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Trial · NCT04777331

A Study to Evaluate the Efficacy and Safety of Intravenous Prasinezumab in Participants With Early Parkinson's Disease

NCT04777331, Phase 2, Active not recruiting, Hoffmann-La Roche; results first posted 2025-12-02

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study to Evaluate the Efficacy and Safety of Intravenous Prasinezumab in Participants With Early Parkinson's Disease. Trials, record NCT04777331. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04777331

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Study to Evaluate the Efficacy and Safety of Intravenous Prasinezumab in Participants With Early Parkinson's Disease
NCT number
NCT04777331
Status
Active not recruiting
Phases
Phase 2
Enrollment
586 participants, actual
Lead sponsor
Hoffmann-La Roche
Conditions
Parkinsons Disease
Interventions
Prasinezumab, Placebo
First posted
2021-03-02
Last updated
2026-09-04
Other registries' IDs
eudract:2020-004997-23
Results first posted
2025-12-02

Source ClinicalTrials.gov

Registered outcomes20

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryDBT Period: Time to Confirmed Motor Progression Event Assessed by Movement Disorder Society - Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Part IIIFrom study start to end of DBT period to at least 76 weeks
Time to confirmed motor progression event was the first time point of a worsening event defined as either \>= 5 points increase in MDS-UPDRS Part III score (assessed in "OFF" medication state) from baseline sustained over 2 consecutive assessments or a change in medication after first occurrence of \>= 5 points increase in MDS-UPDRS Part III score from baseline \& before follow-up assessment. MDS-UPDRS Part III is a clinician rater scale that assessed the motor signs of PD. The scale is composed of 18 clinical domains or tasks, which yield 33 distinct scores or ratings. For each distinct rating, a numeric score is assigned between 0-4, where 0 = Normal, 1 = Slight, 2 = Mild, 3 = Moderate, and 4 = Severe. The total MDS-UPDRS Part III score (ranging from 0 to 132) is calculated by summing these 33 individual ratings, with higher scores indicating severe impairment.
SecondaryDBT Period: Time-to-worsening of Participant's Motor Function as Reported by the Participant in the Presence of a Confirmed Motor Progression EventFrom study start to end of DBT period to at least 76 weeks
Time to worsening of the motor function was defined as ≥3 points increase in MDS-UPDRS Part II score from baseline in the presence of a confirmed motor progression event. For the confirmed motor progression event the definition is as per primary endpoint definition. MDS-UPDRS Part II assesses motor experiences of daily living \& contained 13 questions answered by participant. For each question a numeric score is assigned between 0-4, 0 = Normal, 1=Slight, 2=Mild, 3=Moderate, 4=Severe. Score range: 0 to 52 with higher score=severe impairment.
SecondaryDBT Period: Time to Meaningful Worsening in Participant Global Impression of Change (PGI-C) Overall Disease SubscaleFrom study start to end of DBT period to at least 76 weeks
The PGI is a measure commonly used in PD clinical trials to provide a concise assessment of overall health state. The change component (PGI-C) was intended to measure health state changes as reported by the participant on a 7-point scale (1=Very much improved to 7=Very much worse). The meaningfulness of the change was assessed and reported by the participant.
SecondaryDBT Period: Time to Meaningful Worsening in Clinician Global Impression of Change (CGI-C) Overall Disease SubscaleFrom study start to end of DBT period to at least 76 weeks
The CGI was a measure commonly used in PD clinical trials to provide a concise assessment of overall health state. The change component (CGI-C) was intended to measure health state changes as reported by the clinician on a 7-point scale (1=Very much improved to 7=Very much worse).
SecondaryDBT Period: Time to Onset of Motor Complications as Assessed Through MDS-UPDRS Part IVFrom study start to end of DBT period to at least 76 weeksMDS-UPDRS Part IV assessed motor complications of symptomatic treatment, dyskinesias, and motor fluctuations. The rater completed this assessment only for participants on L-Dopa treatment.
SecondaryDBT Period: Change in Motor Function From Baseline to Week 76, as Measured by the MDS-UPDRS Part III ScoreFrom baseline up to Week 76
MDS-UPDRS Part III is a clinician rater scale that assessed the motor signs of PD. The scale is composed of 18 clinical domains or tasks, which yield 33 distinct scores or ratings. For each distinct rating, a numeric score is assigned between 0-4, where 0 = Normal, 1 = Slight, 2 = Mild, 3 = Moderate, and 4 = Severe. The total MDS-UPDRS Part III score (ranging from 0 to 132) is calculated by summing these 33 individual ratings, with higher scores indicating severe impairment.
SecondaryDBT Period: Change in Bradykinesia and Rigidity From Baseline to Week 76, as Measured by the MDS-UPDRS Part III Bradykinesia and Rigidity SubscoreFrom baseline up to Week 76
MDS-UPDRS Part III is a clinician rater scale that assessed the motor signs of PD. The scale is composed of 18 clinical domains or tasks, which yield 33 distinct scores or ratings. For each distinct rating, a numeric score is assigned between 0-4, where 0 = Normal, 1 = Slight, 2 = Mild, 3 = Moderate, and 4 = Severe. For bradykinesia, subscore ranges from 0 to 52, while rigidity subscore ranges from 0 to 20, with higher scores indicating greater impairment. Change in bradykinesia and rigidity was assessed in "OFF" medication state. Adjusted mean is reported here.
SecondaryDBT Period: Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)From study start to end of DBT period to at least 76 weeks
An AE was any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An AE can therefore be any unfavorable and unintended sign (including abnormal laboratory values or abnormal clinical test results), symptoms, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. SAE is any significant hazard, contraindication, or side effect that is fatal or life-threatening, requires hospitalization or prolongation of an existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, is medically significant or requires intervention. Number of participants with atleast 1 AE and SAE are reported here.
SecondaryDBT Period: Number of Participants With Adverse Events of Special Interest (AESI)From study start to end of DBT period to at least 76 weeks
An AE was any untoward medical occurrence in participant administered a pharmaceutical product \& which does not necessarily have to have a causal relationship with treatment. It can therefore be any unfavorable and unintended sign (including abnormal laboratory values/ abnormal clinical test results), symptoms/disease temporally associated with use of pharmaceutical product, whether/not considered related to product. AESIs included potential drug-induced liver injury that include an elevated alanine transaminase (ALT) \& aspartate aminotransferase (AST) in combination with either an elevated bilirubin/clinical jaundice defined by Hy's law and suspected transmission of an infectious agent by study drug.
SecondaryDBT Period: Number of Participants With Treatment Discontinuation Due to AEsFrom study start to end of DBT period to at least 76 weeks
An AE was any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An AE can therefore be any unfavorable and unintended sign (including abnormal laboratory values or abnormal clinical test results), symptoms, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product.

