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临床试验/NCT07195825
NCT07195825招募中1 期

A Single-arm, Open-label, Single-dose Clinical Study to Evaluate the Safety and Tolerability of BBM-P002 for Stereotactic Bilateral Putamen Injection in the Treatment of Idiopathic Parkinson's Disease

Shanghai Xinzhi BioMed Co., Ltd.1 个研究点 分布在 1 个国家目标入组 18 人开始时间: 2025年12月27日最近更新:
适应症
干预措施

试验速览

阶段
1 期
状态
招募中
发起方
入组人数
18
试验地点
1
主要终点
Incidence of dose limiting toxicity (DLT) events

研究概览

简要总结

The purpose of the study is to evaluate the safety and tolerability of BBM-P002 for stereotactic injection to treat participants with idiopathic Parkinson's Disease (PD) during the dose-limiting toxicity (DLT) observation period.

详细描述

This is a single-arm, open-label study to evaluate the safety, tolerability, efficacy, pharmacokinetic, pharmacodynamic, and immune response of BBM-P002 within 52 weeks after into the bilateral putamen in Parkinson's disease, as well as the long-term safety and efficacy of BBM-P002 for up to 5 years post injection.

BBM-P002 is an AAV-based gene therapy that delivers a therapeutic gene cassette into putamen for the treatment of Parkinson's Disease.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
40 Years 至 70 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Participants with a diagnosis of Parkinson's disease for ≥ 5 years.
  • The Hoehn-Yahr staging meets the requirements during the OFF periods.
  • The MDS-UPDRS Part III score met the requirements during the OFF periods. the levodopa challenge test was positive
  • During the screening period, participants were required to take the same stable dose of dopamine-releasing drugs (such as levodopa) regularly
  • The participants agreed to postpone the neurosurgical procedures related to the indication treatment during the main study phase
  • The participants agreed not to participate in any other therapeutic intervention studies during the trial period
  • The participants agreed not to receive the vaccine during the main study phase
  • From the screening period until at least 52 weeks after dosing, use a reliable contraceptive method
  • The participants had good compliance and were able to undergo regular follow-ups. During the follow-up period, they were able to accurately complete the diary cards. Family members, guardians or caregivers could assist the subjects in filling out the diary cards
  • Voluntarilyvoluntarily participated in the study and signed the informed consent form

排除标准

  • Atypical or secondary Parkinsonism
  • Have contraindications for surgery or have previously undergone brain surgery
  • The participants has an abnormal brain MRI suggestive of brain pathology other than Parkinson's disease
  • Those with severe cognitive impairments
  • Those with severe depression or severe anxiety
  • Abnormal liver function
  • Abnormal coagulation function
  • Abnormalities in infectious disease screening
  • Currently undergoing antiviral treatment for hepatitis
  • Suffering from unstable or severe diseases in the cardiovascular, respiratory, digestive, nervous, hematological, immune and other systems
  • Suffering from malignant tumors or having a history of tumors
  • Previous history of severe allergies
  • Exclude those who have participated in other clinical trials within the past three months
  • Had received gene therapy during the screening period
  • Select those who have received stem cell treatment within the past 12 months
  • Exclude those who have used other investigational drugs within the past 4 weeks
  • During the screening period, if the individual had received live vaccines within the previous 2 months, or had a history of vaccination within the last 30 days, they would be excluded.
  • Having a history of alcohol dependence or drug addiction
  • Pregnant or lactating female participants
  • The situations that were determined by the investigator to be unsuitable for inclusion in the study

研究组 & 干预措施

Arm of BBM-P002

Experimental

Single-dose treatment

干预措施: Injecting BBM-P002 into the bilateral putamen (Genetic)

结局指标

主要结局

Incidence of dose limiting toxicity (DLT) events

时间窗: Within 4 weeks

To evaluate the rate of incidence of DLT events determined by the Safety Data Review Committee (SRC) in DLT observation period after injecting BBM-P002

Incidence of Adverse Events (AEs) and Serious Adverse Events (SAEs)

时间窗: Within 4 weeks

To evaluate the safety of BBM-P002 by AEs and SAEs.

次要结局

  • Changes in the titers of neutralizing antibodies and binding antibodies in the recombinant adenovirus capsid of blood(Within 5 years)
  • Changes in the results of the cranial MRI scan(Within 5 years)
  • Changes from baseline in MDS - Unified Parkinson's Disease Rating Scale (MDS-UPDRS) I/II/III/IV scores(Within 5 years)
  • Changes from baseline in daily levodopa dose or equivalent dose of levodopa(Within 5 years)
  • Changes from baseline in the percentage at on time.(Within 5 years)
  • Incidence of Adverse Events (AEs) and Serious Adverse Events (SAEs)(Within 5 years)
  • Changes from baseline in the Patient Global Impression of Improvement (PGI-I) scores(Within 5 years)
  • Changes from baseline in the Clinical Global Impression of Improvement (CGI-I) scores(Within 5 years)
  • Changes in the activity levels of gene expression products under18F-dopa PET scanning from baseline [striatum - occipital lobe average radioactivity count ratio](Within 5 years)

研究者

发起方
Shanghai Xinzhi BioMed Co., Ltd.
申办方类型
Industry
责任方
Sponsor

研究点 (1)

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