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Parkinson's Disease (PD)Phase 2/3NCT07284784

A Study of Buntanetap in Participants With PD

A Phase 2/3 study testing buntanetap/posiphen in people with Parkinson's Disease (PD) and Deep Brain Stimulation, run by Annovis Bio Inc. at 29 sites in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This study will examine the long-term safety of buntanetap in participants with PD. This will be a 36-month open-label safety study. This study will be conducted with two cohorts. Cohort 1 will enroll via invitation only for PD participants who have previously participated in buntanetap clinical trials. Read more about this study

Who is it for?
Ages 40 to 85 years
What is being tested?
buntanetap/posiphen
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
500 participants
Where
29 sitesUnited States
Study dates
9 Jan 2026to Nov 2029
Phase
Phase 2/3
Are there results?
Not yet: the study is under way

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 40 to 85 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Diagnosis of idiopathic PD according to MDS Clinical Diagnostic Criteria for Parkinson's Disease (Postuma et al., 2015) and
  • Cohort 1: Participated in a prior PD clinical trial with buntanetap. i. A legally authorized representative is required for any participant whose MMSE <21 at screening.
  • Cohort 2: Has been receiving DBS treatment in either 1) the subthalamic nucleus or 2) the globus pallidus internus for at least 12 months after a successful DBS surgery that achieved the goal.
  • Female or male adults aged 40 to 85 years. ii. H\&Y stage 1-3 in ON state. iii. MMSE 21-30 at screening and baseline.
  • Have a support person who will accompany the participant on study visits at designated times.
  • Female participants of childbearing potential* must have a negative urine pregnancy test at screening, must be non-lactating, and must agree to use a highly effective method of contraception (i.e., a method resulting in a failure rate of less than 1% per year when used consistently and correctly) during the trial and for one month after the last dose of trial treatment, such as:
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  • Oral, intravaginal, or transdermal combined (estrogen plus progestogen) hormonal contraception associated with inhibition of ovulation,
  • Oral, injectable, or implantable progestogen-only hormonal contraception associated with inhibition of ovulation,
  • Intrauterine device (IUD),
  • Intrauterine hormone-releasing system (IUS),
  • Bilateral tubal occlusion,
  • Vasectomized partner (a vasectomized partner is a highly effective contraception method provided that the partner is the sole male sexual partner of the participant, and the absence of sperm has been confirmed. If not, an additional highly effective method of contraception should be used),
  • Sexual abstinence (sexual abstinence is considered a highly effective method only if defined as refraining from heterosexual intercourse during the entire period of risk associated with the study treatment. The reliability of sexual abstinence needs to be evaluated in relation to the duration of the study and the preferred and usual lifestyle of the participant).
  • Non-childbearing potential includes surgically sterilized or postmenopausal with no menstrual bleeding for at least one year prior to study start.
  • Protocol ANVS-25002 Ver. 2.1; 09-23-2025 Confidential Page 30 of 54
  • Male participants must be sterile or sexually inactive or agree not to father a child during the study and one month after the last dose of study medication and must agree to use a barrier method for contraception. Female partners of male participants must adopt a highly effective method of contraception with a failure rate of less than 1% per year when used consistently and correctly such as:
  • Oral, intravaginal, or transdermal combined (estrogen plus progestogen) hormonal contraception associated with inhibition of ovulation,
  • Oral, injectable, or implantable progestogen-only hormonal contraception associated with inhibition of ovulation,
  • IUD,
  • IUS,
  • Bilateral tubal occlusion.
  • No evidence of current suicidal ideation or previous suicide attempt in the past month as evaluated in the C-SSRS.
  • Stability of permitted medications for at least 4 weeks prior to screening. Refer to Concomitant Medications section above for details on prohibited and permitted medications.
  • Standard of care anti-parkinsonian medication,
  • Cholinesterase inhibitors and/or memantine medication,
  • Anticonvulsant medications used for epilepsy or mood stabilization, or neuropathic pain indications, and have not had a breakthrough seizure 3 years prior to screening,
  • Mood-stabilizing psychotropic agents including, but not limited to, lithium,
  • Adequate visual and hearing ability (physical ability to perform all the study assessments).
  • Good general health with no disease expected to interfere with the study.

