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
Recruiting

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

First listed
May 30, 2025
Start date
Aug 17, 2026
Status verified
Aug 2026
Primary completion
Aug 1, 2029
Completion
Jan 1, 2030

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 (18)

FacilityCityStateZIPSite coordinators
Cedars Sinai Medical CenterLos AngelesCalifornia90048
Michele L Gregorio, PhD
323-690-9902
Anne Tran
310-423-1697
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
Yatzka Hernandez
561-392-1818
Fannie Levinson
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
Amanda Lansdell
404-712-5586
Gareth Butler
404-778-7476
Lynne Marie Trotti, MD, MSc (PRINCIPAL_INVESTIGATOR)
Kendall Nichols, MD (SUB_INVESTIGATOR)
Johns Hopkins UniversityBaltimoreMaryland21287
Kori Ribb
667-306-6955
Nicki Marcantoni
410-955-8909
Kelly Mills, MD (PRINCIPAL_INVESTIGATOR)
Emile Moukheiber, MD (SUB_INVESTIGATOR)
Beth Israel Deaconess Medical CenterBostonMassachusetts02215
Alexandra Gottlieb
617-667-2501
Aine Russell
617-667-2351
Lan Luo, MD, MS (PRINCIPAL_INVESTIGATOR)
Monica Makhija, MD (SUB_INVESTIGATOR)
Massachusetts General HospitalBostonMassachusetts02114
Abbey Otterbein
617-724-7290
Nathan Fogarty
617-726-2341
Aleksandar Videnovic, MD, MSc (PRINCIPAL_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
Ruth De Alba
702-483-6000
Liliana Dumitrescu
702-483-6016
Zoltan Mari, MD (PRINCIPAL_INVESTIGATOR)
Dartmouth Hitchcock Medical CenterLebanonNew Hampshire03756
Jalina Graham
603-650-5356
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
Charles Snajrd-Trinch
212-746-1685
Gabriella McNamara Lewis
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
Magda Armendariz Sullivan
503-494-8881
Morgan Wilhelmi
503-367-4269
Delaram Safarpour, MD (PRINCIPAL_INVESTIGATOR)
Matthew Brodsky, MD (SUB_INVESTIGATOR)
Joseph Quinn, MD (SUB_INVESTIGATOR)
University of PennsylvaniaPhiladelphiaPennsylvania19107
Victoria Vaughn
215-829-3056
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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