ClinicalTrials.gg
CompletedNCT03295786Updated Jan 13, 2020

Clinical Study to Test the Safety of CDNF by Brain Infusion in Patients With Parkinson's Disease

A Phase 1/2 interventional study of Cerebral Dopamine Neurotrophic Factor and Renishaw Drug Delivery System in Parkinson Disease, Movement Disorders and Neurodegenerative Diseases, sponsored by Herantis Pharma Plc.. Completed at 3 sites in 2 countries. Open to participants aged 35 Years to 75 Years. Per ClinicalTrials.gov, last updated 2020-01-13.

Sponsored by Herantis Pharma Plc. · Phase 1/2, Interventional, and Treatment

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Phase
Phase 1/2
Study type
Interventional
Enrollment
17
Allocation
Randomized
Ages
35 Years to 75 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 79 studies in Parkinson Disease with a site in Sweden — 14 open to participants now, 18 under way, none of them phase 3. Parkinson Disease · Sweden.

Enrollment
47th of 61
17 · median 89
Started
2017
with 7 others
Phase 1/2
5 of 79
none open now
Registered
39th of 79
by date
Lead sponsor
2 of 79
Herantis Pharma Plc.

Among the 79 studies in Parkinson Disease with a site in Sweden, this one is the 47th largest by enrollment of the 61 interventional ones that give a count, is one of 8 that started in 2017, is one of 5 in phase 1/2, and was the 39th registered.

Parkinson Disease

4,576 studies on the registry are indexed under Parkinson Disease; 1,087 are open to participants now.

Browse Parkinson Disease studies →

Open to participants now

14 of the 79 studies in Parkinson Disease with a site in Sweden are open now. Recruiting first, the newest first:

9 more — sign in →

All 14 open studies →

A study can be open while its sites in Sweden have not opened yet or have stopped. Only those recruiting at a site in Sweden →

Who these studies take

Of the 750 Parkinson Disease studies recruiting now, 312 (42%) set no upper age limit and 127 (17%) stop at 75 or younger; 64 take children under 18; 190 take healthy volunteers.

This study: 35 Years to 75 Years · all sexes · no healthy volunteers.

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02

Study summary

This study evaluates the safety and tolerability of CDNF in patients with Parkinson's disease, when dosed directly into the brain using an implanted investigational drug delivery system (DDS). Safety and accuracy of the DDS is also being evaluated. One-third of the patients will receive monthly infusions with placebo and two-third of the patients will receive monthly infusions with either mid- or high-doses of CDNF for a period of 6 months.

Read the detailed description

A patient's participation in the study will last for ten months and will include sixteen to seventeen visits:

  • Screening (2 visits)
  • Planning of surgery - Surgery: implantation of drug delivery system - Post-surgery follow-up (3 visits)
  • Test infusions with vehicle (1-2 visits)
  • Positron emission tomography (PET) examinations before the first and after the last dose (2 visits)
  • Baseline and randomisation to CDNF or placebo group (1 visit)
  • Dosing visits: CDNF or placebo (6 visits)
  • End-of-study visit (1 visit)

Study examinations and assessments

  • Physical examination: pulse rate, blood pressure, temperature, body weight and height
  • ECG (electrocardiography) and blood and urine tests
  • HIV, hepatitis B and C blood tests (on first visit)
  • Pregnancy tests for women of childbearing age
  • Completion of a patient diary to record mobility and time asleep
  • Parkinson's Kinetigraph (PKGTM) Data Logger: a watch-type device worn on the wrist for certain periods during the study to record movements
  • Questionnaires, rating scales and forms: quality of life, mood, memory, impulse control, mental health
  • Assessment of the port and the skin around the port
  • Cerebrospinal fluid sampling by lumbar puncture
  • Magnetic resonance imaging (MRI)
  • Positron emission tomography scans (PET)
  • Computed tomography (CT)

For more information: https://treater.eu/clinical-study/

03

Conditions studied

  • Parkinson Disease
  • Movement Disorders
  • Neurodegenerative Diseases
  • Nervous System Diseases
  • Brain Diseases

Keywords

  • Parkinson
  • CDNF
  • Drug Delivery System
  • Intracerebral
04

Who can participate

Ages eligible
35 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

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.

