A Study to Evaluate the Efficacy and Safety of Intravenous Prasinezumab in Participants With Early Parkinson's Disease

NCT ID: NCT04777331

Last Updated: 2025-12-26

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

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

586 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-05-05

Study Completion Date

2026-12-30

Brief Summary

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This is a multicenter, randomized, double-blind, placebo-controlled study that will evaluate the efficacy and safety of intravenous (IV) prasinezumab versus placebo in participants with Early Parkinson's Disease (PD) who are on stable symptomatic PD medication.

Detailed Description

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Conditions

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Parkinsons Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Prasinezumab

Participants will receive an IV infusion of prasinezumab every 4 weeks (Q4W).

Participants will enter into the optional Open Label Extension (OLE) once the double-blind treatment period has completed.

Group Type EXPERIMENTAL

Prasinezumab

Intervention Type DRUG

Prasinezumab will be administered as an IV infusion to participants Q4W.

Placebo

Participants will receive placebo as an IV infusion Q4W.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Prasinezumab placebo will be administered to participants.

Interventions

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Prasinezumab

Prasinezumab will be administered as an IV infusion to participants Q4W.

Intervention Type DRUG

Placebo

Prasinezumab placebo will be administered to participants.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of idiopathic PD based on MDS criteria with bradykinesia plus one of the other cardinal signs of PD (resting tremor, rigidity), without any other known or suspected cause of parkinsonism
* On symptomatic PD medication, with stable doses for at least 3 months prior to baseline
* A diagnosis of PD for at least 3 months to maximum 3 years at screening
* MDS-UPDRS Part IV score of 0 at screening and prior to randomization
* Hoehn and Yahr (H\&Y) Stage I or II in OFF medication state at screening and prior to randomization
* Dopamine transporter imaging with single photon emission computed tomography (DaT-SPECT) imaging consistent with dopamine transporter deficit, as assessed by the central reader
* No anticipated changes in PD medication from baseline throughout the study duration based on clinical status during screening
* Willingness and ability to use a smartphone application to measure PD-related symptoms for the duration of the study
* Willingness and ability to wear a smartwatch to measure PD-related motor signs

Exclusion Criteria

* Medical history indicating a Parkinsonian syndrome other than idiopathic PD
* Diagnosis of PD dementia
* Diagnosis of a significant neurologic disease other than PD
* Within the last year, unstable or clinically significant cardiovascular disease
* Uncontrolled hypertension
* Drug and/or alcohol abuse within 12 months prior to screening, in the investigator's judgment (Nicotine is allowed, Marijuana use is not allowed)
* Clinically significant abnormalities in laboratory test results at the screening visit, including hepatic and renal panels, complete blood count, chemistry panel and urinalysis
* Allergy to any of the components of prasinezumab, a known hypersensitivity, or a previous IRR following administration of any other monoclonal antibody
* Any contraindications to obtaining a brain magnetic resonance imaging (MRI)
* Any contraindications to DaT-SPECT imaging
Minimum Eligible Age

50 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Prothena Biosciences Limited

INDUSTRY

Sponsor Role collaborator

Hoffmann-La Roche

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trials

Role: STUDY_DIRECTOR

Hoffmann-La Roche

Locations

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University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

Barrow Neurological Institute

Phoenix, Arizona, United States

Site Status

Neurology Center of North Orange County

Fullerton, California, United States

Site Status

UC San Diego

La Jolla, California, United States

Site Status

Keck School of Medicine of USC

Los Angeles, California, United States

Site Status

Cedars Sinai Medical Center

Los Angeles, California, United States

Site Status

University of California San Francisco

San Francisco, California, United States

Site Status

CenExel Rocky Mountain Clinical Research, LLC

Englewood, Colorado, United States

Site Status

Institute for Neurodegenerative Disorders

New Haven, Connecticut, United States

Site Status

JEM Research LLC

Atlantis, Florida, United States

Site Status

Parkinson's Disease and Movement Disorders Center of Boca Raton

Boca Raton, Florida, United States

Site Status

Renstar Medical Research

Ocala, Florida, United States

Site Status

University of South Florida

Tampa, Florida, United States

Site Status

Charter Research - Winter Park/Orlando

Winter Park, Florida, United States

Site Status

Northwestern University Feinberg School Of Medicine

Chicago, Illinois, United States

Site Status

Southern Illinois University, School of Medicine

Springfield, Illinois, United States

Site Status

University of Kansas Medical Center

Kansas City, Kansas, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Quest Research Institute

