ClinicalTrials.gg
RecruitingNCT07432958Updated Oct 28, 2026

A Study to Evaluate the Effectiveness of Two Doses of AP-472 as Adjunctive Therapy to Levodopa in Parkinson's Disease (PD) Participants With Motor Fluctuations

A Phase 2 interventional study of AP-472 and Placebo in Parkinson Disease, sponsored by Appello Pharmaceuticals, Inc.. Recruiting at 30 sites in United States. Open to participants aged 30 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-10-28.

Sponsored by Appello Pharmaceuticals, Inc. · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Feb 2026; still recruiting 8 months later.
Updated Oct 6, 2026Site recruiting status changedGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
150
Allocation
Randomized
Ages
30 Years to 80 Years
Sex
All
01

Study summary

This is a Phase 2 study in people with Parkinson's disease who experience motor fluctuations while taking levodopa. The study will evaluate how effective two different doses of the study drug AP-472 are when added to levodopa treatment, compared with a placebo.

The study will last about 14 weeks. Participants will be randomly assigned to receive one of the two doses of AP-472 or a placebo. Neither the participants nor the study staff will know which treatment is given.

The study includes a screening period, a 4-week period during which Parkinson's medications must remain stable, and a 12-week treatment period. During the treatment period, limited adjustments to levodopa are allowed if needed.

02

Conditions studied

  • Parkinson Disease

Keywords

  • Parkinson's Disease
  • Parkinson Disease
  • Motor Fluctuations
  • OFF Time
  • Wearing-Off
  • Dyskinesia
  • AP-472
  • Adjunctive Therapy
  • Levodopa Adjunct
  • Positive Allosteric Modulator
  • Metabotropic Glutamate Receptor 4
03

In context

Parkinson Disease

4,573 studies on the registry are indexed under Parkinson Disease; 1,086 are open to participants now.

This study's planned enrollment of 150 is above the median of 40 across 3,353 interventional studies indexed under Parkinson Disease.

Browse Parkinson Disease studies →

Lead sponsor

This is the only study on the registry with Appello Pharmaceuticals, Inc. as lead sponsor.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
30 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

Participants must meet all of the following criteria to take part in the study:

  1. Be a man or woman between 30 and 80 years of age at the time of screening.
  2. Have a diagnosis of Parkinson's disease, confirmed using standard medical criteria, including slowness of movement and symptoms that affect one side of the body more than the other.
  3. Have mild to moderate Parkinson's disease, defined as stage 3 or lower on the Hoehn and Yahr scale when medications are working ("ON" state).
  4. Experience an average of at least 3 hours of OFF time per day, based on home symptom diaries, with at least 2.5 hours of OFF time each day during the baseline period.
  5. Have a (MoCA) score of 24 or higher at screening.
  6. Be able to walk independently, with or without the use of a walking aid.
  7. Be able to swallow oral medication.
  8. Have been on a stable Parkinson's medication regimen for at least 4 weeks before screening. Medications known as MAO-B inhibitors must have been stable for at least 12 weeks.
  9. Be taking levodopa at least four times daily (immediate- or controlled-release formulations) or three times daily (extended-release formulations such as Rytary or Crexont).

Key Exclusion Criteria:

Participants cannot take part in the study if any of the following apply:

  1. Have a form of parkinsonism that is not typical Parkinson's disease, such as secondary or atypical parkinsonism.
  2. Have previously received, or plan to receive during the study, advanced Parkinson's therapies such as continuous levodopa or dopamine delivery systems, or Parkinson's disease-related brain surgery.
  3. Have dyskinesias (involuntary movements) that are severe enough, in the study doctor's opinion, to interfere with participation.
  4. Have a history of only certain types of dyskinesias (such as OFF-state, diphasic, myoclonic, or dystonic dyskinesias) without typical peak-dose dyskinesias.
  5. Are currently taking medications that block dopamine, except for low-dose quetiapine (up to 50 mg per day) used for insomnia.
  6. Routinely use on-demand "rescue" Parkinson's medications more than three times per week.
Terms in these criteria, in plain language(1)

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.

