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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02683629
Registration number
NCT02683629
Ethics application status
Date submitted
8/02/2016
Date registered
17/02/2016
Titles & IDs
Public title
Investigation of the Safety and Efficacy of NTCELL® [Immunoprotected (Alginate-Encapsulated) Porcine Choroid Plexus Cells for Xenotransplantation] in Patients With Parkinson's Disease
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Scientific title
A Phase IIb, Randomised, Double-blind, Placebo-controlled, Dose-range Investigation of the Safety and Efficacy of NTCELL® [Immunoprotected (Alginate-Encapsulated) Porcine Choroid Plexus Cells for Xenotransplantation] in Patients With Parkinson's Disease
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Secondary ID [1]
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LCT/PD-015
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Parkinson's Disease
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Condition category
Condition code
Neurological
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Parkinson's disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Other - NTCELL Implantation
Other interventions - Sham Surgery
Experimental: NTCELL - NTCELL Implantation
Sham comparator: Sham Surgery - Sham Surgery
Treatment: Other: NTCELL Implantation
NTCELL Implantation
Other interventions: Sham Surgery
Sham Surgery
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Intervention code [1]
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Treatment: Other
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Intervention code [2]
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Other interventions
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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The safety of xenotransplantation of NTCELL as measured by the incidence of adverse events related to treatment
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Assessment method [1]
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Adverse events can result from, for example, abnormal clinical laboratory tests (including xenogeneic viral analysis), abnormal physical examination findings, any abnormal findings following review by an infectious disease physician. These multiple assessments result in the one outcome measure which is the incidence of treatment emergent adverse events
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Timepoint [1]
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up to 26 weeks
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Secondary outcome [1]
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Change in total Unified Parkinson's Disease Rating Scale (UPDRS in the 'off' and 'on' state) over 26 weeks post-intervention compared with baseline
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Assessment method [1]
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Timepoint [1]
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Baseline and 26 weeks
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Secondary outcome [2]
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Change in Unified Parkinson's Disease Rating Scale (UPDRS Part III in the 'on' state) over 26 weeks post-intervention compared with baseline
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Assessment method [2]
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Timepoint [2]
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Baseline and 26 weeks
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Secondary outcome [3]
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Change in Quality of life as assessed by Parkinson's Disease Questionnaire (PDQ-39) over 26 weeks post-intervention compared with baseline
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Assessment method [3]
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Timepoint [3]
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Baseline and 26 weeks
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Secondary outcome [4]
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Change in L-dopa dosage over 26 weeks post-intervention compared with baseline
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Assessment method [4]
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Timepoint [4]
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Baseline and 26 weeks
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Secondary outcome [5]
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Change in scores measured by the Unified Dyskinesia Rating Scale (UDysRS Parts I, II, III, IV - Parts III and IV will be performed in the 'off' and 'on' state) over 26 weeks post-intervention compared with baseline
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Assessment method [5]
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Timepoint [5]
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Baseline and 26 weeks
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Secondary outcome [6]
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Change in scores measured by the modified walking test in accordance with the CAPSIT-PD protocol (Defer et al. 1999) over 26 weeks post-intervention compared with baseline
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Assessment method [6]
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Timepoint [6]
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Baseline and 26 weeks
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Secondary outcome [7]
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Change in Modified Hoehn and Yahr stage over 26 weeks post-intervention compared with baseline
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Assessment method [7]
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Timepoint [7]
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Baseline and 26 weeks
