital /Id# 153151 | Bordeaux | |
France | Hopital B Roger Salengro /ID# 153943 | Lille | |
France | Hopital de la Timone /ID# 153113 | Marseille CEDEX 05 | Provence-Alpes-Cote-d Azur |
France | Hopital Pitie Salpetriere /ID# 153942 | Paris | |
France | CHU Strasbourg Hautepierre Hos /ID# 206942 | Strasbourg | |
France | Hopital Universitaire Purpan /ID# 153152 | Toulouse | Haute-Garonne |
Germany | St. Josef-Hospital /ID# 201984 | Bochum | Nordrhein-Westfalen |
Germany | KH Agatharied /ID# 154166 | Hausham | |
Germany | Universitaetsklinikum Leipzig /ID# 201761 | Leipzig | Sachsen |
Germany | TU Uniklinik Munchen /ID# 153154 | Munich | |
Germany | Universitaetsklinikum Ulm /ID# 153155 | Ulm | Thueringen |
Italy | Universita di Catanzaro Magna Graecia /ID# 166322 | Catanzaro | Calabria |
Italy | Fondazione IRCCS Istituto Neurologico Carlo Besta /ID# 201982 | Milan | |
Italy | Istituto Neuro Mediterraneo IR /ID# 153106 | Pozzilli | |
Italy | Policlinico Agostino Gemelli /ID# 153104 | Rome | Lazio |
Italy | IBD Center - IRCCS Istituto Clinico Humanitas /ID# 155092 | Rozzano | Milano |
Italy | A.O. Santa Maria /ID# 153102 | Terni | |
Italy | IRCCS Ospedale San Camillo /ID# 153101 | Venezia LIDO | |
Japan | National Hospital Organization Asahikawa Medical Center /ID# 201585 | Asahikawa | Hokkaido |
Japan | Juntendo University Hospital /ID# 200870 | Bunkyo-ku | Tokyo |
Japan | National Center of Neurology and Psychiatry /ID# 202037 | Kodaira | Tokyo |
Japan | National Hospital Organization Utano National Hospital /ID# 201979 | Kyoto City | Kyoto |
Japan | National Hospital Organization Higashinagoya National Hospital /ID# 201514 | Nagoya-shi | Aichi |
Japan | Niigata University Medical & Dental Hospital /ID# 201680 | Niigata-shi | Niigata |
Japan | NHO Sendai Nishitaga National Hospital /ID# 202132 | Sendai | Miyagi |
Japan | Tohoku University Hospital /ID# 202307 | Sendai-shi | Miyagi |
Japan | Osaka University Hospital /ID# 201980 | Suita-shi | Osaka |
Spain | Hospital General Universitario Gregorio Maranon /ID# 200876 | Madrid | |
Spain | Hosp Univ Virgen del Rocio /ID# 201039 | Sevilla | |
United States | Georgia Regents University /ID# 144908 | Augusta | Georgia |
United States | Cedars-Sinai Medical Center /ID# 149775 | Beverly Hills | California |
United States | University of Alabama at Birmingham - Main /ID# 144892 | Birmingham | Alabama |
United States | Rush University Medical Center /ID# 144894 | Chicago | Illinois |
United States | University of Chicago /ID# 148672 | Chicago | Illinois |
United States | Cleveland Clinic Main Campus /ID# 144885 | Cleveland | Ohio |
United States | Kerwin Research Center /ID# 144904 | Dallas | Texas |
United States | Rocky Mountain Movement Disorders Center /ID# 153397 | Englewood | Colorado |
United States | University of Florida - Archer /ID# 144906 | Gainesville | Florida |
United States | McGovern Medical School /ID# 149236 | Houston | Texas |
United States | Indiana University /ID# 149036 | Indianapolis | Indiana |
United States | Mayo Clinic /ID# 144911 | Jacksonville | Florida |
United States | St. Luke's Hosp. of Kansas Cit /ID# 168629 | Kansas City | Missouri |
United States | Ucsd /Id# 144905 | La Jolla | California |
United States | Cleveland Clinic Lou Ruvo Cent /ID# 148919 | Las Vegas | Nevada |
United States | University of Kentucky Chandler Medical Center /ID# 144891 | Lexington | Kentucky |
United States | University of California, Los Angeles /ID# 144896 | Los Angeles | California |
United States | Usc /Id# 149773 | Los Angeles | California |
United States | Vanderbilt Univ Med Ctr /ID# 144898 | Nashville | Tennessee |
United States | Rutgers Robert Wood Johnson /ID# 144901 | New Brunswick | New Jersey |
United States | COLUMBIA University Medical Center /ID# 149037 | New York | New York |
United States | Oregon Health and Science University /ID# 149774 | Portland | Oregon |
United States | Mayo Clinic - Rochester /ID# 144895 | Rochester | Minnesota |
United States | Central Texas Neurology Consul /ID# 167417 | Round Rock | Texas |
United States | Univ California, San Francisco /ID# 144897 | San Francisco | California |
United States | Mayo Clinic - Scottsdale /ID# 144893 | Scottsdale | Arizona |
United States | University of South Florida /ID# 144912 | Tampa | Florida |
Lead Sponsor | Collaborator |
---|---|
AbbVie |
United States, Australia, Canada, France, Germany, Italy, Japan, Spain,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change From Baseline to Week 52 in Progressive Supranuclear Palsy Rating Scale (PSPRS) Total Score | The PSPRS consists of 28 items grouped in six domains: daily activities (by history); behavior; bulbar; ocular motor; limb motor; and gait/midline. Items are scored on a 0 to 4 scale, except for six items that are scored on a 0 to 2 scale, with the total score ranging from 0 to 100. Higher scores indicate more severe disability or movement abnormality. Positive changes in score indicate worsening from baseline. | Baseline, Week 52 | |
