Study of UB-312 in Healthy Participants and Parkinson's Disease Patients

NCT ID: NCT04075318

Last Updated: 2025-03-06

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

70 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-08-29

Study Completion Date

2023-03-01

Brief Summary

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This is a 44-week, randomized, placebo-controlled, double-blind, single-center, phase 1 clinical trial consisting of a dose-escalation Part A study in healthy participants, followed by a Part B in participants with Parkinson's disease with a selected doses from Part A.

Detailed Description

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This is a first-in-human Phase 1 study to determine the safety, tolerability, and immunogenicity of UB-312 in healthy participants and in participants with Parkinson's disease (PD). UB-312 is a UBITh®-enhanced synthetic peptide-based vaccine and may provide an active immunotherapy option for treating synucleinopathies including the most prevalent form, PD.

The study consists of two parts. Part A of the study with healthy participants will consist of dose escalation and cohort staggering for up to seven planned dose levels or placebo. Part B of the study will consist of two cohorts of participants with Parkinson's disease (PD). Dosing for Part B will be based on safety, tolerability and immunogenicity from Part A. All eligible participants will be enrolled in a 44-week study consisting of 20 weeks of treatment and 24 weeks of follow-up.

Conditions

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Parkinson's Disease Parkinsonism

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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Part A: UB-312 40 mcg

UB-312 40 mcg by intramuscular injection at Weeks 1, 5 and 13

Group Type EXPERIMENTAL

UB-312

Intervention Type BIOLOGICAL

A synthetic peptide-based vaccine

Part A: UB-312 100 mcg

UB-312 100 mcg by intramuscular injection at Weeks 1, 5 and 13

Group Type EXPERIMENTAL

UB-312

Intervention Type BIOLOGICAL

A synthetic peptide-based vaccine

Part A: UB-312 40/300 mcg

UB-312 40 mcg at Week 1 and 300 mcg at Weeks 5 and 13 by intramuscular injection

Group Type EXPERIMENTAL

UB-312

Intervention Type BIOLOGICAL

A synthetic peptide-based vaccine

Part A: UB-312 300 mcg

UB-312 300 mcg by intramuscular injection at Weeks 1, 5 and 13

Group Type EXPERIMENTAL

UB-312

Intervention Type BIOLOGICAL

A synthetic peptide-based vaccine

Part A: UB-312 40/1000 mcg

UB-312 40 mcg at Week 1 and 1000 mcg at Weeks 5 and 13 by intramuscular injection

Group Type EXPERIMENTAL

UB-312

Intervention Type BIOLOGICAL

A synthetic peptide-based vaccine

Part A: UB-312 1000 mcg

UB-312 1000 mcg by intramuscular injection at Weeks 1, 5 and 13

Group Type EXPERIMENTAL

UB-312

Intervention Type BIOLOGICAL

A synthetic peptide-based vaccine

Part A: UB-312 2000 mcg

UB-312 2000 mcg by intramuscular injection at Weeks 1, 5 and 13

Group Type EXPERIMENTAL

UB-312

Intervention Type BIOLOGICAL

A synthetic peptide-based vaccine

Part A: Placebo

Placebo by intramuscular injection at Weeks 1, 5 and 13

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

Matching placebo

Part B: UB-312 300/100 mcg

UB-312 300 mcg at Week 1 and 100 mcg at Weeks 5 and 13 by intramuscular injection

Group Type EXPERIMENTAL

UB-312

Intervention Type BIOLOGICAL

A synthetic peptide-based vaccine

Part B: UB-312 300 mcg

UB-312 300 mcg at Weeks 1, 5 and 13 by intramuscular injection

Group Type EXPERIMENTAL

UB-312

Intervention Type BIOLOGICAL

A synthetic peptide-based vaccine

Part B: Placebo

Placebo by intramuscular injection at Weeks 1, 5 and 13

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

Matching placebo

Interventions

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UB-312

A synthetic peptide-based vaccine

Intervention Type BIOLOGICAL

Placebo

Matching placebo

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Male or female aged 40 to 85 years old, inclusive at screening
* Expected to be able to undergo all study procedures

For Part B only:

* A diagnosis of PD, confirmed by a neurologist
* Hoehn \&Yahr Stage ≤ III at Screening
* Stable treatment of permitted antiparkinsonian medications from 30 days prior to first study drug administration or 60 days for MAO-B inhibitors, and expected to remain stable throughout the study