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Eligibility
Key inclusion criteria
1. Adults (males or females) in the age range 40 to 65 years
2. Diagnosis of Parkinson's disease (minimum duration of 5 years) in accordance with the London Brain Bank criteria
3. Patients diagnosed with idiopathic Parkinson's disease
4. Optimum medication for Parkinson's disease
5. Expected to meet the criteria for DBS in the future, in the opinion of the Investigator
6. If female, no childbearing capability (those who are more than 2 years post-menopausal or have undergone voluntary sterilisation can be considered for enrolment)
7. Provision of written informed consent. Patients will be required to agree to comply with all tests and visits specified in the protocol, and they (and their partners/close contacts) will also be required to consent to long-term microbiological monitoring, which is an integral part of the study
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Minimum age
40
Years
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Maximum age
65
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Any history of central nervous system infection
2. Significant dementia as determined by neuropsychiatric assessment
3. Focal neurological defects
4. Evidence of significant ongoing medical or psychiatric disorders
5. Secondary parkinsonism
6. Severe autonomic symptoms
7. Atypical Parkinson's disease
8. History of substance abuse
9. Body mass index (BMI) = 30 kg/m2 or = 20 kg/m2
10. Serious comorbid conditions that, in the opinion of the Investigator, are likely to affect participation in the study, including:
1. Previous coronary heart disease manifesting as non-ST elevation myocardial infarction (NSTEMI), Q-wave infarction or unstable angina; coronary artery bypass graft (CABG); or percutaneous angioplasty
2. Previous cerebrovascular disease manifesting as transient ischaemic attacks (TIAs) or stroke
3. Peripheral vascular disease with foot ulcer and/or previous amputation
4. History of New York Heart Association (NYHA) class II, III or IV congestive heart failure (CHF) and/or chronic atrial fibrillation
5. Chronic obstructive pulmonary disease (COPD) or asthma with previous hospitalisation for decompensation; a requirement for mechanical ventilation at any stage; or long-term treatment with oral corticosteroids
6. Liver disease with abnormal liver function tests defined as serum bilirubin = 20 µmol/L, and/or ALT = 100 U/L, and/or GGT = 100 U/L, and/or albumin < 35 g/L
7. Haematological disorders, including haemoglobin = 110 g/L or platelet count < 80 x 109/L
8. Kidney disease, defined as serum creatinine > 130 µmol/L in men and > 110 µmol/L in women and/or haematuria and/or active urinary sediment or casts
9. Peptic ulcer disease and/or history of previous gastrointestinal bleeding
10. Malignancy other than basal cell carcinoma
11. History of epilepsy
12. Untreated hypothyroidism
13. Known adrenal insufficiency
11. Previous brain surgery for Parkinson's disease
12. Poor candidate for any surgery
13. HIV antibody and/or risk factors for HIV infection
14. Positive hepatitis C antibody, positive hepatitis B surface antigen, and hepatitis B core antibody
15. Current administration of immunosuppressive medications (e.g. cyclosporin, tacrolimus, sirolimus, mycophenolate mofetil, muromonab-CD3, daclizumab, basiliximab, antithymocyte globulin, interferons) for other disease conditions
16. Any other condition that, in the opinion of the Investigator, may interfere with adherence to the study protocol
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/02/2016
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
2/05/2019
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Sample size
Target
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Accrual to date
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Final
18
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Recruitment in Australia
Recruitment state(s)
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Auckland
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Living Cell Technologies
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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Statistecol Consultants Limited
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
To assess the safety of xenotransplantation of NTCELL \[immunoprotected (alginate-encapsulated) choroid plexus cells\] in patients with Parkinson's disease, assessed over the duration of the study, by monitoring the occurrence of adverse events and serious adverse events, including clinical and laboratory evidence of xenogeneic infection in transplant recipients and their partners/close contacts. Subsequent safety follow-up will include lifelong monitoring for clinical and laboratory evidence of xenogeneic infection. To assess the efficacy of xenotransplantation of NTCELL \[immunoprotected (alginate-encapsulated) choroid plexus cells\] in patients with Parkinson's disease. This will be quantified by testing the secondary endpoints of the trial as described below (see Endpoints/Outcome Measures).
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Trial website
https://clinicaltrials.gov/study/NCT02683629
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Barry Snow
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Address
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Auckland City Hospital
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
International conference presentations, press releases, International journal publications
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When will data be available (start and end dates)?
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Available to whom?
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Available for what types of analyses?
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How or where can data be obtained?
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT02683629