Who cannot join

  • Cohort 1 only: Is currently receiving DBS treatment. (Participant may enroll in Cohort 2 if they meet the corresponding inclusion/exclusion criteria).
  • A history of psychiatric disorder such as schizophrenia, bipolar disorder, or major depression according to the criteria of the most current version of the Diagnostic and Statistical Manual of Mental Disorders (DSM), unless their symptoms have been mild, and they are stable on treatment or no longer need treatment. Mild depression or history of depression that is stable on treatment with selective serotonin reuptake inhibitors (SSRI) or serotonin and norepinephrine reuptake inhibitors (SNRI) medication at a stable dose is acceptable. Refer to Concomitant Medications section above for details on prohibited and permitted medications.
  • A history of seizure disorder. If stable on medication, it is acceptable. Refer to Concomitant Medications section above for details on prohibited and permitted medications.
  • A history or current evidence of long QT syndrome, Fridericia's formula corrected QT (QTcF) interval ≥ 450 ms for men and ≥ 460 ms for women, or torsades de pointes.
  • Bradycardia (<50 bpm) or tachycardia (>100 bpm) on the ECG at screening and deemed medically significant by the PI.
  • Protocol ANVS-25002 Ver. 2.1; 09-23-2025 Confidential Page 31 of 54
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  • Uncontrolled Type-1 or Type-2 diabetes. A participant with hemoglobin subunit alpha 1c (HbA1c) levels up to 7.5% can be enrolled if the investigator believes the participant's diabetes is under control.
  • Clinically significant renal (Chronic Kidney Disease Epidemiology Collaboration [CKD-EPI] <50 mL/min/BSA [body surface area]) or hepatic impairment (Alkaline phosphatase [ALP] > 2.0X the upper limit of normal [ULN] and/or total bilirubin > 2.0X ULN).
  • Any clinically significant abnormal laboratory values. Participants with liver function tests (aspartate aminotransferase [AST] or alanine aminotransferase [ALT]) greater than twice ULN will be excluded.
  • Is at imminent risk of self-harm, based on clinical interview and responses on the C-SSRS, or of harm to others in the opinion of the investigators. Participants must be excluded if they report suicidal ideation with intent, with or without a plan or method (e.g., positive response to Items 4 or 5 in assessment of suicidal ideation on C-SSRS) in the past 2 months, or suicidal behavior in the past 6 months.
  • Cancer or has had a malignant tumor within the past year, except participants who underwent potentially curative therapy with no evidence of recurrence (participants with stable untreated cancer are not excluded).
  • Alcohol / Substance use disorder, moderate to severe, in the last 5 years according to the most current version of the DSM.
  • Participation in another clinical trial with an investigational agent and have taken at least one dose of study medication, unless unblinded on placebo, within 4 weeks prior to the start of screening, or five half-lives of the investigational drug, whichever is greater. The end of a previous investigational trial is the date the last dose of an investigational agent was taken.
  • A learning disability or developmental delay.
  • Participants whom the site PI deems to be otherwise ineligible.
  • A known allergy to the investigational drug or any of its components.
  • Inactive ingredients of the investigational medicinal product:
  • Silicified microcrystalline cellulose
  • Dibasic calcium phosphate dihydrate
  • Mannitol
  • Stearic acid
  • Hypromellose (capsule shells structure)
  • Titanium dioxide (opacifier of the capsule shells)
  • Is currently pregnant, breast-feeding, and/or lactating.
  • Uncontrolled hypertension (systolic >160mmHg and/or diastolic >95mmHg) or hypotension (systolic <90mmHg and/or diastolic <60 mmHg) and deemed medically significant by the PI.

Trial locations and contacts

29 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Sarah MacCallum, BSN RN contact

484-875-3192

maccallum@annovisbio.com

Alexander Morin, PhD contact

morin@annovisbio.com

29 sites in 1 country

United States29 sites, 29 recruiting
  • First Choice Neurology - Aventura Neurologic Associates

    Aventura, Florida, 33180

    Jonathan Palmquist, 786-744-5596, jpalmquist@vintrials.com

    Jonathan Cross, M.D.

    Recruiting
  • University of Alabama at Birmingham

    Birmingham, Alabama, 35233

    Candace Cromer, 205-996-4034, candacecromer@uabmc.edu

    Natividad Stover, M.D.

    Recruiting
  • Medical University of South Carolina (MUSC) - The Murray Center for Research on Parkinson's Disease

    Charleston, South Carolina, 29401

    Sandra Wilson, 843-792-3223, wilsosan@musc.edu

    Vanessa Hinson, M.D., PhD

    Recruiting
  • University of Virginia Health System (UVAHS) - Adult Neurology Clinic

    Charlottesville, Virginia, 22903

    Lauren Miller, 434-982-6599, fdk5dn@uvahealth.org

    Binit Shah, M.D.

    Recruiting
  • The Ohio State University Wexner Medical Center

    Columbus, Ohio, 43210

    Victoria Miller, 614-688-8672, victoria.miller@osumc.edu

    Zachary Jordan, M.D.

    Recruiting
  • Neurology Clinic, P.C.

