Parkinson's DiseasePhase 2ACTIVATENCT05819359
Efficacy, Safety, Tolerability, Pharmacodynamics, and Pharmacokinetics of BIA 28-6156 in GBA-PD
A Phase 2 study testing BIA 28-6156 10 mg and BIA 28-6156 60 mg in people with Parkinson's Disease, run by Bial R&D Investments, S.A. at 95 sites in 11 countries.
Trial summary
The purpose of this randomized, double-blind, placebo-controlled study is to assess the efficacy of BIA 28-6156 over placebo in delaying clinical meaningful motor progression over 78 weeks in subjects with Parkinson's disease who have a pathogenic variant in the glucocerebrosidase 1 (GBA1) gene (GBA-PD). Read more about this study
- Who is it for?
- Ages 35 to 80 years
- Conditions the study is for
- Parkinson's Disease
- What is being tested?
- BIA 28-6156 10 mg and BIA 28-6156 60 mg
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 273 participants
- Where
- 95 sitesin 11 countries
- Study dates
- 31 Mar 2023to 9 Sep 2026
- Phase
- Phase 2
- 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 35 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Subjects who satisfy all of the following criteria will be eligible for Part A (Genetic Screening) of the study:
- The subject is ≥35 and ≤80 years of age at the time of informed consent.
- The subject has a clinical diagnosis of PD for at least 1 year and for no longer than 7 years before initiation of screening (for Part A), as confirmed by a neurologist using the MDS Criteria for Parkinson's Disease.
- The subject has a modified Hoehn and Yahr score ≤2.5.
- The subject is receiving symptomatic treatment for PD.
- The subject is capable of giving signed informed consent.
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- Subjects who satisfy all the following criteria will be eligible for Part B (Double-Blind Treatment) of the study:
- Informed Consent - The subject is capable of giving signed informed consent.
- The subject has a known GBA-PD risk-associated variant (as determined in Part A [Genetic Screening] of this study).
- The subject has a score ≥22 on the Montreal Cognitive Assessment (MoCA) scale.
- The subject does not have severe motor fluctuations or disabling dyskinesias in the clinical judgment of the investigator.
- The subject has been on stable doses of PD medications for at least 30 days (at least 60 days for rasagiline) before initiation of screening in Part B (Double-Blind Treatment).
- The subject is able to comply with the study restrictions.
- The subject has a body mass index (BMI) of 18 to 40 kg/m2.
- If a sexually active man or a women of childbearing potential, the subject agrees to use highly effective birth control or to remain abstinent during the trial and for 30 days after the last dose of IMP. Complete abstinence from sexual intercourse if this is the subject's usual and preferred lifestyle; or sexual partner with surgical sterilization (e.g., tubal ligation, hysterectomy and/or bilateral oophorectomy, vasectomy).
Who cannot join
- Individuals who do not satisfy the inclusion criteria for Part A (Genetic Screening) will be excluded.
- Subjects who meet any of the following criteria for Part B (Double-Blind Treatment) are not eligible for the study.
- The subject has Gaucher's disease (GD), as defined by clinical signs and symptoms (i.e., hepatosplenomegaly, cytopenia, skeletal disease), and/or a medical history of marked deficiency of GCase activity compatible with GD.
- The subject is homozygous for a GBA1 pathogenic variant that is known to be associated with GD or compound heterozygous for 2 alleles that are known to be associated with GD.
- The subject carries a known PD-associated LRRK2 pathogenic variant.
- The subject has atypical or secondary parkinsonism by medical history or in the opinion of the investigator. Atypical parkinsonism includes, but is not limited to, diagnoses of progressive supranuclear palsy, cortico-basal syndrome, and multiple system atrophy. Secondary parkinsonism includes drug-induced, toxin-induced, postinfectious, posttraumatic, or vascular parkinsonism.
