A Double-blind Study to Investigate Efficacy and Safety of Buntanetap Compared With Placebo in Participants With Early PD
NCT ID: NCT05357989
Last Updated: 2025-03-03
Study Results
Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.
View full resultsBasic Information
Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.
COMPLETED
PHASE3
523 participants
INTERVENTIONAL
2022-08-03
2023-12-04
Brief Summary
Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.
Study details include:
* The study duration will be up to 7-8 months.
* The double-blind treatment duration will be up to 6 months.
* There will be 5 in-clinic visits and 7 phone calls
Related Clinical Trials
Explore similar clinical trials based on study characteristics and research focus.
Evaluation of the Efficacy and Safety of Bumetanide in Parkinson's Disease
NCT03899324
Placebo Controlled Study of Preladenant in Participants With Moderate to Severe Parkinson's Disease (P07037)
NCT01227265
A Study to Test the Safety, Tolerability, and Pharmacokinetics of UCB0599 in Healthy Study Participants and Patients With Parkinson's Disease (PD)
NCT04875962
Phase I Study to Evaluate KP405 in Healthy and Parkinson's Disease Patients
NCT06189170
PF-06669571 In Subjects With Idiopathic Parkinson's Disease
NCT02565628
Detailed Description
Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.
Buntanetap/posiphen has shown to improve PD subjects' mobility. MDS-UPDRS sum of score of Part II + Part III and Total score of all four parts will be measured to assess its improvement on PD subjects daily living, mobility and complications. PGIC will also be measured to assess its effect.
Buntanetap/posiphen has shown to reduce inflammation and preserve axonal integrity and synaptic functions as well as neurotoxic proteins in previous Phase 2a studies. In this study we plan to measure plasma glial fibrillary acidic protein (GFAP), neurofilament light (NFL) and potentially TDP43.
Reports of adverse events (AEs) and serious adverse events (SAEs) during exposure to buntanetap/posiphen will be collected to evaluate if there are any significant clinical safety issues for the study population. Extensive clinical and laboratory safety data already exist for buntanetap/posiphen; therefore, these safety measures will be sufficient in the proposed study.
For clinical, functional, and cognitive assessment measures, The subjects will be administered the Hoehn \& Yahr and the MMSE for determination of inclusion into the study. The MDS-UPDRS and PGIC will be administered for subjects' movement and daily function. The Coding subtest from the WAIS 4th edition will serve as a sensitive measure of Central Nervous System (CNS) dysfunction. MMSE will also be measured to assess subjects' cognitive change.
Conditions
See the medical conditions and disease areas that this research is targeting or investigating.
Study Design
Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.
RANDOMIZED
PARALLEL
TREATMENT
QUADRUPLE
Study Groups
Review each arm or cohort in the study, along with the interventions and objectives associated with them.
10 mg buntanetap/posiphen
Buntanetap/posiphen 10 mg oral capsule with daily administration for a period of 6 months
buntanetap/posiphen
HPMC (vegetarian source) capsule shells
20 mg buntanetap/posiphen
Buntanetap/posiphen 20 mg oral capsule with daily administration for a period of 6 months
buntanetap/posiphen
HPMC (vegetarian source) capsule shells
Placebo
Placebo oral capsule with daily administration for a period of 6 months
Placebo
HPMC (vegetarian source) capsule shells
Interventions
Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.
buntanetap/posiphen
HPMC (vegetarian source) capsule shells
Placebo
HPMC (vegetarian source) capsule shells
Other Intervention Names
Discover alternative or legacy names that may be used to describe the listed interventions across different sources.
Eligibility Criteria
Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.
Inclusion Criteria
2. H\&Y score =1, 2 or 3 during ON-state \& OFF-state \<2hrs per day.
3. Male or female aged 40 - 85 years.
4. MMSE score between the range of 22-30 during screening visit (ON-state) and subjects can live independently without a caregiver.
