Overview
Sponsor-declared trial summary
Parkinson
To evaluate the safety and primary efficacy of NEU-411 in participants with LRRK2-driven Parkinson’s disease
Key facts
- Sponsor
- Neuron23 Inc.
- 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)
- 2025-05-19
- Transition trial
- No
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- Yes
- Funding sources
- Neuron23, Inc.
External identifiers
- EU CT number
- 2024-515448-22-00
- ClinicalTrials.gov
- NCT06680830
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Pharmacokinetic, Safety, Efficacy, Others, Pharmacodynamic
To evaluate the safety and primary efficacy of NEU-411 in participants with LRRK2-driven Parkinson’s disease
Secondary objectives 1
- To evaluate the secondary safety and efficacy of NEU-411 in participants with LRRK2-driven Parkinson's disease
Conditions and MedDRA coding
Parkinson
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 20.0 | PT | 10061536 | Parkinson's disease | 100000004852 |
Study design 1 period
| # | Title | Allocation | Blinding | Roles blinded | Arms |
|---|---|---|---|---|---|
| 1 | Phase 2 Study of NEU-411 in CDx-Positive Participants with Early Parkinson’s Disease This is a Phase 2, randomized, placebo-controlled, proof-of-concept (POC) study in participants with early PD who have elevated leucine-rich repeat kinase 2 (LRRK2)-pathway activity assessed using a co-developed investigational CDx. Only participants who test positive using the investigational CDx will be included in the study, including both individuals with rare variants and others with predicted elevations in LRRK2 activity. The study will evaluate safety, efficacy, pharmacokinetics (PK), and pharmacodynamics of orally-administered NEU-411, a potent, selective, orally bioavailable, highly permeable, brain penetrant, small molecule inhibitor of LRRK2 activity as compared to placebo.
|
Randomised Controlled | Double | [{"id":183123,"code":2,"name":"Investigator"},{"id":183122,"code":1,"name":"Subject"}] | NEU-411: Orally-administered NEU-411 Placebo: Orally-administered matching placebo |
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 5
- Aged 40-80 years at time of screening, inclusive
- Diagnosis of clinically established or clinically probable Parkinson's disease
- LRRK2-driven PD using the investigational companion diagnostic genetic test (CDx)
- Modified Hoehn and Yahr (mH&Y) of 1 to 2.5
- Additional inclusion criteria are outlined in the full study protocol.
Exclusion criteria 4
- Secondary or atypical parkinsonian syndromes
- Uncontrolled diabetes mellitus with hemoglobin A1c (HbA1c) >8%
- Other significant medical conditions (as determined by medical history, examination, or clinical investigations at screening)
- Additional exclusion criteria are outlined in the full study protocol.
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 2
- Change from baseline in the Roche digital biomarker score using the Roche Parkinson's Disease application (v3.0) compared to placebo Time Frame: From enrollment to the end of treatment at 52 weeks
- Incidence of treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs) compared to placebo Time Frame: From enrollment to the end of study at 54 weeks
Secondary endpoints 1
- Change from baseline to Week 52 in motor function/nonmotor as measured by Movement Disorder Society’s Unified Parkinson’s Disease Rating Scale (MDS-UPDRS)
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 1
PRD11954097 · Product
- Active substance
- NEU-411 Maleate
- Substance synonyms
- N-001452 maleate
- Pharmaceutical form
- TABLET
- Route of administration
- ORAL
- Max daily dose
- 30 mg milligram(s)
- Max total dose
- 30 mg milligram(s)
- Max treatment duration
- 52 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- NEURON23, INC.
- Paediatric formulation
- No
- Orphan designation
- No
Placebo 1
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
Neuron23 Inc.
- Sponsor organisation
- Neuron23 Inc.
- Address
- 343 Oyster Point Boulevard Suite 120
- City
- South San Francisco
- Postcode
- 94080-1913
- Country
- United States
Scientific contact point
- Organisation
- Neuron23 Inc.
- Contact name
- Fatta Nahab, MD FAAN FANA
Public contact point
- Organisation
- Neuron23 Inc.