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- The subject has a history of (within 60 days before initiation of screening) or has planned upcoming major surgery that could interfere with, or for which the treatment might interfere with, the conduct of the study or that would pose an unacceptable risk to the subject in the opinion of the investigator.
- The subject has any active or chronic disease or condition other than PD that could interfere with, or for which the treatment might interfere with, the conduct of the study or pose an unacceptable risk to the subject in the opinion of the investigator based on medical history, physical examination, vital signs, 12-lead ECG, or clinical laboratory tests. Minor deviations of laboratory values from the normal range may be acceptable if judged by the investigator to have no/minor clinical relevance.
- The subject has a recent history (last 6 months) of abuse of addictive substances (alcohol, illegal substances), currently uses >21 units of alcohol per week, or is a regular recreational user of sedatives, hypnotics, tranquillizers, or any other addictive agent in the opinion of the investigator.
- The subject has a positive test for drugs of abuse at screening or before administration of the first dose of investigational medicinal product (IMP) that the investigator judges as clinically relevant. A positive test for tetrahydrocannabinol (THC) is exclusionary. A positive test for cannabinoids (not containing THC) is not exclusionary if the subject is a recreational user (not an abuser) of cannabinoids, in the opinion of the investigator, and agrees to abstain from using cannabinoids within 12 hours before study visits. A positive drug screen that is attributed to an allowed prescription drug is not exclusionary but should be agreed with the medical monitor.
- The subject is currently pregnant, is planning pregnancy within the timeframe of the study, or is breastfeeding.
- The subject is using a strong inhibitors and inducers CYP3A4 at the time of screening for Part B (Double-Blind Treatment).
- The subject is using a breast cancer resistance protein (BCRP) substrate (e.g., pravastatin, rosuvastatin, glyburide) at the time of screening for Part B (Double-Blind Treatment).
- The subject has used any of the following medications within 60 days before Baseline: typical or atypical antipsychotics (including, but not limited to, clozapine, pimavanserin, olanzapine, risperidone, and aripiprazole), metoclopramide, prochlorperazine, methyldopa, tetrabenazine, deutetrabenazine, valbenazine, or reserpine.
- The subject has received a vaccination within 14 days before administration of the first dose of IMP.
- The subject has a prior history of or there is a plan to conduct deep brain stimulation (DBS), lesional procedures, (i.e., thalamotomy), or focused ultrasound; to initiate gene therapy treatment for PD; or to initiate use of any formulation of intestinal infusion or continuous subcutaneous infusion of PD medications.
- The subject is currently participating in or has participated in an investigational drug study within 3 months or 5 half-lives, whichever is longer; in a therapeutic device study within 3 months before the first dose of IMP; or has previously participated in a gene therapy trial. Concurrent participation in an observational study is acceptable.
- The subject has a positive test result for hepatitis B surface antigen (HBsAg), hepatitis C virus antibody (anti-HCV), or human immunodeficiency virus 1 (HIV-1) or 2 (HIV-2) at screening. If reflex testing for hepatitis B or HCV DNA is negative, the subject may be eligible for the study.
- The subject has renal insufficiency as defined by an estimated glomerular filtration rate (eGFR) of <60 mL/min at screening.
- The subject has cirrhosis (Child-Pugh A, B, or C) or any of the following laboratory values at screening: serum alanine aminotransferase (ALT) or aspartate aminotransferase (AST) >2 times the upper limit of normal (ULN) or bilirubin >2 × ULN except if the subject has known or suspected Gilbert's disease.
- The subject has a QT interval corrected for heart rate by Fridericia's method (QTcF) value >450 msec if male or >470 msec if female at screening.
- The subject provides a positive response on Question 4 or 5 of the Columbia-Suicide Severity Rating Scale (C-SSRS) based on the last 6 months or, in the opinion of the investigator, presents a serious risk of suicide at screening.
