Progressive Supranuclear PalsyPhase 1CN002-003NCT02460094
Multiple Ascending Dose Study of Intravenously Administered BMS-986168 (BIIB092) in Patients With Progressive Supranuclear Palsy
A Phase 1 study testing BIIB092 in people with Progressive Supranuclear Palsy, run by Biogen at 13 sites in United States.
Trial summary
The purpose of this study is to evaluate the safety and tolerability of multiple ascending intravenous infusions of BMS-986168 and to assess the pharmacokinetics and immunogenicity of BIIB092, and pharmacodynamics of BIIB092 on cerebrospinal fluid (CSF) extracellular tau (eTau) concentrations in participants with… Read more about this study
- Who is it for?
- Ages 41 to 86 years
- Conditions the study is for
- Progressive Supranuclear Palsy
- What is being tested?
- BIIB092
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 48 participants
- Where
- 13 sitesUnited States
- Study dates
- 2 Oct 2015to 19 Oct 2016
- Phase
- Phase 1
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 41 to 86 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Probable or possible PSP defined as:
- at least a 12-month history of postural instability or falls during the first 3 years that symptoms are present
- a decreased downward saccade velocity at screening defined as observable eye movement deviation from the "main sequence" linear relationship between saccade amplitude and saccade velocity; or supranuclear ophthalmoplegia defined as 50% reduction in upward gaze or 30% reduction in downward gaze; and
- age at symptom onset of 40 to 85 years by history and current age between 41 and 86 years, inclusive, at the time of screening; and
- an akinetic-rigid syndrome with prominent axial rigidity.
- presence of symptoms for less than 5 years.
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- Body weight range of ≥ 43 kg/95 lbs to ≤ 118 kg/260 lbs.
- Able to tolerate MRI.
- Able to perform all protocol-specified assessments and comply with the study visit schedule.
- Have reliable caregiver to accompany patient to all study visits. Caregiver must be able to read, understand, and speak local language fluently to ensure comprehension of informed consent and informant-based assessments of patient. Caregiver must also have frequent contact with patient (at least 3 hours per week at one time or at different times) and be willing to monitor the patient's health and concomitant medications throughout the study.
- Score ≥ 20 on the Mini Mental State Exam (MMSE) at screening.
- Patient must reside outside a skilled nursing facility or dementia care facility at the time of screening, and admission to such a facility is not planned. Residence in an assisted living facility is allowed.
- Ability to ambulate independently or with assistance defined as the ability to take at least 5 steps with a walker (guarding is allowed provided there is no contact) or the ability to take at least 5 steps without a walker or cane with the assistance of another person who can only have contact with one upper extremity.
- Stable on other chronic medications for at least 30 days prior to screening.
- Women of child bearing potential (WOCBP) and sexually active fertile men with partners who are WOCBP must use highly effective birth control.
Who cannot join
- Presence of other significant neurological or psychiatric disorders.
- History of or screening brain MRI scan indicative of significant abnormality.
- History of cancer within 5 years of screening with the exception of fully excised non-melanoma skin cancers or non-metastatic prostate cancer that has been stable for at least 6 months.
- History of clinically significant hematological, endocrine, cardiovascular, renal, hepatic, gastrointestinal, or neurological disease.
- Inability to be venipunctured and/or tolerate venous access.
- Contraindication to undergoing an LP.
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- Recent drug or alcohol abuse as defined in DSM IV.
- Treatment with any investigational drugs (including placebo) or devices within 90 days prior to screening.
- Contraindication to the MRI examination for any reason
- History of a clinically significant medical condition that would interfere with the patient's ability to comply with study instructions, would place the patient at increased risk, or might confound the interpretation of the study results.
- History of allergy, hypersensitivity, or serious adverse reaction to monoclonal antibodies or related compounds or allergy to any of the components of the study drug
Trial locations and contacts
13 sites in 1 country.
13 sites in 1 country
United States13 sites
The University of Alabama at Birmingham
Birmingham, Alabama
Parkinsons Disease and Movement Disorders Center of Boca Raton
Boca Raton, Florida
The University of Chicago Department of Neurology
Chicago, Illinois
The University of Texas Southwestern Medical Center
Dallas, Texas
University of Florida College of Medicine
Gainesville, Florida
David Geffen School of Medicine at UCLA
Los Angeles, California
University of Minnesota Medical School
Minneapolis, Minnesota
Robert Wood Johnson Medical School
New Brunswick, New Jersey
Columbia University Medical Center
New York, New York
Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania
University of California San Diego
San Diego, California
University of California, San Francisco, Medical Center at Parnassus
San Francisco, California
University of South Florida
Tampa, Florida
About this study
Official title: A Randomized, Double-Blind, Placebo-Controlled, Multiple Ascending Dose Study of Intravenously Administered BMS-986168 in Patients With Progressive Supranuclear Palsy
The purpose of this study is to evaluate the safety and tolerability of multiple ascending intravenous infusions of BMS-986168 and to assess the pharmacokinetics and immunogenicity of BIIB092, and pharmacodynamics of BIIB092 on cerebrospinal fluid (CSF) extracellular tau (eTau) concentrations in participants with Progressive Supranuclear Palsy.