5. Female subjects of childbearing potential\* must have a negative serum or urine pregnancy test at Screening, must be non-lactating and must agree to use a highly effective method of contraception (i.e., a method resulting in a failure rate of less than 1% per year when used consistently and correctly) during the trial and for 4 weeks after the last dose of trial treatment, such as:
* Oral, intravaginal, or transdermal combined (estrogen plus progestogen) hormonal contraception associated with inhibition of ovulation
* Oral, injectable, or implantable progestogen-only hormonal contraception associated with inhibition of ovulation
* Intrauterine device (IUD)
* Intrauterine hormone-releasing system (IUS)
* Bilateral tubal occlusion
* Vasectomized partner (a vasectomized partner is a highly effective contraception method provided that the partner is the sole male sexual partner of the participant, and the absence of sperm has been confirmed. If not, an additional highly effective method of contraception should be used)
* Sexual abstinence (sexual abstinence is considered a highly effective method only if defined as refraining from heterosexual intercourse during the entire period of risk associated with the study treatment. The reliability of sexual abstinence needs to be evaluated in relation to the duration of the study and the preferred and usual lifestyle of the participant) \*Non-childbearing potential includes surgically sterilized or postmenopausal with no menstrual bleeding for at least one year prior to study start.
6. Male subjects must be sterile or sexually inactive or agree not to father a child during the study and one month after the last dose of study medication and must agree to use a barrier method for contraception. Female partners of male subject must adopt a highly effective method of contraception with a failure rate of less than 1% per year when used consistently and correctly such as:
* Oral, intravaginal, or transdermal combined (estrogen plus progestogen) hormonal contraception associated with inhibition of ovulation
* Oral, injectable, or implantable progestogen-only hormonal contraception associated with inhibition of ovulation
* Intrauterine device (IUD)
* Intrauterine hormone-releasing system (IUS)
* Bilateral tubal occlusion 6. Female participants will be given a urine pregnancy test at the screening visit for which they should test negative.
7. General cognition and functional performance sufficiently preserved that the subject can provide written informed consent.
8. No evidence of current suicidal ideation or previous suicide attempt in the past month as evaluated in the Columbia Suicide Severity Rating Scale.
9. Stability of permitted medications prior to screening for at least 4 weeks.
10. At screening subjects do not need to but may be on the following medication:
* Standard of Care anti-parkinsonian medication
* Anticonvulsant medications used for epilepsy or mood stabilization, neuropathic pain indications
* Mood-stabilizing psychotropic agents, including, but not limited to, lithium.
11. Adequate visual and hearing ability (physical ability to perform all the study assessments).
12. Good general health with no disease expected to interfere with the study.
13. Subjects previously exposed to buntanetap can still be included in the study after a 28- day wash out period.
Exclusion Criteria
2. History of a seizure disorder, if stable on medication is acceptable.
3. Has a history or current evidence of long QT syndrome, Fridericia's formula corrected QT (QTcF) interval ≥ 475ms, or torsades de pointes.
4. Has bradycardia (\<50 bpm) or tachycardia (\>100 bpm) on the ECG at screening.
5. Has uncontrolled Type-1 or Type-2 diabetes. A subject with HbA1c levels up to 7.5% can be enrolled if the investigator believes the subject's diabetes is under control.
6. Has clinically significant renal or hepatic impairment.
7. Has any clinically significant abnormal laboratory values. Subjects with liver function tests (aspartate aminotransferase \[AST\] or alanine aminotransferase \[ALT\]) greater than twice the upper limit of normal will be excluded.
8. Is at imminent risk of self-harm, based on clinical interview and responses on the C SSRS, or of harm to others in the opinion of the Investigators. Subjects must be excluded if they report suicidal ideation with intent, with or without a plan or method (e. g. positive response to Items 4 or 5 in assessment of suicidal ideation on the C SSRS) in the past 2 months, or suicidal behavior in the past 6 months.
9. Has cancer or has had a malignant tumor within the past year, except subjects who underwent potentially curative therapy with no evidence of recurrence. (Subjects with stable untreated prostate cancer or skin cancers are not excluded).
