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
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
- 否
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
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)
