ChiCTR2200055707 版本V1.7 版本创建时间2022/08/05 09:54:15 中国临床试验注册中心

审核状态:

Project audit state:

通过审核

Successful

注册号:

Registration number:

ChiCTR2200055707 

最近更新日期:

Date of Last Refreshed on:

2022-08-05 09:50:27 

注册时间:

Date of Registration:

2022-01-16 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

左旋盐酸去甲基苯环壬酯片(LS001)治疗早、中期帕金森病的Ⅱ期研究

Public title:

A phase II study of Levo demethyl phencynonate hydrochloride tablet (LS001) in the treatment of early and middle stage Parkinson's disease

注册题目简写:

English Acronym:

研究课题的正式科学名称:

左旋盐酸去甲基苯环壬酯片(LS001)治疗早、中期帕金森病的随机、双盲、安慰剂对照的剂量探索和耐受性研究

Scientific title:

A randomized, double-blind, placebo-controlled dose exploration and tolerability study of Levo demethyl phencynonate hydrochloride tablet (LS001) in the treatment of early and middle stage Parkinson's disease

研究课题代号(代码):

Study subject ID:

LS001-1002

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

CTR20212522

申请注册联系人:

周巧霞 

研究负责人:

陈彪 

Applicant:

Zhou Qiaoxia 

Study leader:

Chen Biao 

申请注册联系人电话:

Applicant telephone:

+86 512 66286960

研究负责人电话:

Study leader's
telephone:

+86 10 83198677

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

zhouqx@lanssonpharm.com

研究负责人电子邮件:

Study leader's E-mail:

pbchan@hotmail.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

北京市丰台区西四环南路46号15层1807室

研究负责人通讯地址:

北京市西城区长椿街45号

Applicant address:

Room 1807, 15F, 46 Xisihuan Road South, Fengtai District, Beijing

Study leader's address:

45 Changchun Street, Xicheng District, Beijing

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

北京兰晟医药科技有限公司

Applicant's institution:

Beijing Lansson Pharmaceutical Technology Co., Ltd.

研究负责人所在单位:

首都医科大学宣武医院

Affiliation of the Leader:

Xuanwu Hospital Capital Medical University

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

临药审[2021]026号

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

首都医科大学宣武医院伦理委员会

Name of the ethic committee:

Ethics Committee of Xuanwu Hospital Capital Medical University

伦理委员会批准日期:

Date of approved by ethic committee:

2021-09-03 00:00:00

伦理委员会联系人:

王威

Contact Name of the ethic committee:

Wang Wei

伦理委员会联系地址:

北京市西城区长椿街45号

Contact Address of the ethic committee:

45 Changchun Street, Xicheng District, Beijing

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 10 83199270

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

首都医科大学宣武医院

Primary sponsor:

Xuanwu Hospital Capital Medical University

研究实施负责(组长)单位地址:

北京市西城区长椿街45号

Primary sponsor's address:

45 Changchun Street, Xicheng District, Beijing

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

北京

市(区县):

Country:

China

Province:

Beijing

City:

单位(医院):

北京兰晟医药科技有限公司

具体地址:

丰台区西四环南路46号15层1807室

Institution
hospital:

Beijing Lansson Pharmaceutical Technology Co., Ltd.

Address:

Room 1807, 15F, 46 Xisihuan Road South, Fengtai District, Beijing

经费或物资来源:

北京兰晟医药科技有限公司

Source(s) of funding:

Beijing Lansson Pharmaceutical Technology Co., Ltd.

研究疾病:

早、中期帕金森病  

Target disease:

Early and middle stage Parkinson's disease

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

II期临床试验 

Study phase:

2

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

主要目的:评价LS001在早、中期帕金森病患者中的安全性和耐受性。 次要目的:评价LS001治疗早、中期帕金森病的初步有效性以及在早、中期帕金森病群体药代动力学特征。  

Objectives of Study:

Primary objectives: To evaluate the safety and tolerability of LS001 in patients with early and middle stage Parkinson's disease. Secondary objectives: To evaluate the preliminary efficacy of LS001 in the treatment of early-stage and mid-stage Parkinson's disease and the population pharmacokinetic characteristics of early and middle stage Parkinson's disease.

