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ONGOING CLINICAL TRIALS ONGOING CLINICAL TRIALS University of Vermont University of Vermont Presented by: Rup Tandan, MD, FRCP Presented by: Rup Tandan, MD, FRCP

ONGOING CLINICAL TRIALS University of Vermont Presented by: Rup Tandan, MD, FRCP

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Page 1: ONGOING CLINICAL TRIALS University of Vermont Presented by: Rup Tandan, MD, FRCP

ONGOING CLINICAL TRIALSONGOING CLINICAL TRIALS

University of VermontUniversity of VermontPresented by: Rup Tandan, MD, FRCPPresented by: Rup Tandan, MD, FRCP

Page 2: ONGOING CLINICAL TRIALS University of Vermont Presented by: Rup Tandan, MD, FRCP

TRIAL OF HIGH FAT / HIGH CALORIE TRIAL OF HIGH FAT / HIGH CALORIE DIET IN ALSDIET IN ALS

PI: PI: Rup Tandan, MD

Supported By: Supported By: Muscular Dystrophy Association

Objectives: Objectives: To compare the safety and tolerability in three subject

groups randomized to high fat/high calorie, high calorie or control diets

To measure biomarkers of body composition and lipid metabolism before and during diet intervention

To examine preliminary effects of the three diets on measures of disease progression

Enrollment closes 10/31/12

Page 3: ONGOING CLINICAL TRIALS University of Vermont Presented by: Rup Tandan, MD, FRCP

ALS RESEARCH GROUPALS RESEARCH GROUPDNA BANKING STUDYDNA BANKING STUDY

PI: PI: Rup Tandan, MD

Supported By: Supported By: The National Institutes of Health (NIH),

the Muscular Dystrophy Association, and the

Amyotrophic Lateral Sclerosis Association (ALSA)

Objectives: Objectives: To look at genetic factors that may contribute to the development of ALS and which may improve the genetic diagnosis of ALS and related Motor Neuron Diseases.

Page 4: ONGOING CLINICAL TRIALS University of Vermont Presented by: Rup Tandan, MD, FRCP

A MULTI-CENTER, SINGLE BLIND, RANDOMIZED A MULTI-CENTER, SINGLE BLIND, RANDOMIZED STUDY COMPARING THYMECTOMY TO NON STUDY COMPARING THYMECTOMY TO NON

THYMECTOMY IN NON-THYMOMATOUS MYASTHENIA THYMECTOMY IN NON-THYMOMATOUS MYASTHENIA GRAVIS (MG) PATIENTS RECEIVING PREDNISONEGRAVIS (MG) PATIENTS RECEIVING PREDNISONE

PI: PI: Rup Tandan, MD

Supported By:Supported By: The National Institutes of Neurological Disorders & Stroke (NINDS)

Objectives:Objectives: The main purpose of this research is to determine

whether thymectomy has a positive influence on the management of patients with myasthenia gravis who are taking prednisone and who do not have a thymoma. The project's ancillary Biomarkers study will evaluate genetic factors and gene and protein expression in the blood and thymus (in patients undergoing thymectomy) which may influence MG.

Enrollment closes in November 2012

Page 5: ONGOING CLINICAL TRIALS University of Vermont Presented by: Rup Tandan, MD, FRCP

CONTACT INFORMATION for CONTACT INFORMATION for Dr. Tandan’s StudiesDr. Tandan’s Studies

Rup Tandan, MD - Site PI

(802) 847-4589

[email protected]

Study Coordinator for Nutrition Study and Thymectomy Trial

(802) 656-4582

[email protected]

Page 6: ONGOING CLINICAL TRIALS University of Vermont Presented by: Rup Tandan, MD, FRCP

A MULTICENTER, DOUBLE-BLIND, PARALLEL GROUP, A MULTICENTER, DOUBLE-BLIND, PARALLEL GROUP, PLACEBO CONTROLLED STUDY OF CREATINE IN PLACEBO CONTROLLED STUDY OF CREATINE IN

SUBJECTS WITH TREATED PARKINSON’S DISEASE (PD).SUBJECTS WITH TREATED PARKINSON’S DISEASE (PD).LONG-TERM STUDY – 1 (LS-1)LONG-TERM STUDY – 1 (LS-1)

PI: PI: Robert Hamill, MD Supported By: Supported By: NIH, National Institute of Neurological

Disorders and Stroke (NINDS)

Objective:Objective:

To determine if there is a slowing of clinical decline in PD patients defined by a combination of cognitive, physical, and quality of life measures.

 

Page 7: ONGOING CLINICAL TRIALS University of Vermont Presented by: Rup Tandan, MD, FRCP

NET-PD LS-1NET-PD LS-1 1,720 subjects from approximately 52 US and Canadian

sites will be equally randomized to the study arms..

  Main Inclusion CriteriaMain Inclusion Criteria Subject is willing and able to give informed consent and

commit to long-term follow-up PD within 5 years of diagnosis Treated/responsive to dopaminergic therapy (dopamine

agonists or levodopa) for at least 90 days, but not more than 2 years

Enrollment was closed as of May 2011.There are 27 active patients at our site.