10. Alcohol / Substance use disorder, moderate to severe, in the last 5 years according to the most current version DSM.
11. Participation in another clinical trial with an investigational agent and have taken at least one dose of study medication, unless unblinded on placebo, within 60 days prior to the start of screening. The end of a previous investigational trial is the date the last dose of an investigational agent was taken, or five half-lives of the investigational drug, whichever is greater.
12. Subjects with learning disability or developmental delay.
13. Subjects whom the site PI deems to be otherwise ineligible.
14. Subjects with a known allergy to the investigational drug or any of its components.
15. Subject is currently pregnant, breast-feeding and/or lactating.
16. Subject is currently taking CYP3A4 inhibitors and/or inducers.
40 Years
85 Years
ALL
No
Sponsors
Meet the organizations funding or collaborating on the study and learn about their roles.
TFS Trial Form Support
INDUSTRY
Annovis Bio Inc.
INDUSTRY
Responsible Party
Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.
Locations
Explore where the study is taking place and check the recruitment status at each participating site.
University of Alabama at Birmingham (UAB)- The Kirklin Clinic
Birmingham, Alabama, United States
Banner Sun Health Research Institute - Cleo Roberts Center for Clinical Research
Sun City, Arizona, United States
Parkinson's & Movement Disorder Institue (PMDI) - Orange County Office
Fountain Valley, California, United States
UCSF Medical Center - Parkinson's Disease and Movement Disorders Clinic
San Francisco, California, United States
Rocky Mountain Movement Disorder Center
Englewood, Colorado, United States
Ki Health Partners LLC D/B/A New England Institute for Clinical Research
Stamford, Connecticut, United States
Visionary Investigators Network
Aventura, Florida, United States
Parkinson's Disease and Movement Disorders Center of Boca Raton
Boca Raton, Florida, United States
The Neurology Institute - Coral Springs
Coral Springs, Florida, United States
Arrow Clinical trial
Daytona Beach, Florida, United States
Accel Research Sites - DeLand Clinical Research Unit
DeLand, Florida, United States
Coral Clinic Reserach LLC
Homestead, Florida, United States
Homestead Associates in Research, Inc
Miami, Florida, United States
Visionary Investigators Networks
Miami, Florida, United States
Medical Professional Clinical Research Center, INC
Miami, Florida, United States
Reliant Medical Research
Miami, Florida, United States
Ezy Medical Research Co.
Miami, Florida, United States
Visionary Investigators Network
Miami, Florida, United States
Renstar Medical Research
Ocala, Florida, United States
Visionary Investigators Network
Pembroke Pines, Florida, United States
Parkinsons Disease Treatment Center
Port Charlotte, Florida, United States
University of South Florida (USF) - University of South Florida College of Medicine- Parkinson's Disease and Movement Disorders Center
Tampa, Florida, United States
ClinCloud, LLC
Viera, Florida, United States
Conquest Research, LLC
Winter Park, Florida, United States
CenExel iResearch, LLC
Decatur, Georgia, United States
Hawaii Pacific Neuroscience, LLC
Honolulu, Hawaii, United States
Josephson Wallack Munshower Neurology, P.C.
