Parkinson's Disease
Conditions
Brief summary
This is a follow-up study to assess safety and clinical activity of continued AFFITOPE® PD01A vaccinations in patients with Parkinson's disease. Patients, who have already participated in AFF008 will be involved and will be receive one boost immunization with AFFITOPE® PD01A. One study site in Vienna (Austria) will be involved. In addition, up to 8 patients will be offered participation within an untreated control group.
Interventions
s.c. injection
Untreated control group
Sponsors
Study design
Eligibility
Inclusion criteria
* Prior participation in AFF008 and AFF008E * Written informed consent signed and dated by the patient and the caregiver (caregiver is not mandatory) * In the investigator's opinion, does not have visual or auditory impairments that would reduce the patients' ability to complete study questionnaires or be unable to receive instructions for these * Female patients of childbearing potential are eligible if they use a medically accepted contraceptive method * Stable doses of PD medications for at least 3 months prior to Visit 0 and during the entire trial period and of all other medications for at least 30 days prior to Visit 1 if considered relevant by the investigator
Exclusion criteria
* Women of childbearing potential without birth control or pregnant women * Participation in another clinical trial (except AFF008E) within 3 months before Visit 0 * History of questionable compliance to visit schedule; patients not expected to complete the clinical trial * Autoimmune disease or allergy to components of the vaccine * History of cancer (Exceptions: basal cell carcinoma, intraepithelial cervical neoplasia) * Active infectious disease * Immunodeficiency * Significant systemic illness or psychiatric illness * Alcoholism or substance abuse * Prior treatment with experimental immunotherapeutics for PD including IVIG (with the exception of AFFITOPE ® PD01A), with immunosuppressive drugs or treatment with deep brain stimulation * Venous status rendering it impossible to place an i.v. access
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Tolerability | 6 month | * Occurrence of any Adverse Events (AE) * Occurrence of any Serious Adverse Events (SAE) * Withdrawal criteria (number of patients who withdraw due to AEs/ reason for withdrawal) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Immunological | 6 month | \- Titer of antibodies specific for the immunizing peptide, KLH (keyhole limpet hemocyanin; carrier protein), aSynuclein (aSyn), bSyn, aggregated aSyn as assessed by ELlSA, FACS (or equivalent methods) |
Other
| Measure | Time frame | Description |
|---|---|---|
| Clinical Activity | 6 month | * Change in motor symptoms (MDS-UPDRS III) * Change in non-motor PD symptoms (e.g.; MDS-UPDRS Ia, II, PDQ39, PD NMS, cognition) * Change in biological and radiological markers (e.g. CSF alpha synuclein Levels in cerebrospinal fluid) |
Countries
Austria