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BEN-2001 in Parkinson Disease Patients With Excessive Daytime Sleepiness

NCT03194217 — Phase 2, Completed, 244 participants, BenevolentAI Bio

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Dose Finding Phase IIb Study of Bavisant to Evaluate Its Safety and effiCacy in treAtment of exceSsive Daytime sleePiness (EDS) in PARkinson's Disease (PD).

RegistryNCT03194217, acronym CASPAR
StatusCompleted
PhasePhase 2
Study typeInterventional; randomized, parallel, masking: quadruple, treatment
Enrollment244 (Actual)
SponsorBenevolentAI Bio (Industry)
ConditionsExcessive Daytime Sleepiness, Parkinson Disease
InterventionsBEN-2001, Placebo (Drug)
Datesstart 2017-11-10, primary completion 2019-05-28, completion 2019-05-28, first posted 2017-06-21, last updated 2025-03-10
Locations1 site in United States

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-Summary

This phase 2b study is designed as multicentre, multinational, randomized, double blind, parallel group and placebo controlled with three doses of Bavisant (0.5, 1, and 3 mg/d) in subjects with excessive daytime sleepiness with Parkinson's disease.

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+Detailed description

Phase 2b study will be conducted with the aim of investigating the efficacy and safety of three fixed doses of Bavisant (0.5, 1 and 3 mg/d) compared to placebo for the treatment of excessive daytime sleepiness (EDS) in subjects with Parkinson's disease.

+Arms and interventions

ArmTypeInterventionsDescription
BEN-2001, 0.5mgExperimentalDrug: BEN-2001Experimental treatment
PlaceboPlacebo comparatorDrug: PlaceboPlacebo comparator
BEN-2001, 1.0mgExperimentalDrug: BEN-2001Experimental treatment
BEN-2001, 3.0mgExperimentalDrug: BEN-2001Experimental treatment
  • BEN-2001 (Drug), also known as Bavisant: Bavisant dihydrochloride monohydrate for oral use
  • Placebo (Drug): Placebo

+Outcome measures

Primary outcomes

  • Measurement of Sleepiness Using the Epworth Sleepiness Scale (ESS) at Baseline and Post Dose. [6 weeks]: Mean absolute change of Bavisant treatment groups in the Epworth Sleepiness Scale (ESS) from baseline to the end of the 6-week treatment period. The ESS score (sum of 8 item scores) ranges from 0 to 24 with higher score corresponding to higher average sleep propensity in daily life (higher daytime sleepiness). Eligibility determined based on ESS score of 13 and above.

+Eligibility

Sex: All, ages: 50 Years to 80 Years

Inclusion Criteria:

* Subjects of either sex aged 50 to 80 years *Subjects with previous diagnosis of Parkinson's disease (following the UK Parkinson's disease society brain bank clinical diagnostic criteria)*
* Subjects capable of understanding and complying with protocol requirements
* Subjects with medical history of excessive daytime sleepiness

Exclusion Criteria:

* Subjects with excessive daytime sleepiness due to conditions other than Parkinson's disease (including narcolepsy)
* Subjects with clinical evidence of depression with significant psychiatric comorbidities (Hamilton Rating Scale for Depression - HAM-D score greater than or equal to 17; with or without treatment)
* Subjects with evidence of significant fatigue (Fatigue Severity Scale - FSS greater than or equal to 36
* Subjects with known history of abuse of alcohol or other addictive substances in the 6 months prior to inclusion.
* Subjects with known allergies or hypersensitivity to Bavisant or any of its excipients.
* Subjects who are pregnant or lactating.

+Posted results

Participant flow

MilestonePlaceboBEN-2001, 0.5mgBEN-2001, 1.0mgBEN-2001, 3.0mg
Started60606064
Completed60575660
Not completed0344

Outcome results

  • Measurement of Sleepiness Using the Epworth Sleepiness Scale (ESS) at Baseline and Post Dose. (Primary), Least squares mean, units on a scale: Placebo -4.34 +/- 0.5; BEN-2001, 0.5mg -4.64 +/- 0.51; BEN-2001, 1.0mg -3.46 +/- 0.51; BEN-2001, 3.0mg -4.73 +/- 0.5 (p 0.668)

Adverse events

Time frame: 70 days

ArmDeathsSerious adverse eventsOther adverse events
Placebo0/60 (0.0%)1/60 (1.7%)11/60 (18.3%)
BEN-2001, 0.5mg0/60 (0.0%)0/60 (0.0%)16/60 (26.7%)
BEN-2001, 1.0mg0/60 (0.0%)0/60 (0.0%)27/60 (45.0%)
BEN-2001, 3.0mg0/64 (0.0%)2/64 (3.1%)26/64 (40.6%)

Serious adverse events by term

TermOrgan systemPlaceboBEN-2001, 0.5mgBEN-2001, 1.0mgBEN-2001, 3.0mg
cholecystectomySurgical and medical procedures1/600/600/600/64
ConstipationGastrointestinal disorders0/600/600/601/64
Muscular weaknessMusculoskeletal and connective tissue disorders0/600/600/601/64

Other adverse events by term

TermOrgan systemPlaceboBEN-2001, 0.5mgBEN-2001, 1.0mgBEN-2001, 3.0mg
NasopharygitisInfections and infestations3/602/601/601/64
InfluenzaInfections and infestations0/600/602/600/64
Initial InsomniaPsychiatric disorders2/603/601/603/64
InsomniaPsychiatric disorders0/600/600/603/64
Middle InsomniaPsychiatric disorders0/600/602/603/64
NightmarePsychiatric disorders0/601/600/602/64
Head acheNervous system disorders0/601/602/601/64
TremorNervous system disorders0/600/600/602/64
SomnolenceNervous system disorders1/600/601/602/64
Cataract NuclearEye disorders0/600/602/600/64
DiarrhoeaGastrointestinal disorders0/600/602/600/64
ConstipationGastrointestinal disorders0/600/601/602/64
Abdominal Pain UpperGastrointestinal disorders0/602/600/600/64
NauseaGastrointestinal disorders1/602/604/603/64
Dry MouthGastrointestinal disorders0/601/602/600/64
HyperhydrosisSkin and subcutaneous tissue disorders2/601/601/601/64
Back painMusculoskeletal and connective tissue disorders1/601/601/602/64
FatigueGeneral disorders0/601/602/601/64
Triglycerous increaseInvestigations1/601/603/600/64

+Locations (1)

FacilityCityCountryStatus
MaxBlue InstituteMiami, FloridaUnited States

+Study documents

+Investigators

My Notes