An Exploratory Study of the Potential for Rational Immune System Manipulation to Prevent Emergence of Synucleinopathy Manifestations in Persons With REM Sleep Behavior Disorder (RBD)

Part of paid clinical trials in Los Angeles, California.

Sponsor
Yale University
Study ID
NCT06996652
Phase
PHASE2
Status
Not Yet Recruiting

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Conditions

  • REM Sleep Behavior Disorder

Eligibility Criteria

Sex
ALL
Age
50 Years - 80 Years
Healthy Volunteers
Not accepted

Interventions

  • Adalimumab — DRUG
    40 mg self-administered subcutaneously using a pre-filled syringe (PFS) every 2 weeks for up to 2 years
  • Placebo — DRUG
    40 mg matching placebo self-administered subcutaneously using a pre-filled syringe (PFS) every 2 weeks for up to 2 years

Study Details

This is a phase 2 study to assess the ability of adalimumab as compared to placebo to reduce or prevent progression of synuclein-related neurodegeneration in persons with idiopathic REM Sleep Behavior Disorder (RBD). The Primary Endpoint will be change from baseline in expression of the Parkinson Disease Related Pattern (PDRP) will be assessed using change in 18-flurodeoxyglucose (FDG) Positron Emission Tomography (PET) imaging.

Key Dates

Start date
Jun 30, 2026
Status verified
Jun 2026
Primary completion
Aug 31, 2029
Completion
Aug 31, 2029

Study Design

Enrollment
108 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION

Arms

  • Experimental: Adalimumab
    Participants in this arm will receive Adalimumab every 2 weeks for up to 2 years
  • Placebo Comparator: Placebo
    Participants in this arm will receive matching placebo every 2 weeks for up to 2 years

Primary Outcome Measure

Change in Parkinson Disease Related Pattern (PDRP) expression [ Time Frame: Baseline and Week 96 ]

Central Contacts

Locations (19)

