Trial Outcomes & Findings for Safety, Tolerability and Efficacy of Two Doses of Once Daily P2B001 in Subjects With Early Parkinson's Disease (NCT NCT01968460)

NCT ID: NCT01968460

Last Updated: 2023-04-07

Results Overview

Change from baseline to final visit (week 12) in total UPDRS score (defined as sum of parts I, II and III, scores (0-176). UPDRS- Unified Parkinson's Disease Rating Scale, minimum value is 0 points and maximum value is 176. High score mean worse outcome.

Recruitment status

COMPLETED

Study phase

PHASE2/PHASE3

Target enrollment

149 participants

Primary outcome timeframe

Week 12

Results posted on

2023-04-07

Participant Flow

Participant milestones

Participant milestones
Measure
P2B001 Treatment A
Fixed Dose Combination of pramipexole 0.6 mg and rasagiline 0.75 mg once daily. P2B001 once daily (pramipexole 0.6 mg / rasagiline 0.75 mg), : Fixed Dose Combination of pramipexole 0.6 mg and rasagiline 0.75 mg once daily
P2B001 Treatment B
Fixed Dose Combination of pramipexole 0.3 mg and rasagiline 0.75 mg once daily P2B001 once daily (pramipexole 0.3 mg / rasagiline 0.75 mg), : Fixed Dose Combination of pramipexole 0.3 mg and rasagiline 0.75 mg once daily
Placebo
Placebo once daily for 12 weeks. Placebo: placebo
Overall Study
STARTED
49
50
50
Overall Study
COMPLETED
43
45
48
Overall Study
NOT COMPLETED
6
5
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Safety, Tolerability and Efficacy of Two Doses of Once Daily P2B001 in Subjects With Early Parkinson's Disease

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
P2B001 Treatment A
n=49 Participants
Fixed Dose Combination of pramipexole 0.6 mg and rasagiline 0.75 mg once daily. P2B001 once daily (pramipexole 0.6 mg / rasagiline 0.75 mg), : Fixed Dose Combination of pramipexole 0.6 mg and rasagiline 0.75 mg once daily
P2B001 Treatment B
n=50 Participants
Fixed Dose Combination of pramipexole 0.3 mg and rasagiline 0.75 mg once daily P2B001 once daily (pramipexole 0.3 mg / rasagiline 0.75 mg), : Fixed Dose Combination of pramipexole 0.3 mg and rasagiline 0.75 mg once daily
Placebo
n=50 Participants
Placebo once daily for 12 weeks. Placebo: placebo
Total
n=149 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Age, Categorical
Between 18 and 65 years
25 Participants
n=93 Participants
23 Participants
n=4 Participants
18 Participants
n=27 Participants
66 Participants
n=483 Participants
Age, Categorical
>=65 years
24 Participants
n=93 Participants
27 Participants
n=4 Participants
32 Participants
n=27 Participants
83 Participants
n=483 Participants
Age, Continuous
62 years
STANDARD_DEVIATION 8 • n=93 Participants
63 years
STANDARD_DEVIATION 8 • n=4 Participants
64 years
STANDARD_DEVIATION 7 • n=27 Participants
63 years
STANDARD_DEVIATION 8 • n=483 Participants
Sex: Female, Male
Female
14 Participants
n=93 Participants
16 Participants
n=4 Participants
19 Participants
n=27 Participants
49 Participants
n=483 Participants
Sex: Female, Male
Male
35 Participants
n=93 Participants
34 Participants
n=4 Participants
31 Participants
n=27 Participants
100 Participants
n=483 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
0 Participants
n=4 Participants
1 Participants
n=27 Participants
1 Participants
n=483 Participants
Race (NIH/OMB)
Asian
0 Participants
n=93 Participants
2 Participants
n=4 Participants
1 Participants
n=27 Participants
3 Participants
n=483 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=93 Participants
4 Participants
n=4 Participants
1 Participants
n=27 Participants
8 Participants
n=483 Participants
Race (NIH/OMB)
White
46 Participants
n=93 Participants
43 Participants
n=4 Participants
47 Participants
n=27 Participants
136 Participants
n=483 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
1 Participants
n=4 Participants
0 Participants
n=27 Participants
1 Participants
n=483 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Region of Enrollment
United States
42 participants
n=93 Participants
42 participants
n=4 Participants
42 participants
n=27 Participants
126 participants
n=483 Participants
Region of Enrollment
Israel
7 participants
n=93 Participants
8 participants
n=4 Participants
8 participants
n=27 Participants
23 participants
n=483 Participants

PRIMARY outcome

Timeframe: Week 12

Population: ITT analyis

Change from baseline to final visit (week 12) in total UPDRS score (defined as sum of parts I, II and III, scores (0-176). UPDRS- Unified Parkinson's Disease Rating Scale, minimum value is 0 points and maximum value is 176. High score mean worse outcome.

