Could an antibody slow Parkinson's? new trial hopes to find out
NCT ID NCT03100149
First seen Jun 27, 2026 · Last updated Sep 11, 2026 · Updated 3 times
Summary
This study tests an experimental drug called prasinezumab in 316 people with early Parkinson's disease. The drug is an antibody designed to target and remove clumps of a protein linked to Parkinson's. Participants receive either the drug or a placebo for 52 weeks, with an option to continue treatment for up to 11 more years. The goal is to see if the drug can slow the worsening of symptoms.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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316 people
The number who actually took part.
- Started
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Jun 2017
- Expected to finish
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Dec 2031
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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40 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Idiopathic PD with bradykinesia plus one of the other cardinal signs of PD (resting tremor, rigidity) being present, without any other known or suspected cause of PD untreated or treated with MAO-B inhibitor * Body weight range between: \>/=45 kg/ 99 pounds (lbs) and less than or equal to (\</=) 110 kg/242 lbs * Body mass index (BMI) of 18 to 34 kilograms per meter-squared (kg/m\^2) * A diagnosis of PD for 2 years or less at screening * Hoehn and Yahr Stage I or II * A screening brain DaT-SPECT consistent with PD (central reading) * Clinical status does not require dopaminergic PD medication and is not expected to require dopaminergic treatment within 52 weeks from baseline * If presently being treated for PD, a stable dose of MAO-B inhibitor (rasagiline or selegiline) for at least 90 days prior to baseline and not expected to change within 52 weeks * For women of childbearing potential: use of highly effective contraceptive methods (that result in a failure rate of \<1 percent \[%\] per year) during the treatment period and for at least 30 days (or longer if required by local regulations) after the last dose of study drug * For men with female partners of childbearing potential or pregnant female partners, must use a condom during the treatment period and for at least 30 days (or longer if required by local regulations) after the last dose of study drug to avoid exposing the embryo. Men must refrain from donating sperm during this same period. The female partners should use a contraception method with a failure rate of \<1% per year during the treatment period and for at least 30 days (or longer if required by local regulations) after the last dose of study drug. Use of contraceptive measures is not required for male participants enrolled in Part 3. Exclusion Criteria: * Medical history indicating a Parkinson syndrome other than idiopathic PD, including but not limited to, progressive supranuclear gaze palsy, multiple system atrophy, drug-induced parkinsonism, essential tremor, primary dystonia * Known carriers of certain familial PD genes (as specified in study protocol) * History of PD related freezing episodes or falls * A diagnosis of a significant CNS disease other than Parkinson's disease; history of repeated head injury; history of epilepsy or seizure disorder other than febrile seizures as a child * Mini Mental State Examination (MMSE) \</=25 * Reside in a nursing home or assisted care facility * History of or screening brain magnetic resonance imaging (MRI) scan indicative of clinically significant abnormality * Concomitant disease or condition that could interfere with, or treatment of which might interfere with, the conduct of the study, or that would, in the opinion of the Investigator, pose an unacceptable risk to the participant in this study or interfere with the participant's ability to comply with study procedures or abide by study restrictions, or with the ability to interpret safety data * Any significant cardiovascular condition * Any significant laboratory abnormality * Lactating women * Prior treatment with dopaminergic medication (for example, levodopa or a dopaminergic agonist) with no clinical treatment response or a clinical treatment response inconsistent with PD (for example, absence of observable response to a sufficiently high-dose of levodopa \[i.e., ≥ 600 mg/day\]) * Use of any of the following: catechol-O-methyl transferase (COMT) inhibitors (entacapone, tolcapone), amantadine or anticholinergics, or dopaminergic medication (levodopa and both ergot and non-ergot \[pramipexole, ropinirole, rotigotine\] dopamine agonists) for more than a total of 60 days or within 60 days of baseline * Anti-epileptic medication for non-seizure-related treatment which has not remained stable for at least 60 days prior to baseline * Anti-depressant or anxiolytic use that has not remained stable for at least 90 days prior to baseline. The use of fluoxetine and fluvoxamine is not permitted. For patients treated with a MAO-B inhibitor and an antidepressant (except fluoxetine and fluvoxamine), a 6-month period of stable and tolerated dosing before baseline is required. * Use of any of the following within 90 days prior to baseline: antipsychotics (including clozapine and olanzapine), metoclopramide, alpha methyldopa, clozapine, olanzapine, flunarizine, amoxapine, amphetamine derivatives, reserpine, bupropion, buspirone, cocaine, mazindol, methamphetamine, methylphenidate, norephedrine, phentermine, phenylpropanolamine, and modafinil * Participated in an investigational drug, device, surgical , or stem cell study in PD * Any prior treatment with an investigational PD-related vaccine (including active immunization or passive immunotherapy with monoclonal antibodies). * Prior participation in any RO7046015 or PRX002 study * Receipt of any non-PD investigational product or device, or participation in a non-PD drug research study within a period of 30 days (or 5 half-lives of the drug, whichever is longer) before baseline * Receipt of any monoclonal antibody or an investigational immunomodulator within 180 days (or 5 half-lives, whichever is longer) before baseline * Immunomodulating drugs within 30 days prior to baseline * Allergy to any of the components of RO7046015 such as citrate, trehalose and polysorbate (Tween) 20 or a known hypersensitivity or an Infusion-related reaction (IRR) to the administration of any other monoclonal antibody * Any contraindications to obtaining a brain MRI. Patients with a hypersensitivity to iodine may receive an alternative thyroid blocking agent. * For participants consenting to provide optional cerebrospinal fluid (CSF) samples by lumbar puncture (LP): LP will only be performed if the participant does not have any contraindication to undergoing an LP * Donation of blood over 500 milliliters (mL) within three months prior to screening
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Associated Neurologists of Southern CT PC