Outcomes20

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYDBT Period: Time to Confirmed Motor Progression Event Assessed by Movement Disorder Society - Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Part IIIFrom study start to end of DBT period to at least 76 weeksFAS included all randomized participants, with participants grouped according to their randomized treatment.weeksMEDIAN
SECONDARYDBT Period: Time-to-worsening of Participant's Motor Function as Reported by the Participant in the Presence of a Confirmed Motor Progression EventFrom study start to end of DBT period to at least 76 weeksFAS included all randomized participants, with participants grouped according to their randomized treatment.weeksMEDIAN
SECONDARYDBT Period: Time to Meaningful Worsening in Participant Global Impression of Change (PGI-C) Overall Disease SubscaleFrom study start to end of DBT period to at least 76 weeksFAS included all randomized participants, with participants grouped according to their randomized treatment.weeksMEDIAN
SECONDARYDBT Period: Time to Meaningful Worsening in Clinician Global Impression of Change (CGI-C) Overall Disease SubscaleFrom study start to end of DBT period to at least 76 weeksFAS included all randomized participants, with participants grouped according to their randomized treatment.weeksMEDIAN
SECONDARYDBT Period: Time to Onset of Motor Complications as Assessed Through MDS-UPDRS Part IVFrom study start to end of DBT period to at least 76 weeksFAS included all randomized participants, with participants grouped according to their randomized treatment.weeksMEDIAN
SECONDARYDBT Period: Change in Motor Function From Baseline to Week 76, as Measured by the MDS-UPDRS Part III ScoreFrom baseline up to Week 76FAS included all randomized participants, with participants grouped according to their randomized treatment. Overall number analyzed is the number of participants with data available for analysis.Units on a scaleMEAN
SECONDARYDBT Period: Change in Bradykinesia and Rigidity From Baseline to Week 76, as Measured by the MDS-UPDRS Part III Bradykinesia and Rigidity SubscoreFrom baseline up to Week 76FAS included all randomized participants, with participants grouped according to their randomized treatment. Overall number analyzed is the number of participants with data available for analysis.Units on a scaleMEAN
SECONDARYDBT Period: Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)From study start to end of DBT period to at least 76 weeks
Safety Analysis Set (SAS) included all participants who received at least one dose of study drug, with participants grouped according to treatment received. 3 participants in the prasinezumab arm and 1 participant in the placebo arm were randomized but not treated and 2 participants randomized to placebo arm received 1 dose of prasinezumab and were included in the prasinezumab arm for safety analysis.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYDBT Period: Number of Participants With Adverse Events of Special Interest (AESI)From study start to end of DBT period to at least 76 weeks
SAS included all participants who received at least one dose of study drug, with participants grouped according to treatment received. 3 participants in the prasinezumab arm and 1 participant in the placebo arm were randomized but not treated and 2 participants randomized to placebo arm received 1 dose of prasinezumab and were included in the prasinezumab arm for safety analysis.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYDBT Period: Number of Participants With Treatment Discontinuation Due to AEsFrom study start to end of DBT period to at least 76 weeks
SAS included all participants who received at least one dose of study drug, with participants grouped according to treatment received. 3 participants in the prasinezumab arm and 1 participant in the placebo arm were randomized but not treated and 2 participants randomized to placebo arm received 1 dose of prasinezumab and were included in the prasinezumab arm for safety analysis.
ParticipantsCOUNT_OF_PARTICIPANTS