Inclusion criteria

  1. Idiopathic Parkinson's disease based on UK brain bank criteria
  2. Duration of PD motor symptoms 5-15 years (inclusive)
  3. Age 35-75 years (inclusive)
  4. Presence of motor fluctuations.
  5. At least 5 daily doses of levodopa
  6. Ability to reliably distinguish motor states and accurately complete fluctuation diaries
  7. UPDRS motor score (part III) in a practically defined OFF-state between 25-50 (inclusive)
  8. Hoehn and Yahr ≤ stage III in the OFF-state
  9. Responsiveness to levodopa
  10. No change in anti-parkinsonian medication for 6 weeks before screening
  11. Provision of

Exclusion criteria

Exclusion Criteria:

  1. Diagnosed with atypical parkinsonism or any known secondary parkinsonian syndrome.
  2. Signs or symptoms suggestive of atypical parkinsonian syndrome.
  3. Drug-resistant rest tremor.
  4. Prior neurosurgical treatment for PD, including lesioning or deep brain stimulation
  5. Significant neurological disorder other than PD including head trauma, cerebrovascular disease, epilepsia, CSF shunt or other implanted CNS device
  6. Presence of significant depression as defined as a BDI score ≥ 20
  7. Current psychosis requiring therapy.
  8. Presence of clinically significant impulse control disorder ((QUIP-RS) score > 20), or, presence of dopamine dysregulation syndrome.
  9. score \< 24.
  10. Use within 3 months of planned catheter insertion of concomitant medications known to affect PD symptoms other than prescribed PD therapy.
  11. Any medical condition, which might impair outcome measure assessments or safety measures including ability to undergo MRI or DAT-PET.
  12. or allergy to gadolinium or to any of of macrocyclic GBCA used for the surgical planning MRI.
  13. Screening and/or planning MRI demonstrating any abnormality, which would suggest an alternative cause for patient's parkinsonism or preclude neurosurgery.
  14. Any medical condition that would put the patient at undue risk from surgical treatment or chronic implants including but not limited to bleeding disorders, chronic infections, or illness
  15. History within the last 5 years of cancer with the exception of basal cell carcinoma of the skin
  16. History of drug or alcohol abuse within 2 years of screening
  17. Use of any drug or device within 90 days of screening
  18. Active breastfeeding
Terms in these criteria, in plain language(7)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

MMSE and MoCA

Short tests of memory and thinking, each scored out of 30. Lower scores suggest more difficulty; criteria give a range, either to include people with memory problems or to leave them out.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
17 participants (actual)

Study arms

  • Placebo comparator
    Placebo

    Patients randomized to this group will receive 6 monthly infusions of placebo/vehicle

    Drug: Cerebral Dopamine Neurotrophic Factor · Device: Renishaw Drug Delivery System

  • Experimental
    CDNF mid-dose

    Patients randomized to this group will receive 6 doses of CDNF titrated to mid-dose

    Drug: Cerebral Dopamine Neurotrophic Factor · Device: Renishaw Drug Delivery System

  • Experimental
    CDNF high-dose

    Patients randomized to this group will receive 6 doses of CDNF titrated to high-dose

    Drug: Cerebral Dopamine Neurotrophic Factor · Device: Renishaw Drug Delivery System

Interventions

  • DrugCerebral Dopamine Neurotrophic Factor

    Repeated intracerebral infusions

    Also known as: CDNF

  • DeviceRenishaw Drug Delivery System

    Stereotactically implanted device

    Also known as: DDS

06

What researchers measure

Primary outcomes

  1. Adverse events (AEs)

    Number and severity of adverse events

    Time frame: Week 15 to Week 40

  2. Electrocardiogram (ECG)

    Changes in electrical activity of heartbeat measured by electrocardiogram

    Time frame: Week 15 to Week 40

  3. Beck Depression Inventory (BDI) score

    Assessment of change in depression using Beck Depression Inventory (BDI) score

    Time frame: Week 15 to Week 40

  4. Questionnaire for impulsive-compulsive disorder in Parkinson's disease rating scale (QUIP_RS)

    Assessment of changes in impulsive-compulsive disorders using QUIP_RS

    Time frame: Week 15 to Week 40

  5. Montreal cognitive assessment (MoCA)

    Assessment of change in cognitive domains using MoCA test

    Time frame: Week 15 to Week 40

  6. Physical examination

    Changes in anatomic findings found in physical examination

    Time frame: Week 15 to Week 40

  7. Vital signs

    Changes in vital signs

    Time frame: Week 15 to Week 40

  8. Clinical laboratory safety screen

    Changes in clinical laboratory variables (chemistry, haematology, urinanalysis)