- Contact name
- Tom DeMelfi, MS
Third parties 1
| Organisation | City, country | Duties |
|---|---|---|
| Rho Inc. ORG-100048371
|
Durham, United States | On site monitoring, Code 12, Code 13, Code 5, Data management, E-data capture, Code 8 |
Sponsor responsibilities
- Article 77 compliance
- Neuron23 Inc.
- Contact point sponsor
- Neuron23 Inc.
- Article 77 implementation
- Neuron23 Inc.
Locations
3 EU/EEA countries · 21 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Italy | Authorised, recruitment pending | 20 | 10 |
| Poland | Authorised, recruitment pending | 20 | 4 |
| Spain | Authorised, recruitment pending | 20 | 7 |
| Rest of world
United States, United Kingdom
|
— | 90 | — |
Investigational sites
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 108 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1_Protocol_2024-515448-22-00_Redacted | v5.0 |
| Protocol (for publication) | D1_Protocol_2024-515448-22-00_SoC | N/A |
| Protocol (for publication) | D4_Patient facing documents_ActiGraph LEAP Device Participant Guide_EN | v1.0 |
| Protocol (for publication) | D4_Patient facing documents_ActiGraph LEAP Device Participant Guide_ES | v1.0 |
| Protocol (for publication) | D4_Patient facing documents_ActiGraph LEAP Device Participant Guide_IT | v1.0 |
| Protocol (for publication) | D4_Patient facing documents_ActiGraph LEAP Device Participant Guide_PL | v1.0 |
| Protocol (for publication) | D4_Patient facing documents_C-SSRS Baseline-Screening_2yr_EN | 14/01/09 |
| Protocol (for publication) | D4_Patient facing documents_C-SSRS Baseline-Screening_2yr_ES | 14/01/09 |
| Protocol (for publication) | D4_Patient facing documents_C-SSRS Baseline-Screening_2yr_IT | 14/01/09 |
| Protocol (for publication) | D4_Patient facing documents_C-SSRS Baseline-Screening_2yr_PL | 14/01/09 |
| Protocol (for publication) | D4_Patient facing documents_C-SSRS SLV_EN | 14/01/2009 |
| Protocol (for publication) | D4_Patient facing documents_C-SSRS SLV_ES | 14/01/09 |
| Protocol (for publication) | D4_Patient facing documents_C-SSRS SLV_IT | 14/01/09 |
| Protocol (for publication) | D4_Patient facing documents_C-SSRS SLV_PL | 14/01/2009 |
| Protocol (for publication) | D4_Patient facing documents_CGI-I PD_7 Point_EN | N/A |
| Protocol (for publication) | D4_Patient facing documents_CGI-I PD_7 Point_ES | N/A |
| Protocol (for publication) | D4_Patient facing documents_CGI-I PD_7 Point_IT | N/A |
| Protocol (for publication) | D4_Patient facing documents_CGI-I PD_7 Point_PL | N/A |
| Protocol (for publication) | D4_Patient facing documents_MDS-UPDRS_EN | N/A |
| Protocol (for publication) | D4_Patient facing documents_MDS-UPDRS_ES | N/A |
| Protocol (for publication) | D4_Patient facing documents_MDS-UPDRS_IT | N/A |
| Protocol (for publication) | D4_Patient facing documents_MDS-UPDRS_PL | N/A |
| Protocol (for publication) | D4_Patient facing documents_mHoehn_Yahr_EN | N/A |
| Protocol (for publication) | D4_Patient facing documents_mHoehn_Yahr_ES | N/A |
| Protocol (for publication) | D4_Patient facing documents_mHoehn_Yahr_IT | N/A |
| Protocol (for publication) | D4_Patient facing documents_mHoehn_Yahr_PL | N/A |
| Protocol (for publication) | D4_Patient facing documents_MoCA v8_Form 1_EN | v8.1 |
| Protocol (for publication) | D4_Patient facing documents_MoCA v8_Form 1_ES | v8.1 |
| Protocol (for publication) | D4_Patient facing documents_MoCA v8_Form 1_IT | v8.1 |
| Protocol (for publication) | D4_Patient facing documents_MoCA v8_Form 1_PL | v8.1 |
| Protocol (for publication) | D4_Patient facing documents_MoCA v8_Form 1_Supplemental Pages_EN | v8.1 |
