AZD3241 PET MSA Trial, Phase 2, Randomized,12 Week Safety and Tolerability Trial With PET in MSA Patients

NCT ID: NCT02388295

Last Updated: 2017-09-25

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

59 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-04-27

Study Completion Date

2016-09-19

Brief Summary

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AZD3241 myeloperoxidase (MPO) inhibitor trial is assessing safety and tolerability, randomized trial, in patients with Multiple System Atrophy.

Detailed Description

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Conditions

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Multiple System Atrophy, MSA

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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AZD3241

Subjects will be randomized to one of the two doses of AZD3241 or placebo in a 1:1:1 ratio.

Group Type EXPERIMENTAL

AZD3241

Intervention Type DRUG

Drug: AZD3241 administered for 12 weeks orally as a tablet.

Placebo to match AZD3241

Subjects will be randomized to one of the two doses of AZD3241 or placebo in a 1:1:1 ratio.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo to match AZD3241 administered for 12 weeks orally as a tablet.

Interventions

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AZD3241

Drug: AZD3241 administered for 12 weeks orally as a tablet.

Intervention Type DRUG

Placebo

Placebo to match AZD3241 administered for 12 weeks orally as a tablet.

Intervention Type DRUG

Other Intervention Names

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AZD3241 to match placebo administered for 12 weeks. Placebo to match AZD3241 administered for 12 weeks.

Eligibility Criteria

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Inclusion Criteria

1. Male or female, age 30-80 years, inclusive, at screen.
2. Meet criteria for diagnosis of probable or possible MSA according to the consensus criteria (Gilman et al. 2008 ).
3. "High-affinity binder" or "mixed-affinity binder" for TSPO, as confirmed by prospective genotyping of TSPO polymorphism during screen.
4. Subjects must understand the nature of the study and must provide signed and dated written informed consent in accordance with local regulations before the conduct of any study-related procedures. The informed consent should reflect the protocol stipulations concerning the use of contraception.
5. Medical treatment of MSA and co-morbid medical conditions must be stable for at least 30 days prior to screen and between screen and baseline.
6. Written and oral fluency in the local language.
7. Able and willing to participate in all scheduled evaluations, abide by all study restrictions, and complete all required tests and procedures.
8. In the opinion of the investigator, the subject must be considered likely to comply with the study protocol and to have a high probability of completing the study.
9. Able to swallow tablets whole.

Exclusion Criteria

1. Prior participation in any AZD3241 study.
2. Magnetic resonance imaging (MRI) performed during screen not consistent with diagnosis of MSA.
3. Received a PET scan within the last 12 months.
4. Negative Allen test in both hands, unless the brachial artery is used for arterial cannulation.
5. Subjects determined to be "low affinity binders" by TSPO genotyping.
6. Claustrophobia that would contraindicate a brain MRI scan or brain PET scan.
7. Pregnancy, lactation, or, if female of childbearing potential, positive serum β-hCG at screen or positive urine β-hCG at baseline (Day -1).
8. Initiation or change in pharmacologic therapy for symptoms of MSA within 30 days prior to screen or between screen and baseline (Day -1).
9. Significant neurological disease affecting the central nervous system (CNS), other than MSA
10. History of brain surgery for parkinsonism.
11. History of stem cell treatment.
12. Seizure disorder, unless well controlled and for which treatment has been stable for at least 30 days prior to screen and between screen and baseline (Day -1).
13. Presence of any clinically significant medical condition
14. History or presence of thyroid disease.
15. Any abnormal TSH or Free T4 test result at screen or baseline (Day -1).
16. History or presence of gastrointestinal disorders or other disease known to interfere with absorption, distribution, metabolism or excretion of drugs
17. History or presence of renal disease or impaired renal function.
18. A QT interval corrected according to the Fridericia procedure (QTcF) interval measurement \> 450 msec at screen (single ECG) or baseline (Day -1) (mean of three ECG measurements) or a family history of long-QT syndrome.
19. Uncontrolled hypertension
20. History or presence of diabetes, unless glucose levels have been well controlled and for which treatment has been stable for at least 30 days prior to screen and between screen and baseline (Day -1).
21. History of cancer within the last 5 years, with the exception of nonmetastatic basal cell carcinoma of the skin.
22. Any clinically important abnormality, as determined by the investigator, on physical examination or vital signs, ECG, or clinical laboratory test results other than abnormality due to a stable, well-controlled medical condition; or any abnormality that could be detrimental to the subject or could compromise the study.
23. Use of potent inhibitors of CYP3A4, Use of potent inducers of CYP3A4 and/or Use of drugs mainly metabolized by CYP3A4
24. Treatment with any investigational drug or device within 60 days or five half-lives prior to screen, whichever is longer, or between screen and baseline (Day -1).
Minimum Eligible Age

30 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AstraZeneca

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Research Site

Stanford, California, United States

Site Status

Research Site

New Haven, Connecticut, United States

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Tampa, Florida, United States

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Boston, Massachusetts, United States

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Ann Arbor, Michigan, United States

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Rochester, Minnesota, United States

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New York, New York, United States

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New York, New York, United States

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Research Site

Innsbruck, , Austria

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Turku, , Finland

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Bordeaux, , France

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Toulouse, , France

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Salerno, , Italy

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Stockholm, , Sweden

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London, , United Kingdom

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London, , United Kingdom

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Research Site

Oxford, , United Kingdom

Site Status

Countries

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United States Austria Finland France Italy Sweden United Kingdom

Other Identifiers

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D0490C00023

Identifier Type: -

Identifier Source: org_study_id