Fairfield, Connecticut, 06824, United States
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Aventura Neurologic Associates
Aventura, Florida, 33180, United States
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Barrow Neurology Clinics
Phoenix, Arizona, 85013, United States
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Baylor College
Houston, Texas, 77030, United States
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Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215, United States
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CHU Poitiers
Poitiers, 86021, France
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CHU Rouen Charles Nicolle
Rouen, 76031, France
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CHU de Nantes - Hopital Laennec
Saint-Herblain, 44800, France
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CHU de Nice Hopital Pasteur
Nice, 06002, France
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CIC - Hôpital Purpan
Toulouse, 31059, France
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CenExel Rocky Mountain Clinical Research, LLC
Englewood, Colorado, 80113, United States
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Central Texas Neurology Consultants
Round Rock, Texas, 78681, United States
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Clinica Universidad de Navarra
Pamplona/iruña, Navarre, 31008, Spain
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Columbia University
New York, New York, 10032, United States
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Corewell Health Neurology and Epilepsy - Beltline
Grand Rapids, Michigan, 49525, United States
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DZNE Clinical Trial Unit
München, 81377, Germany
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Fundacion Hospital de Alcorcon
Alcorcón, Madrid, 28922, Spain
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Groupe Hospitalier Pellegrin
Bordeaux, 33000, France
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Heinrich-Heine Universitätsklinik Düsseldorf
Düsseldorf, 40225, Germany
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Henry Ford Health System
West Bloomfield, Michigan, 48322, United States
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Hopital Gabriel Montpied
Clermont-Ferrand, 63003, France
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Hopital Henri Mondor
Créteil, 94010, France
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Hopital Pitie-Salpetriere APHP
Paris, 75013, France
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Hospital Clinic de Barcelona
Barcelona, 08036, Spain
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Hospital General de Catalunya
Sant Cugat del Vallès, Barcelona, 08195, Spain
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Hospital Universitari Vall d'Hebron
Barcelona, 08035, Spain
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Hospital Universitario Virgen Macarena
Seville, 41009, Spain
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Hospital Universitario de la Princesa
Madrid, 28006, Spain
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Hospital de la Santa Creu i Sant Pau
Barcelona, 08025, Spain
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Hôpital Michallon - Centre d'Investigation Clinique
Grenoble, 38043, France
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Klinik fur Neurologie
Berlin, 10117, Germany
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Klinik und Poliklinik für Neurologie Universitätsklinikum
Leipzig, 04103, Germany
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Medizinische Universität Innsbruck
Innsbruck, 6020, Austria
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Molecular Neurolmaging
New Haven, Connecticut, 06510, United States
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Neurology Center of North Orange County
Fullerton, California, 92835, United States
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Northwestern University
Evanston, Illinois, 60208, United States
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Oregon Health & Science Uni
Portland, Oregon, 97239, United States
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Paracelsus Elena Klinik Kassel
Kassel, 34128, Germany
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Parkinson's Disease and Movement Disorders Center of Boca Raton
Boca Raton, Florida, 33486, United States
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Philipps Universität Marburg
Marburg, 35043, Germany
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Policlínica Guipuzcoa
Donostia / San Sebastian, Guipuzcoa, 20014, Spain
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Quest Research Institute
Farmington Hills, Michigan, 48334, United States
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The Movement Disorder Clinic of Oklahoma
Tulsa, Oklahoma, 74136, United States
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UNIVERSITY of PENNSYLVANIA
Philadelphia, Pennsylvania, 19107, United States
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USC Keck Medical Center of USC
Los Angeles, California, 90033, United States
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USF Parkinsons Disease and Movement Disorders Center
Tampa, Florida, 33613, United States
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Uab Medicine
Birmingham, Alabama, 35233, United States
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Universitaettsklinikum Tübingen
Tübingen, 72076, Germany
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University of California at San Francisco
San Francisco, California, 94115, United States
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University of Kansas Medical Center
Kansas City, Kansas, 66160, United States
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University of Rochester Medical Center
Rochester, New York, 14618, United States
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University of Vermont Medical Center
Burlington, Vermont, 05401, United States
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Universitätsklinikum Ulm
Ulm, 89081, Germany
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Vanderbilt University Medical Center
Nashville, Tennessee, 37232, United States
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hopital de la Timone
Marseille, 13385, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Walking memory tests may reveal early Parkinson's clues
- Colon tissue may hold clues to telling Parkinson's apart from Look-Alike diseases
- A genetic roadmap for Parkinson's: testing thousands to unlock clues
- Can gentle touch therapy calm Parkinson's tremors?
- Stem cell infusions aim to slow Parkinson's progression
- Can an inhaled levodopa ease Parkinson's OFF episodes? a study asks patients.