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| ID | Type | Description | Link |
|---|---|---|---|
| 2024-517310-15-01 | EU Trial (CTIS) Number |
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| Name | Class |
|---|---|
| Michael J. Fox Foundation for Parkinson's Research | OTHER |
| Parkinson's UK | OTHER |
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The goal of this study is to learn if MTX325 can be developed as a potential disease-modifying treatment for Parkinson's Disease.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Parts 1 - 4 | Active Comparator | MTX325 Active Oral Capsules - 1.5mg - 100mg These 4 parts are SAD, MAD, Elderly and PET biodistribution. |
|
| Parts 1 - 3, and 5 | Placebo Comparator | MTX325 Placebo Capsules - 50mg. Parts 1-3 are SAD, MAD and Elderly cohorts. Matched strength placebo capsules in Part 5 (PD participants) |
|
| Part 4 | Active Comparator | MTX325 Capsules - 20mg. Radiolabelled MTX325 solution for injection. This is a healthy volunteer PET study. Not placebo controlled. |
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| Part 5 | Active Comparator | MTX325 - 20 mg Capsules |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| MTX325 | Drug | MTX325 |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Safety and Tolerability | To assess the safety and tolerability of single ascending doses of MTX325, when administered to participants. Adverse Events will be collected. The following vital signs will be measured to form the safety and tolerability outcome- blood pressure, heart rate, oral body temperature, respiratory rate. Laboratory Safety analyses will include biochemistry, haematology, and urinalysis. 12-lead ECG will be performed to collect heart rate, RR interval, PR interval, QRS width, QT interval, and QTcF interval. All participants who receive at least 1 dose of IMP will be included in the safety analysis. | up to 28 days post dose |
| Brain Biodistribution | To investigate the brain biodistribution in MTX325. This part of the protocol is intended to ascertain the biodistribution of MTX325 in the brain. Radiolabelled MTX325 will be injected and PET images taken to determine the whole brain and regions of interest distribution volume. MRI images will be performed to be able to co-register regions of interest. | MRI performed during screening period and PET performed on Day 1 |
| Safety and Tolerability | To evaluate the safety and tolerability of MTX325 in untreated participants with mild to moderate idiopathic PD. Adverse Events will be collected. The following vital signs will be measured to form the safety and tolerability outcome - blood pressure, heart rate, oral body temperature, respiratory rate. Laboratory Safety analyses will include biochemistry, haematology, and urinalysis. 12-lead ECG will be performed to collect heart rate, RR interval, PR interval, QRS width, QT interval, and QTcF interval. All participants who receive at least 1 dose of IMP will be included in the safety analysis. | up to 28 days post dose |
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Inclusion Criteria:
Part 1, 2 ,4
Part 4 Only
1. Healthy male and female participant, ≥ 65 years of age. 2. Female participant of non-childbearing potential. 3. Female participant of menopausal status confirmed by demonstrating at Screening that the serum level of the follicle stimulating hormone (FSH) falls within the respective pathology reference range.
4. Male participant (and partner of childbearing potential) willing to use a highly effective method of contraception 5. Participant with a body weight of at least 50.0 kg and BMI of 18-32 kg/m2. 6. No clinically significant history of previous allergy / sensitivity to MTX325 or any of the excipients contained within the IMP.
7. No clinically significant abnormal test results for serum biochemistry, haematology and/or urine analyses determined within 35 days before first dose of IMP.
8. Participant with an estimated glomerular filtration rate (eGFR) calculated by the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) creatinine equation >60 mL/min/1.73 m2.
9. Participant with a negative urinary drugs of abuse (DOA) 10. Participant with negative human immunodeficiency virus (HIV), hepatitis B surface antigen [HbsAg]) and hepatitis C virus antibody (HCV Ab) test results at Screening.
11. No clinically significant abnormalities in 12-lead electrocardiogram (ECG) 12. No clinically significant abnormalities in vital signs 13. Participant must be available to complete the study (including all follow-up visits).
14. Participant must satisfy an Investigator about his/her fitness to participate in the study.
15. Participant must provide written informed consent to participate in the study.
16. Participants with a negative COVID-19 test on admission. Part 5 Only
13. Clinically established PD as per MDS Criteria[ 14. Absence of dementia as shown by a baseline Montreal Cognitive Assessment (MoCA®) Exclusion Criteria (Part 1, 2, 4)
Part 1 Treatment Period 2a (CSF sampling) Cohort(s) only:
Part 4 only:
1. A clinically significant history of gastrointestinal disorder likely to influence IMP absorption.
2. Evidence of febrile illness within 1 week of first dose of IMP. 3. Use of prescription or non-prescription drugs, including vitamins, herbal and dietary supplements or any medication known to prolong the QT/QTc interval within 35 days or 5 half-lives 4. Evidence of clinically significant renal, hepatic, central nervous system, respiratory, cardiovascular or metabolic dysfunction.
5. History of torsade de pointes, heart failure, hypokalaemia, long QT syndrome or any other additional cardiac risk factors.
6. A clinically significant history of drug or alcohol abuse 7. Participants with an excess habitual daily intake of caffeine 8. Inability to communicate well with the Investigators 9. Participation in a NCE clinical study within the previous 3 months or five half-lives 10. Donation of 450 mL or more blood within the 3 months before the first dose of IMP.
11. Participants who have received a COVID-19 vaccine injection within 35 days prior to first dose of IMP.
12. Users of nicotine products 13. Participants with veins unsuitable for venepuncture and cannulation. 14. Participants with recent COVID-19 infection with resolution of symptoms Part 5
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Sarah J Fritchley, PhD | Contact | sfritchley@missiontherapeutics.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Royal Liverpool University Hospital | Recruiting | Liverpool | United Kingdom |
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Participants will receive either MTX325 or placebo
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| Placebo |
| Other |
Placebo |
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| Parexel | Completed | London | United Kingdom |
| Perceptive | Completed | London | United Kingdom |
| Simbec-Orion | Completed | Merthyr Tydfil | United Kingdom |
| University Hospitals Plymouth NHS Trust, Derriford Hospital | Recruiting | Plymouth | United Kingdom |
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| ID | Term |
|---|---|
| D010300 | Parkinson Disease |
| D008224 | Lymphoma, Follicular |
| ID | Term |
|---|---|
| D020734 | Parkinsonian Disorders |
| D001480 | Basal Ganglia Diseases |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D009069 | Movement Disorders |
| D000080874 | Synucleinopathies |
| D019636 | Neurodegenerative Diseases |
| D008228 | Lymphoma, Non-Hodgkin |
| D008223 | Lymphoma |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
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