A Study to Learn About the Safety of BIIB122 Tablets and Whether They Can Slow the Worsening of Early-Stage Parkinson's Disease in Adults Between the Ages of 30 and 80

NCT ID: NCT05348785

Last Updated: 2025-10-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

650 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-04-19

Study Completion Date

2026-03-09

Brief Summary

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In this study, researchers will learn more about BIIB122 in participants with early-stage Parkinson's disease (PD). The study will include adults aged 30 to 80 who were diagnosed with PD within 2 years of starting the study.

The main objective of the study is to learn about the effect BIIB122 has on slowing down the worsening of PD symptoms. The main question researchers want to answer is:

\- How long does it take for PD symptoms to worsen during BIIB122 treatment?

Researchers will answer this and other questions by measuring the symptoms of PD over time using a variety of scoring tools. These include the Movement Disorder Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS) and the modified Schwab and England Activities of Daily Living Scale (mSE-ADL).

The MDS-UPDRS is used to measure symptoms of PD. It has 4 parts: Part I, II, III, and IV. Each part measures different aspects of motor and non-motor symptoms. The mSE-ADL measures a participant's ability to perform daily activities or personal chores.

Researchers will also learn more about the safety of BIIB122. They will check participants for adverse events. Adverse events are unwanted health problems that may or may not be caused by the study drug.

The study will be done as follows:

* Participants will be randomly assigned to take either BIIBB122 or placebo. A placebo looks like the study drug but contains no real medicine.
* Neither the researchers nor the participants will know if the participants are receiving BIIB122 or placebo.
* Participants will take BIIB122 or placebo tablets by mouth once a day.
* The treatment period for each participant will last between 48 and 144 weeks.
* There will be a safety follow-up period for 2 weeks after the last dose of BIIB122.
* In total, participants will have up to 29 study visits.
* Participants will stay in the study for at least 1 year, up to about 3 years.

Detailed Description

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BIIB122 is an investigational central nervous system-penetrant small molecule inhibitor of leucine-rich repeat kinase 2 (LRRK2). Participants who completed the early termination (ET) visit of the study 283PD302 (NCT05418673) would be eligible for screening of this study and if enrolled, these participants are not eligible for the sub studies of 283PD201.

Conditions

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Parkinson Disease

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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BIIB122 225 mg

Participants will receive BIIB122, 225 mg tablets, by mouth, once daily (QD) for up to a minimum of 48 weeks and a maximum of 144 weeks.

Participants who received BIIB122 and completed the ET visit of study 283PD302 (NCT05418673) will continue to receive BIIB122, 225 mg tablets, by mouth, QD for up to a minimum of 48 weeks and a maximum of 144 weeks.

Group Type EXPERIMENTAL

BIIB122

Intervention Type DRUG

Administered as specified in the treatment arm

BIIB122 Matching Placebo

Participants will receive BIIB122 matching placebo tablets, by mouth, QD for up to a minimum of 48 weeks and a maximum of 144 weeks.

Participants who received placebo and completed the ET visit of study 283PD302 (NCT05418673) will continue to receive BIIB122 matching placebo tablets, by mouth, QD for up to a minimum of 48 weeks and a maximum of 144 weeks.

Group Type PLACEBO_COMPARATOR

BIIB122-Matching Placebo

Intervention Type DRUG

Administered as specified in the treatment arm

Interventions

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BIIB122

Administered as specified in the treatment arm

Intervention Type DRUG

BIIB122-Matching Placebo

Administered as specified in the treatment arm

Intervention Type DRUG

Other Intervention Names

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DNL151

Eligibility Criteria

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Inclusion Criteria

* Clinical diagnosis of PD meeting the Movement Disorder Society Clinical Diagnostic Criteria within 2 years of the Screening Visit, inclusive, and at least 30 years of age at the time of diagnosis
* Modified Hoehn and Yahr scale stages 1 to 2 (in OFF state), inclusive, at screening
* MDS-UPDRS Parts II and III (in OFF state) combined score less than or equal to (≤)50 at screening

Exclusion Criteria

* Clinically significant neurological disorder other than PD, including but not limited to stroke, dementia, or seizure, within 5 years of screening visit, in the opinion of the Investigator
* Clinical evidence of atypical parkinsonism (e.g., multiple-system atrophy or progressive supranuclear palsy) or evidence of drug-induced parkinsonism.
* Montreal Cognitive Assessment (MoCA) score \<24 at the screening visit.
Minimum Eligible Age

30 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Denali Therapeutics Inc.

INDUSTRY

Sponsor Role collaborator

Biogen

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director

Role: STUDY_DIRECTOR

Biogen

Locations

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Mayo Clinic Arizona

Phoenix, Arizona, United States

Site Status

Banner Sun Health Research Institute

Sun City, Arizona, United States

Site Status

University of Southern California

Los Angeles, California, United States

Site Status

Cedars Sinai

Los Angeles, California, United States

Site Status

SC3 Research Group Inc.