Read the detailed description
This study, previously posted by Bristol-Myers Squibb, has transitioned to Biogen under a licensing agreement.
- Conditions
- Progressive Supranuclear Palsy
- Being tested
- BIIB092, Placebo
- Medical subject headings
- Supranuclear Palsy, Progressive
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BIIB092Drug
Also called BMS-986168
See Arm Descriptions for dosing information.
PlaceboDrug
See Arm Descriptions for dosing information. (0.9% Sodium Chloride for Injection or 5% Dextrose Injection if Sodium Chloride is not available)
| Study group | Role | What they receive |
|---|---|---|
| Panel 1: BIIB092/ Placebo | Experimental | BIIB092 or matching placebo administered by intravenous (IV) injection, up to a maximum of 3 doses once every four weeks. Receives: Drug: BIIB092; Drug: Placebo |
| Panel 2: BIIB092/ Placebo | Experimental | BIIB092 or matching placebo administered by intravenous (IV) injection, up to a maximum of 3 doses once every four weeks. Receives: Drug: BIIB092; Drug: Placebo |
| Panel 3: BIIB092/ Placebo | Experimental | BIIB092 or matching placebo administered by intravenous (IV) injection, up to a maximum of 3 doses once every four weeks. Receives: Drug: BIIB092; Drug: Placebo |
| Panel 4: BIIB092/ Placebo | Experimental | BIIB092 or matching placebo administered by intravenous (IV) injection, up to a maximum of 3 doses once every four weeks. Receives: Drug: BIIB092; Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Safety and Tolerability as Measured by Percentage of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)
Measured: Day 1 - Day 169
Secondary outcomes (7)
Percent Change from Baseline in Extracellular Tau (eTau) Concentration in Cerebrospinal Fluid
Measured: Day 1 - Day 85
Immunogenicity of BIIB092 Measured by Presence or Absence of Anti-BIIB092 Antibodies in Serum
Measured: Day 1 - Day 169
Maximum Serum Concentration (Cmax) of BIIB092
Measured: Day 1 - Day 196
Area Under the Concentration Time-curve of BIIB092 in One Dosing Interval (AUC(TAU))
Measured: Day 1 - Day 196
Trough Serum Concentration (Ctrough) of BIIB092
Measured: Day 1 - Day 196
Serum Concentration at 4 Weeks After Dosing of BIIB092
Measured: Day 1 - Day 196
Time of Maximum Serum Concentration (Tmax)
Measured: Day 1 - Day 196
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Jun 2015 (estimated)
- Study start2 Oct 2015
- Primary completion19 Oct 2016
- Study completion19 Oct 2016
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Progressive Supranuclear PalsyStudies of the same condition, open and under way.
- More trials run by BiogenThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 48 participants (actual)
Sponsor and investigators
- Lead sponsor
- Biogen
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Director, Study director, Biogen
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02460094
- Sponsor's protocol ID
- CN002-003
- Acronym
- CN002-003
- Status last verified
- Aug 2018
- First submitted
- 20 May 2015
- Last updated
- 4 Sep 2018
- Results posted
- No
- Data monitoring committee
- No
Publications
Boxer AL, Qureshi I, Ahlijanian M, Grundman M, Golbe LI, Litvan I, Honig LS, Tuite P, McFarland NR, O'Suilleabhain P, Xie T, Tirucherai GS, Bechtold C, Bordelon Y, Geldmacher DS, Grossman M, Isaacson S, Zesiewicz T, Olsson T, Muralidharan KK, Graham DL, O'Gorman J, Haeberlein SB, Dam T. Safety of the tau-directed monoclonal antibody BIIB092 in progressive supranuclear palsy: a randomised, placebo-controlled, multiple ascending dose phase 1b trial. Lancet Neurol. 2019 Jun;18(6):549-558. doi: 10.1016/S1474-4422(19)30139-5.
PubMed 31122495
Study at a glance
From the registry record, last updated by the sponsor on 4 Sep 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-Blind, Placebo-Controlled, Multiple Ascending Dose Study of Intravenously Administered BMS-986168 in Patients With Progressive Supranuclear Palsy
- ClinicalTrials.gov ID
- NCT02460094
- Acronym / sponsor ID
- CN002-003 / CN002-003
- Conditions
- Progressive Supranuclear Palsy
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 48 participants (actual)
- Lead sponsor
- BiogenIndustry (pharma, biotech, devices)
- Study start
- 2 Oct 2015 (actual)
- Primary completion
- 19 Oct 2016 (actual)
- Study completion
- 19 Oct 2016 (actual)
- First posted
- 2 Jun 2015 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the safety and tolerability of multiple ascending intravenous infusions of BMS-986168 and to assess the pharmacokinetics and immunogenicity of BIIB092, and pharmacodynamics of BIIB092 on cerebrospinal fluid (CSF) extracellular tau (eTau) concentrations in participants with Progressive Supranuclear Palsy.