Indianapolis, Indiana, United States
University of Kansas Medical Center
Kansas City, Kansas, United States
Michigan State University (MSU)- Health Team- Neurology and Ophthalmology Clinic
East Lansing, Michigan, United States
Quest Research Institue
Farmington Hills, Michigan, United States
Parkinson's Disease and Movement Disorders Center of Long Island
Commack, New York, United States
Mount Sinai West (Mount Sinai Roosevelt)
New York, New York, United States
Ohio State University Wexner Medical Center (OSUWMC) - CarePoint Gahanna
Columbus, Ohio, United States
The Movement Disorder Clinic (MDC) of Oklahoma
Tulsa, Oklahoma, United States
Abington Neurology
Abington, Pennsylvania, United States
University of Pennsylvania
Philadelphia, Pennsylvania, United States
Rhode Island Hospital
Providence, Rhode Island, United States
Medical University of South Carolina (MUSC) - The Murray Center for Research on Parkinson's Disease and Related Disorders
Charleston, South Carolina, United States
Veracity Neuroscience, LLC
Memphis, Tennessee, United States
Central Texas Neurology Consultants
Round Rock, Texas, United States
University of Virginia Health System (UVAHS)- Adult Neurology Clinic
Charlottesville, Virginia, United States
Inland Northwest Research
Spokane, Washington, United States
Medical College of Wisconsin
Milwaukee, Wisconsin, United States
Curiositas-ad-sanum GmbH
Haag, Bavaria, Germany
Kliniken Beelitz GmbH - Neurologisches Frachkrankenhaus fur Bewegungsstoerungen / Parkinson
Beelitz, Brandenburg, Germany
Paracelsus-Kliniken Deutschland GmbH & Co. KGaA - Paracelsus-Elena-Klinik Kassel
Kassel, Hesse, Germany
University Hospital Muenster
Münster, North Rhine-Westphalia, Germany
Klinik und Poliklinik fur Neurologie - Universitatsklinikum Carl Gustav Carus an der Techischen Universitat
Dresden, Saxony, Germany
Neurologie Berlin - Gemeinschaftspraxis Dr. Ehret / Dr. von Pannwitz
Berlin, , Germany
Alexianer St. Joseph-Krankenhaus Berlin-Weissensee
Berlin, , Germany
Debreceni Egyetem Klinikai Központ Neurológiai Klinika (Kenézy Gyula Campus, Neurológiai Osztály)
Debrecen, , Hungary
PTE AOK Neurologiai Klinika
Pécs, , Hungary
Universita degli Studi di Salerno - Centro per le Malattie Neurodegenerative
Baronissi, Campania, Italy
San Raffaele Cassino - Centro di Cura e Prevenzione per il Parkinson
Cassino, Lazio, Italy
San Raffaele Pisana - Centro per la Cura e la Diagnosi del Parkinson
Rome, Lazio, Italy
Pratia MCM Krakow
Krakow, Lesser Poland Voivodeship, Poland
Unicardia Specjalstyczne Centrum Leczenia Chorob Serca I Naczyn&Unimedica Specjalistyczne Centrum Medyczne
Krakow, Lesser Poland Voivodeship, Poland
Krakowska Akademia Neurologil Sp. z o.o. - Centrum Neurologii Klinicznej
Krakow, Lesser Poland Voivodeship, Poland
RCMed Oddzial Sochaczew
Sochaczew, Masovian Voivodeship, Poland
MTZ Clinical Research Powered by Pratia
Warsaw, Masovian Voivodeship, Poland
Specjalistyczna Praktyka Lekarska Dr. Stanislaw Ochudlo
Katowice, Silesian Voivodeship, Poland
NEURO-CARE Sp. z o.o. Sp. Komandytowa
Siemianowice Śląskie, Silesian Voivodeship, Poland
Hospital General Universitario de Elche
Elche, Alicante, Spain
Hospital Universitaris General de Catalunya (HGC)
Sant Cugat del Vallès, Barcelona, Spain
Policlinica Gipuzkoa - Centro de Invesigacion Parkinson (CIP)
Donostia / San Sebastian, Gipuzkoa, Spain
Universidad Complutense de Madrid (UCM) - Hospital Universitario Infanta Sofia
San Sebastián de los Reyes, Madrid, Spain
Universidad de Navarra - Clnica Universidad de Navarra (CUN) - Pamplona
Pamplona, Navarre, Spain
Universidad de Navarra - Clinica Universidad de Navarra (CUN) - Madrid
Madrid, , Spain
Hospital Universitario Virgen del Rocio (URVR - Instituto de Biomedicina de Sevilla (IBIS)
Seville, , Spain
Countries
Review the countries where the study has at least one active or historical site.
Provided Documents
Download supplemental materials such as informed consent forms, study protocols, or participant manuals.
Document Type: Study Protocol
Document Type: Statistical Analysis Plan
Other Identifiers
Review additional registry numbers or institutional identifiers associated with this trial.
ANVS-22001
Identifier Type: -
Identifier Source: org_study_id
More Related Trials
Additional clinical trials that may be relevant based on similarity analysis.