A Phase 2 Study of NEU-411 in Companion Diagnostic-Positive Participants with Early Parkinson’s Disease

2024-515448-22-00 Protocol NEU-411-PD201 Therapeutic exploratory (Phase II) Authorised, recruitment pending

Status Authorised, recruitment pending · 3 EU/EEA countries · 21 sites · Protocol NEU-411-PD201

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Authorised, recruitment pending
Participants planned 150
Countries 3
Sites 21

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

  1. To evaluate the secondary safety and efficacy of NEU-411 in participants with LRRK2-driven Parkinson's disease

Conditions and MedDRA coding

Parkinson

VersionLevelCodeTermSystem organ class
20.0 PT 10061536 Parkinson's disease 100000004852

Study design 1 period

#TitleAllocationBlindingRoles blindedArms
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

  1. Aged 40-80 years at time of screening, inclusive
  2. Diagnosis of clinically established or clinically probable Parkinson's disease
  3. LRRK2-driven PD using the investigational companion diagnostic genetic test (CDx)
  4. Modified Hoehn and Yahr (mH&Y) of 1 to 2.5
  5. Additional inclusion criteria are outlined in the full study protocol.

Exclusion criteria 4

  1. Secondary or atypical parkinsonian syndromes
  2. Uncontrolled diabetes mellitus with hemoglobin A1c (HbA1c) >8%
  3. Other significant medical conditions (as determined by medical history, examination, or clinical investigations at screening)
  4. Additional exclusion criteria are outlined in the full study protocol.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. 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
  2. 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

  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

NEU-411

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

Placebo NEU-411 maleate

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

OrganisationCity, countryDuties
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

CountryMS statusPlanned subjectsSites
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

Italy

10 sites · Authorised, recruitment pending
Universita' Degli Studi G. D'Annunzio Di Chieti
Centro di Ricerca Clinica, Via Luigi Polacchi 11, 66100, Chieti Scalo
Irccs San Raffaele Roma S.r.l.
Neurology, Via Di Val Cannuta 250, 00166, Rome
Universita Degli Studi Di Padova
Neurology, Via Nicolo' Giustiniani 2, 35128, Padova
AOU Policlinico-San Marco
Clinica Neurologica, Via Santa Sofia, 78, Catania
Azienda Ospedaliera Universitaria Universita' Degli Studi Della Campania Luigi Vanvitelli
Neurology, Piazza Luigi Miraglia 2, 80138, Naples
ASST Spedali Civili di Brescia
Neurology, Piazzale Spedali Civili 1, 25123, Brescia
Istituto Neurologico Mediterraneo Neuromed S.p.A.
Neurology, Via Atinense N. 18, 86077, Pozzilli
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Neurology, Largo Agostino Gemelli, 8, Rome
Ospedale Santa Chiara
Neurology, Via Roma 67, 56126, Pisa
IRCCS - Ospedale San Raffaele
Neurology, Via Olgettina 60, 20132, Milano

Poland

4 sites · Authorised, recruitment pending
Insula Badania Sp. z o.o.
Neurology, Ul. Klobucka 23c/109, 02-699, Warsaw
Centrum Medyczne Neuromed Sp. z o.o.
Neurology, Ul. Jana Biziela 14, 85-163, Bydgoszcz
Pro Life Medica Sp. z o.o.
Neurology, Ul. Wladyslawa Kunickiego 26a, 20-412, Lublin
Neurologiczny NZOZ Centrum Leczenia SM Ośrodek Badań Klinicznych im. dr n. med. Hanki Hertmanowskiej
Neurology, Ul. Czerwińskiego 8, 40-123, Katowice

Spain

7 sites · Authorised, recruitment pending
Hospital Clinic De Barcelona
Neurology, Calle Villarroel 170, 08036, Barcelona
Hospital Universitario Hm Puerta Del Sur
CINAC, Avenida De Carlos V 70, 28938, Mostoles
Hospital Universitario Virgen del Rocio
Neurology, Avenida De Manuel Siurot S/n, 41013, Sevilla
Biocruces Bizkaia Health Research Center Institute
Neurology, Biocruces Bizkaia Health Research Center Institute, Neurology Sevice- Cruces University Hospital, Barakaldo
Hospital Universitari Vall D Hebron
Neurology, Passeig De La Vall D'Hebron 119-129, 08035, Barcelona
Policlinica Gipuzkoa S.A.
Neurology, Paseo Miramon 174, 20009, Donostia
Hospital Universitario De La Princesa
Neurology, Calle De Diego De Leon 62, 28006, Madrid

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.

TypeTitleVersion
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

#TypeCodeSubmittedReference MSConclusionDecision 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