An extension of the orchestra (PD0053) study to learn how safe minzasolmin is and if it works long-term in participants with Parkinson’s disease

2022-500424-30-00 Protocol PD0055 Therapeutic exploratory (Phase II) Ended

Start 28 Dec 2022 · End 25 Mar 2025 · Status Ended · 6 EU/EEA countries · 47 sites · Protocol PD0055

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ended
Participants planned 414
Countries 6
Sites 47

Parkinson’s disease

To estimate the pharmacodynamic effects of minzasolmin (UCB0599) on brain pathophysiology in Early-start versus Delayed-start participants originally diagnosed with new onset Parkinson’s disease (PD)

Key facts

Sponsor
UCB Biopharma
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Nervous System Diseases [C10]
Trial duration
28 Dec 2022 → 25 Mar 2025
Decision date (initial)
2022-11-29
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
UCB Biopharma SRL, Allée de la Recherche 60, B-1070 Brussels, Belgium

External identifiers

EU CT number
2022-500424-30-00
WHO UTN
U1111-1279-2323
ClinicalTrials.gov
NCT05543252

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety, Efficacy, Others

To estimate the pharmacodynamic effects of minzasolmin (UCB0599) on brain pathophysiology in Early-start versus Delayed-start participants originally diagnosed with new onset Parkinson’s disease (PD)

Secondary objectives 1

  1. -To estimate the pharmacodynamic effects of minzasolmin (UCB0599) on the need for symptomatic treatment (ST) in Early-start versus Delayedstart participants originally diagnosed with new onset PD -To assess the safety and tolerability of minzasolmin (UCB0599) in participants originally diagnosed with new onset PD

Conditions and MedDRA coding

Parkinson’s disease

VersionLevelCodeTermSystem organ class
20.0 PT 10061536 Parkinson's disease 100000004852

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. - Participant completed the Treatment Period of PD0053. The Baseline Visit for PD0055 (Visit 2) should be no later than 4 weeks following the end of treatment (EOT) Visit in PD0053. Any delay needs to be justified by the Investigator and approved by the Sponsor. - A male study participant must agree to use contraception during the Treatment Period and for at least 90 days after the last dose of the IMP and refrain from donating sperm during this period- A female study participant is eligible to participate if she is not pregnant, not breastfeeding, and at least 1 of the following conditions applies: Not a woman of childbearing potential (WOCBP) OR A WOCBP who agrees to follow the contraceptive guidance during the Treatment Period and for at least 1 month after the last dose of investigational medicinal product (IMP). The study participant must have a negative urine pregnancy test at Screening (Visit 1), which is to be confirmed negative by urine testing prior to the first dose of IMP at PD0055Baseline Visit. If oral contraception is used, an additional barrier method will be required during the study as an IMP-related gastrointestinal upset or a drug interaction by cytochrome P450 3A4 (CYP3A4) induction could interfere with efficacy- Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the Informed Consent form (ICF) and in this protocol.

Exclusion criteria 1

  1. - Study participant has any medical or psychiatric condition that, in the opinion of the Investigator, could jeopardize or would compromise the study participant’s ability to participate in this study - A female study participant who tests positive for pregnancy, plans to get pregnant during the participation in the study, or who is breastfeeding- Study participant had previously participated in PD0055 - Study participant meets any withdrawal criteria in PD0053 - Study participants wearing any kind of implantable active device, including cardiac pacemakers, pumps, and implantable cardioverters, will be excluded from using Digital Health Technology, but may participate in the main study. -Study participant does not agree to refrain from donating blood or blood products or other body fluids.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Baseline adjusted Dopamine Transporter Imaging with Single Photon Emission Computed Tomography (DaT-SPECT) whole striatum specific binding ratio (SBR) at PD0055 Month 18

Secondary endpoints 1

  1. - Cumulative Levodopa Equivalent Daily Dose; (LEDD) at PD0055 Month 18 - Incidence of treatment-emergent adverse event (TEAEs) - Incidence of serious adverse events (SAEs) - Incidence of TEAEs leading to withdrawal from study

