Effects of CST-103 & CST-139 on Cerebral Perfusion & Cognition

  • Research type

    Research Study

  • Full title

    An Open-Label Brain Imaging and Cognition Study to Determine Changes in Cerebral Perfusion and Cognition After Oral Administration of CST-103 or CST-139.

  • IRAS ID

    288124

  • Contact name

    Pui Man Leung

  • Contact email

    puimanleung@macplc.com

  • Sponsor organisation

    CuraSen Therapeutics Inc.

  • Eudract number

    2020-003796-17

  • Duration of Study in the UK

    0 years, 4 months, 25 days

  • Research summary

    The purpose of this study is to test two drugs called CST-103 and CST-139, Beta-adrenoceptor (β-AR) agonists, that are being evaluated for the treatment of neurodegenerative diseases.
    Parkinson’s disease (PD) is a condition in which cells that produce a chemical called dopamine in the brain stop working correctly. Symptoms appear when the brain can’t make enough dopamine to control movement properly.
    Alzheimer’s disease (AD) is a severe neurodegenerative disorder. There is a need to develop therapeutic agents capable of addressing both cognitive symptoms and pathology of AD and it’s precursor, Mild Cognitive Impairment (MCI).
    There is currently no cure for PD or AD. CST-103 and CST-139 are being evaluated in the hope of providing new treatments.
    The nonclinical data on β-AR agonists, neuroanatomical data showing that the locus coeruleus is one of the first areas affected in neurodegeneration, and pharmacoepidemiology data all support the potential for β-AR agonists to have a significant role in the therapy of neurodegenerative diseases. This supports evaluation of the effects of CST-103 and CST-139 in subjects, to measure whether they have increased cerebral perfusion and improved results in cognitive tests before moving into a proof-of-concept study. The hypothesis is that by improving cerebral perfusion in areas of the brain relevant to common symptoms found in PD and MCI, the administration of a β2-AR agonist will have a positive effect on clinically relevant symptoms such as memory and cognition.
    This study will be conducted at one site in Manchester. Part A will enrol 12 healthy volunteers, the study duration will be approximately 4 weeks. Parts B and C will each enrol 10 patients with PD or MCI, the study duration will be approximately 5 and 6 weeks, respectively.
    All subjects will complete neuroimaging, clinical, laboratory, and pharmacodynamic assessments. Subjects in Parts B & C will also complete cognitive tests.

  • REC name

    North East - Tyne & Wear South Research Ethics Committee

  • REC reference

    20/NE/0217

  • Date of REC Opinion

    21 Oct 2020

  • REC opinion

    Further Information Favourable Opinion