| Protocol (for publication) | D4_Patient facing documents_MoCA v8_Form 1_Supplemental Pages_ES | v8.1 |
| Protocol (for publication) | D4_Patient facing documents_MoCA v8_Form 1_Supplemental Pages_IT | v8.1 |
| Protocol (for publication) | D4_Patient facing documents_MoCA v8_Form 1_Supplemental Pages_PL | v8.1 |
| Protocol (for publication) | D4_Patient facing documents_MoCA v8_Form 2_EN | v8.2 |
| Protocol (for publication) | D4_Patient facing documents_MoCA v8_Form 2_ES | v8.2 |
| Protocol (for publication) | D4_Patient facing documents_MoCA v8_Form 2_IT | v8.2 |
| Protocol (for publication) | D4_Patient facing documents_MoCA v8_Form 2_PL | v8.2 |
| Protocol (for publication) | D4_Patient facing documents_MoCA v8_Form 2_Supplemental Pages_EN | v8.2 |
| Protocol (for publication) | D4_Patient facing documents_MoCA v8_Form 2_Supplemental Pages_ES | v8.2 |
| Protocol (for publication) | D4_Patient facing documents_MoCA v8_Form 2_Supplemental Pages_IT | v8.2 |
| Protocol (for publication) | D4_Patient facing documents_MoCA v8_Form 2_Supplemental Pages_PL | v8.2 |
| Protocol (for publication) | D4_Patient facing documents_MoCA v8_Form 3_EN | v8.3 |
| Protocol (for publication) | D4_Patient facing documents_MoCA v8_Form 3_ES | v8.3 |
| Protocol (for publication) | D4_Patient facing documents_MoCA v8_Form 3_IT | v8.3 |
| Protocol (for publication) | D4_Patient facing documents_MoCA v8_Form 3_PL | v8.3 |
| Protocol (for publication) | D4_Patient facing documents_MoCA v8_Form 3_Supplemental Pages_EN | v8.3 |
| Protocol (for publication) | D4_Patient facing documents_MoCA v8_Form 3_Supplemental Pages_ES | v8.3 |
| Protocol (for publication) | D4_Patient facing documents_MoCA v8_Form 3_Supplemental Pages_IT | v8.3 |
| Protocol (for publication) | D4_Patient facing documents_MoCA v8_Form 3_Supplemental Pages_PL | v8.3 |
| Protocol (for publication) | D4_Patient facing documents_PD dBM Solution Quick Start Guide Web_EN | v1.1 |
| Protocol (for publication) | D4_Patient facing documents_PD dBM Solution Quick Start Guide Web_ES | v1.1 |
| Protocol (for publication) | D4_Patient facing documents_PD dBM Solution Quick Start Guide Web_IT | v1.1 |
| Protocol (for publication) | D4_Patient facing documents_PD dBM Solution Quick Start Guide Web_PL | v1.1 |
| Protocol (for publication) | D4_Patient facing documents_PD monitoring app_EN | v1.0 |
| Protocol (for publication) | D4_Patient facing documents_PD monitoring app_ES | v1.0 |
| Protocol (for publication) | D4_Patient facing documents_PD monitoring app_IT | v1.0 |
| Protocol (for publication) | D4_Patient facing documents_PD monitoring app_PL | v1.0 |
| Protocol (for publication) | D4_Patient facing documents_PDQ-39_EN | N/A |
| Protocol (for publication) | D4_Patient facing documents_PDQ-39_ES | N/A |
| Protocol (for publication) | D4_Patient facing documents_PDQ-39_IT | N/A |
| Protocol (for publication) | D4_Patient facing documents_PDQ-39_PL | N/A |
| Protocol (for publication) | D4_Patient facing documents_PGI-C PD_7 Point_EN | N/A |
| Protocol (for publication) | D4_Patient facing documents_PGI-C PD_7 Point_ES | N/A |
| Protocol (for publication) | D4_Patient facing documents_PGI-C PD_7 Point_IT | N/A |
| Protocol (for publication) | D4_Patient facing documents_PGI-C PD_7 Point_PL | N/A |
| Protocol (for publication) | D4_Patient facing documents_Roche PD dBM Solution Leaflet_EN | v1.0 |
| Protocol (for publication) | D4_Patient facing documents_Roche PD dBM Solution Leaflet_ES | v1.0 |
| Protocol (for publication) | D4_Patient facing documents_Roche PD dBM Solution Leaflet_IT | v1.0 |
| Protocol (for publication) | D4_Patient facing documents_Roche PD dBM Solution Leaflet_PL | v1.0 |