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

UCB0599 PRD4385815

PRD4385815 · Product

Active substance
Minzasolmin
Substance synonyms
UCB0599, DLX313
Pharmaceutical form
CAPSULE, HARD
Route of administration
ORAL USE
Max daily dose
360 mg milligram(s)
Max total dose
360 mg milligram(s)
Max treatment duration
30 Month(s)
Authorisation status
Not Authorised
MA holder
UCB BIOPHARMA SPRL
Paediatric formulation
No
Orphan designation
No

Placebo 1

Placebo matching UCB0599 and without active substance

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No

Auxiliary 1

Ioflupane (123I)

SCP35420753 · ATC

Active substance
Ioflupane (123I)
Substance synonyms
Ioflupane I 123
Route of administration
SOLUTION FOR INJECTION
Max daily dose
74 MBq megabecquerel(s)
Max total dose
74 MBq megabecquerel(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
V09AB03 — IODINE IOFLUPANE (123I)
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

UCB Biopharma

Sponsor organisation
UCB Biopharma
Address
Researchdreef 60
City
Brussels
Postcode
1070
Country
Belgium

Scientific contact point

Organisation
UCB Biopharma
Contact name
UCB Cares

Public contact point

Organisation
UCB Biopharma
Contact name
UCB Cares

Third parties 23

OrganisationCity, countryDuties
Q Squared Solutions LLC
ORG-100043195
Durham, United States Laboratory analysis
Novasco
ORG-100046671
Paris, France Other
Perceptive Eclinical Limited
ORG-100041144
Nottingham, United Kingdom Interactive response technologies (IRT)
EuroQol Research Foundation
ORL-000000617
ROTTERDAM, Netherlands Other
Almac Clinical Services (Ireland) Limited
ORG-100033336
Dundalk, Ireland Code 14
CluePoints SA
ORL-000000619
Belgium Data management
RESEARCH FOUNDATION FOR MENTAL HYGIENE INC
ORL-000000618
Menands, United States Other
Formedix Limited
ORG-100046659
Glasgow, United Kingdom Data management
Transperfect Translations International Inc.
ORG-100043494
New York, United States Other
RWS Life Sciences Inc.
ORG-100042348
East Hartford, United States Other
InVicro
ORL-000000614
Doylestown, United States Laboratory analysis
Pattern Health Technologies Inc.
ORG-100046764
Durham, United States Other
International Parkinson and movement disorder society INC.
ORL-000000616
MILWAUKEE, United States Other
Medidata Solutions Inc.
ORG-100016256
New York, United States E-data capture
MoCA TEST Inc.
ORG-100045661
Greenfield Park, Canada Other
Parexel International (IRL) Limited
ORG-100022780
Dublin 2, Ireland On site monitoring, Code 10, Code 11, Code 12, Code 13, Other, Other, Code 5, Data management, E-data capture, Code 8
Mapi Research Trust
ORG-100028753
Lyon, France Other
Clinical Ink Inc.
ORG-100042433
Horsham, United States Interactive response technologies (IRT)
Syner-G BioPharma Group RTP
ORL-000000565
Southborough, United States Code 11
Center For Information And Study On Clinical Research Participation Inc.
ORG-100044581
Boston, United States Code 11
Pra Health Sciences Inc.
ORG-100016330
Lenexa, United States Laboratory analysis
Advarra Inc.
ORG-100045827
Columbia, United States Other
Azenta Germany GmbH
ORG-100039257
Griesheim, Germany Other

Locations

6 EU/EEA countries · 47 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Ended 59 9
Germany Ended 54 12
Italy Ended 49 5
Netherlands Ended 21 1
Poland Ended 74 11
Spain Ended 26 9
Rest of world
United States, United Kingdom, Canada
131