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
150 participants (estimated)

Study arms

  • Experimental
    Low Dose

    AP-472 100 mg per day

    Drug: AP-472 · Other: Placebo

  • Experimental
    High Dose

    AP-472 300 mg per day

    Drug: AP-472

  • Placebo comparator
    Placebo

    Other: Placebo

Interventions

  • DrugAP-472

    Oral tablet

  • OtherPlacebo

    Oral tablet

06

What researchers measure

Primary outcomes

  1. Change from Baseline in average daily OFF time on motor diaries for AP-472 compared to placebo (normalized to 16-hour awake time)

    Time frame: Week 12

Secondary outcomes

  1. Change from baseline in ON time without troublesome dyskinesia (normalized to 16 hours)

    Time frame: Week 12

  2. Change from baseline in Movement Disorder Society-Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Part 2 (Motor Experiences of Daily Living (M-EDL)) score

    For MDS-UPDRS Part II (Motor Experiences of Daily Living, M-EDL) there are 13 items each scored from 0 to 4. The total score range is from 0-52. A higher score indicates worse motor impact on daily activities; lower scores are better.

    Time frame: Week 12

  3. Change from baseline in Parkinson's Disease Questionnaire-39 (PDQ-39) summary index

    For the Parkinson's Disease Questionnaire-39 (PDQ-39) Summary Index the score is calculated by averaging the 8 domain scores and converting them to a 0-100 scale. A higher score indicates worse health-related quality of life; lower scores are better.

    Time frame: Week 12

  4. Change from baseline in MDS-UPDRS Part III (Motor Examination) score in the best ON state

    The MDS-UPDRS Part III includes 33 items, each scored from 0 to 4. The total score range is from 0-132. A higher score indicates worse motor impairment; lower scores are better.

    Time frame: Week 12

  5. Change from baseline in Epworth Sleepiness Scale (ESS) total score

    The ESS consists of 8 items, each scored from 0 to 3. The total score range is from 0-24. Higher scores indicate greater daytime sleepiness; lower scores are better.

