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A Study of KW-6356 in Subjects With Early Parkinson's Disease

Phase 2
Completed
Conditions
Parkinson's Disease
Interventions
Drug: Placebo
Registration Number
NCT02939391
Lead Sponsor
Kyowa Kirin Co., Ltd.
Brief Summary

The primary objective is to evaluate the effect of KW-6356 on motor symptoms in Parkinson's disease and the primary endpoint is the change from baseline in the MDS-UPDRS part III score between KW-6356 and placebo in subjects with early Parkinson's disease in Japan.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
175
Inclusion Criteria
  • Subject fulfills the UK Parkinson's Disease Society brain bank clinical diagnostic criteria
  • Parkinson's disease patients in Stages 1 to 3 on the Modified Hoehn and Yahr Scale
  • MDS-UPDRS part III score of ≥ 15
Exclusion Criteria
  • Use of any CYP3A4/5-related drugs within 2 weeks prior to enrollment.

  • Use of any of the specified antiparkinsonian drugs and dopamine antagonists during the specified period.

  • Treatment with levodopa/DCI at any time in the past for a period of 4 weeks or more.

  • Neurosurgical operation for Parkinson's disease (stereotactic surgery, deep brain stimulation or gamma knife), or treatment by transcranial magnetic stimulation (TMS).

  • Either of the following criteria consecutively at screening and enrollment;

    • Resting Pulse > 100 bpm
    • Resting systolic blood pressure > 140 mmHg, or diastolic blood pressure > 90 mmHg
  • Significant dementia or a Mini-Mental State Examination (MMSE) score of ≤ 23.

  • Subject has a history or evidence of suicidal ideation (severity of 4 or 5) or any suicidal behavior based on an assessment with the Columbia-Suicide Severity Rating Scale (C-SSRS) at baseline.

  • Anyone otherwise considered unsuitable for the study by the investigator or sub-investigator including those who are unable to communicate or to cooperate with the investigator or sub-investigator.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
KW-6356 Low DoseKW-6356Oral administration
PlaceboPlaceboOral administration
KW-6356 High DoseKW-6356Oral administration
Primary Outcome Measures
NameTimeMethod
Change from baseline in the Movement disorder society-unified Parkinson's disease rating scale(MDS-UPDRS) partⅢ scoreUp to 12 weeks after dosing
Secondary Outcome Measures
NameTimeMethod
Clinical global impression-improvement(CGI-I) scoreWeek 12
Patient global impression-improvement(PGI-I) scoreWeek 12
Change from baseline in the Parkinson's disease questionnaire-39(PDQ-39) total scoresUp to 12 weeks after dosing
Change from baseline in the MDS-UPDRS subitem and total scoresUp to 12 weeks after dosing
Number and percentage of subjects with treatment-emergent adverse eventsUp to 14 weeks after dosing
Profiles of pharmacokinetics of plasma KHK6356 concentration2, 4, 8 and 12 weeks after dosing
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