To Evaluate the Efficacy of CVN424 in Parkinson's Disease Participants With Motor Complications

NCT ID: NCT06553027

Last Updated: 2025-11-12

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

330 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-09-20

Study Completion Date

2026-03-31

Brief Summary

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This is a randomized, double-blind, placebo-controlled, multicenter study in participants with Parkinson's disease (PD) with motor fluctuations. Participants will be randomized to receive once-daily oral doses of either 75 milligrams (mg) CVN424 or 150 mg CVN424, or a matching placebo for 12 weeks. Participants who successfully complete this study and retain eligibility/suitability will be invited to participate in a future open-label extension (OLE) study.

Detailed Description

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Conditions

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Parkinson Disease

Keywords

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Parkinson Disease CVN424 Phase 3 Motor fluctuations Idiopathic 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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CVN424 75 mg

Participants will be administered with oral doses of 75 mg CVN424.

Group Type EXPERIMENTAL

CVN424 75 mg

Intervention Type DRUG

Participants will receive 75 mg CVN424 tablet once daily.

CVN424 150 mg

Participants will be administered with oral doses of 150 mg CVN424.

Group Type EXPERIMENTAL

CVN424 150 mg

Intervention Type DRUG

Participants will receive 150 mg CVN424 tablet once daily.

Placebo

Participants will be administered with placebo.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Participants will receive matching placebo tablet once daily.

Interventions

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CVN424 75 mg

Participants will receive 75 mg CVN424 tablet once daily.

Intervention Type DRUG

CVN424 150 mg

Participants will receive 150 mg CVN424 tablet once daily.

Intervention Type DRUG

Placebo

Participants will receive matching placebo tablet once daily.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of PD consistent with United Kingdom (UK) Brain Bank criteria and MDS Research Criteria for the Diagnosis of PD; must include bradykinesia with sequence effect and motor asymmetry if no rest tremor, and a prominent response to levodopa.
* Body Mass Index (BMI) \> 18.0 and \< 35.0 Kilograms per meter square (kg/m\^2), inclusive at Screening.
* Modified Hoehn and Yahr Stage ≤ 3 in the ON state.
* Freely ambulatory at the time of Screening (with/without assistive device).
* Montreal Cognitive Assessment (MoCA) Score of at least 24.
* PD medications must be stable for at least 4 weeks prior to Screening; monoamine oxidase B (MAO-B) inhibitors must be stable for at least 12 weeks prior to Screening.
* Levodopa administration at least 4 times daily (immediate or extended release) or three times daily (Rytary or Crexont).
* Stable use of oral anti-sialorrhea medications for 30 days before Screening, without anticipated need for change during the study.
* Average of ≥ 3 h total OFF time/day on Screening home diaries, with at least 2.5 hours OFF on each diary day.
* During Screening, capable of adequately identifying ON, OFF, and dyskinetic states (\>80% concordance) through properly completed ON/OFF diaries.
* Female participants of childbearing potential and male participants with female partners of childbearing potential must agree to either remain abstinent or use adequate and reliable contraception throughout the study and for at least 12 weeks after the last dose of study drug has been taken.
* Able and willing to give written informed consent approved by an institutional review board, and to comply with scheduled visits, treatment plan, laboratory tests, and other study-related procedures.
* Approved as an appropriate and suitable candidate by the Enrollment Authorization Committee (EAC)