Farmington Hills, Michigan, United States

Site Status

Henry Ford Hospital

West Bloomfield, Michigan, United States

Site Status

Dent Neurological Institute

Amherst, New York, United States

Site Status

Cleveland Clinic

Cleveland, Ohio, United States

Site Status

The Movement Disorder Clinic of Oklahoma

Tulsa, Oklahoma, United States

Site Status

University Pennsylvania Hospital

Philadelphia, Pennsylvania, United States

Site Status

Texas Neurology PA

Dallas, Texas, United States

Site Status

Baylor College of Medicine Medical Center

Houston, Texas, United States

Site Status

Central Texas Neurology Consultants

Round Rock, Texas, United States

Site Status

University of Vermont Medical Center

Burlington, Vermont, United States

Site Status

Sentara Neurology Specialists

Norfolk, Virginia, United States

Site Status

EvergreenHealth Investigational Drug Services

Kirkland, Washington, United States

Site Status

Inland Northwest Research

Spokane, Washington, United States

Site Status

Medizinische Universität Graz

Graz, , Austria

Site Status

Uniklinik fuer Neurologie, Medizinische Universitaet Innsbruck

Innsbruck, , Austria

Site Status

Klinik Ottakring

Vienna, , Austria

Site Status

Toronto Memory Program

Toronto, Ontario, Canada

Site Status

Toronto Western Hospital

Toronto, Ontario, Canada

Site Status

Clinique Neuro Outaouais

Gatineau, Quebec, Canada

Site Status

Montreal Neurological Institute and Hospital

Montreal, Quebec, Canada

Site Status

Groupe Hospitalier Pellegrin

Bordeaux, , France

Site Status

Groupement Hospitalier Est - Hôpital Neurologique

Bron, , France

Site Status

Hopital Gabriel Montpied

Clermont-Ferrand, , France

Site Status

Hôpital Henri Mondor

Créteil, , France

Site Status

Hôpital Michallon - Centre d'Investigation Clinique

Grenoble, , France

Site Status

CHU de Limoges - Hôpital Dupuytren

Limoges, , France

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hopital de la Timone

Marseille, , France

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CHU Gui de Chauliac

Montpellier, , France

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CHU de Nice Hopital Pasteur

Nice, , France

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Hopital Pitie-Salpetriere APHP

Paris, , France

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CHU Poitiers

Poitiers, , France

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CHU Rouen Charles Nicolle

Rouen, , France

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CHU de Nantes - Hopital Laennec

Saint-Herblain, , France

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CHU Strasbourg Hpital Hautepierre

Strasbourg, , France

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CIC - Hôpital Purpan

Toulouse, , France

Site Status

Università degli studi della Campania Luigi Vanvitelli

Napoli, Campania, Italy

Site Status

Az. Osp. OO.RR. S. Giovanni di Dio e Ruggi D' Aragona

Salerno, Campania, Italy

Site Status

Ospedale Bellaria

Bologna, Emilia-Romagna, Italy

Site Status

IRCCS San Raffaele;Clinical Trial Center

Rome, Lazio, Italy

Site Status

Policlinico Universitario Agostino Gemelli

Rome, Lazio, Italy

Site Status

Irccs A.O.U.San Martino Ist

Genoa, Liguria, Italy

Site Status

Azienda Ospedaliera Spedali Civili

Brescia, Lombardy, Italy

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IRCCS Ospedale San Raffaele

Milan, Lombardy, Italy

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IRCCS Istituto Neurologico Carlo Besta

Milan, Lombardy, Italy

Site Status

IRCCS Neuromed

Pozzilli (IS), Molise, Italy

Site Status

A.O.U. Policlinico "G.Rodolico - San Marco"

Catania, Sicily, Italy

Site Status

A.O. Universitaria Pisana

Pisa, Tuscany, Italy

Site Status

AO di Perugia - Ospedale S. Maria della Misericordia

Perugia, Umbria, Italy

Site Status

Azienda Ospedaliera S. Maria

Terni, Umbria, Italy

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Azienda Ospedaliera di Padova