- The subject had a positive severe acute respiratory syndrome-related coronavirus-2 (SARS-CoV-2) test (any type) result within the 30 days before signing informed consent for Part B (Double-Blind Treatment) or has 2 or more current symptoms (e.g., sore throat, cough, fever) at the same time that are consistent with the Coronavirus disease 2019 (COVID-19) infection (not tested) in the opinion of the investigator.
- The subject has a clinical history that is consistent with a previous COVID-19 infection and has not recovered fully, maintaining nonspecific symptoms like, for example, fatigue, shortness of breath, difficulty concentrating, sleep disorders, fever, anxiety, and depression.
- The subject has previously received BIA 28-6156 or has a known allergy or hypersensitivity to BIA 28-6156 or any components of the formulation.
- The subject is an unsuitable candidate to receive BIA 28-6156 or is unable or unlikely to comply with the dosing schedule or study evaluations in the judgment of the investigator.
Trial locations and contacts
95 sites in 11 countries.
95 sites in 11 countries
United States43 sites
Morehouse School of Medicine
Atlanta, Georgia, 30310
University of Colorado
Aurora, Colorado, 80045
University of Maryland Medical Center
Baltimore, Maryland, 21201
Baylor University Medical Center
Baltimore, Maryland, 21287
The Johns Hopkins University School of Medicine
Baltimore, Maryland, 21287
Parkinson's Center and Movement Disorders of Boca Raton
Boca Raton, Florida, 33486
Massachusetts General Hospital
Boston, Massachusetts, 02114
Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02115
MUSC
Charleston, South Carolina, 29425
Northwestern University
Chicago, Illinois, 60611
Rush University Medical Center
Chicago, Illinois, 60612
Cleveland Clinic Foundation
Cleveland, Ohio, 44195
Quest Research Institute, LLC
Farmington Hills, Michigan, 48334
Baylor College of Medicine
Houston, Texas, 77030
University of Iowa Hospitals and Clinics
Iowa City, Iowa, 52242
University of Kansas Medical Center
Kansas City, Kansas, 66103
Evergreen Neuroscience Institute
Kirkland, Washington, 98034
University of California San Diego
La Jolla, California, 92037
University of Kentucky
Lexington, Kentucky, 40536
Cedars-Sinai
Los Angeles, California, 90048
University of Miami, Dept. of Neurology
Miami, Florida, 33136
Vanderbilt Medical Center
Nashville, Tennessee, 37232
Robert Wood Johnson Medical School
New Brunswick, New Jersey, 08901
Icahn School of Medicine at Mount Sinai Beth Israel
New York, New York, 10003
Weil Cornell Medical Center
New York, New York, 10021
Columbia University Medical Center
New York, New York, 10032
Northwell Health Physician Partners
New York, New York, 10075-1851
Northwell Health
New York, New York, 10075
Renstar Medical Research
Ocala, Florida, 34470
Parkinson's Disease and Movement Disorders Cente at University of Pennyslvania
Philadelphia, Pennsylvania, 19107
Thomas Jefferson University
Philadelphia, Pennsylvania, 19107
Barrow Neurological Institute
Phoenix, Arizona, 85013
Oregon Health and Science University
Portland, Oregon, 97239
Mayo Clinic
Rochester, Minnesota, 55905
University of Rochester Neurology
Rochester, New York, 14642
Struthers Parkinson's Center- East
Saint Paul, Minnesota, 55130