Exclusion Criteria

* Diagnosis of secondary or atypical parkinsonism.
* Severe or disabling dyskinesias or OFF expected to preclude successful study participation, in the opinion of the investigator.
* Any previous procedure or therapy designed to provide continuous levodopa or stimulation of dopaminergic tone (i.e., Duopa, apomorphine, subcutaneous levodopa), surgery for PD (i.e., deep brain stimulation \[DBS\]), or anticipation of these during the study.
* History of exclusively diphasic, OFF state, myoclonic or dystonic dyskinesias without peak-dose choreiform dyskinesia.
* Clinically significant orthostatic hypotension (consistently symptomatic or requires medication).
* Clinically significant hallucinations requiring antipsychotic use.
* Current use of strong CYP3A4/5 inhibitors or inducers.
* Routine use of PD on-demand medications (i.e., inhaled levodopa, apomorphine injection). Routine use defined as three (3) or more uses per week of on-demand medication is not allowed. On demand medications should only be used for medical emergencies and should be avoided on anticipated diary days, as best as possible.
* Use of injectable botulinum medication for sialorrhea within 90 days of screening or during the study.
* Current use of medication with dopamine antagonist activity, or any use within 12 months of Screening.
* Clinically significant medical, surgical, psychiatric, or laboratory abnormalities that in the judgment of the investigator would preclude adequate participation or completion of the study.
* Clinically significant ECG abnormalities at Screening.
* Prolonged Fridericia-corrected QT (QTcF) interval on ECG at Screening.
* Clinically significant heart disease within 2 years of Screening, defined as follows:

* Significant cardiac event within 12 weeks prior to Screening (e.g., admission for myocardial infarction, unstable angina, or decompensated heart failure), angina pectoris or episode of congestive heart failure with symptoms \> grade 2 New York Heart Association classification, or presence of cardiac disease that in the opinion of the investigator increases the risk of ventricular arrhythmia.
* History of complex arrhythmia (multifocal premature ventricular contractions, bigeminy, trigeminy, ventricular tachycardia) that was symptomatic or required treatment.
* Symptomatic or uncontrolled atrial fibrillation despite treatment, or asymptomatic sustained ventricular tachycardia
* Symptomatic bradycardia, sick sinus syndrome or atrioventricular block greater than first degree in the absence of a pacemaker
* Unexplained syncope
* Brugada syndrome
* Hypertrophic cardiomyopathy
* Any clinically significant history of malignancy or ongoing malignancy of sufficient concern for interference with completion of the study or quality of study experience, in the opinion of the investigator and medical monitor.
* Active major depressive disorder or a Beck Depression Inventory-II (BDI-II) score of \> 19.
* Has active suicidal ideation within one year prior to Screening as determined by the C-SSRS or attempted suicide within the last 5 years.
* Has been diagnosed with or history of a substance-related disorder (excluding nicotine and caffeine), including alcohol-related disorder by Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V) criteria, during the 12 months prior to Screening.
* Tests positive at Screening for drugs of abuse. Drugs of abuse refers to illicit substances and does not include participants taking physician-prescribed medications. For participants who are legally prescribed cannabis for medical reasons, the appropriateness of the participant for this study will be made by the judgement of the Investigator in consultation with the Medical monitor.
* Has alanine aminotransferase (ALT) or aspartate aminotransferase (AST) levels greater than 2.5 times the upper limit of normal (ULN) or a degree of hepatic impairment using the Child-Pugh classification of B or C.
* Significant renal impairment as determined by estimated glomerular filtration rate (eGFR) less than or equal to 60 milliliters per minute (ml/min).
* Has a positive test result for hepatitis B surface antigen (HBsAg), hepatitis C virus antibodies (HCV) antibody, or Human Immunodeficiency Virus (HIV) infection at Screening.
* Currently lactating or pregnant or planning to become pregnant during the study.
* Previous exposure to CVN424.
* Currently participating in or has participated in another study of an investigational medicinal product (IMP) or medical device in the last 3 months or within 5 half-lives of the IMP (whichever is longer) prior to Screening.
* A known hypersensitivity to the IMP or to any excipients used in the formulation.
Minimum Eligible Age

30 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cerevance

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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The Kirklin Clinic of UAB Hospital

Birmingham, Alabama, United States

Site Status RECRUITING

University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status RECRUITING

Parkinson's Research Centers of America - Palo Alto

Palo Alto, California, United States

Site Status RECRUITING

CenExel Rocky Mountain Clinical Research

Englewood, Colorado, United States

Site Status RECRUITING

Parkinson's Disease and Movement Disorders Center of Boca Raton

Boca Raton, Florida, United States

Site Status RECRUITING

SFM Clinical Research, LLC

Boca Raton, Florida, United States

Site Status RECRUITING

K2 Medical Research

Maitland, Florida, United States

Site Status RECRUITING

Renstar Medical Research

Ocala, Florida, United States

Site Status RECRUITING

N1 Research LLc

Orlando, Florida, United States

Site Status RECRUITING

Parkinson's Disease Center of SWFL

Port Charlotte, Florida, United States

Site Status RECRUITING

University Clinical Research-DeLand, LLC d/b/a Accel Research Sites - Brain & Spine Institute

