Assessment of clozapine-related immunodeficiency effect in Parkinson's disease patients (CLOZIDPD)

2024-514530-21-00 Therapeutic use (Phase IV) Authorised, recruitment pending

Status Authorised, recruitment pending · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Authorised, recruitment pending
Participants planned 24
Countries 1
Sites 1

Parkinson's disease

to evaluate the variation in the serum IgG level reflecting the humoral immune response 6 months after the initiation of treatment with Clozapine.

Key facts

Sponsor
Centre Hospitalier Universitaire Amiens Picardie
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Nervous System Diseases [C10]
Decision date (initial)
2024-08-23
Transition trial
No
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
No
Funding sources
CHU Amiens-Picardie

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy

to evaluate the variation in the serum IgG level reflecting the humoral immune response 6 months after the initiation of treatment with Clozapine.

Secondary objectives 12

  1. Patient weight
  2. Infections presented by the patient
  3. Use of antibiotics by the patient
  4. Tolerance / adverse effects of treatment with Clozapine
  5. Motor state, quality of life, depressive syndrome, apathy, global cognitive efficiency and psychotic elements
  6. Serum IgA levels
  7. Serum IgM levels
  8. Serum IgG levels with the IgG1, IgG2, IgG3 and IgG4 subclasses
  9. Complete blood count (CBC) parameters
  10. C-reactive protein
  11. Serum Clozapine level
  12. T, B and NK lymphocyte subpopulations

Conditions and MedDRA coding

Parkinson's disease

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 2

  1. Patient ≥ 18 years old with Parkinson's disease
  2. Psychotic symptoms requiring initiation of treatment with Clozapine

Exclusion criteria 3

  1. Patients with a contraindication to the use of Clozapine according to the summary of product characteristics (SPC)
  2. Patient with another potential cause of immunosuppression
  3. Patient with potentially major cognitive disorders defined by a MoCA score less than or equal to 23

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. change in serum IgG levels before initiation of treatment with clozapine and then 6 months after initiation of treatment.

Secondary endpoints 12

  1. The variation in the patient's weight (weighed during visits D0, M6 and M12)
  2. The number of infections presented by the patient (oral collection during visits to M6 and M12)
  3. The use of antibiotics by the patient (oral collection during visits to M6 and M12)
  4. Tolerance / adverse effects of treatment with Clozapine (collected during visits to M6 and M12)
  5. Variation in motor status, quality of life, depressive syndrome, apathy, global cognitive efficiency and psychotic elements assessed on the clinical scales MDS-UPDRS, PDQ39, Goldberg, Starkstein, MoCA and the neuropsychological inventory (NPI) (carried out during visits D0, M6 and M12).
  6. - Variation in serum IgA level (on blood test taken on D0, M6 and M12)
  7. Variation in serum IgM level (on blood test taken on D0, M6 and M12)
  8. Variation in IgG levels with the IgG1, IgG2, IgG3 and IgG4 subclasses (on blood samples taken on D0, M6 and M12)
  9. Variation in CBC parameters (on blood test taken on D0, M6 and M12)
  10. Variation in CRP level (on blood test taken on D0, M6 and M12)
  11. Change in serum Clozapine level (on blood test taken at M6 and M12)
  12. Variation in T, B and NK lymphocyte subpopulations (on blood samples taken on D0, M6 and M12)

Investigational products

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

Test 1

Clozapine

SUB06787MIG · Substance

Active substance
Clozapine
Pharmaceutical form
TABLET
Route of administration
ORAL USE
Max daily dose
75 mg milligram(s)
Max total dose
900 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Centre Hospitalier Universitaire Amiens Picardie

Sponsor organisation
Centre Hospitalier Universitaire Amiens Picardie
Address
1 Rond Point Du Pr Christian Cabrol
City
Amiens Cedex 1
Postcode
80054
Country
France

Scientific contact point

Organisation
Centre Hospitalier Universitaire Amiens Picardie
Contact name
Dr Mickaël AUBIGNAT

Public contact point

Organisation
Centre Hospitalier Universitaire Amiens Picardie
Contact name
Dr Mickaël AUBIGNAT

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Authorised, recruitment pending 24 1
Rest of world 0

Investigational sites

France

1 site · Authorised, recruitment pending
Centre Hospitalier Universitaire Amiens Picardie
Neurologie, 1 Rond Point Du Pr Christian Cabrol, 80054, Amiens Cedex 1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-05-29 France Acceptable
2024-08-23
2024-08-23