Padua, Veneto, Italy

Site Status

Centre Hospitalier de Luxembourg

Luxembourg, , Luxembourg

Site Status

NeuroKlinika Gabinet Lekarski Prof. Andrzej Bogucki

?ód?, , Poland

Site Status

NZOZ Vitamed

Bydgoszcz, , Poland

Site Status

Szpital Sw. Wojciecha

Gda?sk, , Poland

Site Status

Krakowska Akademia Neurologii Sp z o.o. Centrum Neurologii K

Krakow, , Poland

Site Status

Indywidualna Praktyka Lekarska Prof. Dr Hab. N. Med. Konrad Rejdak.

Lublin, , Poland

Site Status

Nmedis sp. z o.o.

Rzeszów, , Poland

Site Status

Samodzielny Publiczny Szpital Kliniczny im. prof. Orlowskiego

Warsaw, , Poland

Site Status

Centrum Medyczne NeuroProtect

Warsaw, , Poland

Site Status

Mazowiecki Szpital Bródnowski w Warszawie Sp. z o.o.

Warsaw, , Poland

Site Status

Hospital General Universitario de Elche

Elche, Alicante, Spain

Site Status

Hospital General De Catalunya

Sant Cugat del Vallès, Barcelona, Spain

Site Status

Policlínica Guipuzkoa

Donosti-San Sebastián, Guipuzcoa, Spain

Site Status

Complejo Hospitalario Universitario A Coruña (CHUAC)

A Coruña, LA Coruna, Spain

Site Status

Hospital Universitario Fundación Alcorcón

Alcorcón, Madrid, Spain

Site Status

HM Universitario Puerta del Sur CINAC (C.Integ.Neuroc);

Móstoles, Madrid, Spain

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Hospital Quiron de Madrid

Pozuelo de Alarcón, Madrid, Spain

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Clinica Universidad de Navarra

Pamplona, Navarre, Spain

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Hospital Virgen del Puerto

Plasencia, Palencia, Spain

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Hospital de Cruces

Barakaldo, Vizcaya, Spain

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Hospital Vall d'Hebron

Barcelona, , Spain

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Hospital Clinic Servicio de Neurologia

Barcelona, , Spain

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Hospital de la Santa Creu i Sant Pau

Barcelona, , Spain

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Hospital Universitario de Burgos. Servicio de Neurología

Burgos, , Spain

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Hospital Ruber Juan Bravo

Madrid, , Spain

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Hospital Universitario de la Princesa

Madrid, , Spain

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Hospital General Universitario Gregorio Marañon

Madrid, , Spain

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Hospital Universitario Clínico San Carlos

Madrid, , Spain

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Hospital Universitario 12 de Octubre

Madrid, , Spain

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Hospital Regional Universitario Carlos Haya

Málaga, , Spain

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Hospital Universitario Virgen Macarena

Seville, , Spain

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Hospital Virgen del Rocío

Seville, , Spain

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Hospital Universitario Dr. Peset

Valencia, , Spain

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Hospital Universitari i Politecnic La Fe

Valencia, , Spain

Site Status

Servicio de Neurología Hospital Viamed Montecanal.

Zaragoza, , Spain

Site Status

Ninewells Hospital, Dundee- Scotland

Dundee, , United Kingdom

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Kings College Hospital

London, , United Kingdom

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Charing Cross Hospital

London, , United Kingdom

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Campus for Ageing and Vitality

Newcastle, , United Kingdom

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Oxford University Hospitals NHS Foundation Trust

Oxford, , United Kingdom

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North West Anglia NHS Foundation Trust

Peterborough, , United Kingdom

Site Status

Derriford Hospital

Plymouth, , United Kingdom

Site Status

Countries

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Argentina Australia Belgium Brazil Bulgaria Chile China Colombia Croatia Czechia Germany Hungary Portugal United States Austria Canada France Italy Luxembourg Poland Spain United Kingdom

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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2020-004997-23

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

2023-507132-21-00

Identifier Type: CTIS

Identifier Source: secondary_id

BN42358

Identifier Type: -

Identifier Source: org_study_id