Port Orange, Florida, United States

Site Status RECRUITING

University of Kansas Medical Center

Kansas City, Kansas, United States

Site Status RECRUITING

University of Kentucky, Dept of Neurology Kentucky Neuroscience Institute Research

Lexington, Kentucky, United States

Site Status RECRUITING

Boston Clinical Trials

Boston, Massachusetts, United States

Site Status RECRUITING

University of Michigan Dept. of Neurology

Ann Arbor, Michigan, United States

Site Status RECRUITING

University of Michigan Hospital - Michigan Clinical Research Unit (MCRU)

Ann Arbor, Michigan, United States

Site Status RECRUITING

Quest Research Institute

Farmington Hills, Michigan, United States

Site Status RECRUITING

Boro Neurology

Hopewell, New Jersey, United States

Site Status RECRUITING

Parkinson's Research Centers of America - Long Island

Commack, New York, United States

Site Status RECRUITING

Weill Cornell Medical College

New York, New York, United States

Site Status RECRUITING

Duke Neurology Morreene Road Clinic

Durham, North Carolina, United States

Site Status RECRUITING

Raleigh Neurology Associates

Raleigh, North Carolina, United States

Site Status RECRUITING

Velocity Clinical Research

Raleigh, North Carolina, United States

Site Status RECRUITING

Riverhills Healthcare, Inc dba Riverhills Neuroscience

Cincinnati, Ohio, United States

Site Status RECRUITING

The Ohio State University Wexner Medical Center

Columbus, Ohio, United States

Site Status RECRUITING

The Ohio State University - Martha Morehouse Medical Plaza

Columbus, Ohio, United States

Site Status RECRUITING

The Movement Disorder Clinic of Oklahoma

Tulsa, Oklahoma, United States

Site Status RECRUITING

Veracity Neuroscience LLC

Memphis, Tennessee, United States

Site Status RECRUITING

Horizon Clinical Research Group

Cypress, Texas, United States

Site Status RECRUITING

Texas Movement Disorder Specialists, PLLC

Georgetown, Texas, United States

Site Status RECRUITING

Houston Methodist Neurological Institute

Houston, Texas, United States

Site Status RECRUITING

Gill Neuroscience

Houston, Texas, United States

Site Status RECRUITING

Central Texas Neurology Consultants

Round Rock, Texas, United States

Site Status RECRUITING

Inova Neurology - Fairfax

Fairfax, Virginia, United States

Site Status RECRUITING

Inova Fairfax Medical Campus

Falls Church, Virginia, United States

Site Status RECRUITING

Henrico Doctors Neurology Associates, LLC

Richmond, Virginia, United States

Site Status RECRUITING

Inland Northwest Research

Spokane, Washington, United States

Site Status RECRUITING

Medical College of Wisconsin-Department of Neurology

Milwaukee, Wisconsin, United States

Site Status RECRUITING

Southern Neurology

Kogarah, New South Wales, Australia

Site Status RECRUITING

Westmead Hospital-Department of Neurology

Sydney, New South Wales, Australia

Site Status RECRUITING

Perron Institute for Neurological and Translational Science

Nedlands, Western Australia, Australia

Site Status RECRUITING

Countries

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Philippines United States Australia

Central Contacts

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Julie Daves

Role: CONTACT

Email: [email protected]

Clinical Team

Role: CONTACT

Phone: 617-744-2315

Email: [email protected]

Other Identifiers

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2024-516811-25-00

Identifier Type: CTIS

Identifier Source: secondary_id

CVN424-301

Identifier Type: -

Identifier Source: org_study_id