Results by group36

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
DBT Period: Time to Confirmed Motor Progression Event Assessed by Movement Disorder Society - Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Part IIIDBT Period: Placebo49.795% Confidence Interval 40.1 to 58.1weeks
DBT Period: Time to Confirmed Motor Progression Event Assessed by Movement Disorder Society - Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Part IIIDBT Period: Prasinezumab61.195% Confidence Interval 52.3 to 71.9weeks
DBT Period: Time-to-worsening of Participant's Motor Function as Reported by the Participant in the Presence of a Confirmed Motor Progression EventDBT Period: Placebo88.395% Confidence Interval 62.7 to 105.1weeks
DBT Period: Time-to-worsening of Participant's Motor Function as Reported by the Participant in the Presence of a Confirmed Motor Progression EventDBT Period: Prasinezumab112.195% Confidence Interval 81.1 to NAweeks
DBT Period: Time to Meaningful Worsening in Participant Global Impression of Change (PGI-C) Overall Disease SubscaleDBT Period: Placebo36.195% Confidence Interval 29.9 to 42.1weeks
DBT Period: Time to Meaningful Worsening in Participant Global Impression of Change (PGI-C) Overall Disease SubscaleDBT Period: Prasinezumab44.495% Confidence Interval 38.1 to 52.1weeks
DBT Period: Time to Meaningful Worsening in Clinician Global Impression of Change (CGI-C) Overall Disease SubscaleDBT Period: Placebo52.195% Confidence Interval 44.1 to 59.9weeks
DBT Period: Time to Meaningful Worsening in Clinician Global Impression of Change (CGI-C) Overall Disease SubscaleDBT Period: Prasinezumab60.695% Confidence Interval 56.1 to 67.3weeks
DBT Period: Time to Onset of Motor Complications as Assessed Through MDS-UPDRS Part IVDBT Period: Placebo91.195% Confidence Interval 77.0 to 107.6weeks
DBT Period: Time to Onset of Motor Complications as Assessed Through MDS-UPDRS Part IVDBT Period: Prasinezumab100.195% Confidence Interval 81.0 to 117.1weeks

Participant flow21

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
DBT PeriodSTARTEDDBT Period: Placebo293
DBT PeriodSTARTEDDBT Period: Prasinezumab293
DBT PeriodSTARTEDOLE Period: Prasinezumab0
DBT PeriodSafety Analysis Set (SAS)DBT Period: Placebo290
DBT PeriodSafety Analysis Set (SAS)DBT Period: Prasinezumab292
DBT PeriodSafety Analysis Set (SAS)OLE Period: Prasinezumab0
DBT PeriodCOMPLETEDDBT Period: Placebo273
DBT PeriodCOMPLETEDDBT Period: Prasinezumab277
DBT PeriodCOMPLETEDOLE Period: Prasinezumab0
DBT PeriodNOT COMPLETEDDBT Period: Placebo20

Adverse events186

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherConstipationGastrointestinal disordersDBT Period: Placebo1529016
otherConstipationGastrointestinal disordersDBT Period: Prasinezumab1929226
otherDiarrhoeaGastrointestinal disordersDBT Period: Placebo1329017
otherDiarrhoeaGastrointestinal disordersDBT Period: Prasinezumab1529221
otherFatigueGeneral disordersDBT Period: Placebo1129011
otherFatigueGeneral disordersDBT Period: Prasinezumab2129223
otherCOVID-19Infections and infestationsDBT Period: Placebo6829077
otherCOVID-19Infections and infestationsDBT Period: Prasinezumab8429296
otherInfluenzaInfections and infestationsDBT Period: Placebo1629016
otherInfluenzaInfections and infestationsDBT Period: Prasinezumab2129223

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityDBT Period: Placebo2290
Total, all-cause mortalityDBT Period: Prasinezumab1292
Total, other adverse eventsDBT Period: Placebo205290
Total, other adverse eventsDBT Period: Prasinezumab206292
Total, serious adverse eventsDBT Period: Placebo34290
Total, serious adverse eventsDBT Period: Prasinezumab34292

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
42208564DERIVED

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons5

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
DBT Period: Prasinezumab vs DBT Period: Placebo: DBT Period: Number of Participants With Infusion Related Reactions (IRRs)Trial comparisons
DBT Period: Prasinezumab vs DBT Period: Placebo: DBT Period: Number of Participants With Treatment Discontinuation Due to AEsTrial comparisons
DBT Period: Prasinezumab vs DBT Period: Placebo: DBT Period: Number of Participants With Adverse Events of Special Interest (AESI)Trial comparisons
DBT Period: Prasinezumab vs DBT Period: Placebo: deaths from any causeTrial comparisons
DBT Period: Prasinezumab vs DBT Period: Placebo: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04777331

GET https://conductscience.org/api/trials/v1/NCT04777331/results?page=2