药物成份或治疗方案详述:

本研究为一项随机、双盲、安慰剂平行对照的II期剂量探索临床研究,旨在评价早、中期帕金森病患者接受LS001治疗后的安全性、耐受性、初步有效性和PopPK特征。筛选合格的受试者随机按1:1进入试验组或对照组接受LS001或安慰剂的治疗。以0.5 mg/天为起始剂量,按照0.5mg、2 mg、4mg、 6mg/天剂量顺序依次进行剂量滴定,滴定间隔为7天;滴定至安全耐受剂量后直接进入稳定剂量治疗期(12周),期间接受既定时间节点的安全性检查、有效性评估和PopPK样本采集。稳定剂量治疗期结束在末次给药后28天进行电话随访。  

Description for medicine or protocol of treatment in detail:

This study is a randomized, double-blind, placebo-controlled Phase II dose exploration clinical study to evaluate the safety, tolerability, preliminary efficacy and PopPK characteristics of LS001 in patients with early and middle stage Parkinson's disease. The trial is divided into screening period, titration period, steady dose treatment period and follow-up period. Eligible subjects will be randomly assigned to either the experimental group (LS001) or the Control group (placebo) at a 1:1 ratio. The initial dose is 0.5 mg/day, dose titration will carry out successively according to the dose sequence of 0.5 mg, 2 mg, 4 mg and 6 mg/day, and the titration interval is 7 days. After titration to the safely tolerated dose, the patients will directly enter the steady dose treatment period (12 Weeks), during which safety inspection, efficacy evaluation and PopPK sample collection will performed at the specified time points. At the end of the steady dose treatment period, a telephone follow-up will be conducted 28 days after the last administration. 

纳入标准:

1.自愿参加本研究并签署知情;
2.签署知情同意书时年龄 >= 18岁,性别不限;
3.根据国际运动障碍协会(MDS)帕金森病诊断标准诊断为帕金森病, HoehnYahr分级≤3级;
4.国际运动障碍协会帕金森病综合量表(MDS-UPDRS)第III部分总评分 >= 10;
5.蒙特利尔认知评估量表(MoCA) >= 22(本科以下学历 >= 21);
6.汉密尔顿抑郁量表(HAMD-24)<= 35;
7.首次给药前4周内未接受抗PD药物治疗的受试者;
8.女性受试者,育龄女性受试者血清HCG检测必须为阴性,必须同意在试验期间以及末次用药后6个月使用至少一种有效的可靠避孕方法;非育龄女性(筛选时需进行FSH检查)可豁免此项标准;
9.男性受试者,如果与育龄期女性有性生活,必须在研究期间及末次用药后6个月内使用有效的避孕方法。

Inclusion criteria

1.Voluntarily participate in this study and sign the informed consent;
2.Aged 18 years and over at the time of signing the informed consent, no gender limitation;
3.Diagnosed with Parkinson's disease according to the International Movement Disorder Society (MDS) Parkinson's disease diagnostic criteria, HoehnYahr grade <= 3;
4.International Movement Disorders Association Comprehensive Parkinson's Disease Scale (MDS-UPDRS) Part III Total score >= 10;
5.Montreal Cognitive Assessment Scale (MoCA) >= 22 (Bachelor degree or below >= 21);
6.Hamilton Depression Scale (HAMD-24) <= 35;
7. Subjects who did not receive anti-PD drug treatment within 4 weeks before the first administration;
8. Female subjects: The serum HCG test of female subjects of childbearing age must be negative, and they must agree to use at least one effective and reliable contraceptive method during the trial and 6 months after the last administration; female subjects of non-childbearing age (FSH examination is required during screening) can be exempted from this standard;
9. Male subjects: male subjects agreed to use reliable contraceptive measures during the study period and within 6 months after the last administration.

