A Phase 2 interventional study of Deferiprone and Placebo in Parkinson's Disease, sponsored by ApoPharma. Completed at 20 sites in 4 countries. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2024-04-10.
Sponsored by ApoPharma (part of Chiesi Farmaceutici S.p.A.) · Phase 2, Interventional, and Treatment
The goal of this study is to evaluate the effects of deferiprone, an iron-chelating drug, in patients with Parkinson's disease. Participants will be randomized to receive one of four different dosages of deferiprone or placebo, and will take the assigned study product twice a day for nine months.
This study will enroll 140 patients who have been diagnosed with Parkinson's disease within the last 3 years and are currently taking antiparkinsonian medication. There are four dosage cohorts, with patients in each cohort receiving either deferiprone tablets or placebo. At the baseline visit, participants will be randomized to a dosage cohort and to either active product or placebo within that cohort, and will take the assigned study product twice-daily for 9 months. They will come back to the study site for assessments at Months 1, 2, 3, 4, 5, 6, and 9, and will need to have their blood count checked weekly, at either the study site or a local laboratory.
4,573 studies on the registry are indexed under Parkinson Disease; 1,086 are open to participants now.
This study's enrollment of 140 is above the median of 40 across 3,353 interventional studies indexed under Parkinson Disease.
Browse Parkinson Disease studies →ApoPharma is the lead sponsor of 23 studies on the registry; none are open to participants now.
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Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Exclusion Criteria:
Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.
It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.
The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.
Absolute neutrophil count (ANC)
The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.
It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
DSM diagnostic criteria
The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
One-half of a 600 mg tablet of deferiprone twice a day, for a total daily dosage of 600 mg
Drug: Deferiprone
One 600 mg tablet of deferiprone twice a day, for a total daily dosage of 1200 mg
Drug: Deferiprone
One and a half 600 mg tablets of deferiprone twice a day, for a total daily dosage of 1800 mg
Drug: Deferiprone
Two 600 mg tablets of deferiprone twice a day, for a total daily dosage of 2400 mg
Drug: Deferiprone
Depending on dosage cohort, either one half-tablet, one tablet, one and a half tablets, or two tablets of placebo, twice a day
Drug: Placebo
600 mg tablets
Also known as: DFP
Tablets that match the deferiprone tablets in appearance
Change in Score on the Part III Subscale of the Movement Disorder Society-Unified Parkinson's Disease Rating Scale (MDS-UPDRS)
Change from baseline to Month 9 in the score for the Part III subscale (motor examination) of the MDS-UPDRS. Scores on this subscale can range from 0 (best) to 132 (worst); hence, an increase would indicate progression of the disease and a decrease would indicate improvement. The change in score was calculated as least square means.
Time frame: Nine months
Change in Total Score on the MDS-UPDRS
Change from baseline to Month 9 in total score on the MDS-UPDRS. The total score can range from 0 (best) to 260 (worst); hence, an increase would indicate progression of the disease and a decrease would indicate improvement. The change in score was calculated as least square means.
Time frame: Nine months
Change in Score on the Part I Subscale of the MDS-UPDRS
Change from baseline to Month 9 in the score for the Part I subscale (mentation, behavior, and mood) of the MDS-UPDRS. Scores on this subscale can range from 0 (best) to 52 (worst); hence, an increase would indicate progression of the disease and a decrease would indicate improvement. The change in score was calculated as least square means.
Time frame: Nine months
Change in Score on the Part II Subscale of the MDS-UPDRS
Change from baseline to Month 9 in the score for the Part II subscale (activities of daily living) of the MDS-UPDRS. Scores on this subscale can range from 0 (best) to 52 (worst); hence, an increase would indicate progression of the disease and a decrease would indicate improvement. The change in score was calculated as least square means.
Time frame: Nine months
Change in Score in the Part IV Subscale of the MDS-UPDRS
Change from baseline to Month 9 in the score for the Part IV subscale (motor complications) of the MDS-UPDRS. Scores on this subscale can range from 0 (best) to 24 (worst); hence, an increase would indicate progression of the disease and a decrease would indicate improvement. The change in score was calculated as least square means.
Time frame: Nine months
Change in the Combined Scores From Parts II and III of the MDS-UPDRS
Change from baseline to Month 9 in the combined score for the Part II subscale (motor experiences of daily living) and the Part III subscale (motor examination) of the MDS-UPDRS. The scales for these two parts range from 0 (best) to 52 (worst) and from 0 (best) to 132 (worst), respectively. Hence, the combined score can range from 0 (best) to 184 (worst), and an increase would indicate progression of the disease and a decrease would indicate improvement. The change in score is presented as least square means.
