Efficacy and Safety of Gemlapodect (NOE-105) in Adults and Adolescents With Tourette Syndrome

NCT ID: NCT06315751

Last Updated: 2025-12-05

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

164 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-09-10

Study Completion Date

2026-04-30

Brief Summary

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This study is designed to evaluate the efficacy and safety of gemlapodect (NOE-105) on reducing tics associated with Tourette Syndrome (TS) in adults with TS. Adolescents will be enrolled after a sentinel cohort of adults is complete.

Detailed Description

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Gemlapodect is an investigational selective PDE10A inhibitor with a potential therapeutic effect for the treatment of tics associated with Tourette Syndrome (TS). This is a multi-center, double-blind, parallel-arm, placebo-controlled study in patients with TS. Following screening to confirm eligibility and to wash-out previous TS medication during a 14-day placebo run-in, patients will be randomized 1:1 on Day 1 to receive gemlapodect or placebo once daily for 12 weeks. See https://allevia2study.com

Conditions

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Tourette Syndrome

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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Gemlapodect

Escalating doses of NOE-105 capsules

Group Type EXPERIMENTAL

Gemlapodect

Intervention Type DRUG

Gemlapodect is an investigational selective PDE10A inhibitor with a potential therapeutic effect for the treatment of tics associated with TS. Administered in the form of oral capsules.

Placebo

Escalating doses of matching placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Administered in the form of oral capsules with inert ingredients.

Interventions

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Gemlapodect

Gemlapodect is an investigational selective PDE10A inhibitor with a potential therapeutic effect for the treatment of tics associated with TS. Administered in the form of oral capsules.

Intervention Type DRUG

Placebo

Administered in the form of oral capsules with inert ingredients.

Intervention Type DRUG

Other Intervention Names

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NOE-105

Eligibility Criteria

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Inclusion Criteria

1. Initially, patients aged 18 years onwards, at the time of signing the ICF form. Adolescents aged 12 years and older at the time of signing the ICF/informed assent form will be eligible for inclusion after completion of a sentinel cohort of adults.
2. Moderate to severe Tourette Syndrome as defined by DSM-5 diagnostic criteria and TS-CGI-S ≥ 4.
3. Treatment naive or previously treated patients in need of treatment alternative as per investigators judgement.
4. Patients must discontinue all medications used to treat TS for at least 14 days prior to randomization. Other psychotropic drugs, including stimulants, will be allowed provided they have been stable for at least 30 days prior to randomization and are expected to remain stable for the duration of the study.
5. BMI within the range 18 to 35 kg/m2 (inclusive).
6. Women of childbearing potential should only be included after a confirmed menstrual period and a negative highly sensitive urine or serum pregnancy test. Contraceptive use should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
7. Capable of giving signed informed consent or consent from their legal representative.
8. Fluency in the language of the investigator, study staff, and the ICF/informed assent form when applicable.

Exclusion Criteria

1. Any medical condition which, in the opinion of the investigator, could interfere with study procedures including but not limited to functional tic-like disorder, secondary tic symptoms accompanied by late-onset tics, Huntington's chorea, malignant TS, neuroacanthocytosis, autism, and history of known intellectual disability that would affect patient's ability to comply with study procedures.
2. Current active diagnosis of severe anxiety, bipolar disorder, schizophrenia, major depressive disorder (MDD,), or Parkinson's disease. Patients with a history of MDD on selective serotonin reuptake inhibitors treatment stable for at least a month may participate in the study.
3. A history of severe traumatic brain injury or stroke.
4. Any unstable medical conditions, severe symptoms, or clinically significant abnormalities on screening test/examinations, including uncontrolled seizure disorders, which, in the investigator's judgment, will put them at a risk of major AE during this trial, or will interfere with safety and efficacy assessments.
5. Are undergoing active CBT (including but not limited to comprehensive behavioral intervention for tics, exposure and response prevention, relaxation training) during the last 28 days before the planned date of randomization and until the end of the trial. Patients willing to discontinue their CBT over this period are eligible to enroll in the study.
6. Known DSM-5 diagnosis of substance abuse or dependence.
7. Active suicidal ideation or behavior.
8. Use of prescribed or recreational cannabinoids during the study are prohibited. Prescribed cannabinoids include Epidiolex® (cannabidiol), Marinol® /Syndros® (dronabinol), and Cesamet® (nabilone). These medications will be discontinued during the Screening period. Study participants prescribed cannabinoids for seizure disorders are not eligible for study participation. Recreational cannabinoids, regardless of their form of intake, which include tetrahydrocannabinol and/or cannabidiol, are prohibited.
9. Strong inhibitors and inducers of CYP3A4 are prohibited during the study.
10. Neurostimulation/deep brain stimulation for TS.
11. Participation in another clinical study with a study intervention administered in the last 30 days.
12. Patients with a known hypersensitivity to gemlapodect or any of the excipients of the product
13. Positive urine drug screen for cannabis, cocaine, or nonprescribed opiates.
14. The person is an employee or family member of an employee of the Sponsor, Investigator, or study site personnel.
15. Judgment by the investigator that the patient should not participate in the study if the patient is unlikely to comply with study procedures, restrictions, and requirements.
16. Previous randomization in the present study.
17. The person is currently committed to an institution by virtue of an order issued either by the judicial or the administrative authorities
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Noema Pharma AG