Outcome measures

Outcome measures
Measure
P2B001 Treatment A
n=49 Participants
Fixed Dose Combination of pramipexole 0.6 mg and rasagiline 0.75 mg once daily. P2B001 once daily (pramipexole 0.6 mg / rasagiline 0.75 mg), : Fixed Dose Combination of pramipexole 0.6 mg and rasagiline 0.75 mg once daily
P2B001 Treatment B
n=50 Participants
Fixed Dose Combination of pramipexole 0.3 mg and rasagiline 0.75 mg once daily P2B001 once daily (pramipexole 0.3 mg / rasagiline 0.75 mg), : Fixed Dose Combination of pramipexole 0.3 mg and rasagiline 0.75 mg once daily
Placebo
n=50 Participants
Placebo once daily for 12 weeks. Placebo: placebo
Total UPDRS I, II, III Scores
-5.97 units on a scale
Standard Error 0.94
-5.15 units on a scale
Standard Error 0.9
-1.31 units on a scale
Standard Error 0.88

SECONDARY outcome

Timeframe: Week 12

Population: ITT analysis

Change from baseline in individual UPDRS ADL (part II). Activity of daily Life UPDRS part II minimum is 0 point and max is 52 point (worse outcome)

Outcome measures

Outcome measures
Measure
P2B001 Treatment A
n=49 Participants
Fixed Dose Combination of pramipexole 0.6 mg and rasagiline 0.75 mg once daily. P2B001 once daily (pramipexole 0.6 mg / rasagiline 0.75 mg), : Fixed Dose Combination of pramipexole 0.6 mg and rasagiline 0.75 mg once daily
P2B001 Treatment B
n=50 Participants
Fixed Dose Combination of pramipexole 0.3 mg and rasagiline 0.75 mg once daily P2B001 once daily (pramipexole 0.3 mg / rasagiline 0.75 mg), : Fixed Dose Combination of pramipexole 0.3 mg and rasagiline 0.75 mg once daily
Placebo
n=50 Participants
Placebo once daily for 12 weeks. Placebo: placebo
UPDRS ADL (Part II)
-1.49 units on a scale
Standard Error 0.37
-1.06 units on a scale
Standard Error 0.36
0.36 units on a scale
Standard Error 0.39

SECONDARY outcome

Timeframe: 12 weeks

Population: ITT

Change from baseline in individual Clinical Global Impression - Severity. Severity scale (CGI-S) is a 7-point scale that requires the clinician to rate the severity of the patient's illness (Parkinson's Disease) at the time of assessment relative to the clinician's past experience with patients who have the same diagnosis as one of the following:. 1 is normal and 7 is the most extremely ill patients. A subject defined as a treatment responder when the improvement from baseline to the Week12 / Last Observed Value (LOV) was of at least 1 point or more.

Outcome measures

Outcome measures
Measure
P2B001 Treatment A
n=49 Participants
Fixed Dose Combination of pramipexole 0.6 mg and rasagiline 0.75 mg once daily. P2B001 once daily (pramipexole 0.6 mg / rasagiline 0.75 mg), : Fixed Dose Combination of pramipexole 0.6 mg and rasagiline 0.75 mg once daily
P2B001 Treatment B
n=50 Participants
Fixed Dose Combination of pramipexole 0.3 mg and rasagiline 0.75 mg once daily P2B001 once daily (pramipexole 0.3 mg / rasagiline 0.75 mg), : Fixed Dose Combination of pramipexole 0.3 mg and rasagiline 0.75 mg once daily
Placebo
n=50 Participants
Placebo once daily for 12 weeks. Placebo: placebo
CGI-S
13 Participants
9 Participants
3 Participants

SECONDARY outcome

Timeframe: 12 weeks

Population: ITT anlysis

Change from baseline in individual UPDRS motor (part III). UPDRS- Unified Parkinson's Disease Rating Scale, part III motor . min is 0 and Max is 108 (Worse outcome)

Outcome measures

Outcome measures
Measure
P2B001 Treatment A
n=49 Participants
Fixed Dose Combination of pramipexole 0.6 mg and rasagiline 0.75 mg once daily. P2B001 once daily (pramipexole 0.6 mg / rasagiline 0.75 mg), : Fixed Dose Combination of pramipexole 0.6 mg and rasagiline 0.75 mg once daily
P2B001 Treatment B
n=50 Participants
Fixed Dose Combination of pramipexole 0.3 mg and rasagiline 0.75 mg once daily P2B001 once daily (pramipexole 0.3 mg / rasagiline 0.75 mg), : Fixed Dose Combination of pramipexole 0.3 mg and rasagiline 0.75 mg once daily
Placebo
n=50 Participants
Placebo once daily for 12 weeks. Placebo: placebo
UPDRS Motor (Part III)
-4.43 units on a scale
Standard Error 0.74
-3.95 units on a scale
Standard Error 0.7
-1.62 units on a scale
Standard Error 0.69

SECONDARY outcome

Timeframe: 12 weeks

Population: ITT Analysis

Change from baseline in individual Parkinson's Disease Questionnaire - 39. Score 0-100 where 0 is indicative of no problem at all and 100 is the maximum level of problem.