Park Nicollet Struther's Parkinson's Center (Struthers Parkinsons Center at HealthPartners)
Saint Paul, Minnesota, 55427
Intermountain Healthcare
Salt Lake City, Utah, 84107
University of Texas Health Science Center - San Antonio
San Antonio, Texas, 78229
University of Washington
Seattle, Washington, 98195
University Hospitals Cleveland Medical Center
South Euclid, Ohio, 44121
Inland Northwest Research
Spokane, Washington, 99202
Univerity of Toledo
Toledo, Ohio, 43614
Italy10 sites
IRCCS Istituto Delle Scienze Neurologiche DI
Bologna
Spedali Civilia di Brescia
Brescia, 25123
Ospedale Antonio Perrino
Brindisi, 72100
Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico
Milan, 20122
IRCCS Carlo Besta Neurological Institute
Milan, 20133
Universita degli Studi della Campania Luigi Vanvitelli - Clinica Neurologia I
Naples, 80138
Universita degli Studi di Padova - Azienda Ospedaliera di Padova - Clinica Neurologica
Padova, 35128
IRCSS San Raffaele Pisana
Roma, 163
Istituto Clinico Humanitas
Rozzano, 20086
A.O.U. San Giovanni di Dio Ruggi d'Aragona Centro Parkinson- Piano Rialzato Corpo QT
Salerno, 84125
France7 sites
CHU de Nantes - Hopital Nord Laennec
Nantes
CHU de Nice Hopital Pasteur
Nice, 6002
CHU de Nimes
Nîmes
Assistance Publique-Hopitaux de Paris (AP-HP) - Hopital Pitie-Salpetriere - Centres d'Investigation Clinique (CIC) Paris-Est
Paris
CHU de Rennes Hopital Pontchaillou
Rennes
CIC Toulouse
Toulouse
Hopital Paule de Viguier
Toulouse
Germany7 sites
Neurologisches Fachkrankenhaus für, Bewegungsstörungen und Parkinson
Beelitz-Heilstätten, 14547
Gertrudis Clinic Biskirchen, Parkinson-Center
Biskirchen, 35638
Paracelsus-Elena-Klinik
Kassel, 34128
Universitats klinikum Marburg
Marburg, 35039
Klinikum der Universität München, Campus Grosshadern, Neurologische Klinik und Poliklinik
Munich, 81377
Ludwig-Maximilians University Munich
Munich
Parkinson-Klinik Ortenau GmbH&Co KG
Wolfach, 77709
Spain7 sites
Hospital Universitari Germans Trias i Pujol
Badalona, 08916
Hospital Universitario Cruces
Barakaldo, 48903
Hospital de la Santa Creu I Sant Pau
Barcelona, 08025
Hospital Vall D´Hebron
Barcelona, 08035
Hospital Universitaio de La Princesa
Madrid, 28006
Hospital Ruber Internacional
Madrid, 28034
Hospital Universitario Virgen del Rocio
Seville, 41013
Portugal5 sites
Centro Hospitalar Universitario de Coimbra
Coimbra
Hospital Senhora da Oliveira de Guimaraes
Guimarães, 4835-044
Centro Hospitalar Universitario de Santo Antonio
Porto, 4099-001
Hospital S.JOÃO
Porto, 4200-319
CNS - Campus Neurologico
Torres Vedras
United Kingdom5 sites
NHS Tayside-Ninewells Hospital and Medical School
Dundee
Glasgow Memory Clinic
Glasgow
King's College London - David Goldberg Centre
London
The Newcastle upon Tyne Hospitals NHS Foundation Trust, Freeman Hospital
Newcastle upon Tyne
University Hospitals Plymouth NHS Trust
Plymouth
Canada3 sites
Clinique Neuro-Outaouais (Neuro-Outaouais Clinic)
Gatineau, Quebec
Montreal Neurological Institute & Hospital
Montreal, Quebec, 3801
Ottawa Hospital Research Institute
Ottawa
Netherlands3 sites
Amsterdam Medical Center UMC
Amsterdam
University Medical Center Groningen
Groningen
St. Antonius Ziekenhuis (St. Antonius Hospital) - Utrecht
Utrecht
Poland3 sites
Centrum Medyczne NEUROMED Sp. z o.o. ul.