排除标准:

1)基线前28天内接受过以下抗PD药物治疗;包括但不限于以下(多巴胺受体激动剂、抗胆碱能药物、单胺氧化酶B(MAO-B)抑制剂、N-甲基-D-天冬氨酸(NMDA)受体拮抗剂、左旋多巴制剂(含左旋多巴复方制剂、儿茶酚-O-甲基转移酶抑制剂));
2)基线前28天内接受过手术治疗的帕金森症状者;
3)因使用药物或患有疾病导致的不典型的帕金森症状者;
4)接受过神经外科手术或电刺激治疗者(如苍白球切开术、丘脑切开术、脑深部电刺激术等);
5)既往或现有青光眼、前列腺肥大、癫痫、晕厥、卒中、痴呆、活动性精神疾病、幻觉,或近一年内有短暂性脑缺血发作者;
6)筛选前5年内患有恶性肿瘤者(除外充分治疗的宫颈原位癌、皮肤基底细胞或鳞状上皮细胞癌、根治术后的局部前列腺癌、根治术后的乳腺导管内原位癌等);
7)筛选前6个月内有自杀企图(包括主动尝试、尝试被打断或尝试失败),或者有自杀意念,表现为哥伦比亚-自杀严重程度量表(C-SSRS)中问题4或问题5的回答为肯定(“是”) ;
8)有患有以下任意一种心脏疾病:a.患有无法控制的或严重的心脑血管疾病,包括在首次给药品前的6个月内出现纽约心脏协会(NYHA)Ⅱ级以上充血性心力衰竭、不稳定型心绞痛、心肌梗死,或者在筛选时存在需要治疗的心律失常者;b.患有高血压(收缩压≥160mmHg和/或舒张压≥100mmHg),且经联合2种或以上降压药物治疗无法降至正常范围内;c.患有症状性体位性低血压,或从仰卧位改为直立位3分钟内收缩压(SBP)降低≥30mmHg或舒张压(DBP)降低≥15mmHg);d.患有有临床意义的ECG异常史,QRS时间>120ms,长QT综合征:QTc间期>450ms(男性),QTc间期>470ms(女性);
9)存在研究者判定为有临床意义的重大食物药物过敏史或超敏反应,尤其对与本研究药物相似成分过敏;
10)签署知情同意书12周或药物的5个半衰期内(以较长者为准)参加过其他临床试验者;
11)筛选期前1年内有酗酒史、药物滥用史、吸毒史者;
12)妊娠期、哺乳期的患者;
13)既往参加过LS001试验药物的患者;
14)研究者认为受试者有其他不适合参加本临床的情况。

Exclusion criteria:

1) Received the following anti-PD drugs within 28 days before baseline; including but not limited to the following (dopamine receptor agonists, anticholinergic drugs, monoamine oxidase B (MAO-B) inhibitors, N-methyl-D-aspartate (NMDA) receptor antagonists, levodopa preparations (including levodopa compound preparations and catechol-O-methyltransferase inhibitors));
2) Patients with Parkinson's symptoms who have received surgical treatment within 28 days before baseline;
3) Those with atypical Parkinson's symptoms caused by the use of drugs or diseases;
4) Those who have received neurosurgery or electrical stimulation (such as pallidotomy, thalamotomy, deep brain stimulation, etc.);
5) Previous or existing glaucoma, prostatic hypertrophy, epilepsy, syncope, stroke, dementia, active mental disease, hallucination, or transient cerebral ischemia in recent one year;
6) Patients with malignant tumors within 5 years before screening (except fully treated cervical carcinoma in situ, skin basal cell or squamous cell carcinoma, local prostate cancer after radical operation, breast ductal carcinoma in situ after radical operation, etc.);
7)There was suicide attempt (including active attempt, interrupted attempt or failed attempt) or suicidal ideation within 6 months before screening, and the answer to question 4 or question 5 of Columbia-Suicide Severity Rating Scale (C-SSRS) is yes;
8) Suffering from any of the following heart diseases: a. Suffering from uncontrollable or serious cardiovascular and cerebrovascular diseases, including occur congestive heart failure above class II of New York Heart Association (NYHA), unstable angina pectoris, myocardial infarction within 6 months before the first drug administration, or arrhythmia requiring treatment during screening; b. Suffering from hypertension (systolic blood pressure ≥ 160mmhg and / or diastolic blood pressure ≥ 100mmhg), and cannot be reduced to the normal range after combined treatment with two or more antihypertensive drugs; c. Suffer from symptomatic orthostatic hypotension, or reduce systolic blood pressure (SBP) by ≥ 30mmhg or diastolic blood pressure (DBP) by ≥ 15mmhg within 3 minutes from supine position to upright position; d. Having a history of clinically significant ECG abnormalities, QRS time > 120ms, QT prolongation: QTc interval > 450ms (male), QTc interval > 470ms (female);
9) Presence of a history of major food or drug allergy or hypersensitivity judged by the investigator to be clinically significant, especially allergic to ingredients similar to the drug under study;
10) Those who have participated in other clinical trials within 12 weeks after signing the informed consent or within 5 half-lives of the drug (whichever is longer);
11) Those who have a history of alcoholism, drug abuse, or drug abuse within 1 year before the screening period;
12) Pregnant and lactating patients;
13) Patients who have participated in the LS001 test in the past;
14) The investigator believes that the subject has other conditions that are not suitable for participating in this clinical study.