    Time frame: Week 15 to Week 40

  9. Formation of anti-CDNF antibodies

    Change in anti-CDNF antibody concentration

    Time frame: Week 15 to Week 40

  10. Device related changes in safety measures

    Occurrence of adverse device effects (ADE), for either the whole system or the individual sub systems (guide tubes/catheters, subcutaneous components, port), serious adverse device effect (SADE) including long term effects, neurological deficit (seizures), infection (local to components, in CNS), severe skin breakdown or necrosis requiring component removal life threatening or major (requiring intervention) intracerebral haemorrhage.

    Time frame: Week 8 to Week 40

  11. Device related accuracy of implantation

    The accuracy of implantation of the Drug Delivery System (DDS) will be measured comparing the tip of each individual catheters defined in the plan of the surgical procedure with the position of those measured by the post-operative CT scan.

    Time frame: Week 8

Secondary outcomes

  1. UPDRS (Unified Parkinson's Disease Rating Scale) Part III motor score

    Changes in severity of PD (Parkinson's disease) motor symptoms assessed by UPDRS Part III motor scores

    Time frame: Week 15 to Week 40

  2. TUG (Timed Up and Go) test

    Changes in mobility assessed by TUG test

    Time frame: Week 15 to Week 40

  3. UPDRS Total score (Part I-IV)

    Change in severity of PD non-motor and motor symptoms assessed by UPDRS Part I-IV total scores (Parts I, II and IV in ON-state; Part III in OFF-state).

    Time frame: Week 15 to Week 40

  4. Home diary score

    Change in functional status assessed by home diary score

    Time frame: Week 16 to Week 24

  5. PDQ-39 (Parkinson's Disease Questionnaire) score

    Changes in health and daily activity assessed by PDQ-39 questionnaire score

    Time frame: Week 15 to Week 40

  6. change in CGI (Clinical Global Impressions) scale

    • Change from baseline until end of treatment evaluation in mental status as measured by CGI scale.

    Time frame: Week 16 to Week 40

  7. Occurrence of blockage

    Occurrence of blockage of implanted catheter preventing or limiting infusion assessed by measuring catheter pressure

    Time frame: Week 11 to Week 36

  8. Cessation of infusions

    Cessation of infusions in an individual patient

    Time frame: Week 11 to Week 36

Other outcomes

  1. DAT (dopamine transporter)-PET imaging

    Change in caudate and putamen DAT availability using PET imaging.

    Time frame: Week 14 to Week 38

  2. alpha-synuclein levels

    Changes in serum and CSF (cerebrospinal fluid) concentrations of various α-synuclein species

    Time frame: Week 15 to Week 40

  3. Distribution of CDNF

    Level of distribution of CDNF in serum and Cmax of CDNF in CSF

    Time frame: Week 24 and Week 36

  4. Daily activity measurement

    Change in daily activity measured by Parkinson's KinetiGraph™ (PKG™) Data Logger

    Time frame: Week 16 to Week 40

  5. Coverage of infusate

    Coverage of the infusate in target anatomy assessed by MRI (Magnetic resonance imaging)

    Time frame: Week 11 to Week 36

07

Study locations

3 sites
  • Helsinki University Hospital
    Helsinki, 00029, Finland
  • Skåne University Hospital
    Lund, 221 85, Sweden
  • Karolinska University Hospital, Huddinge
    Stockholm, 141 86, Sweden
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Sep 2017 to primary completion in Dec 2019, 26 months.

Of 55 phase 1/2 interventional studies under Parkinson Disease, half reached primary completion within 25 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 53. This study's 26 months is close to that.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 14, 2017
First posted
Sep 28, 2017
StartActual
Sep 26, 2017
Primary completionActual
Dec 19, 2019
CompletionActual
Dec 19, 2019
Last update
Jan 13, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 13, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03295786
Lead sponsor
Herantis Pharma Plc.
Collaborators
Renishaw plc.
Responsible party
Sponsor
First posted
Sep 28, 2017
Start date
Sep 26, 2017
Primary completion
Dec 19, 2019
Completion
Dec 19, 2019
Last update
Jan 13, 2020

Study contacts

Per Svenningsson, MD
principal investigator · Karolinska University Hospital

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2020. You cannot join it, but the record below documents what was studied.

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