PD-MIND

  • Research type

    Research Study

  • Full title

    Parkinson’s Disease with Mild cognitive Impairment treated with Nicotinic agonist Drug

  • IRAS ID

    263633

  • Contact name

    Dag Aarsland

  • Contact email

    daarsland@gmail.com

  • Sponsor organisation

    King's College London

  • Eudract number

    2019-002423-15

  • Clinicaltrials.gov Identifier

    NCT04810104

  • Duration of Study in the UK

    1 years, 2 months, 30 days

  • Research summary

    Mild cognitive impairment (MCI) in Parkinson's Disease (PD), referred to as PD-MCI, affects approximately 25% of non-demented PD patients. PD-MCI is associated with significantly reduced quality of life, excess disability, care-giver stress, and increased health-related costs. As a major risk factor for subsequent dementia, successful treatment of PD-MCI may delay dementia development, in addition to reducing the adverse impact in affected individuals, care-givers and wider society. Consequently, PD-MCI is an important treatment target. Despite this, there is currently no treatment available, and represents a significant unmet clinical need.

    The purpose of this study is to test whether AZD0328, a selective α7 nicotinic receptor agonist, is superior to placebo in persons with PD-MCI, on cognitive, motor and other health-related outcome measures, after 12-weeks treatment. Other aims of the study include assessing MRI imaging bio-markers as potential predictors of response and as marker of target involvement and blood-based bio-markers to explore potential disease modification and detect markers relevant for neuro-protection.

    160 individuals with PD-MCI will be recruited across study sites in Europe. 80 participants will be randomly allocated to the active group and receive the study medication, versus 80 participants randomly allocated to control group and receive placebo. The maximum study duration per participant is approximately 20 weeks; with a treatment period of 12 weeks.

    Study participants will undergo in-person assessments at screening, baseline, week 3, week 6, and week 12. Study procedures include questionnaires and computerised cognitive tasks. At week 16 we will conduct an over-the-phone check-in and participants can complete computer-based cognitive tasks remotely, if they have access to a computer. A subset of 90 participants will have MRI scans before and after 12-weeks of treatment.

    The study is being funded by an EU IMI grant, Michael J. Fox Foundation, and Parkinson's UK. AstraZeneca is providing IMP and placebo as an in-kind contribution.

  • REC name

    London - Westminster Research Ethics Committee

  • REC reference

    21/LO/0074

  • Date of REC Opinion

    23 Mar 2021

  • REC opinion

    Further Information Favourable Opinion