Exclusion Criteria

* Clinically significant abnormalities, as judged by the investigator
* History of medical, neurological or psychiatric conditions which in the opinion of the investigator may compromise participant's safety or scientific value of the study
* Acute or chronic infection as judged by the investigator, for positive human immunodeficiency virus (HIV), hepatitis C virus (HCV) or hepatitis B virus (HBV)
* History or evidence of an autoimmune disorder
* History of anergy.
* Participated/participating in any clinical trial with monoclonal antibodies or vaccines directed at aSyn

For Part B only:

* Other known or suspected cause of Parkinsonism other than idiopathic PD
* History or evidence at Screening of PD-related freezing episodes, falls, or orthostatic hypotension
* Dopamine transporter single-photon emission computerized tomography scan (DaTscan) inconsistent with dopamine transporter deficit.
* Clinically significant neurological disease other than PD
Minimum Eligible Age

40 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Centre for Human Drug Research, Netherlands

OTHER

Sponsor Role collaborator

Worldwide Clinical Trials

OTHER

Sponsor Role collaborator

Vaxxinity, Inc.

INDUSTRY

Sponsor Role collaborator

United Neuroscience Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director, MD

Role: STUDY_DIRECTOR

Vaxxinity, Inc.

Locations

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Centre for Human Drug Research

Leiden, , Netherlands

Site Status

Countries

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Netherlands

References

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Wang CY, Walfield AM. Site-specific peptide vaccines for immunotherapy and immunization against chronic diseases, cancer, infectious diseases, and for veterinary applications. Vaccine. 2005 Mar 18;23(17-18):2049-56. doi: 10.1016/j.vaccine.2005.01.007.

Reference Type BACKGROUND
PMID: 15755569 (View on PubMed)

Wang CY, Finstad CL, Walfield AM, Sia C, Sokoll KK, Chang TY, Fang XD, Hung CH, Hutter-Paier B, Windisch M. Site-specific UBITh amyloid-beta vaccine for immunotherapy of Alzheimer's disease. Vaccine. 2007 Apr 20;25(16):3041-52. doi: 10.1016/j.vaccine.2007.01.031. Epub 2007 Jan 19.

Reference Type BACKGROUND
PMID: 17287052 (View on PubMed)

Wang CY, Wang PN, Chiu MJ, Finstad CL, Lin F, Lynn S, Tai YH, De Fang X, Zhao K, Hung CH, Tseng Y, Peng WJ, Wang J, Yu CC, Kuo BS, Frohna PA. UB-311, a novel UBITh(R) amyloid beta peptide vaccine for mild Alzheimer's disease. Alzheimers Dement (N Y). 2017 Apr 14;3(2):262-272. doi: 10.1016/j.trci.2017.03.005. eCollection 2017 Jun.

Reference Type BACKGROUND
PMID: 29067332 (View on PubMed)

Eijsvogel P, Misra P, Concha-Marambio L, Boyd JD, Ding S, Fedor L, Hsieh YT, Sun YS, Vroom MM, Farris CM, Ma Y, de Kam ML, Radanovic I, Vissers MFJM, Mirski D, Shareghi G, Shahnawaz M, Singer W, Kremer P, Groeneveld GJ, Yu HJ, Dodart JC. Target engagement and immunogenicity of an active immunotherapeutic targeting pathological alpha-synuclein: a phase 1 placebo-controlled trial. Nat Med. 2024 Sep;30(9):2631-2640. doi: 10.1038/s41591-024-03101-8. Epub 2024 Jun 20.

Reference Type RESULT
PMID: 38902546 (View on PubMed)

Yu HJ, Thijssen E, van Brummelen E, van der Plas JL, Radanovic I, Moerland M, Hsieh E, Groeneveld GJ, Dodart JC. A Randomized First-in-Human Study With UB-312, a UBITh(R) alpha-Synuclein Peptide Vaccine. Mov Disord. 2022 Jul;37(7):1416-1424. doi: 10.1002/mds.29016. Epub 2022 Apr 15.

Reference Type RESULT
PMID: 35426173 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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UB-312-101

Identifier Type: -

Identifier Source: org_study_id

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