Primary | Number of Participants With Adverse Events | An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. The investigator assessed the relationship of each event to the use of study drug as either reasonable possibility or no reasonable possibility. A serious adverse event (SAE) is an event that results in death, is life-threatening, requires or prolongs hospitalization, results in a congenital anomaly, persistent or significant disability/incapacity or is an important medical event that, based on medical judgment, may jeopardize the subject and may require medical or surgical intervention to prevent any of the outcomes listed above. Treatment-emergent events (TEAEs) are defined as any event that began or worsened in severity from first dose of study drug until 20 weeks after the last dose. For more details on AEs please see the Adverse Event section. | From the first dose of study drug until 20 weeks following discontinuation of study drug administration have elapsed (approximately 5 half-lives), up to 80 weeks | |
Secondary | Mean Change From Baseline to Week 52 in Unified Parkinson's Disease Rating Scale (UPDRS) Part II (Activities of Daily Living) | The Unified Parkinson's Disease Rating Scale (UPDRS) is an Investigator-used rating tool to follow the longitudinal course of Parkinson's disease. The Part II score is the sum of the answers to the 13 questions related to Activities of Daily Living, and ranges from 0-52. Higher scores are associated with more disability. Positive changes in score indicate worsening from baseline. | Baseline, Week 52 | |
Secondary | Clinical Global Impression of Change (CGI-C) Score at Week 52 | The Clinical Global Impression of Change (CGI-C) score is a clinician's rating scale for assessing Global Improvement of Change. The CGI-C rates improvement by 7 categories: very much improved (1), much improved (2), minimally improved (3), no change (4), minimally worse (5), much worse (6), very much worse (7). The CGI-C score ranges from 1 to 7, with lower scores indicating improvement. | Week 52 | |
Secondary | Mean Change From Baseline to Week 52 in Midbrain Atrophy As Measured by Volumetric Magnetic Resonance Imaging (MRI) | Magnetic resonance imaging (MRI) of several different brain regions was performed and volumetric analysis was conducted to quantify midbrain atrophy. Negative changes in values indicate a reduction in volume. | Baseline, Week 52 | |
Secondary | Mean Change From Baseline to Week 52 in Schwab and England Activities of Daily Living Scale (SEADL) | The Schwab and England Activities of Daily Living (SEADL) consists of ten items intended to evaluate the daily life activities of a participant. The SEADL is composed of two sections: the first is a self-reported questionnaire in which participants grade their own daily life activities, such as dressing, using the toilet, resting, eating, and social activities (subjective assessment), and the second is an assessment of motor functions, such as postural balance, speaking, rigidity, and tremors, conducted by a clinician (objective assessment). It is a percentage scale divided into deciles, and the results are reported between 0% (bedridden) and 100% (healthy). Negative changes in values indicate a decline in health. | Baseline, Week 52 | |
Secondary | Maximum Observed Serum Concentration (Cmax) for ABBV-8E12 | The maximum observed serum concentration after the first and the fifth doses in Cohort 1 and Cohort J1 was determined. | First Dosing Interval, 2 weeks, Day 1-14; Fifth Dosing Interval, 4 weeks, Day 85-113 | |
Secondary | Time to Maximum Observed Serum Concentration (Tmax) for ABBV-8E12 | The time to maximum plasma concentration (Tmax; measured in hours) is the time it takes for a drug to achieve Cmax, the maximum plasma concentration. Tmax was measured after the first and the fifth doses in Cohort 1 and Cohort J1. | First Dosing Interval, 2 weeks, Day 1-14; Fifth Dosing Interval, 4 weeks, Day 85-113 | |
Secondary | Area Under the Concentration Time Curve (AUC) for ABBV-8E12 | The area under the plasma concentration-time curve (AUC; measured in µg•day/mL) is a method of measurement to determine the total exposure of a drug in blood plasma. The AUC24 of ABBV-8E12 was estimated using non-compartmental methods after the first and the fifth doses in Cohort 1 and Cohort J1. | First Dosing Interval, 2 weeks, Day 1-14; Fifth Dosing Interval, 4 weeks, Day 85-113 | |