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Director, MD

Role: STUDY_DIRECTOR

Noema Pharma AG

Locations

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Noema TTS-201 Site #81

Sun City, Arizona, United States

Site Status

Noema TTS-201 Site #95

Bellflower, California, United States

Site Status

Noema TTS-201 Site #75

Glendale, California, United States

Site Status

Noema TTS-201 Site #59

San Rafael, California, United States

Site Status

Noema TTS-201 Site #21

Walnut Creek, California, United States

Site Status

Noema TTS-201 Site #54

Gulf Breeze, Florida, United States

Site Status

Noema TTS-201 Site #05

Hialeah, Florida, United States

Site Status

Noema TTS-201 Site #97

Jensen Beach, Florida, United States

Site Status

Noema TTS-201 Site #71

Largo, Florida, United States

Site Status

Noema TTS-201 Site #44

Maitland, Florida, United States

Site Status

Noema TTS-201 Site # 74

Miami, Florida, United States

Site Status

Noema TTS-201 Site #56

Miami Lakes, Florida, United States

Site Status

Noema TTS-201 Site #61

Orlando, Florida, United States

Site Status

Noema TTS-201 Site #79

Atlanta, Georgia, United States

Site Status

Noema TTS-201 Site #87

Peachtree Corners, Georgia, United States

Site Status

Noema TTS-201 Site #55

Boston, Massachusetts, United States

Site Status

Noema TTS-201 Site #51

Ann Arbor, Michigan, United States

Site Status

Noema TTS-201 Site #96

Saint Charles, Missouri, United States

Site Status

Noema TTS-201 Site #93

Lincoln, Nebraska, United States

Site Status

NOema TTS-201 Site #19

New York, New York, United States

Site Status

Noema TTS-201 Site #03

Stony Brook, New York, United States

Site Status

Noema TTS-201 Site #57

Charlotte, North Carolina, United States

Site Status

Noema TTS-201 Site #58

Middleburg Heights, Ohio, United States

Site Status

Noema TTS-201 Site #73

North Charleston, South Carolina, United States

Site Status

Noema TTS-201 Site #98

Nashville, Tennessee, United States

Site Status

Noema TTS-201 Site #42

Dallas, Texas, United States

Site Status

Noema TTS-201 Site #22

Fort Worth, Texas, United States

Site Status

Noema TTS-201 Site #94

San Antonio, Texas, United States

Site Status

Noema TTS-201 Site #45

Orem, Utah, United States

Site Status

Noema TTS-201 Site #18

Petersburg, Virginia, United States

Site Status

Noema TTS-201 Site #50

Bellevue, Washington, United States

Site Status

Noema TTS-201 Site #06

Ghent, , Belgium

Site Status

Noema TTS-201 #07

Bron, , France

Site Status

Noema TTS-201 Site #08

Poitiers, , France

Site Status

Noema TTS-201 Site #35

Düsseldorf, , Germany

Site Status

Noema TTS-201 Site #09

Hanover, , Germany

Site Status

NOE-TTS-201 Site #25

Munich, , Germany

Site Status

Noema TTS-201 Site #30

Budapest, , Hungary

Site Status

Noema TTS-201 Site #13

Katowice, , Poland

Site Status

Noema TTS-201 Site #14

Katowice, , Poland

Site Status

Noema TTS-201 Site #26

Barcelona, , Spain

Site Status

Noema TTS-201 Site #15

Burgos, , Spain

Site Status

Noema TTS-201 Site #27

Madrid, , Spain

Site Status

Noema TTS-201 Site #17

Oviedo, , Spain

Site Status

Noema TTS-201 Site #16

Sant Cugat del Vallès, , Spain

Site Status

NOE-TTS-201 Site #28

Seville, , Spain

Site Status

Countries

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United States Belgium France Germany Hungary Poland Spain

Related Links

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Other Identifiers

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NOE-TTS-201

Identifier Type: -

Identifier Source: org_study_id

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