Pasadena, California, United States

Site Status

University of California San Francisco (UCSF)

San Francisco, California, United States

Site Status

University of Colorado

Aurora, Colorado, United States

Site Status

CenExel Rocky Mountain Clinical Research

Englewood, Colorado, United States

Site Status

Invicro

New Haven, Connecticut, United States

Site Status

Parkinson's Disease and Movement Disorders Center of Boca Raton

Boca Raton, Florida, United States

Site Status

University of Miami

Miami, Florida, United States

Site Status

Adventist Health System/Sunbelt, Inc.

Orlando, Florida, United States

Site Status

USF Health Byrd Institute

Tampa, Florida, United States

Site Status

Hawaii Pacific Neuroscience, LLC

Honolulu, Hawaii, United States

Site Status

Northwestern University

Chicago, Illinois, United States

Site Status

Rush University Medical Center

Chicago, Illinois, United States

Site Status

University of Kansas Medical Center Research Institute, Inc.

Kansas City, Kansas, United States

Site Status

Boston University Medical Center

Boston, Massachusetts, United States

Site Status

Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Quest Research Institute

Farmington Hills, Michigan, United States

Site Status

Mount Sinai Beth Israel

New York, New York, United States

Site Status

Weill Medical College of Cornell University

New York, New York, United States

Site Status

Duke Movement Disorders Clinic

Durham, North Carolina, United States

Site Status

The Cleveland Clinic Foundation

Cleveland, Ohio, United States

Site Status

UPHS

Philadelphia, Pennsylvania, United States

Site Status

Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

Neurology Clinic, PC

Cordova, Tennessee, United States

Site Status

The Methodist Hospital Research Institute

Houston, Texas, United States

Site Status

Central Texas Neurology Consultants

Round Rock, Texas, United States

Site Status

Virginia Commonwealth University Department of Neurology

Richmond, Virginia, United States

Site Status

Evergreen Hospital Medical Center

Kirkland, Washington, United States

Site Status

Inland Northwest Research

Spokane, Washington, United States

Site Status

Medizinische Universität

Innsbruck, Tyrol, Austria

Site Status

Klinik Ottakring

Vienna, , Austria

Site Status

University of Calgary

Calgary, Alberta, Canada

Site Status

True North Clinical Research

Halifax, Nova Scotia, Canada

Site Status

Toronto Western Hospital

Toronto, Ontario, Canada

Site Status

CHUM Centre de Recherche

Montreal, Quebec, Canada

Site Status

Montreal Neurological Institute

Montreal, Quebec, Canada

Site Status

Xuanwu Hospital Capital Medical University

Beijing, Beijing Municipality, China

Site Status

Beijing Hospital

Beijing, Beijing Municipality, China

Site Status

Second Affiliated Hospital of Soochow University

Jiangsu, Jiangsu, China

Site Status

West China Hospital, Sichuan University

Chengdu, Sichuan, China

Site Status

Hôpital de la Timone

Marseille, Bouches-du-Rhône, France

Site Status

Hopital Purpan

Toulouse, Haute Garonne, France

Site Status

Hopital Gui de Chauliac

Montpellier, Herault, France

Site Status

CHU Rennes - Hopital Pontchaillou

Rennes, Ille Et Vilaine, France

Site Status

CHU Nantes - Hopital Nord Laën

Loire-Atlantique, Loire-Atlantique, France

Site Status

CHU Clermont Ferrand - Hopital Gabriel Montpied

Clermont-Ferrand, Puy De Dome, France

Site Status

Centre Hospitalier Universitaire de Lyon-Hospices Civils de Lyon-Hopital Pierre Wertheimer