Time frame: Nine months
Change in Score on the Montreal Cognitive Assessment (MoCA) Test
Change from baseline to Month 9 in the score for overall cognitive function as assessed by the MoCA. The total score on the MoCA can range from 0 (worst) to 30 (best). Hence, a decrease in score would indicate progression of the disease and an increase would indicate improvement. The change in score is presented as least square means.
Time frame: Nine months
Safety of Deferiprone
Number of subjects with adverse events
Time frame: Nine months
Cmax for Serum Deferiprone and Deferiprone 3-O-glucuronide
Blood samples for pharmacokinetics assessments were collected at baseline, and at pre-dose and specified time points up to 12 hours post-dose at the Month 3 visit. The maximum measured serum concentration (Cmax) at the Month 3 visit was determined for deferiprone and its main metabolite, deferiprone 3-O-glucuronide.
Time frame: 4 hours
Tmax for Serum Deferiprone and Deferiprone 3-O-glucuronide
Blood samples for pharmacokinetics assessments were collected at baseline, and at pre-dose and specified time points up to 12 hours post-dose at the Month 3 visit. The time to maximum observed serum concentration (Tmax) at the Month 3 visit was determined for deferiprone and its main metabolite, deferiprone 3-O-glucuronide.
Time frame: 4 hours
Area Under the Curve for Serum Deferiprone and Deferiprone 3-O-glucuronide
Blood samples for pharmacokinetics assessments were collected at baseline, and at pre-dose and specified time points up to 12 hours post-dose at the Month 3 visit. The total drug exposure, AUC0-∞ (area under the serum concentration time curve extrapolated to infinity) at the Month 3 visit was determined for deferiprone and its main metabolite, deferiprone 3-O-glucuronide.
Time frame: 4 hours
| Milestone | Placebo | Deferiprone 300 mg | Deferiprone 600 mg | Deferiprone 900 mg | Deferiprone 1200 mg |
|---|---|---|---|---|---|
| Started | 28 | 28 | 28 | 28 | 28 |
| Completed | 25 | 23 | 20 | 22 | 23 |
| Not completed | 3 | 5 | 8 | 6 | 5 |
| Withdrew: Adverse event | 0 | 2 | 3 | 1 | 2 |
| Withdrew: Lack of efficacy | 0 | 1 | 1 | 0 | 0 |
| Withdrew: Protocol violation | 2 | 0 | 4 | 2 | 2 |
| Withdrew: Withdrawal by subject | 1 | 0 | 0 | 1 | 0 |
| Withdrew: Use of rescue medication | 0 | 2 | 0 | 2 | 1 |
Change from baseline to Month 9 in the score for the Part III subscale (motor examination) of the MDS-UPDRS. Scores on this subscale can range from 0 (best) to 132 (worst); hence, an increase would indicate progression of the disease and a decrease would indicate improvement. The change in score was calculated as least square means.
| Score on a scale | Placebo | Deferiprone 300 mg | Deferiprone 600 mg | Deferiprone 900 mg | Deferiprone 1200 mg |
|---|---|---|---|---|---|
| Change in Score on the Part III Subscale of the Movement Disorder Society-Unified Parkinson's Disease Rating Scale (MDS-UPDRS) | 2.1 ± 1.4 | 4.2 ± 1.4 | -0.8 ± 1.5 | 3.9 ± 1.5 | 2.2 ± 1.4 |
Change from baseline to Month 9 in total score on the MDS-UPDRS. The total score can range from 0 (best) to 260 (worst); hence, an increase would indicate progression of the disease and a decrease would indicate improvement. The change in score was calculated as least square means.
| Score on a scale | Placebo | Deferiprone 300 mg | Deferiprone 600 mg | Deferiprone 900 mg | Deferiprone 1200 mg |
|---|---|---|---|---|---|
| Change in Total Score on the MDS-UPDRS | 4.1 ± 1.9 | 7.8 ± 1.9 | 0.5 ± 2.1 | 6.6 ± 2.1 | 5.9 ± 2.0 |
Change from baseline to Month 9 in the score for the Part I subscale (mentation, behavior, and mood) of the MDS-UPDRS. Scores on this subscale can range from 0 (best) to 52 (worst); hence, an increase would indicate progression of the disease and a decrease would indicate improvement. The change in score was calculated as least square means.