Bydgoszcz, 85-163
Krakowkska Akademia Neurologii Sp. z o.o
Krakow, 31-505
NeuroKlinika Gabinet Lekarski
Lodz, 90-640
Sweden2 sites
Skane University Hospital, Lund University
Lund, 221 85
Neurologmottagningen, QD 62
Uppsala
About this study
Official title: A Phase 2, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy, Safety, Tolerability, Pharmacodynamics, and Pharmacokinetics of BIA 28-6156 in Subjects With Parkinson's Disease With a Pathogenic Variant in the Glucocerebrosidase (GBA1) Gene
The purpose of this randomized, double-blind, placebo-controlled study is to assess the efficacy of BIA 28-6156 over placebo in delaying clinical meaningful motor progression over 78 weeks in subjects with Parkinson's disease who have a pathogenic variant in the glucocerebrosidase 1 (GBA1) gene (GBA-PD).
Read the detailed description
This is a 2-part (Part A [Genetic Screening] and Part B [Double-Blind Treatment]), Phase 2, multicenter, randomized, double-blind, placebo-controlled study to evaluate the efficacy, safety, tolerability, pharmacodynamics, and pharmacokinetics of 2 fixed dose levels of BIA 28-6156 (10 and 60 mg/day) in approximately 237 subjects with genetically confirmed GBA-PD.
Part A (Genetic Screening) will identify individuals with a PD risk-associated variant in the GBA1 gene for potential enrolment into Part B (Double-Blind Treatment) of the study. Part B will consist of a screening period to ensure that all protocol inclusion/exclusion criteria for Part B of the study are met (up to 5 weeks). After screening period, eligible subjects will be randomized into 1 of 3 treatment arms (BIA 28-6156 10 mg/day, BIA 28-6156 60 mg/day, or placebo) in a 1:1:1 ratio, and enter a double-blind treatment period up to 78 weeks, followed by a 30-day (4 weeks) of safety follow-up period.
Subjects must be receiving a stable dose of PD medication for at least 30 days before screening (for Part B [Double-Blind Treatment]) and will continue to receive their usual PD medications throughout the study.
- Conditions
- Parkinson's Disease
- Being tested
- BIA 28-6156 10 mg, BIA 28-6156 60 mg, Placebo
- Keywords
- Parkinson Disease, Neurodegenerative Diseases, Central Nervous System Diseases, Glucocerebrosidase (GCase) activity, Parkinsonian Disorders, Basal Ganglia Diseases, Movement Disorders, GBA1 gene, BIA 28-6156, Phase 2
- Medical subject headings
- Parkinson Disease, Neurodegenerative Diseases, Central Nervous System Diseases, Motor Activity, Parkinsonian Disorders, Basal Ganglia Diseases, Movement Disorders
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BIA 28-6156 10 mgDrug
BIA 28-6156 10 mg, once daily, oral administration.
BIA 28-6156 60 mgDrug
BIA 28-6156 60 mg, once daily, oral administration.
PlaceboDrug
Placebo, once daily, oral administration.
| Study group | Role | What they receive |
|---|---|---|
| BIA 28-6156 10 mg | Experimental | Participants will be randomized to receive BIA 28-6156 10 mg during the Treatment Period. Receives: Drug: BIA 28-6156 10 mg |
| BIA 28-6156 60 mg | Experimental | Participants will be randomized to receive BIA 28-6156 60 mg during the Treatment Period. Receives: Drug: BIA 28-6156 60 mg |
| Placebo | Placebo comparator | Placebo Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Time from baseline to clinically meaningful progression on motor aspects of experiences of daily living (assessed by MDS-UPDRS Part II score and MDS-UPDRS Part III score)
Time from baseline to clinically meaningful progression on motor aspects of experiences of daily living, as assessed by ≥2-point increase from baseline in Movement Disorder Society - Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Part II score and no improvement in the Motor Examination, as assessed by ≥0-point increase from baseline in MDS-UPDRS Part III score. MDS-UPDRS is a multimodal scale assessing impairment and disability consisting of 4 parts. Part II assesses motor experiences of daily living (Range 0-52). It contains 13 questions which are to be rated by the patient and/or caregiver. Part III assesses the motor signs of PD and is rated by the investigator (Range 0-132). Part III contains 33 scores based on 18 items. For each question a numeric score is assigned between 0-4, where 0 = Normal, 1 = Slight, 2 = Mild, 3 = Moderate, 4 = Severe. A higher score indicates more severe symptoms of PD.