Bron, Rhone, France

Site Status

Groupe Hospitalier Pitie-Salpetriere

Paris, , France

Site Status

Hopital Henri Mondor

Paris, , France

Site Status

Universitaetsklinikum Tuebingen

Tübingen, Baden-Wurttemberg, Germany

Site Status

Universitaetsklinikum Ulm

Ulm, Baden-Wurttemberg, Germany

Site Status

Klinikum der Universität München

Munich, Bavaria, Germany

Site Status

Klinikum rechts der Isar der TU Muenchen

Munich, Bavaria, Germany

Site Status

Universitaetsklinikum Wuerzburg

Würzburg, Bavaria, Germany

Site Status

Paracelsus-Elena-Klinik Kassel

Kassel, Hesse, Germany

Site Status

Philipps University of Marburg

Marburg, Hesse, Germany

Site Status

Medizinische Hochschule Hannover

Hanover, Lower Saxony, Germany

Site Status

Katholisches Klinikum Bochum gGmbH

Bochum, North Rhine-Westphalia, Germany

Site Status

Universitaetsklinikum Duesseldorf AoeR

Düsseldorf, North Rhine-Westphalia, Germany

Site Status

Universitaetsklinikum Carl Gustav Carus TU Dresden

Dresden, Saxony, Germany

Site Status

Universitaetsklinikum Schleswig-Holstein - Campus Luebeck

Lübeck, Schleswig-Holstein, Germany

Site Status

Rabin Medical Center

Petah Tikva, , Israel

Site Status

Center Chaim Sheba Medical Center

Ramat Gan, , Israel

Site Status

Tel Aviv Sourasky Medical Center

Tel Aviv, , Israel

Site Status

I.R.C.C.S. Neuromed

Diego, Centonze, Italy

Site Status

IRCCS-Institute of Neurological Sciences of Bologna

Bologna, , Italy

Site Status

Azienda Ospedaliera Spedali

Brescia, , Italy

Site Status

Azienda Ospedaliero Universitaria Policlinico 'Gaspare Rodolico - San Marco' (Presidio G. Rodolico)

Catania, , Italy

Site Status

Ospedale Clinicizzato SS. Annu

Chieti, , Italy

Site Status

Fondazione

Milan, , Italy

Site Status

Ospedale San Raffaele

Milan, , Italy

Site Status

AOU Luigi Vanvitelli

Napoli, , Italy

Site Status

AO Universitaria Pisana

Pisa, , Italy

Site Status

IRCCS San Raffaele Pisana

Roma, , Italy

Site Status

Okinawa Prefectural Nanbu

Haeburu, Okinawa, Japan

Site Status

Tazuke-kofukai Medical Research Institute Kitano Hospital

Osaka, Osaka, Japan

Site Status

NHO Asahikawa Medical Center

Asahikawa-shi, , Japan

Site Status

Himeji Central

Himeji-shi, , Japan

Site Status

Sendai Nishitaga National Hospital

Sendai, , Japan

Site Status

Juntendo University

Tokyo, , Japan

Site Status

Brain Research Center Amsterdam

Amsterdam, , Netherlands

Site Status

Radboudumc

Nijmegen, , Netherlands

Site Status

Brain Research Center Zwolle B.V.

Zwolle, , Netherlands

Site Status

Instytut Zdrowia dr Boczarska-Jedynak sp.z.o.o, Sp.K

Oświęcim, Katowice, Poland

Site Status

NeuroProtect Sp. z o.o.

Warsaw, Masovian Voivodeship, Poland

Site Status

Centrum Medyczne Neuromed

Bydgoszcz, , Poland

Site Status

Nzoz Novo-Med

Katowice, , Poland

Site Status

INSULA Centrum Badan Klinicznych

Warsaw, , Poland

Site Status

MD Clinic Praga

Warsaw, , Poland

Site Status

Hospital General de Catalunya

Sant Cugat del Vallès, Barcelona, Spain

Site Status

Clinica Universidad de Navarra

Pamplona, Navarre, Spain

Site Status

Hospital Universitario Marques

Santanda, Santanda, Spain

Site Status

Complejo Hospitalario Universitario A Coruña

A Coruña, , Spain

Site Status

Hospital de Cruces

Barakaldo, , Spain

Site Status

Hospital Universitari Vall d'Hebron

Barcelona, , Spain

Site Status

Hospital de la Santa Creu i Sant Pau

Barcelona, , Spain

Site Status

Hospital Clinic de Barcelona

Barcelona, , Spain

Site Status

Policlinica Gipuzkoa

Donostia / San Sebastian, , Spain

Site Status

Hospital Universitario de La Princesa

Madrid, , Spain

Site Status

Hospital Universitario Virgen del Rocio

Seville, , Spain

Site Status

University Hospitals Plymouth

Plymouth, Devon, United Kingdom

Site Status

Re:Cognition Health Ltd (London)

London, Greater London, United Kingdom

Site Status

Charing Cross Hospital

London, Greater London, United Kingdom

Site Status

The National Hospital for Neurology & Neurosurgery

London, Greater London, United Kingdom

Site Status

Salford Royal NHS Foundation Trust

Salford, Greater Manchester, United Kingdom

Site Status

NeuroClin Limited

Motherwell, Strathclyde, United Kingdom

Site Status

Newcastle University

Newcastle upon Tyne, Tyne and Wear, United Kingdom

Site Status

Re:Cognition Health - Birmingham

Birmingham, West Midlands, United Kingdom

Site Status

Ninewells Hospital

Dundee, , United Kingdom

Site Status

Countries

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United States Austria Canada China France Germany Israel Italy Japan Netherlands Poland Spain United Kingdom

References

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Joshi D, Kulkarni M, Parekh P, Shah S, Greig NH, Acharya S. Targeting protein kinases in Parkinson's disease: the emerging role of phytoconstituents. Nutr Neurosci. 2025 Jul 18:1-32. doi: 10.1080/1028415X.2025.2531356. Online ahead of print.

Reference Type DERIVED
PMID: 40680102 (View on PubMed)

Other Identifiers

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2023-505645-12

Identifier Type: OTHER

Identifier Source: secondary_id

283PD201

Identifier Type: -

Identifier Source: org_study_id

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