| Score on a scale | Placebo | Deferiprone 300 mg | Deferiprone 600 mg | Deferiprone 900 mg | Deferiprone 1200 mg |
|---|---|---|---|---|---|
| Change in Score on the Part I Subscale of the MDS-UPDRS | 0.8 ± 0.7 | 1.0 ± 0.7 | 0.3 ± 0.7 | 0.3 ± 0.7 | 1.1 ± 0.7 |
Change from baseline to Month 9 in the score for the Part II subscale (activities of daily living) of the MDS-UPDRS. Scores on this subscale can range from 0 (best) to 52 (worst); hence, an increase would indicate progression of the disease and a decrease would indicate improvement. The change in score was calculated as least square means.
| Score on a scale | Placebo | Deferiprone 300 mg | Deferiprone 600 mg | Deferiprone 900 mg | Deferiprone 1200 mg |
|---|---|---|---|---|---|
| Change in Score on the Part II Subscale of the MDS-UPDRS | 1.1 ± 0.6 | 2.2 ± 0.6 | 0.6 ± 0.6 | 2.1 ± 0.6 | 1.8 ± 0.6 |
Change from baseline to Month 9 in the score for the Part IV subscale (motor complications) of the MDS-UPDRS. Scores on this subscale can range from 0 (best) to 24 (worst); hence, an increase would indicate progression of the disease and a decrease would indicate improvement. The change in score was calculated as least square means.
| Score on a scale | Placebo | Deferiprone 300 mg | Deferiprone 600 mg | Deferiprone 900 mg | Deferiprone 1200 mg |
|---|---|---|---|---|---|
| Change in Score in the Part IV Subscale of the MDS-UPDRS | -0.1 ± 0.2 | 0.2 ± 0.2 | 0.3 ± 0.2 | 0.2 ± 0.2 | 0.4 ± 0.2 |
Change from baseline to Month 9 in the combined score for the Part II subscale (motor experiences of daily living) and the Part III subscale (motor examination) of the MDS-UPDRS. The scales for these two parts range from 0 (best) to 52 (worst) and from 0 (best) to 132 (worst), respectively. Hence, the combined score can range from 0 (best) to 184 (worst), and an increase would indicate progression of the disease and a decrease would indicate improvement. The change in score is presented as least square means.
| Score on a scale | Placebo | Deferiprone 300 mg | Deferiprone 600 mg | Deferiprone 900 mg | Deferiprone 1200 mg |
|---|---|---|---|---|---|
| Change in the Combined Scores From Parts II and III of the MDS-UPDRS | 3.3 ± 1.6 | 6.5 ± 1.6 | -0.3 ± 1.7 | 6.0 ± 1.7 | 4.3 ± 1.7 |
Change from baseline to Month 9 in the score for overall cognitive function as assessed by the MoCA. The total score on the MoCA can range from 0 (worst) to 30 (best). Hence, a decrease in score would indicate progression of the disease and an increase would indicate improvement. The change in score is presented as least square means.
| Score on a scale | Placebo | Deferiprone 300 mg | Deferiprone 600 mg | Deferiprone 900 mg | Deferiprone 1200 mg |
|---|---|---|---|---|---|
| Change in Score on the Montreal Cognitive Assessment (MoCA) Test | 1.1 ± 0.3 | 1.0 ± 0.3 | 0.9 ± 0.3 | 1.1 ± 0.3 | 1.4 ± 0.3 |
Number of subjects with adverse events
| Participants | Placebo | Deferiprone 300 mg | Deferiprone 600 mg | Deferiprone 900 mg | Deferiprone 1200 mg |
|---|---|---|---|---|---|
| Safety of Deferiprone | 26 | 25 | 23 | 25 | 25 |
Blood samples for pharmacokinetics assessments were collected at baseline, and at pre-dose and specified time points up to 12 hours post-dose at the Month 3 visit. The maximum measured serum concentration (Cmax) at the Month 3 visit was determined for deferiprone and its main metabolite, deferiprone 3-O-glucuronide.
| μg/mL | 300 mg | 600 mg | 900 mg | 1200 mg |
|---|---|---|---|---|
| Serum deferiprone | 2.748 ± 0.781 | 3.459 ± 0.078 | 5.080 ± 2.614 | 7.942 ± 2.192 |
| Serum deferiprone 3-O-glucuronide | 7.844 ± 0.936 | 12.419 ± 2.218 | 21.914 ± 8.309 | 32.632 ± 2.167 |
Blood samples for pharmacokinetics assessments were collected at baseline, and at pre-dose and specified time points up to 12 hours post-dose at the Month 3 visit. The time to maximum observed serum concentration (Tmax) at the Month 3 visit was determined for deferiprone and its main metabolite, deferiprone 3-O-glucuronide.
