Trial Outcomes & Findings for A Study Evaluating if Pridopidine is Safe, Efficacious, and Tolerable in Patients With Huntington's Disease (NCT NCT02494778)

NCT ID: NCT02494778

Last Updated: 2021-09-17

Results Overview

From signature of the informed consent form through the end of the study, which was defined as Week 106

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

248 participants

Primary outcome timeframe

106 weeks

Results posted on

2021-09-17

Participant Flow

Participant milestones

Participant milestones
Measure
Pridopidine 45 mg BID
Pridopidine (45 mg) administered as oral capsules, taken twice daily (bid)
Overall Study
STARTED
248
Overall Study
COMPLETED
27
Overall Study
NOT COMPLETED
221

Reasons for withdrawal

Reasons for withdrawal
Measure
Pridopidine 45 mg BID
Pridopidine (45 mg) administered as oral capsules, taken twice daily (bid)
Overall Study
Death
3
Overall Study
Other
173
Overall Study
Lack of Efficacy
4
Overall Study
Adverse Event
18
Overall Study
Withdrawal by Subject
20
Overall Study
Lost to Follow-up
2
Overall Study
Noncompliant with study drug admin.
1

Baseline Characteristics

A Study Evaluating if Pridopidine is Safe, Efficacious, and Tolerable in Patients With Huntington's Disease

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Pridopidine 45 mg BID
n=248 Participants
Pridopidine (45 mg) administered as oral capsules, taken twice daily (bid)
Age, Continuous
50.6 years
STANDARD_DEVIATION 11.61 • n=5 Participants
Sex: Female, Male
Female
129 Participants
n=5 Participants
Sex: Female, Male
Male
119 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
2 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
227 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
19 Participants
n=5 Participants
Region of Enrollment
Canada
4 participants
n=5 Participants
Region of Enrollment
Austria
18 participants
n=5 Participants
Region of Enrollment
Netherlands
9 participants
n=5 Participants
Region of Enrollment
United States
34 participants
n=5 Participants
Region of Enrollment
Poland
28 participants
n=5 Participants
Region of Enrollment
Italy
34 participants
n=5 Participants
Region of Enrollment
United Kingdom
28 participants
n=5 Participants
Region of Enrollment
France
18 participants
n=5 Participants
Region of Enrollment
Australia
9 participants
n=5 Participants
Region of Enrollment
Germany
32 participants
n=5 Participants
Region of Enrollment
Russia
34 participants
n=5 Participants
CYP2D6 metaboliser genotype
Poor metaboliser
8 Participants
n=5 Participants
CYP2D6 metaboliser genotype
Extensive metaboliser
214 Participants
n=5 Participants
CYP2D6 metaboliser genotype
Intermediate metaboliser
25 Participants
n=5 Participants
CYP2D6 metaboliser genotype
Ultra-rapid metaboliser
1 Participants
n=5 Participants
Neuroleptic use
Yes
94 Participants
n=5 Participants
Neuroleptic use
No
154 Participants
n=5 Participants
Number of CAG repeats
44.8 CAG repeats
STANDARD_DEVIATION 4.01 • n=5 Participants

PRIMARY outcome

Timeframe: 106 weeks

Population: All patients enrolled who received at least one dose of study drug

From signature of the informed consent form through the end of the study, which was defined as Week 106

Outcome measures

Outcome measures
Measure
Pridopidine 45 mg BID
n=248 Participants
Pridopidine (45 mg) administered as oral capsules, taken twice daily (bid)
Percentage of Participants With Adverse Events
193 Participants

SECONDARY outcome

Timeframe: Week 52; end of treatment (EOT) which was planned to occur at Week 104

Population: All patients enrolled who received at least 1 dose of study drug and had at least 1 post-baseline UHDRS-TMS assessment.

Q-motor assessments were based on the application of force transducers and 3-dimensional position sensors. The reported parameter is the Pro-Sup-Inter-Onset-interval-SD-Hand, measured in seconds. Positive change from baseline indicates worsening.