研究实施时间:

Study execute time:

From 2022-01-12 00:00:00 To 2026-04-30 00:00:00  

征募观察对象时间:

Recruiting time:

From 2022-01-12 00:00:00 To 2026-01-31 00:00:00

干预措施:

Interventions:

组别:

试验药组

样本量:

103

Group:

experimental group

Sample size:

干预措施:

LS001

干预措施代码:

Intervention:

LS001

Intervention code:

组别:

对照组

样本量:

103

Group:

Control group

Sample size:

干预措施:

安慰剂

干预措施代码:

Intervention:

placebo

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

北京 

市(区县):

 

Country:

China

Province:

Beijing

City:

单位(医院):

首都医科大学宣武医院 

单位级别:

三级甲等 

Institution
hospital:

Xuanwu Hospital Capital Medical University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

福建省 

市(区县):

福州市 

Country:

China

Province:

Fujian

City:

Fuzhou

单位(医院):

福建医科大学附属协和医院 

单位级别:

三级甲等 

Institution
hospital:

Fujian Medical University Union Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

湖南省 

市(区县):

长沙市 

Country:

China

Province:

Hunan

City:

Changsha

单位(医院):

中南大学湘雅三医院 

单位级别:

三级甲等 

Institution
hospital:

The Third Xiangya Hospital of Central South University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

北京 

市(区县):

 

Country:

China

Province:

Beijing

City:

单位(医院):

首都医科大学附属北京潞河医院 

单位级别:

三级 

Institution
hospital:

Beijing Luhe Hospital Capital Medical University

Level of the institution:

Tertiary

国家:

中国

省(直辖市):

北京 

市(区县):

 

Country:

China

Province:

Beijing

City:

单位(医院):

首都医科大学附属北京天坛医院 

单位级别:

三级甲等 

Institution
hospital:

Beijing Tiantan Hospital Capital Medical University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

青海省 

市(区县):

西宁市 

Country:

China

Province:

Qinghai

City:

Xining

单位(医院):

青海省人民医院 

单位级别:

三级甲等 

Institution
hospital:

Qinghai Provincial People's Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

江西省 

市(区县):

南昌市 

Country:

China

Province:

Jiangxi

City:

Nanchang

单位(医院):

南昌大学第二附属医院 

单位级别:

三级甲等 

Institution
hospital:

The Second Affiliated Hospital Of Nanchang University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

四川省 

市(区县):

成都市 

Country:

China

Province:

Sichuan

City:

Chengdu

单位(医院):

四川大学华西医院 

单位级别:

三级甲等 

Institution
hospital:

West China Hospital of Sichuan University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

吉林省 

市(区县):

长春市 

Country:

China

Province:

Jilin

City:

Changchun

单位(医院):

吉林大学第一医院 

单位级别:

三级甲等 

Institution
hospital:

The First Hospital of Jilin University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

江苏省 

市(区县):

无锡市 

Country:

China

Province:

Jiangsu

City:

Wuxi

单位(医院):

无锡市人民医院 

单位级别:

三级甲等 

Institution
hospital:

Wuxi People's Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

海南省 

市(区县):

海口市 

Country:

China

Province:

Hainan

City:

Haikou

单位(医院):