Measured: From Baseline up to Week 78
Secondary outcomes (6)
Time from baseline to clinically meaningful progression on motor signs of the disease (assessed by MDS-UPDRS Part III score)
Time from baseline to clinically meaningful progression on motor signs of the disease, as assessed by a ≥5-point increase from baseline in the MDS-UPDRS Part III score. MDS-UPDRS is a multimodal scale assessing impairment and disability consisting of 4 parts. Part III assesses the motor signs of PD and is rated by the investigator (Range 0-132). Part III contains 33 scores based on 18 items. A higher score indicates more severe symptoms of PD.
Measured: From Baseline up to Week 78
Time from baseline to any worsening on the Clinical Global Impression - Change (CGI-C) scale
The Clinical Global Impression of Change (CGI-C) is a scale used to assess the overall clinical improvement or worsening of a patient's condition over time. The CGI-C scale ranges from 1 to 7, with lower scores indicating greater improvement (1 - Very much improved, 2 - Much improved, 3 - Minimally improved, 4 - No change, 5 - Minimally worse, 6 - Much worse, 7 - Very much worse).
Measured: From Baseline up to Week 78
Time from baseline to any worsening on the Patient Global Impression - Change (PGI-C) scale
The Patient Global Impression of Change (PGI-C) is a self-report tool used to assess a patient's perception of their overall improvement or worsening in a particular health-related domain over time. The PGI-C scale asks patients to rate their overall improvement or worsening since the start of treatment on a seven-point scale, with lower scores indicating greater improvement (1 - Very much improved, 2 - Much improved, 3 - Minimally improved, 4 - No change, 5 - Minimally worse, 6 - Much worse, 7 - Very much worse)
Measured: From Baseline up to Week 78
Change from Baseline to Week 78 in the MDS-UPDRS Total (Part I-IV) score
The MDS-UPDRS assesses nonmotor and motor experiences of daily living, motor examination, and motor complication categories. The MDS-UPDRS Part I-IV total score was calculated as the sum of the individual item scores from these categories. Each item is rated on a scale from 0 to 4 on which 0 = normal, 1 = slight, 2 = mild, 3 = moderate, and 4 = severe. A higher score indicates more severe symptoms of PD.
Measured: From Baseline up to Week 78
Change from Baseline to Week 78 in the Modified Hoehn and Yahr score
The Modified Hoehn and Yahr scale measures the severity of Parkinson's disease by assessing the patient's motor symptoms and functional impairment. The scale has seven stages, ranging from 1 to 5, with higher scores indicating more severe disease. (1 - Unilateral involvement only; 1.5 - Unilateral and axial involvement; 2 - Bilateral involvement without impairment of balance; 2.5 - Mild bilateral disease with recovery on pull test; 3 - Mild to moderate bilateral disease; some postural instability; physically independent; 4 - Severe disability; still able to walk or stand unassisted; 5 - Wheelchair bound or bedridden unless added).
Measured: From Baseline up to Week 78
Change from Baseline to Week 78 in the 39-Item Parkinson's Disease Questionnaire (PDQ-39) score
The PDQ-39 is the most thoroughly validated and extensively used self-report measure for the assessment of health-related quality of life in patients with PD. The questionnaire measures 39 items, which assess 8 domains of health: mobility (10 items), activities of daily living (6 items), emotional well being (6 items), stigma (4 items), social support (3 items), cognitions (4 items), communication (3 items), and bodily discomfort (3 items). Each item is scored on the following scale: 0 = never, 1 = occasionally, 2 = sometimes, 3 = often, and 4 = always. Items in each subscale and the total scale can be summarized into an index and transformed linearly to a scale from 0 (perfect health as assessed by the measure) to 100 (worst health as assessed by the measure).