| Hours | 300 mg | 600 mg | 900 mg | 1200 mg |
|---|---|---|---|---|
| Serum deferiprone | 2.00 (1.67 to 2.33) | 2.17 (2.00 to 2.33) | 2.00 (0.58 to 2.67) | 1.67 (1.33 to 2.00) |
| Serum deferiprone 3-O-glucuronide | 2.84 (2.33 to 3.00) | 3.25 (3.00 to 3.50) | 3.50 (2.67 to 3.58) | 2.50 (2.33 to 2.67) |
Blood samples for pharmacokinetics assessments were collected at baseline, and at pre-dose and specified time points up to 12 hours post-dose at the Month 3 visit. The total drug exposure, AUC0-∞ (area under the serum concentration time curve extrapolated to infinity) at the Month 3 visit was determined for deferiprone and its main metabolite, deferiprone 3-O-glucuronide.
| μg*h/mL | 300 mg | 600 mg | 900 mg | 1200 mg |
|---|---|---|---|---|
| Serum deferiprone | 8.358 ± 0.904 | 16.292 | 20.606 ± 8.742 | 26.328 ± 5.693 |
| Serum deferiprone 3-O-glucuronide | 39.057 ± 7.820 | 62.679 | 121.128 ± 43.727 | 147.397 ± 6.502 |
Collected over 10 months. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Placebo | 0/28 (0%) | 2/28 (7.1%) | 26/28 (92.9%) |
| Deferiprone 300 mg | 0/28 (0%) | 1/28 (3.6%) | 25/28 (89.3%) |
| Deferiprone 600 mg | 0/28 (0%) | 3/28 (10.7%) | 23/28 (82.1%) |
| Deferiprone 900 mg | 0/28 (0%) | 4/28 (14.3%) | 25/28 (89.3%) |
| Deferiprone 1200 mg | 0/28 (0%) | 1/28 (3.6%) | 25/28 (89.3%) |
| Event | Placebo | Deferiprone 300 mg | Deferiprone 600 mg | Deferiprone 900 mg | Deferiprone 1200 mg |
|---|---|---|---|---|---|
| NeutropeniaBlood and lymphatic system disorders | 0/28 | 0/28 | 1/28 | 1/28 | 1/28 |
| Atrial fibrillationCardiac disorders | 1/28 | 0/28 | 0/28 | 1/28 | 0/28 |
| Head injuryInjury, poisoning and procedural complications | 0/28 | 0/28 | 1/28 | 0/28 | 0/28 |
| Renal cancer metastaticNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/28 | 1/28 | 0/28 | 0/28 | 0/28 |
| Squamous cell carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/28 | 0/28 | 0/28 | 1/28 | 0/28 |
| Jealous delusionPsychiatric disorders | 1/28 | 0/28 | 0/28 | 0/28 | 0/28 |
| Renal colicRenal and urinary disorders | 0/28 | 0/28 | 0/28 | 1/28 | 0/28 |
| Renal impairmentRenal and urinary disorders | 0/28 | 0/28 | 0/28 | 1/28 | 0/28 |
| Intermittent claudicationVascular disorders | 0/28 | 0/28 | 1/28 | 0/28 | 0/28 |
| Event | Placebo | Deferiprone 300 mg | Deferiprone 600 mg | Deferiprone 900 mg | Deferiprone 1200 mg |
|---|---|---|---|---|---|
| HeadacheNervous system disorders | 2/28 | 6/28 | 4/28 | 5/28 | 8/28 |
| DiarrhoeaGastrointestinal disorders | 3/28 | 2/28 | 1/28 | 2/28 | 7/28 |
| Condition aggravatedGeneral disorders | 1/28 | 5/28 | 2/28 | 6/28 | 4/28 |
| TremorNervous system disorders | 1/28 | 3/28 | 2/28 | 6/28 | 2/28 |
| NauseaGastrointestinal disorders | 1/28 | 4/28 | 5/28 | 2/28 | 5/28 |
| NasopharyngitisInfections and infestations | 1/28 | 3/28 | 2/28 | 5/28 | 4/28 |
| ToothacheGastrointestinal disorders | 0/28 | 4/28 | 0/28 | 1/28 | 1/28 |
| FatigueGeneral disorders | 2/28 | 0/28 | 1/28 | 1/28 | 4/28 |
| Back painMusculoskeletal and connective tissue disorders | 2/28 | 2/28 | 3/28 | 3/28 | 4/28 |
| Muscle spasmsMusculoskeletal and connective tissue disorders | 0/28 | 4/28 | 1/28 | 0/28 | 2/28 |
Only patients in the Intent to Treat (ITT) population are presented. The ITT population was defined as all randomized patients who received at least one dose of study drug and had a baseline and at least one post-baseline efficacy assessment for the primary endpoint.