Investigational sites

France

9 sites · Ended
Hopital Purpan
#40528: Service de Neurologie, 330 Avenue De Grande Bretagne, 31059, Toulouse Cedex 9
Assistance Publique Hopitaux De Paris
#40424: Service de Neurologie, 51 Avenue Du Mal De Lattre De Tassigny, 94010, Creteil Cedex
Centre Hospitalier Universitaire De Nimes
#40524: Service de Neurologie, 4 Place Du Professeur Robert Debre, 30029, Nimes Cedex 9
Centre Hospitalier Universitaire De Nantes
#40635: Centre d'Investigation Clinique de Neurologie, Boulevard Du Professeur Jacques Monod, 44800, Saint Herblain
Assistance Publique Hopitaux De Marseille
#40130: Service de Neurologie et Pathologie du Mouvement, Boulevard Jean Moulin, 13385, Marseille Cedex 05
CHRU Lille - Hopital Roger Salengro
#40526: Service de Neurologie et Pathologie du Mouvement, Centre Expert Parkinson, Avenue Du Professeur Emile Laine, 59037, Lille Cedex
CHRU de Strasbourg – Hôpital de Hautepierre
#40131: Département de Neurologie, 1 avenue Molière, 67091, Strasbourg
Pellegrin Hospital
#40527: N/A, Place Amelie Raba Leon, 33000, Bordeaux
Carthera
#40525: NAP, 47 Boulevard De L Hopital, 75013, Paris

Germany

12 sites · Ended
Neuro Centrum Science GmbH
#40711: Neuro Centrum Science GmbH, Albert-Schweitzer-Straße 8, 64711, Erbach
Curiositas ad sanum Studien- und Beratungs GmbH Innklinikum Haag i.OB
#40532: Neurologie, Krankenhausstrasse 4, 83527, Haag i. OB
Universitaetsklinikum Carl Gustav Carus Dresden an der Technischen Universitaet Dresden AöR
#40530: Neurologie, Fetscherstrasse 74, Johannstadt-Nord, Dresden
University Of Regensburg
#40531: Radiology, Universitaetsstrasse 84, Kumpfmuehl-Ziegetsdorf-Neupruell, Ratisbon
University Of Erlangen Nuremberg
#40023: Molekulare Neurologie, Schwabachanlage 6, Innenstadt, Erlangen
Deutsches Zentrum Fuer Neurodegenerative Erkrankungen e.V.
#40138: Clinical Research Platform - CRP, Venusberg-Campus 1/99, Venusberg, Bonn
Charite Universitatsmedizin Berlin KöR
#40515: Neurologie, Hindenburgdamm 30, Lichterfelde, Berlin
Katholische Kliniken Ruhrhalbinsel gGmbH
#40710: Klinik für Neurologie, Heidbergweg 22-24, Kupferdreh, Essen
Medizinische Hochschule Hannover
#40024: Klinik für Neurologie mit Klinischer Neurophysiologie, Carl-Neuberg-Strasse 1, Gross Buchholz, Hanover
University Medical Centre Schleswig-Holstein
#40249: Neurologie, Arnold-Heller-Straße 3, Brunswik, Kiel
Universitatsmedizin der Johannes Gutenberg-Universitat Mainz KöR
#40174: Klinik und Poliklinik für Neurologie, Langenbeckstraße 1, Oberstadt, Mainz
Universityclinic Giessen And Marburg GmbH
#40529: Neurologie, Baldingerstrasse 1, 35043, Marburg

Italy

5 sites · Ended
Azienda Ospedaliera S Maria Di Terni
#40697: SC neurologia, Viale Tristano Di Joannuccio 1, 05100, Terni
Azienda Socio Sanitaria Territoriale Degli Spedali Civili Di Brescia
#40555: UO Neurologia, Piazzale Spedali Civili 1, 25123, Brescia
Azienda Ospedaliera Di Padova
#40533: Clinica Neurologica – U.O.C. Neurologia, Via Nicolo' Giustiniani 2, 35128, Padova
Azienda Ospedaliera Policlinico Universitario Tor Vergata
#40257: U.O.S.D. Parkinson – Unità Dipartimentale Complessa per i Disturbi del Movimento-, Viale Oxford 81, 00133, Rome
Irccs San Raffaele Roma S.r.l.
#40534: Centro Parkinson, parkinsonismi e disturbi del movimento, Via Di Val Cannuta 250, 00166, Rome