Outcome measures

Outcome measures
Measure
P2B001 Treatment A
n=49 Participants
Fixed Dose Combination of pramipexole 0.6 mg and rasagiline 0.75 mg once daily. P2B001 once daily (pramipexole 0.6 mg / rasagiline 0.75 mg), : Fixed Dose Combination of pramipexole 0.6 mg and rasagiline 0.75 mg once daily
P2B001 Treatment B
n=50 Participants
Fixed Dose Combination of pramipexole 0.3 mg and rasagiline 0.75 mg once daily P2B001 once daily (pramipexole 0.3 mg / rasagiline 0.75 mg), : Fixed Dose Combination of pramipexole 0.3 mg and rasagiline 0.75 mg once daily
Placebo
n=50 Participants
Placebo once daily for 12 weeks. Placebo: placebo
PDQ39
-3.01 units on a scale
Standard Error 0.89
-2.19 units on a scale
Standard Error 0.88
0.26 units on a scale
Standard Error 0.88

Adverse Events

P2B001 Treatment A

Serious events: 1 serious events
Other events: 37 other events
Deaths: 0 deaths

P2B001 Treatment B

Serious events: 0 serious events
Other events: 20 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 24 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
P2B001 Treatment A
n=49 participants at risk
Fixed Dose Combination of pramipexole 0.6 mg and rasagiline 0.75 mg once daily. P2B001 once daily (pramipexole 0.6 mg / rasagiline 0.75 mg), : Fixed Dose Combination of pramipexole 0.6 mg and rasagiline 0.75 mg once daily
P2B001 Treatment B
n=50 participants at risk
Fixed Dose Combination of pramipexole 0.3 mg and rasagiline 0.75 mg once daily P2B001 once daily (pramipexole 0.3 mg / rasagiline 0.75 mg), : Fixed Dose Combination of pramipexole 0.3 mg and rasagiline 0.75 mg once daily
Placebo
n=50 participants at risk
Placebo once daily for 12 weeks. Placebo: placebo
Cardiac disorders
ACUTE MYOCARDIAL INFARCTION
2.0%
1/49 • Number of events 1 • 14 weeks
0.00%
0/50 • 14 weeks
0.00%
0/50 • 14 weeks

Other adverse events

Other adverse events
Measure
P2B001 Treatment A
n=49 participants at risk
Fixed Dose Combination of pramipexole 0.6 mg and rasagiline 0.75 mg once daily. P2B001 once daily (pramipexole 0.6 mg / rasagiline 0.75 mg), : Fixed Dose Combination of pramipexole 0.6 mg and rasagiline 0.75 mg once daily
P2B001 Treatment B
n=50 participants at risk
Fixed Dose Combination of pramipexole 0.3 mg and rasagiline 0.75 mg once daily P2B001 once daily (pramipexole 0.3 mg / rasagiline 0.75 mg), : Fixed Dose Combination of pramipexole 0.3 mg and rasagiline 0.75 mg once daily
Placebo
n=50 participants at risk
Placebo once daily for 12 weeks. Placebo: placebo
Gastrointestinal disorders
NAUSEA
20.4%
10/49 • Number of events 12 • 14 weeks
12.0%
6/50 • Number of events 6 • 14 weeks
2.0%
1/50 • Number of events 1 • 14 weeks
Nervous system disorders
SOMNOLENCE
16.3%
8/49 • Number of events 9 • 14 weeks
8.0%
4/50 • Number of events 5 • 14 weeks
0.00%
0/50 • 14 weeks
Nervous system disorders
DIZZINESS
10.2%
5/49 • Number of events 6 • 14 weeks
4.0%
2/50 • Number of events 2 • 14 weeks
8.0%
4/50 • Number of events 4 • 14 weeks
General disorders
fatigue
8.2%
4/49 • Number of events 4 • 14 weeks
2.0%
1/50 • Number of events 1 • 14 weeks
2.0%
1/50 • Number of events 1 • 14 weeks
Infections and infestations
nasopharyngitis
4.1%
2/49 • Number of events 2 • 14 weeks
4.0%
2/50 • Number of events 2 • 14 weeks
10.0%
5/50 • Number of events 6 • 14 weeks
Nervous system disorders
headache
2.0%
1/49 • Number of events 1 • 14 weeks
2.0%
1/50 • Number of events 1 • 14 weeks
8.0%
4/50 • Number of events 4 • 14 weeks
Nervous system disorders
tremor
8.2%
4/49 • Number of events 5 • 14 weeks
6.0%
3/50 • Number of events 3 • 14 weeks
6.0%
3/50 • Number of events 3 • 14 weeks
Psychiatric disorders
insomnia
6.1%
3/49 • Number of events 3 • 14 weeks
0.00%
0/50 • 14 weeks
4.0%
2/50 • Number of events 2 • 14 weeks
Vascular disorders
orthostatic hypotension
4.1%
2/49 • Number of events 3 • 14 weeks
2.0%
1/50 • Number of events 1 • 14 weeks
8.0%
4/50 • Number of events 6 • 14 weeks

Additional Information

Pninit Litman study director

Pharma 2B LTD

Phone: +972 8 9472672

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place