海南省人民医院 

单位级别:

三级甲等 

Institution
hospital:

Hainan General Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

天津市 

市(区县):

 

Country:

China

Province:

Tianjing

City:

单位(医院):

天津医科大学总医院 

单位级别:

三级甲等 

Institution
hospital:

Tianjn Medical University General Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

陕西省 

市(区县):

咸阳市 

Country:

China

Province:

Shanxi

City:

Xianyang

单位(医院):

延安大学咸阳医院 

单位级别:

三级甲等 

Institution
hospital:

Xianyang Hospital of Yan 'an University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

浙江省 

市(区县):

杭州市 

Country:

China

Province:

Zhejiang

City:

Hangzhou

单位(医院):

浙江大学医学院附属第二医院 

单位级别:

三级甲等 

Institution
hospital:

Zhejiang

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

安徽省 

市(区县):

合肥市 

Country:

China

Province:

Anhui

City:

Hefei

单位(医院):

安徽医科大学第一附属医院 

单位级别:

三级甲等 

Institution
hospital:

The First Affilitated hospital of Anhui Medical University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

辽宁 

市(区县):

沈阳 

Country:

China

Province:

Liaoning

City:

Shenyang

单位(医院):

中国医科大学附属盛京医院 

单位级别:

三级甲等 

Institution
hospital:

Shengjing Hospital of China Medical University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

江苏省 

市(区县):

南京市 

Country:

China

Province:

Jiangsu

City:

Nanjing

单位(医院):

江苏省人民医院 

单位级别:

三级甲等 

Institution
hospital:

Jiangsu Province Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

广东省 

市(区县):

广州市 

Country:

China

Province:

Guangdong

City:

Guangzhou

单位(医院):

广东省第二人民医院 

单位级别:

三级甲等 

Institution
hospital:

Guangdong Second Provincial General Hospital

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

生命体征

指标类型:

主要指标

Outcome:

vital signs

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

体格检查

指标类型:

主要指标

Outcome:

physical examination

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

临床实验室检查

指标类型:

主要指标

Outcome:

Clinical laboratory tests

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

12-导联心电图 (ECG)检查

指标类型:

主要指标

Outcome:

12-lead electrocardiogram (ECG) examination

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

不良事件

指标类型:

主要指标

Outcome:

adverse events

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

终点与基线MDS-UPDRS评分差值的组间差异

指标类型:

次要指标

Outcome:

between group differences in MDS-UPDRS scores at baseline and the ending point

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

终点与基线CGI-SI评分差值的组间差异

指标类型:

次要指标

Outcome:

between group differences in CGI-SI scores at baseline and the ending point

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

终点与基线CGI-GI评分差值的组间差异

指标类型:

次要指标

Outcome:

between group differences in CGI-GI scores at baseline and the ending point

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

终点与基线PDQ-39评分差值的组间差异

指标类型:

次要指标

Outcome:

between group differences in PDQ-39 scores at baseline and the ending point

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

终点与基线MDS-UPDRS(III)评分差值的组间差异

指标类型:

主要指标

Outcome:

between group differences in MDS-UPDRS(III) scores at baseline and the ending point

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

血液

组织:

Sample Name:

Blood

Tissue:

人体标本去向

使用后保存  

说明

Fate of sample:

Preservation after use  

Note:

征募研究对象情况:

Recruiting status:

正在进行

Recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 无上限 years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

本研究采用中央随机化系统对患者进行随机分组。由独立非盲统计师,用SAS软件(9.4或以上版本)产生受试者随机分配列表(盲底)和试验药物随机分配列表。

Randomization Procedure (please state who generates the random number sequence and by what method):

The study used a central randomization system to randomize patients to each group. An independent non-blinded statistician used SAS software (version 9.4 or above) to generate the random assignment list of subjects (blind bottom) and the random assignment list of test drugs.

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

公开/Public

盲法:

Blinding:

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

是否共享原始数据:

IPD sharing

否No

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

No

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

采用电子采集和管理系统

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

Using Electronic Data Capture

数据与安全监察委员会:

Data and Safety Monitoring Committee:

无/No

注册人:

Name of Registration:

 2022-01-16 12:52:24