    Time frame: Week 12

07

Study locations

30 of 30 sites recruiting
  • University of Arkansas for Medical Sciences (Site #208)
    Little Rock, Arkansas 72205-5551, United States
    Recruiting
  • Profound Research LLC (Site #222)
    Carlsbad, California 92011, United States
    Recruiting
  • Collaborative Neuroscience Network - Los Alamitos- CenExel - PPDS (Site #217)
    Los Alamitos, California 90720-3108, United States
    Recruiting
  • Keck Medicine of USC - USC Healthcare Center 2 (Site #221)
    Los Angeles, California 90033-5310, United States
    Recruiting
  • Parkinson's Research Centers of America (Site #218)
    Palo Alto, California 94301, United States
    Recruiting
  • Rocky Mountain Clinical Research - CenExel - PPDS (Site #215)
    Englewood, Colorado 80113-2776, United States
    Recruiting
  • Parkinson's Disease & Movement Disorders Center of Boca Raton (Site #227)
    Boca Raton, Florida 33486, United States
    Recruiting
  • UM-UHealth at Boca Raton (Site #226)
    Boca Raton, Florida 33486, United States
    Recruiting
  • Velocity Clinical Research - Hallandale Beach (Site #228)
    Hallandale, Florida 33009, United States
    Recruiting
  • University of Miami (Site #220)
    Miami, Florida 33136-1051, United States
    Recruiting
  • Neurology One (Site #205)
    Orlando, Florida 32825, United States
    Recruiting
  • USF Parkinson's Disease and Movement Disorders Center (Site #206)
    Tampa, Florida 33613-4808, United States
    Recruiting
  • Augusta University Medical Center (Site #212)
    Augusta, Georgia 30912-0020, United States
    Recruiting
  • Josephson Wallack Munshower Neurology PC (Site #231)
    Indianapolis, Indiana 46256, United States
    Recruiting
  • The University of Kansas (KU) (Site #216)
    Kansas City, Kansas 66160, United States
    Recruiting
  • Kentucky Neuroscience Institute (Site #213)
    Lexington, Kentucky 40536-0001, United States
    Recruiting
  • Beth Israel Deaconess Medical Center (Site #211)
    Boston, Massachusetts 02215-5400, United States
    Recruiting
  • University of Michigan Health System (UMHS) (Site #202)
    Ann Arbor, Michigan 48109, United States
    Recruiting
  • Quest Research Institute - Alcanza - PPDS (Site #201)
    Farmington Hills, Michigan 48334-2973, United States
    Recruiting
  • University of New Mexico Health Sciences Center (Site #225)
    Albuquerque, New Mexico 87106, United States
    Recruiting
  • Joan and Sanford I. Weill Department of Medicine (Site #224)
    New York, New York 10021, United States
    Recruiting
  • Mount Sinai School of Medicine (Site #209)
    New York, New York 10029-6501, United States
    Recruiting
  • Asheville Neurology Specialists, P.A. (Site #229)
    Asheville, North Carolina 28806, United States
    Recruiting
  • Duke Neurological Disorders Clinic (Site #210)
    Durham, North Carolina 27705, United States
    Recruiting
  • Cleveland Clinic (Site #223)
    Cleveland, Ohio 44195-0001, United States
    Recruiting
  • The Ohio State University Wexner Medical Center (site #207)
    Columbus, Ohio 43210, United States
    Recruiting
  • Vanderbilt University Medical Center (Site #204)
    Nashville, Tennessee 37232, United States
    Recruiting
  • Horizon Clinical Research: Gill Neuroscience - Houston (Site #232)
    Cypress, Texas 77429, United States
    Recruiting
  • Central Texas Neurology Consultants (Site #203)
    Round Rock, Texas 78681-3578, United States
    Recruiting
  • EvergreenHealth (Site #219)
    Kirkland, Washington 98034-3013, United States
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

2 registry updates 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

Started Feb 2026 (actual). Primary completion is estimated for Sep 2027, 18 months after the start.

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 planned 18 months is close to 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.

Registered
Jan 29, 2026
First posted
Feb 25, 2026
StartActual
Feb 25, 2026
Primary completionEst.
Sep 3, 2027
CompletionEst.
Jan 3, 2028
Last update
Oct 28, 2026
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.
Sites
3 sites changed recruiting status (3 now recruiting)
Show 3 sites
  • University of Arkansas for Medical Sciences (Site #208) · Little Rock, United StatesNot yet recruiting→Recruiting
  • Keck Medicine of USC - USC Healthcare Center 2 (Site #221) · Los Angeles, United StatesNot yet recruiting→Recruiting
  • Cleveland Clinic (Site #223) · Cleveland, United StatesNot yet recruiting→Recruiting
Oct 6, 2026
Show all 2 updates
  1. Oct 28, 2026
    Minor edits only
    + 1 other change: description
  2. Oct 6, 2026
    3 sites changed recruiting status (3 now recruiting)
    Show 3 sites
    • University of Arkansas for Medical Sciences (Site #208) · Little Rock, United StatesNot yet recruiting→Recruiting
    • Keck Medicine of USC - USC Healthcare Center 2 (Site #221) · Los Angeles, United StatesNot yet recruiting→Recruiting
    • Cleveland Clinic (Site #223) · Cleveland, United StatesNot yet recruiting→Recruiting
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07432958
Lead sponsor
Appello Pharmaceuticals, Inc.
Responsible party
Sponsor
First posted
Feb 25, 2026
Start date
Feb 25, 2026
Primary completion
Sep 3, 2027 (estimated)
Completion
Jan 3, 2028 (estimated)
Last update
Oct 28, 2026

Study contacts

Annie Blobaum, Ph.D.
Contact
annie@appellopharma.com
615-427-1935

Oversight

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

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