| Protocol (for publication) | D4_Patient facing documents_SCOPA-SLEEP_EN | N/A |
| Protocol (for publication) | D4_Patient facing documents_SCOPA-SLEEP_ES | N/A |
| Protocol (for publication) | D4_Patient facing documents_SCOPA-SLEEP_IT | N/A |
| Protocol (for publication) | D4_Patient facing documents_SCOPA-SLEEP_PL | N/A |
| Protocol (for publication) | D4_Patient facing documents_SEADL_EN | N/A |
| Protocol (for publication) | D4_Patient facing documents_SEADL_ES | N/A |
| Protocol (for publication) | D4_Patient facing documents_SEADL_IT | N/A |
| Protocol (for publication) | D4_Patient facing documents_SEADL_PL | N/A |
| Protocol (for publication) | D4_Patient facing documents_SIGH-D-17 Past Week_EN | AU2.0 |
| Protocol (for publication) | D4_Patient facing documents_SIGH-D-17 Past Week_ES | AU2.0 |
| Protocol (for publication) | D4_Patient facing documents_SIGH-D-17 Past Week_IT | AU2.0 |
| Protocol (for publication) | D4_Patient facing documents_SIGH-D-17 Past Week_PL | AU2.0 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_PL | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Tri-Fold_Brochure_ES | v1.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Tri-Fold_Brochure_IT | v1.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Tri-Fold_Brochure_PL | v1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_ICF Data Protection_ITA_Redacted | v1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_ES_Redacted | v5.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_IT_Redacted | v6.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_PL_Redacted | v4.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_OLE_ES_Redacted | v1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_OLE_IT_Redacted | v1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_OLE_PL_Redacted | v1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Optional lumbar puncture_ES_Redacted | v2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Optional lumbar puncture_IT_Redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Optional lumbar puncture_PL_Redacted | v2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnant partner_ES_Redacted | v4.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnant partner_IT_Redacted | v3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnant partner_PL_Redacted | v5.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Reimbursement and travel_ES | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Reimbursement and travel_PL | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_Patient reimbursement receipt confirmation_IT | 1 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_2024-515448-22-00_EN | v3.0 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_2024-515448-22-00_ES | v3.0 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_2024-515448-22-00_IT | v3.0 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_2024-515448-22-00_PL | v3.0 |
Application history
7 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2025-01-27 | Spain | Acceptable with conditions 2025-05-12
|
2025-05-19 |
| 2 | SUBSTANTIAL MODIFICATION | SM-1 | 2025-06-21 | Spain | Acceptable 2025-09-08
|
2025-09-12 |
| 3 | NON SUBSTANTIAL MODIFICATION | NSM-3 | 2025-10-01 | Spain | Acceptable 2025-09-08
|
2025-10-01 |
| 4 | SUBSTANTIAL MODIFICATION | SM-2 | 2025-11-05 | Spain | Acceptable | 2025-11-24 |
| 5 | NON SUBSTANTIAL MODIFICATION | NSM-4 | 2026-01-26 | Acceptable | 2026-01-26 | |
| 6 | NON SUBSTANTIAL MODIFICATION | NSM-5 | 2026-02-17 | Acceptable | 2026-02-17 | |
| 7 | SUBSTANTIAL MODIFICATION | SM-3 | 2026-02-20 | Spain | Acceptable 2026-05-29
|
2026-06-01 |