Netherlands

1 site · Ended
Stichting Radboud University Medical Center
#40359: Neurology, Geert Grooteplein Zuid 10, 6525 GA, Nijmegen

Poland

11 sites · Ended
Centrum Medyczne Neuromed Sp. z o.o.
#40694: N/A, Ul. Jana Biziela 14, 85-163, Bydgoszcz
Pratia Jelenia Gora
#40719: N/A, Ul. Wiejska 11, 58-506, Jelenia Gora
Michalski I Partnerzy Lekarze sp.p.
#40696: N/A, Ul. Zmujdzka 23/u1, 31-426, Cracow
Centrum Medyczne Neuroprotect
#40536: N/A, 1 Pietro, Ul. Klaudyny 16c, Warsaw
Instytut Zdrowia Dr Boczarska-Jedynak Sp. z o.o. sp. k.
#40535: N/A, Ul Gen Jaroslawa Dabrowskiego 4, 32-600, Oswiecim
Specjalistyczna Praktyka Lekarska Prof. Grzegorz Opala
#40539: N/A, ul. Fitelberga 34/1, 40-588, Katowice
Niepubliczny Zaklad Opieki Zdrowotnej Neuromed M. I M. Nastaj. sp.p.
#40702: N/A, Ul. Polnocna 8/3, 20-064, Lublin
Mtz Clinical Research Powered By Pratia
#40699: N/A, Ul. Gładka 22, 02-172, Warsaw
Etg Neuroscience Sp. z o.o.
#40705: N/A, Ul. Wynalazek 4, 02-677, Warsaw
NeuroKlinika Gabinet Lekarski Prof. Andrzej Bogucki
#40700: N/A, Ul. Andrzeja Struga 49/51, 90-640, Lodz
Krakowskie Centrum Medyczne Sp. z o.o.
#40538: N/A, Ul. Mikolaja Kopernika 32 St, 31-501, Cracow

Spain

9 sites · Ended
Hospital Ruber Internacional
#40540: Servicio de Neurología, Calle La Maso 38, 28035, Madrid
University Clinic Of Navarra
#40352: Servicio de Neurología, Avenida De Pio XII 36, 31008, Pamplona
Hospital Universitario Hm Puerta Del Sur
#40542: Servicio de Neurología, Avenida De Carlos V 70, 28938, Mostoles
Hospital Clinic De Barcelona
#40267: Servicio de Neurología, Calle Villarroel 170, 08036, Barcelona
Hospital Universitario Reina Sofia
#40046: Servicio de Neurología, Avenida Menendez Pidal S/n, 14004, Cordoba
Hospital De La Santa Creu I Sant Pau
#40159: Servicio de Neurología, Calle De San Antonio Maria Claret 167, 08025, Barcelona
Complexo Hospitalario Universitario A Coruna
#40045: Servicio de Neurología, Lugar Jubias De Arriba 84, 15006, A Coruna
Policlinica Gipuzkoa
#40541: Servicio de Neurología, Paseo Miramon 174, 20009, Donostia
Hospital Universitario Virgen De La Macarena
#40049: Servicio de Neurología, Avenida Del Doctor Fedriani 3, 41009, Sevilla

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
France 2023-03-13 2023-03-13 2024-06-20
Germany 2023-03-22 2023-03-22 2024-07-09
Italy 2023-04-21 2023-04-21 2024-07-15
Netherlands 2023-02-15 2023-02-15 2024-05-06
Poland 2022-12-28 2022-12-28 2024-06-27
Spain 2023-05-08 2023-05-08 2024-06-25

Oversight and notifications

Regulatory notifications under CTR Articles 38, 52, 53, 54 and 77

Unexpected events 1 · Art. 53 CTR

Note: SUSARs are reported via EudraVigilance, not CTIS — events shown here are CTIS-public notifications only.

