GREAT; GRoningen Early-PD Ambroxol Treatment Trial

2024-514976-41-00 Protocol NL77347.042.22 Therapeutic exploratory (Phase II) Ongoing, recruiting

Start 23 Sep 2024 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites · Protocol NL77347.042.22

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruiting
Participants planned 80
Countries 1
Sites 1

Parkinson's disease

To investigate the disease modifying properties of ambroxol in PD patients with a GBA1-mutation

Key facts

Sponsor
Universitair Medisch Centrum Groningen
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Nervous System Diseases [C10]
Trial duration
23 Sep 2024 → ongoing
Decision date (initial)
2024-09-23
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-514976-41-00
EudraCT number
2021-001833-38
ClinicalTrials.gov
NCT05830396

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy

To investigate the disease modifying properties of ambroxol in PD patients with a GBA1-mutation

Conditions and MedDRA coding

Parkinson's disease

Regulatory references

Scientific advice from competent authorities
METC Universitair Medisch Centrum Groningen
Plan to share IPD
No

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. Diagnosis of Parkinson's Disease according to Movement Disorders Society (MDS) criteria
  2. GBA1-mutation
  3. Disease duration of PD < 10 years at time of inclusion
  4. Able to write written informed consent, understanding study protocol and perform protocol related actions
  5. Willingness and ability to self-administer oral ambroxol or placebo medication

Exclusion criteria 6

  1. The refusal to be informed about an unforeseen clinical finding
  2. Use of an implanted Deep Brain Stimulation (DBS) system
  3. History of known sensitivity to the study medication
  4. Pregnant or breastfeeding women
  5. MRI incompatible implants in the body
  6. Any clinically significant or unstable medical or surgical condition that in the opinion of the principal investigator may put the participant at risk when participating in the study or may influence the results of the study or affect the participant’s ability to take part in the study, as determined by medical history, physical examinations, electrocardiogram (ECG), or laboratory tests.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Comparison of MDS-UPDRS part III motor subscale in the practically defined OFF medication state at 60 weeks

Secondary endpoints 7

  1. Safety and tolerability by examination of adverse events
  2. F-DOPA PET
  3. MRI
  4. Montreal Cognitive Assessment (MoCA)
  5. Non-Motor Symptoms scale (NMSS)
  6. Parkinson’s Disease Quality of life questionnaire with 39 items (PDQ-39)
  7. GCase activity measuring sphinglolipids in PBMCs and plasma

Investigational products

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

Test 1

Ambroxol Hydrochloride

SCP101864681 · ATC

Active substance
Ambroxol Hydrochloride
Substance synonyms
TRANS-4-[(2-AMINO-3,5-DIBROMOBENZYL) AMINO] CYCLOHEXANOL HYDROCHLORIDE
Route of administration
ORAL
Max daily dose
1800 mg milligram(s)
Max total dose
605 g gram(s)
Max treatment duration
48 Week(s)
Authorisation status
Authorised
ATC code
R05CB06 — AMBROXOL
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
Capsules of 600mg instead of lozenges

Placebo 1

Microcrystalline cellulose

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

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Universitair Medisch Centrum Groningen

Sponsor organisation
Universitair Medisch Centrum Groningen
Address
Hanzeplein 1
City
Groningen
Postcode
9713 GZ
Country
Netherlands

Scientific contact point

Organisation
Universitair Medisch Centrum Groningen
Contact name
T. van Laar

Public contact point

Organisation
Universitair Medisch Centrum Groningen
Contact name
T. van Laar

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Netherlands Ongoing, recruiting 80 1
Rest of world 0

Investigational sites

Netherlands

1 site · Ongoing, recruiting
Universitair Medisch Centrum Groningen
Neurology, Hanzeplein 1, 9713 GZ, Groningen

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Netherlands 2024-09-23 2024-09-23

Results and documents

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

Documents 4 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol 2024-514976-41-00 4
Recruitment arrangements (for publication) Document is not required for transitional trial 1
Subject information and informed consent form (for publication) L1_ Subject information &#43; ICF GBA screening 2
Subject information and informed consent form (for publication) L1_Patient information letter main study 4

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-09-03 Netherlands Acceptable with conditions
2024-09-23
2024-09-23