Detailed description
This study, previously posted by Bristol-Myers Squibb, has transitioned to Biogen under a licensing agreement.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Panel 1: BIIB092/ Placebo | Experimental | Drug: BIIB092, Drug: PlaceboBIIB092 or matching placebo administered by intravenous (IV) injection, up to a maximum of 3 doses once every four weeks. |
| Panel 2: BIIB092/ Placebo | Experimental | Drug: BIIB092, Drug: PlaceboBIIB092 or matching placebo administered by intravenous (IV) injection, up to a maximum of 3 doses once every four weeks. |
| Panel 3: BIIB092/ Placebo | Experimental | Drug: BIIB092, Drug: PlaceboBIIB092 or matching placebo administered by intravenous (IV) injection, up to a maximum of 3 doses once every four weeks. |
| Panel 4: BIIB092/ Placebo | Experimental | Drug: BIIB092, Drug: PlaceboBIIB092 or matching placebo administered by intravenous (IV) injection, up to a maximum of 3 doses once every four weeks. |
Who may qualify
- Ages
- 41 to 86 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (15 listed)
- Probable or possible PSP defined as:
- Body weight range of ≥ 43 kg/95 lbs to ≤ 118 kg/260 lbs.
- Able to tolerate MRI.
- Able to perform all protocol-specified assessments and comply with the study visit schedule.
- Have reliable caregiver to accompany patient to all study visits. Caregiver must be able to read, understand, and speak local language fluently to ensure comprehension of informed consent and informant-based assessments of patient. Caregiver must also have frequent contact with patient (at least 3 hours per week at one time or at different times) and be willing to monitor the patient's health and concomitant medications throughout the study.
Key exclusion criteria (11 listed)
- Presence of other significant neurological or psychiatric disorders.
- History of or screening brain MRI scan indicative of significant abnormality.
- History of cancer within 5 years of screening with the exception of fully excised non-melanoma skin cancers or non-metastatic prostate cancer that has been stable for at least 6 months.
- History of clinically significant hematological, endocrine, cardiovascular, renal, hepatic, gastrointestinal, or neurological disease.
- Inability to be venipunctured and/or tolerate venous access.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| BIIB092Also: BMS-986168See Arm Descriptions for dosing information. | Drug | Panel 1: BIIB092/ Placebo, Panel 2: BIIB092/ Placebo, Panel 3: BIIB092/ Placebo, Panel 4: BIIB092/ Placebo |
| PlaceboSee Arm Descriptions for dosing information. (0.9% Sodium Chloride for Injection or 5% Dextrose Injection if Sodium Chloride is not available) | Drug | Panel 1: BIIB092/ Placebo, Panel 2: BIIB092/ Placebo, Panel 3: BIIB092/ Placebo, Panel 4: BIIB092/ Placebo |
Primary outcome
Safety and Tolerability as Measured by Percentage of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)
Time frame: Day 1 - Day 169
7 secondary outcomes
Percent Change from Baseline in Extracellular Tau (eTau) Concentration in Cerebrospinal Fluid
Time frame: Day 1 - Day 85
Immunogenicity of BIIB092 Measured by Presence or Absence of Anti-BIIB092 Antibodies in Serum
Time frame: Day 1 - Day 169
Maximum Serum Concentration (Cmax) of BIIB092
Time frame: Day 1 - Day 196
Area Under the Concentration Time-curve of BIIB092 in One Dosing Interval (AUC(TAU))
Time frame: Day 1 - Day 196
Trough Serum Concentration (Ctrough) of BIIB092
Time frame: Day 1 - Day 196
Serum Concentration at 4 Weeks After Dosing of BIIB092
Time frame: Day 1 - Day 196
Time of Maximum Serum Concentration (Tmax)
Time frame: Day 1 - Day 196
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 Sep 2018.
- Derived from this study: PubMed 31122495Boxer AL, Qureshi I, Ahlijanian M, Grundman M, Golbe LI, Litvan I, Honig LS, Tuite P, McFarland NR, O'Suilleabhain P, Xie T, Tirucherai GS, Bechtold C, Bordelon Y, Geldmacher DS, Grossman M, Isaacson S, Zesiewicz T, Olsson T, Muralidharan KK, Graham DL, O'Gorman J, Haeberlein SB, Dam T. Safety of the tau-directed monoclonal antibody BIIB092 in progressive supranuclear palsy: a randomised, placebo-controlled, multiple ascending dose phase 1b trial. Lancet Neurol. 2019 Jun;18(6):549-558. doi: 10.1016/S1474-4422(19)30139-5.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Medical Director study director
Biogen
13 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing BIIB092 in people with Progressive Supranuclear Palsy, run by Biogen at 13 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 15 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 4 Sep 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 13 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Safety and Tolerability as Measured by Percentage of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs) (time frame: Day 1 - Day 169). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02460094, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Sep 2018; AzTrials last refreshed its copy on 6 Nov 2026.