A Randomized, Double-Blind, Placebo-Controlled Trial of IkT-148009 in Untreated Parkinson's Disease

• Status: Recruiting
• Trial end date: 2023-10-31
• Target enrollment: 0
• Participant gender: All

Summary

This study investigates the safety and tolerability of drug IkT-148009 in untreated Parkinson's disease volunteers (55 to 75 years old). It also looks at the pharmacokinetics of IkT-148009 in the body and evaluates the effect of ikT-148009 on motor and non-motor features of the disease. This 12 week study is designed to be 3:1 randomized across 3 doses of IkT-148009 or placebo. Each participant will self-administer one of 3 doses or placebo of IkT-148009 once daily (QD) with food for 12 weeks.

• Phase: Phase 2
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Inhibikase Therapeutics, Inc.

Criteria

Inclusion Criteria:

1. Participants who are diagnosed with PD consistent with UK Brain Bank criteria and MDS Research Criteria; must include bradykinesia with sequence effect and motor asymmetry.

2. Receiving no anti-parkinsonian therapy

3. Modified Hoehn/Yahr Stage < 3.0

4. Montreal Cognitive Assessment ≥ 26

5. Patient expected to be able to participate in trial without need for additional anti-parkinsonian therapy

6. Capable of giving signed ICF as described in Appendix 1 which includes compliance with the requirements and restrictions listed in the ICF and in this protocol.

7. Approved as an appropriate and suitable candidate by the EAC.

Sex and Contraceptive/Barrier Requirements:

Male participants:

• Male participants must agree to practice an acceptable method of highly effective birth control from the screening visit, while on study and for 30 days after receiving the last dose of study drug. Highly effective methods of birth control include sexual abstinence, vasectomy, or a condom with spermicide (men) in combination with their partner's highly effective method.

Female participants:

• Female participants of childbearing potential and male participants with female partners of childbearing potential must agree to either remain abstinent or use adequate and reliable contraception throughout the study and at least 30 days after the last dose of study drug has been taken.

Exclusion Criteria:

1. Diagnosis/suspicion of secondary or atypical parkinsonism

2. Previous procedure or surgery for PD, or anticipation of these during the study

3. High likelihood of needing anti-parkinsonian treatment over the study period, in the opinion of the investigator

4. Clinically significant orthostatic hypotension

5. Clinically significant hallucinations requiring antipsychotic use in the 12 months prior to Screening

6. Clinically significant medical, surgical, psychiatric, or laboratory abnormalities in the judgement of the treating investigator or the EAC

7. Past treatment with levodopa, dopaminergic agonists, monoamine oxidase-B inhibitors, or A2A antagonists for more than 28 days, or treatment with any of these medications within 28 days prior to screening

8. Past treatment with irreversible monoamine oxidase-B inhibitors (e.g., selegiline) for more than 28 days; must be discontinued for at least 90 days before screening

9. Currently receiving moderate or strong Cytochrome P450 (CYP) 3A4/5 inducers or CYP3A4/5 inhibitors (except for topical administration)

10. Currently receiving any antipsychotic, metoclopramide, reserpine, or amphetamine.

11. Current participation in another investigational clinical trial and/or receipt of any investigational medication within 90 days prior to screening

12. Previous randomization into this or another IkT-148009 study

13. Active suicidal ideation within one year prior to screening visit, as determined by the Columbia Suicide Rating Scale (answer of "yes" on question 4 or 5)

14. Current diagnosis or history of substance abuse (excluding nicotine or caffeine) by Diagnostic and Statistical Manual of Mental Disorders (DSM)-5 criteria

15. Medical or recreational use of marijuana in the 3 months prior to the screening visit

16. Any social or behavioral reason that would preclude completion of the study, in the judgement of the investigator

17. Any skin condition that would interfere with obtaining adequate samples

18. Abnormal amylase and/or lipase at screening (may be repeated during screening period)

19. Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) levels greater than 2.5 times the upper limit of normal (ULN)

20. Significant renal impairment as determined by creatinine clearance (CrCL) less than or equal to 60 ml/min

21. Currently lactating, pregnant or planning on becoming pregnant during the study