Outcome measures

Outcome measures
Measure
Pridopidine 45 mg BID
n=146 Participants
Pridopidine (45 mg) administered as oral capsules, taken twice daily (bid)
Change From Baseline in Quantitative Motor (Q-motor) Measurements, Pro-Sup-Inter-Onset-interval-SD-Hand
Change from baseline to EOT
-0.1 second
Standard Deviation 0.01
Change From Baseline in Quantitative Motor (Q-motor) Measurements, Pro-Sup-Inter-Onset-interval-SD-Hand
Change from baseline to Week 52
0.0 second
Standard Deviation 0.05

SECONDARY outcome

Timeframe: Week 52; end of treatment (EOT) which was planned to occur at Week 104

Population: All patients enrolled who received at least 1 dose of study drug and had at least 1 post-baseline UHDRS-TMS assessment.

Q-motor assessments were based on the application of force transducers and 3-dimensional position sensors. The reported parameter is the Pro-Sup-Peak-Force-CV-Hand, measured in %. Positive change from baseline indicates worsening.

Outcome measures

Outcome measures
Measure
Pridopidine 45 mg BID
n=146 Participants
Pridopidine (45 mg) administered as oral capsules, taken twice daily (bid)
Change From Baseline in Quantitative Motor (Q-motor) Measurements, Pro-Sup-Peak-Force-CV-Hand
Change from baseline to Week 52
-2.9 percentage
Standard Deviation 9.31
Change From Baseline in Quantitative Motor (Q-motor) Measurements, Pro-Sup-Peak-Force-CV-Hand
Change from baseline to EOT
-5.9 percentage
Standard Deviation 8.05

Adverse Events

Pridopidine 45 mg BID

Serious events: 31 serious events
Other events: 191 other events
Deaths: 3 deaths