    Cordova, Tennessee, 38018

    Ye Liu, 901-747-1111, yliu@neuroclinic.org

    Kendrick Henderson, M.D.

    Recruiting
  • Arrow Clinical Trials

    Daytona Beach, Florida, 32117

    Vinoothna Moluguri, 386-316-6152, vmoluguri@arrowtrials.com

    David Billmeier, M.D.

    Recruiting
  • iResearch Atlanta

    Decatur, Georgia, 30030

    Elizabeth Davis, 404-537-1281, e.davis@cenexel.com

    Kimball Johnson, M.D.

    Recruiting
  • Accel Clinical Sites-Georgia LLC dba Accel Research Sites-Lake Oconee CRU

    DeLand, Florida, 32720

    Erica Santoni, 1-386-785-2400 ext. 4608, erica.santoni@accelclinical.com

    Bruce Rankin, D.O.

    Recruiting
  • Duke Department of Neurosurgery

    Durham, North Carolina, 27710

    Vera George, 919-668-3885, vera.george@duke.edu

    Kyle Mitchell, M.D.

    Recruiting
  • Cenexel Rocky Mountain Clinical Research

    Englewood, Colorado, 80113

    Sally Modzelewski, 720-776-0092, s.modzelewski@cenexel.com

    Meagen Salinas, M.D.

    Recruiting
  • Quest Research Institute

    Farmington Hills, Michigan, 48334

    Savannah Carra, 248-957-8940, savannah.carra@questri.com

    Aaron Ellenbogen, D.O.

    Recruiting
  • Parkinson's & Movement Disorder Institute (PMDI) - Orange County Office

    Fountain Valley, California, 92708

    Evan Moreno-Davis, 714-378-5074, evan@pmdi.org

    Daniel Truong, M.D.

    Recruiting
  • Josephson Wallack Munshower Neurology, P.C.

    Indianapolis, Indiana, 46256

    Tammy Root, 1-317-573-6061, troot@jwmneuro.com

    Kristi George, M.D.

    Recruiting
  • University of Kansas Medical Center (KUMC) - School of Medicine - Parkinson's Disease and Movement D

    Kansas City, Kansas, 66160

    Kelly Lyons, 913-588-7159, klyons@kumc.edu

    Rajesh Pahwa, M.D.

    Recruiting
  • Veracity Neuroscience LLC

    Memphis, Tennessee, 38157

    Hannah Touliatos, 901-604-0345, hannah@veracityneuroscience.com

    Mark LeDoux, M.D., PhD

    Recruiting
  • Ezy Medical Research Co.

    Miami, Florida, 33015

    Priscilla Hernandez, 786-483-8162, phernandez@ezytrials.com

    Not yet recruiting
  • Professional Research Center

    Miami, Florida, 33172

    Saylet Corbera, 786-359-4091, RamirezMD@professionalresearchcenter.com

    Recruiting
  • Medical College of Wisconsin

    Milwaukee, Wisconsin, 53226

    Shelby Schold, 414-955-0698, sschold@mcw.edu

    Karen Blindauer, M.D.

    Recruiting
  • Mount Sinai Hospital

    New York, New York, 10019

    Sofya Glazman, 646-493-1862, sofya.glazman@mountsinai.org

    Joohi Jimenez-Shahed, M.D.

    Recruiting
  • Renstar Medical Research

    Ocala, Florida, 34470

    Sebastian Mesa, 352-629-5800, sebastian.mesa@renstar.net

    Annette Nieves, M.D.

    Recruiting
  • Central Texas Neurology

    Round Rock, Texas, 78681

    Koni Lopez, 512-218-1222, k.lopez@ctncpa.org

    Elizabeth Peckham, M.D.

    Recruiting
  • Inland Northwest Research

    Spokane, Washington, 99202

    Aaron Dahl, 509-960-2818, adahl@inwresearch.com

    Jason Aldred, M.D.

    Recruiting
  • New England Institute for Clinical Research (Ki Health Partners)

    Stamford, Connecticut, 06824

    Valerija Misev, 203-914-1903 ext. 125, Valerija@neinh.com

    Peter McAllister, M.D.

    Recruiting
  • Banner Sun Health Research Institute - Cleo Roberts Center for Clinical Research

    Sun City, Arizona, 85351

    Serena Lowery, 623-832-6500, serena.lowery@bannerhealth.com

    Sara Dhanani, M.D.