Unexpected event UE-64131

Event date
2024-12-13
Date aware
2024-12-13
Submission date
2024-12-19
Member states affected
France, Germany, Italy, Spain, Netherlands, Poland
Event description
Clinical trial PD0055 Early termination.

Please note that Early termination is reported as an unexpected event due to limitations of CTIS portal and RMS
was contacted by email on 17Dec2024 to explain why this
approach was adopted.

CTCG sub-group have advised that both the decision to early
terminate the trial and the actual LPLV date should be notified in CTIS. However, once submission of Early Termination as End of Trial date is done, it will no longer be possible to submit a NSM or SM in CTIS. For this reason, submitting the date of
early termination decision as the EoT could impact submissions between the date of decision and the actual LPLV and could also impact safety monitoring. For this reason, the CTCG sub-group have suggested to submit the date of early
termination decision as an unexpected event and later submit the LPLV as EoT according to the protocol.

Trial has been early terminated based on the absence of evidence of clinical benefit in both primary and secondary
endpoints.

Reasons for the early termination: Sponsor Decision

Explanation for the early termination: The safety profile of
Minzasolmin was consistent with previous knowledge and no new safety concern has been identified. However, the Phase 2 study (PD0053) did not meet its primary and secondary efficacy clinical endpoints. As such, there is absence of
evidence of clinical benefit and the decision was taken to terminate the extension study (PD0055).

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Summary of results Art. 37(4) CTR

TitleSubmission dateStatusType
Summary of final results
SUM-116877
2026-02-02T10:49:51 Submitted Summary of Results

Layperson summary Annex V

TitleSubmission dateStatusType
Lay person summary of results 2026-02-02T10:50:10 Submitted Laypersons Summary of Results