Serious adverse events

Serious adverse events
Measure
Pridopidine 45 mg BID
n=248 participants at risk
Pridopidine (45 mg) administered as oral capsules, taken twice daily (bid)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Basal cell carcinoma
0.40%
1/248 • Number of events 1 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant melanoma in situ
0.40%
1/248 • Number of events 1 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Prostate cancer
0.40%
1/248 • Number of events 1 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Squamous cell carcinoma
0.40%
1/248 • Number of events 1 • From signature of the informed consent form through the end of the study, which was defined as Week 106
General disorders
Death
0.40%
1/248 • Number of events 1 • From signature of the informed consent form through the end of the study, which was defined as Week 106
General disorders
Gait disturbance
0.40%
1/248 • Number of events 1 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Psychiatric disorders
Suicidal ideation
1.2%
3/248 • Number of events 3 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Psychiatric disorders
Depression
0.40%
1/248 • Number of events 1 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Psychiatric disorders
Hallucination, auditory
0.40%
1/248 • Number of events 1 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Psychiatric disorders
Paranoia
0.40%
1/248 • Number of events 1 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Injury, poisoning and procedural complications
Fall
1.6%
4/248 • Number of events 4 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Injury, poisoning and procedural complications
Subdural haematoma
0.81%
2/248 • Number of events 2 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Injury, poisoning and procedural complications
Ankle fracture
0.40%
1/248 • Number of events 1 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Injury, poisoning and procedural complications
Brain contusion
0.40%
1/248 • Number of events 1 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Injury, poisoning and procedural complications
Contusion
0.40%
1/248 • Number of events 1 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Injury, poisoning and procedural complications
Craniocerebral injury
0.40%
1/248 • Number of events 1 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Injury, poisoning and procedural complications
Extradural haematoma
0.40%
1/248 • Number of events 1 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Injury, poisoning and procedural complications
Facial bones fracture
0.40%
1/248 • Number of events 1 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Injury, poisoning and procedural complications
Head injury
0.40%
1/248 • Number of events 1 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Injury, poisoning and procedural complications
Skull fracture
0.40%
1/248 • Number of events 1 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Injury, poisoning and procedural complications
Skull fractured base
0.40%
1/248 • Number of events 1 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Injury, poisoning and procedural complications
Tibia fracture
0.40%
1/248 • Number of events 1 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Injury, poisoning and procedural complications
Toxicity to varios agents
0.40%
1/248 • Number of events 1 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Investigations
Weight decreased
0.40%
1/248 • Number of events 1 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Congenital, familial and genetic disorders
Huntington's disease
0.40%
1/248 • Number of events 1 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Respiratory, thoracic and mediastinal disorders
Pneumonia aspiration
0.40%
1/248 • Number of events 1 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
0.40%
1/248 • Number of events 1 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Blood and lymphatic system disorders
Anaemia
0.40%
1/248 • Number of events 1 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Nervous system disorders
Chorea
1.2%
3/248 • Number of events 3 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Nervous system disorders
Dystonia
0.40%
1/248 • Number of events 1 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Nervous system disorders
Haemorrhage intracranial
0.40%
1/248 • Number of events 1 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Nervous system disorders
Peripheral nerve palsy
0.40%
1/248 • Number of events 1 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Nervous system disorders
Subarachnoid haemorrhage
0.40%
1/248 • Number of events 1 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Nervous system disorders
Syncope
0.40%
1/248 • Number of events 1 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Nervous system disorders
Transient ischaemic attack
0.40%
1/248 • Number of events 1 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Gastrointestinal disorders
Dysphagia
0.40%
1/248 • Number of events 1 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Gastrointestinal disorders
Gastrointestinal polyp haemorrhage
0.40%
1/248 • Number of events 1 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Hepatobiliary disorders
Drug-induced liver injury
0.40%
1/248 • Number of events 1 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
0.40%
1/248 • Number of events 1 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Musculoskeletal and connective tissue disorders
Pain in extremity
0.40%
1/248 • Number of events 1 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Metabolism and nutrition disorders
Cachexia
0.40%
1/248 • Number of events 1 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Infections and infestations
Pneumonia
0.81%
2/248 • Number of events 2 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Infections and infestations
Diverticulitis
0.40%
1/248 • Number of events 1 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Infections and infestations
Urinary tract infection
0.40%
1/248 • Number of events 1 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Infections and infestations
Urosepsis
0.40%
1/248 • Number of events 1 • From signature of the informed consent form through the end of the study, which was defined as Week 106

Other adverse events

Other adverse events
Measure
Pridopidine 45 mg BID
n=248 participants at risk
Pridopidine (45 mg) administered as oral capsules, taken twice daily (bid)
Injury, poisoning and procedural complications
Fall
29.8%
74/248 • Number of events 163 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Injury, poisoning and procedural complications
Contusion
5.2%
13/248 • Number of events 20 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Investigations
Weight decreased
5.2%
13/248 • Number of events 13 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Nervous system disorders
Chorea
9.3%
23/248 • Number of events 30 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Nervous system disorders
Headache
5.6%
14/248 • Number of events 19 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Psychiatric disorders
Insomnia
8.1%
20/248 • Number of events 27 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Psychiatric disorders
Anxiety
6.5%
16/248 • Number of events 17 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Musculoskeletal and connective tissue disorders
Back pain
5.6%
14/248 • Number of events 15 • From signature of the informed consent form through the end of the study, which was defined as Week 106
Infections and infestations
Nasopharyngitis
11.7%
29/248 • Number of events 36 • From signature of the informed consent form through the end of the study, which was defined as Week 106

Additional Information

Prilenia

Prilenia

Phone: +972 775558

Results disclosure agreements

  • Principal investigator is a sponsor employee Data and results are owned by the sponsor. Results can be used by the institution for internal noncommercial research, education and patient care, and as required under applicable laws and regulations. Other uses require prior written consent of the sponsor.
  • Publication restrictions are in place

Restriction type: OTHER