    Recruiting
  • University of South Florida (USF) - University of South Florida College of Medicine - Parkinson's Di

    Tampa, Florida, 33613

    Erica Botting, 813-974-8026, ericabotting@usf.edu

    Robert Hauser, M.D., MBA

    Recruiting
  • The Movement Disorder Clinic of Oklahoma

    Tulsa, Oklahoma, 74136

    Elise Gibson, 918-392-4530, mdcclinicaltrials@gmail.com

    Kevin Klos, M.D.

    Recruiting
  • Abington Neurology

    Willow Grove, Pennsylvania, 19090

    Brian Weingartner, 215-957-9250 ext. 130, brian.weingartner.ana@gmail.com

    David Weisman, M.D.

    Recruiting
  • Conquest Research

    Winter Park, Florida, 32789

    Fabiola Perez, 407-916-0060, fabiola.perez@conquestresearch.com

    Rekha Gandhi, M.D.

    Recruiting

Other trials in United States

About this study

Official title: An Open-label Clinical Trial Investigating the Long-term Safety of Buntanetap in Treating Participants With Parkinson's Disease

This study will examine the long-term safety of buntanetap in participants with PD. This will be a 36-month open-label safety study. This study will be conducted with two cohorts. Cohort 1 will enroll via invitation only for PD participants who have previously participated in buntanetap clinical trials. Cohort 2 will be for PD participants who are receiving deep brain stimulation (DBS) treatment. Qualified participants will receive buntanetap 30mg QD after a screening period of up to 42 days.

Read the detailed description

This study will examine the long-term safety of buntanetap in participants with PD. This will be a 36-month open-label safety study. This study will be conducted with two cohorts. Cohort 1 will enroll via invitation only for PD participants who have previously participated in buntanetap clinical trials. Cohort 2 will be for PD participants who are receiving deep brain stimulation (DBS) treatment. Qualified participants will receive buntanetap 30mg QD after a screening period of up to 42 days. MMSE, MoCA, C-SSRS, and MDS-UPDRS will be assessed by clinicians who have successfully completed the requisite certifications/trainings for each assessment. Each participant shall be assessed by the same clinician throughout the study. Cohort 1 participants will stop standard of care Parkinson's medications 12h before baseline and annual clinical visits to ensure clinical OFF-state during visit. Cohort 2 participants will stop standard of care Parkinson's medications 12h before all clinic visits. The night before the baseline and annual clinic visits (or early termination visit), Cohort 2 participants will return DBS settings to their initial baseline settings.

Being tested
buntanetap/posiphen
Keywords
Parkinson's Disease, PD, Deep Brain Stimulation, DBS, buntanetap, Open-Label, posiphen
Medical subject headings
Parkinson Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • buntanetap/posiphenDrug

    buntanetap capsules 30 mg by mouth daily

Study groups in NCT07284784
Study groupRoleWhat they receive
Cohort 1 - buntanetapExperimentalCohort 1 will enroll via invitation only for PD participants who have previously participated in bun
Receives: Drug: buntanetap/posiphen
Cohort 2 - buntanetapExperimentalCohort 2 will be for PD participants who are receiving deep brain stimulation (DBS) treatment.
Receives: Drug: buntanetap/posiphen

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Safety of buntanetap

    Safety assessments of participants with PD receiving treatment with buntanetap

    Measured: 36-months of treatment

  2. Adverse Events (AE)

    An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention

    Measured: 36-months of treatment

  3. Treatment Emergent Adverse Events (TEAE)

    TEAE is an event that emerges during treatment, having been absent pretreatment, or worsens relative to the pretreatment state

    Measured: 36-months of treatment

  4. Serious Adverse Events (SAE)

    SAE is defined as any untoward medical occurrence that results in death, is life-threatening, requires inpatient hospitalization, or prolongation of an existing hospitalization, results in persistent or significant disability or incapacity, is a birth defect or congenital anomaly

    Measured: 36-months of treatment

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 Dec 2025
  2. Study start9 Jan 2026
  3. Primary completionSep 2029 (estimated)
  4. Study completionNov 2029 (estimated)

Resources

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 2/3
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Single group
Model description
All participants will receive treatment with buntanetap 30 mg daily
Masking
None (open label)
Enrolment
500 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07284784
Sponsor's protocol ID
ANVS-25002
Status last verified
Oct 2026
First submitted
26 Nov 2025
Last updated
30 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A Phase 2/3 study testing buntanetap/posiphen in people with Parkinson's Disease (PD) and Deep Brain Stimulation, run by Annovis Bio Inc. at 29 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 29 inclusion and 25 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: looking for participants now, as of the sponsor's last update on 30 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 29 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 combined 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.

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Sarah MacCallum, BSN RN (484-875-3192, maccallum@annovisbio.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Safety of buntanetap (time frame: 36-months of treatment). The study lists 4 primary outcomes in all. 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 30 Oct 2026.

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