Measured: From Baseline up to Week 78
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Apr 2023
- Study start31 Mar 2023
- Primary completion2 Apr 2026
- Study completion9 Sep 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Parkinson's DiseaseStudies of the same condition, open and under way.
- 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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 273 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bial R&D Investments, S.A.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Raquel Costa, Study director, Bial R&D Investments, S.A.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05819359
- Sponsor's protocol ID
- BIA 28-6156-201
- Other IDs
- 2022-501783-18-00
- Acronym
- ACTIVATE
- Status last verified
- Nov 2026
- First submitted
- 6 Apr 2023
- Last updated
- 6 Nov 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 6 Nov 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy, Safety, Tolerability, Pharmacodynamics, and Pharmacokinetics of BIA 28-6156 in Subjects With Parkinson's Disease With a Pathogenic Variant in the Glucocerebrosidase (GBA1) Gene
- ClinicalTrials.gov ID
- NCT05819359
- Acronym / sponsor ID
- ACTIVATE / BIA 28-6156-201
- Conditions
- Parkinson's Disease
- Keywords
- Parkinson Disease, Neurodegenerative Diseases, Central Nervous System Diseases, Glucocerebrosidase (GCase) activity, Parkinsonian Disorders, Basal Ganglia Diseases, Movement Disorders, GBA1 gene
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 273 participants (actual)
- Lead sponsor
- Bial R&D Investments, S.A.Industry (pharma, biotech, devices)
- Study start
- 31 Mar 2023 (actual)
- Primary completion
- 2 Apr 2026 (actual)
- Study completion
- 9 Sep 2026 (actual)
- First posted
- 19 Apr 2023 (actual)
- 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 randomized, double-blind, placebo-controlled study is to assess the efficacy of BIA 28-6156 over placebo in delaying clinical meaningful motor progression over 78 weeks in subjects with Parkinson's disease who have a pathogenic variant in the glucocerebrosidase 1 (GBA1) gene (GBA-PD).
Detailed description
This is a 2-part (Part A [Genetic Screening] and Part B [Double-Blind Treatment]), Phase 2, multicenter, randomized, double-blind, placebo-controlled study to evaluate the efficacy, safety, tolerability, pharmacodynamics, and pharmacokinetics of 2 fixed dose levels of BIA 28-6156 (10 and 60 mg/day) in approximately 237 subjects with genetically confirmed GBA-PD.
Part A (Genetic Screening) will identify individuals with a PD risk-associated variant in the GBA1 gene for potential enrolment into Part B (Double-Blind Treatment) of the study. Part B will consist of a screening period to ensure that all protocol inclusion/exclusion criteria for Part B of the study are met (up to 5 weeks). After screening period, eligible subjects will be randomized into 1 of 3 treatment arms (BIA 28-6156 10 mg/day, BIA 28-6156 60 mg/day, or placebo) in a 1:1:1 ratio, and enter a double-blind treatment period up to 78 weeks, followed by a 30-day (4 weeks) of safety follow-up period.
Subjects must be receiving a stable dose of PD medication for at least 30 days before screening (for Part B [Double-Blind Treatment]) and will continue to receive their usual PD medications throughout the study.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| BIA 28-6156 10 mg | Experimental | Drug: BIA 28-6156 10 mgParticipants will be randomized to receive BIA 28-6156 10 mg during the Treatment Period. |
| BIA 28-6156 60 mg | Experimental | Drug: BIA 28-6156 60 mgParticipants will be randomized to receive BIA 28-6156 60 mg during the Treatment Period. |
| Placebo | Placebo comparator | Drug: PlaceboPlacebo |
Who may qualify
- Ages
- 35 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (15 listed)
- Subjects who satisfy all of the following criteria will be eligible for Part A (Genetic Screening) of the study:
- The subject is ≥35 and ≤80 years of age at the time of informed consent.