FacilityCityStateZIPSite coordinators
Cedars Sinai Medical CenterLos AngelesCalifornia90048
Michele L Gregorio, PhD
323-690-9902
Richard Agajanian
424-314-0358
Michele Tagliati, MD (PRINCIPAL_INVESTIGATOR)
Yvette Bordelon, MD, PhD (SUB_INVESTIGATOR)
Elliot Hogg, MD (SUB_INVESTIGATOR)
Camille Malatt, MD (SUB_INVESTIGATOR)
Echo E Tan, MD (SUB_INVESTIGATOR)
University of Colorado AnschutzAuroraColorado80045
Erika Shelton
303-724-5865
Ying Liu
303-724-8288
Jeanne Feuerstein, MD (PRINCIPAL_INVESTIGATOR)
Amy Amara, MD, PhD (SUB_INVESTIGATOR)
Alexander Baumgartner, MD (SUB_INVESTIGATOR)
Yale MedicineNorth HavenConnecticut06473
MaryClare Kelly
(203) 903-2698
Deanna Sgambato, PA-C
203-804-4602
Veronica Santini, MD, MA (PRINCIPAL_INVESTIGATOR)
Hae-Young Hawong, DO, PhD (SUB_INVESTIGATOR)
Parkinson's Disease & Movement Disorders Center of Boca RatonBoca RatonFlorida33486
Karla Arias
561-392-1818
Yatzka Hernandez
561-392-1818
Stuart Isaacson, MD (PRINCIPAL_INVESTIGATOR)
Richard Dewey III, MD (SUB_INVESTIGATOR)
Sagari Bette, MD (SUB_INVESTIGATOR)
Jonathan Isaacson, MD (SUB_INVESTIGATOR)
Emory University School of MedicineAtlantaGeorgia30329
Tyler Blake
404-778-6114
Gareth Butler
404-778-7476
Lynne Marie Trotti, MD, MSc (PRINCIPAL_INVESTIGATOR)
Kendall Nichols, MD (SUB_INVESTIGATOR)
Johns Hopkins UniversityBaltimoreMaryland21287
Nichole Marcantoni
410-955-8909
Kori Ribb
443-287-7850
Kelly Mills, MD (PRINCIPAL_INVESTIGATOR)
Emile Moukheiber, MD (SUB_INVESTIGATOR)
Beth Israel Deaconess Medical CenterBostonMassachusetts02215
Alexandra Gottlieb
617-667-2501
Jaqueline Forbes
617-667-9885
Lan Luo, MD, MS (PRINCIPAL_INVESTIGATOR)
Monica Makhija, MD (SUB_INVESTIGATOR)
Massachusetts General HospitalBostonMassachusetts02114
Wesley Schlett
617-726-9589
Abigail Otterbein
617-724-2644
Aleksandar Videnovic, MD, MSc (PRINCIPAL_INVESTIGATOR)
University of MichiganAnn ArborMichigan48109
Frank Ferrari
734-232-2352
Angela Stovall
734-647-4787
Kara Wyant, MD (PRINCIPAL_INVESTIGATOR)
Kelvin Chou, MD (SUB_INVESTIGATOR)
University of MinnesotaMinneapolisMinnesota55414
Catherine Koukol
612-624-8974
Joy Schmidt
763-913-8367
Michael Howell, MD (PRINCIPAL_INVESTIGATOR)
Washington UniversitySt LouisMissouri63110
Melissa Ammel
314-747-3470
Amy Stiebel
314-362-5243
Scott Norris, MD (PRINCIPAL_INVESTIGATOR)
Joel S. Perlmutter, MD (PRINCIPAL_INVESTIGATOR)
Cleveland Clinic Lou Ruvo Center for Brain Health - Las VegasLas VegasNevada89106
Liliana Dumitrescu
702-483-6016
Bianca Burrell
702-239-7583
Zoltan Mari, MD (PRINCIPAL_INVESTIGATOR)
Dartmouth Hitchcock Medical CenterLebanonNew Hampshire03756
Brooke Moran
603-650-1368
Julie Bursey
603-653-9948
Stephen Lee, MD, PhD (PRINCIPAL_INVESTIGATOR)
Mary Feldman, DO (SUB_INVESTIGATOR)
Glen Greenough, MD (SUB_INVESTIGATOR)
Marc Seltzer, MD (SUB_INVESTIGATOR)
Weill Medical College of Cornell UniversityNew YorkNew York10021
Benjamin Katz
212-746-1685
Madison McMichael
212-746-1685
Harini Sarva, MD (PRINCIPAL_INVESTIGATOR)
Moath Hamed, MD (SUB_INVESTIGATOR)
Natalie Hellmers, NP (SUB_INVESTIGATOR)
Andrea Yoo, MD (SUB_INVESTIGATOR)
Oregon Health & Science UniversityPortlandOregon97239
Morgan Wilhelmi
503-367-4269
Madison Christopher
503-475-9839
Delaram Safarpour, MD (PRINCIPAL_INVESTIGATOR)
Matthew Brodsky, MD (SUB_INVESTIGATOR)
Joseph Quinn, MD (SUB_INVESTIGATOR)
University of PennsylvaniaPhiladelphiaPennsylvania19107
Victoria Vaughn
215-829-3056
Ellen Indik
215-829-5254
Nabila Dahodwala, MD, MS (PRINCIPAL_INVESTIGATOR)
Gavin Villacorta, CRNP (SUB_INVESTIGATOR)
Medical University of South CarolinaCharlestonSouth Carolina29403
Sandra Wilson
843-792-4616
Lisa Heidelberg
843-876-0829
Christine Cooper, MD (PRINCIPAL_INVESTIGATOR)
Chrstine Dziwis, MD (SUB_INVESTIGATOR)
University of Texas Houston Medical CenterHoustonTexas77030
Robert Ritter III
713-500-7051
Juan Martinez-Lemus
713-500-7051
Mya C Schiess, MD (PRINCIPAL_INVESTIGATOR)
Chiamaka Onuigbo, MD (SUB_INVESTIGATOR)
Sudha S Tallavajhula, MD (SUB_INVESTIGATOR)
Emily Tharp, MD (SUB_INVESTIGATOR)
University of Texas Health Science Center- San AntonioSan AntonioTexas78229
Floyd Jones
210-450-3158
Ashley Laroche
210-450-7249
Okeanis Vaou, MD (PRINCIPAL_INVESTIGATOR)
Cynthia Cornejo, PA-C (SUB_INVESTIGATOR)

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