| Age, Continuous(years) | 300 mg | 600 mg | 900 mg | 1200 mg | Placebo | Total |
|---|---|---|---|---|---|---|
| Mean | 61.5 ± 8.7 | 63.2 ± 8.5 | 59.8 ± 10.2 | 60.3 ± 8.7 | 61.9 ± 9.2 | 61.4 ± 9.0 |
| Sex: Female, Male(Participants) | 300 mg | 600 mg | 900 mg | 1200 mg | Placebo | Total |
|---|---|---|---|---|---|---|
| Female | 10 | 6 | 6 | 15 | 6 | 43 |
| Male | 17 | 20 | 19 | 13 | 21 | 90 |
| Ethnicity (NIH/OMB)(Participants) | 300 mg | 600 mg | 900 mg | 1200 mg | Placebo | Total |
|---|---|---|---|---|---|---|
| Hispanic or Latino | 1 | 0 | 0 | 1 | 1 | 3 |
| Not Hispanic or Latino | 26 | 26 | 25 | 26 | 26 | 129 |
| Unknown or Not Reported | 0 | 0 | 0 | 1 | 0 | 1 |
| Race (NIH/OMB)(Participants) | 300 mg | 600 mg | 900 mg | 1200 mg | Placebo | Total |
|---|---|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 | 0 | 0 | 0 |
| Asian | 0 | 0 | 0 | 1 | 0 | 1 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 | 0 | 0 |
| Black or African American | 0 | 0 | 0 | 0 | 0 | 0 |
| White | 27 | 25 | 25 | 26 | 27 | 130 |
| More than one race | 0 | 1 | 0 | 0 | 0 | 1 |
| Unknown or Not Reported | 0 | 0 | 0 | 1 | 0 | 1 |
| Region of Enrollment(participants) | 300 mg | 600 mg | 900 mg | 1200 mg | Placebo | Total |
|---|---|---|---|---|---|---|
| Canada | 0 | 0 | 1 | 1 | 1 | 3 |
| United Kingdom | 6 | 4 | 3 | 6 | 6 | 25 |
| France | 17 | 19 | 18 | 21 | 18 | 93 |
| Germany | 4 | 3 | 3 | 0 | 2 | 12 |
| MDS-UPDRS Total Score(units on a scale) | 300 mg | 600 mg | 900 mg | 1200 mg | Placebo | Total |
|---|---|---|---|---|---|---|
| Mean | 29.7 ± 11.6 | 31.1 ± 13.3 | 29.8 ± 12.3 | 24.5 ± 10.7 | 27.4 ± 12.3 | 28.4 ± 12.1 |
| MDS-UPDRS Part I(units on a scale) | 300 mg | 600 mg | 900 mg | 1200 mg | Placebo | Total |
|---|---|---|---|---|---|---|
| Mean | 6.2 ± 4.1 | 5.7 ± 3.0 | 5.9 ± 3.4 | 5.3 ± 2.4 | 5.0 ± 3.1 | 5.6 ± 3.2 |
| MDS-UPDRS Part II(units on a scale) | 300 mg | 600 mg | 900 mg | 1200 mg | Placebo | Total |
|---|---|---|---|---|---|---|
| Mean | 4.1 ± 3.5 | 5.8 ± 3.9 | 5.7 ± 5.0 | 3.9 ± 3.1 | 6.1 ± 4.0 | 5.1 ± 4.0 |
4 further baseline measures are reported on the registry.
PDFs hosted by the registry, ClinicalTrials.gov.
Plan to share: No
Ran from Oct 2016 to primary completion in Aug 2019, 33 months.
Results were first posted in Apr 2024, 4 years 8 months after primary completion.
Of 96 industry-sponsored phase 2 interventional studies under Parkinson Disease, half reached primary completion within 19 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 33. This study's 33 months is above that.
Counting every sponsor, half of 201 studies reached it within 28 months; a quarter within 16 and three quarters within 44.
How these figures are worked out, and which studies are left out of them.
This study is completed, as verified in Mar 2024. You cannot join it, but the record below documents what was studied.
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Studies of the drug tested here: Deferiprone