Documents 44 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Laypersons summary of results (for publication) pd0055-laypersons-summary-of-results-de-DE-public 1.0
Laypersons summary of results (for publication) pd0055-laypersons-summary-of-results-es-ES-public 1.0
Laypersons summary of results (for publication) pd0055-laypersons-summary-of-results-fr-FR-public 1.0
Laypersons summary of results (for publication) pd0055-laypersons-summary-of-results-it-IT-public 1.0
Laypersons summary of results (for publication) pd0055-laypersons-summary-of-results-nl-NL-public 1.0
Laypersons summary of results (for publication) pd0055-laypersons-summary-of-results-pl-PL-public 1.0
Laypersons summary of results (for publication) pd0055-laypersons-summary-of-results-public 1.0
Recruitment arrangements (for publication) pd0055-de-recruitment-procedure-public 1
Recruitment arrangements (for publication) pd0055-es-recruitment-procedure-public 1
Recruitment arrangements (for publication) pd0055-it-recruitment-procedure-public 1.0
Subject information and informed consent form (for publication) DEU UCB Orchestra XT Consent Navigator German PD0055 Public 1.0
Subject information and informed consent form (for publication) ESP Country ICF Main Spanish PD0055 TC 1.2
Subject information and informed consent form (for publication) ESP UCB Orchestra XT Consent Navigator Spanish PD0055 Public 1.0
Subject information and informed consent form (for publication) ITA Country ICF Privacy Adult Italian PD0055 1.2
Subject information and informed consent form (for publication) ITA Country ICF Privacy Adult Italian TC 1.2
Subject information and informed consent form (for publication) ITA UCB Orchestra XT Consent Navigator Italian PD0055 Public 1.0
Subject information and informed consent form (for publication) pd0055-de-icf-dht-de-DE-public 1.0
Subject information and informed consent form (for publication) pd0055-de-icf-main-de-tc-public 1.2
Subject information and informed consent form (for publication) PD0055-de-icf-main-public-de 3.0
Subject information and informed consent form (for publication) PD0055-de-icf-pp-public-de 1
Subject information and informed consent form (for publication) pd0055-de-icf-procedure-public 1
Subject information and informed consent form (for publication) pd0055-es-icf-dht-es-ES-public 1.0
Subject information and informed consent form (for publication) PD0055-es-icf-main-public-es 3.0
Subject information and informed consent form (for publication) PD0055-es-icf-pp-public-es 1
Subject information and informed consent form (for publication) pd0055-es-icf-procedure-public 1
Subject information and informed consent form (for publication) pd0055-it-gp letter-it-tc-public 1.1
Subject information and informed consent form (for publication) PD0055-it-gp letter-public-it 1.1
Subject information and informed consent form (for publication) pd0055-it-icf-dht-it-IT-public 1.1
Subject information and informed consent form (for publication) pd0055-it-icf-future research-it-tc-public 1.1
Subject information and informed consent form (for publication) PD0055-it-icf-future research-public-it 1.1
Subject information and informed consent form (for publication) PD0055-it-icf-main-it-tc-public 1.1
Subject information and informed consent form (for publication) PD0055-it-icf-main-public-it 3.0
Subject information and informed consent form (for publication) pd0055-it-icf-optional-it-tc-public 1.1
Subject information and informed consent form (for publication) PD0055-it-icf-optional-public-it 2.0
Subject information and informed consent form (for publication) pd0055-it-icf-pp-it-tc-public 1.1
Subject information and informed consent form (for publication) PD0055-it-icf-pp-public-it 1.1
Subject information and informed consent form (for publication) pd0055-it-icf-privacy supplement-it-tc-public 1.1
Subject information and informed consent form (for publication) PD0055-it-icf-privacy supplement-public-it 1.1
Subject information and informed consent form (for publication) pd0055-it-icf-procedure-public 1.0
Subject information and informed consent form (for publication) PD0055-it-icf-travel reimbursment-public-it 1.0
Subject information and informed consent form (for publication) PD0055-Subject Material-id-public-de 1
Subject information and informed consent form (for publication) PD0055-Subject Material-id-public-es 1
Subject information and informed consent form (for publication) PD0055-Subject Material-id-public-it 1.0
Summary of results (for publication) PD0055-Summary of Final Results 2.0

Application history

15 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2022-08-12 Germany Acceptable
2022-11-28
2022-11-29
2 SUBSTANTIAL MODIFICATION SM-1 2023-03-08 Germany Acceptable
2023-05-09
2023-05-10
3 NON SUBSTANTIAL MODIFICATION NSM-1 2023-07-05 Germany Acceptable
2023-05-09
2023-07-05
4 SUBSTANTIAL MODIFICATION SM-3 2023-07-25 Germany Acceptable
2023-10-27
2023-10-30
5 NON SUBSTANTIAL MODIFICATION NSM-2 2023-12-01 Acceptable
2023-10-27
2023-12-01
6 SUBSTANTIAL MODIFICATION SM-5 2023-12-08 Germany Acceptable
2024-03-26
2024-03-27
7 NON SUBSTANTIAL MODIFICATION NSM-3 2024-04-09 Germany Acceptable
2024-03-26
2024-04-09
8 SUBSTANTIAL MODIFICATION SM-7 2024-04-12 Germany Acceptable 2024-05-15
9 SUBSTANTIAL MODIFICATION SM-8 2024-04-12 Acceptable 2024-05-20
10 SUBSTANTIAL MODIFICATION SM-9 2024-04-12 Acceptable 2024-05-15
11 SUBSTANTIAL MODIFICATION SM-10 2024-04-12 Acceptable 2024-05-20
12 SUBSTANTIAL MODIFICATION SM-11 2024-04-12 Acceptable 2024-05-01
13 SUBSTANTIAL MODIFICATION SM-13 2025-01-21 Germany Acceptable 2025-02-27
14 SUBSTANTIAL MODIFICATION SM-14 2025-01-21 Acceptable 2025-02-27
15 NON SUBSTANTIAL MODIFICATION NSM-5 2025-03-03 Acceptable 2025-03-03