Secondary | Serum Concentration of ABBV-8E12 Prior to Infusion of a Day of Dosing (Ctrough) | The concentration of ABBV-8E12 immediately prior to infusion of the fifth dose (Ctrough; measured in µg/mL) was estimated using non-compartmental methods in Cohort 1 and Cohort J1. | First day of the Fifth Dosing Interval, Day 85 | |
Secondary | Mean Change From Baseline to Week 52 in Clinical Global Impression of Severity (CGI-S) Score | The CGI-S is a clinician's rating of disease severity. The CGI-S rates severity of illness on a 7-point scale, using a range of responses from 1 (normal) through 7 (the most severely ill). This rating is based upon observed and reported symptoms, behavior, and function in the past 7 days. Positive changes in score indicate worsening from baseline. | Baseline, Week 52 | |
Secondary | Mean Change From Baseline to Week 52 in Progressive Supranuclear Palsy Health Related Quality of Life Scale (PSP-QoL) Total Score | The PSP-QoL is a validated patient-reported outcome measure, specifically designed to assess the quality of life of participants with PSP. There are 45 items and two subscales: physical and mental impact. Items are scored from 0 (no problem) to 4 (extreme problems). The total subscale sum scores are linearly converted into a 0 to 100 scale, and higher scores indicate a lower quality of life. Positive changes in score indicate a decline in quality of life. | Baseline, Week 52 | |
Secondary | Mean Change From Baseline to Week 52 in Progressive Supranuclear Palsy Staging System Score (PSP-SS) Score | The Progressive Supranuclear Palsy Rating Scale (PSPRS) consists of 28 items grouped in six domains: daily activities (by history); behavior; bulbar; ocular motor; limb motor; and gait/midline. Items are scored on a 0 to 4 scale, except for four items that are scored on a 0 to 2 scale, with the total score ranging from 0 to 100. Higher scores indicate more severe disability or movement abnormality. The PSP-SS score is a composite of the dysphagia and gait items from the PSPRS. Positive changes in score indicate worsening from baseline. | Baseline, Week 52 | |
Secondary | Mean Change From Baseline to Week 52 in Third Ventricle Atrophy As Measured by Volumetric Magnetic Resonance Imaging (MRI) | Magnetic resonance imaging (MRI) of several different brain regions was performed and volumetric analysis was conducted to quantify third ventricle atrophy. Positive changes in values indicate an increase in volume. | Baseline, Week 52 | |
Secondary | Mean Change From Baseline to Week 52 in Superior Cerebellar Peduncle Atrophy As Measured by Volumetric Magnetic Resonance Imaging (MRI) | Magnetic resonance imaging (MRI) of several different brain regions was performed and volumetric analysis was conducted to quantify Superior cerebellar peduncle atrophy. Negative changes in values indicate a reduction in volume. | Baseline, Week 52 | |
Secondary | Mean Change From Baseline to Week 52 in Brainstem Atrophy As Measured by Volumetric Magnetic Resonance Imaging (MRI) | Magnetic resonance imaging (MRI) of several different brain regions was performed and volumetric analysis was conducted to quantify brainstem atrophy. Negative changes in values indicate a reduction in volume. | Baseline, Week 52 | |
Secondary | Mean Change From Baseline to Week 52 in Whole Brain Atrophy As Measured by Volumetric Magnetic Resonance Imaging (MRI) | Magnetic resonance imaging (MRI) of several different brain regions was performed and volumetric analysis was conducted to quantify whole brain atrophy. Negative changes in values indicate a reduction in volume. | Baseline, Week 52 | |
Secondary | Mean Change From Baseline to Week 52 in Frontal Lobe Atrophy As Measured by Volumetric Magnetic Resonance Imaging (MRI) | Magnetic resonance imaging (MRI) of several different brain regions was performed and volumetric analysis was conducted to quantify frontal lobe atrophy. Positive changes in values indicate an increase in volume. | Baseline, Week 52 | |
Secondary | Time to Loss of Ability to Walk Independently as Measured by Progressive Supranuclear Palsy Rating Scale (PSPRS) Item 26 | The PSPRS consists of 28 items grouped in six domains: daily activities (by history); behavior; bulbar; ocular motor; limb motor; and gait/midline. Items are scored on a 0 to 4 scale, except for six items that are scored on a 0 to 2 scale, with the total score ranging from 0 to 100. Higher scores indicate more severe disability or movement abnormality. Item 26 pertains to gait, scored as either 0 (normal); 1 (slightly wide-based or irregular or slight pulsion on turns); 2 (must walk slowly or occasionally use walls or helper to avoid falling, especially on turns); 3 (must use assistance all or almost all the time); or 4 (unable to walk, even with walker; may be able to transfer). | From Baseline to Week 52 |
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