- The subject has a clinical diagnosis of PD for at least 1 year and for no longer than 7 years before initiation of screening (for Part A), as confirmed by a neurologist using the MDS Criteria for Parkinson's Disease.
- The subject has a modified Hoehn and Yahr score ≤2.5.
- The subject is receiving symptomatic treatment for PD.
Key exclusion criteria (26 listed)
- Individuals who do not satisfy the inclusion criteria for Part A (Genetic Screening) will be excluded.
- Subjects who meet any of the following criteria for Part B (Double-Blind Treatment) are not eligible for the study.
- The subject has Gaucher's disease (GD), as defined by clinical signs and symptoms (i.e., hepatosplenomegaly, cytopenia, skeletal disease), and/or a medical history of marked deficiency of GCase activity compatible with GD.
- The subject is homozygous for a GBA1 pathogenic variant that is known to be associated with GD or compound heterozygous for 2 alleles that are known to be associated with GD.
- The subject carries a known PD-associated LRRK2 pathogenic variant.
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 |
|---|---|---|
| BIA 28-6156 10 mgBIA 28-6156 10 mg, once daily, oral administration. | Drug | BIA 28-6156 10 mg |
| BIA 28-6156 60 mgBIA 28-6156 60 mg, once daily, oral administration. | Drug | BIA 28-6156 60 mg |
| PlaceboPlacebo, once daily, oral administration. | Drug | Placebo |
Primary outcome
Time from baseline to clinically meaningful progression on motor aspects of experiences of daily living (assessed by MDS-UPDRS Part II score and MDS-UPDRS Part III score)
Time frame: From Baseline up to Week 78
Time from baseline to clinically meaningful progression on motor aspects of experiences of daily living, as assessed by ≥2-point increase from baseline in Movement Disorder Society - Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Part II score and no improvement in the Motor Examination, as assessed by ≥0-point increase from baseline in MDS-UPDRS Part III score. MDS-UPDRS is a multimodal scale assessing impairment and disability consisting of 4 parts. Part II assesses motor experiences of daily living (Range 0-52). It contains 13 questions which are to be rated by the patient and/or caregiver. Part III assesses the motor signs of PD and is rated by the investigator (Range 0-132). Part III contains 33 scores based on 18 items. For each question a numeric score is assigned between 0-4, where 0 = Normal, 1 = Slight, 2 = Mild, 3 = Moderate, 4 = Severe. A higher score indicates more severe symptoms of PD.
6 secondary outcomes
Time from baseline to clinically meaningful progression on motor signs of the disease (assessed by MDS-UPDRS Part III score)
Time frame: From Baseline up to Week 78
Time from baseline to any worsening on the Clinical Global Impression - Change (CGI-C) scale
Time frame: From Baseline up to Week 78
Time from baseline to any worsening on the Patient Global Impression - Change (PGI-C) scale
Time frame: From Baseline up to Week 78
Change from Baseline to Week 78 in the MDS-UPDRS Total (Part I-IV) score
Time frame: From Baseline up to Week 78
Change from Baseline to Week 78 in the Modified Hoehn and Yahr score
Time frame: From Baseline up to Week 78
Change from Baseline to Week 78 in the 39-Item Parkinson's Disease Questionnaire (PDQ-39) score
Time frame: From Baseline up to Week 78
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 6 Nov 2026.
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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.
Raquel Costa study director
Bial R&D Investments, S.A.
95 sites in 11 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing BIA 28-6156 10 mg and BIA 28-6156 60 mg in people with Parkinson's Disease, run by Bial R&D Investments, S.A. at 95 sites in 11 countries.
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 26 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 6 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 95 sites in United States, Italy, France, Germany, Spain and 6 more countries. 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. Some participants in this study may receive a placebo. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
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?
Time from baseline to clinically meaningful progression on motor aspects of experiences of daily living (assessed by MDS-UPDRS Part II score and MDS-UPDRS Part III score) (time frame: From Baseline up to Week 78). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 6 Nov 2026.