Page 8: ONGOING CLINICAL TRIALS University of Vermont Presented by: Rup Tandan, MD, FRCP

A MULTICENTER, DOUBLE-BLIND, PLACEBO A MULTICENTER, DOUBLE-BLIND, PLACEBO CONTROLLED, PHASE II STUDY OF PIOGLITAZONE IN CONTROLLED, PHASE II STUDY OF PIOGLITAZONE IN

EARLY PARKINSON’S DISEASE (PD).EARLY PARKINSON’S DISEASE (PD).(FS-ZONE)(FS-ZONE)

PI:PI: James Boyd, MD Supported By: Supported By: NIH, National Institute of Neurological

Disorders and Stroke (NINDS)

Objective:Objective:To assess the impact of pioglitazone on the progression of PD in

order to determine whether it is futile to proceed with further study of this agent. The secondary objectives of the study are to collect additional efficacy and safety/tolerability data to be used in planning a subsequent Phase III trial of pioglitazone in early, treated PD.

Page 9: ONGOING CLINICAL TRIALS University of Vermont Presented by: Rup Tandan, MD, FRCP

NET-PD FS-ZONENET-PD FS-ZONE

Approximately 216 subjects from approximately 43 sites in the US will be enrolled in this study to assess the impact of two doses of pioglitazone on the clinical decline of PD.

Main Inclusion CriteriaMain Inclusion CriteriaSubject is willing and able to give informed consent and commit to 44 weeks of follow-upSubjects who are on stable dose of rasagiline 1 mg/day or selegiline 10 mg/day for at least 8 weeks but no more than 8 months

Page 10: ONGOING CLINICAL TRIALS University of Vermont Presented by: Rup Tandan, MD, FRCP

CONTACT INFORMATIONCONTACT INFORMATION

Robert Hamill, MD - Site PI

(802) [email protected]

Study Coordinator:

(802) [email protected]

Page 11: ONGOING CLINICAL TRIALS University of Vermont Presented by: Rup Tandan, MD, FRCP

EPILEPSY CLINICAL TRIALSEPILEPSY CLINICAL TRIALSCLOSED TO FURTHER ENROLLMENTCLOSED TO FURTHER ENROLLMENT

An Open-Label Extension Phase of the Double-blind, Placebo-controlled, Dose-escalation, Parallel-group Study of E2007 (perampanel) as an Adjunctive Therapy in Patients with Refractory Partial Seizures

An open-label, multinational, multicenter, follow-up study to evaluate the long-term safety and efficacy of brivaracetam, used at a flexible dose up to a maximum of 150 mg/day, in subjects aged 16 years or older suffering from epilepsy. .

Page 12: ONGOING CLINICAL TRIALS University of Vermont Presented by: Rup Tandan, MD, FRCP

THE MS CENTERTHE MS CENTEROF NORTHERN NEW ENGLAND AT OF NORTHERN NEW ENGLAND AT

UVM/FLETCHER ALLENUVM/FLETCHER ALLEN

Angela Applebee, MD – DirectorAngela Applebee, MD – DirectorAndrew Solomon, MDAndrew Solomon, MDSandra McGrath, RN FNPSandra McGrath, RN FNPPatty Krusinski, CCRC, Study CoordinatorPatty Krusinski, CCRC, Study CoordinatorAnneMarie Savage, RN, Research NurseAnneMarie Savage, RN, Research NurseJane Low, MPA, Study Coordinator Jane Low, MPA, Study Coordinator

Page 13: ONGOING CLINICAL TRIALS University of Vermont Presented by: Rup Tandan, MD, FRCP

ONGOING CLINICAL TRIALS IN MSONGOING CLINICAL TRIALS IN MSCLOSED TO FURTHER ENROLLMENTCLOSED TO FURTHER ENROLLMENT

Novartis 2306Novartis 2306

A double-blind, randomized, multicenter, placebo-controlled, parallel-group study evaluating safety and efficacy of 0.5mg FTY720 (fingolimod) in patients with PPMS

Novartis 2309Novartis 2309 A DB, PC RCT to examine safety and efficacy of 2 doses of

FTY720 (fingolimod) capsules in RRMS over 24 months..

Biogen Idec – Daclizumab Study in Relapsing-Remitting MS Biogen Idec – Daclizumab Study in Relapsing-Remitting MS

To determine the efficacy and safety of daclizumab high yield process (DAC HYP) versus Avonex® (Interferon β-1a) in patients with relapsing-remitting MS.

Page 14: ONGOING CLINICAL TRIALS University of Vermont Presented by: Rup Tandan, MD, FRCP

ADDITIONAL CLINICAL TRIALS IN MSADDITIONAL CLINICAL TRIALS IN MSCLOSED TO FURTHER ENROLLMENT CLOSED TO FURTHER ENROLLMENT (Continued)(Continued)

Extension Study AC-058B202Extension Study AC-058B202

Extension study to AC-058B201 to study long-term safety, tolerability and efficacy of 3 doses of ACT-128800 in RRMS

EFC6260 EFC6260 –– Sanofi-Aventis Sanofi-AventisInternational, multi-center, randomized, double-blind, placebo-

controlled, parallel-group study to evaluate efficacy and safety of teriflunomide in patients with a first clinical episode suggestive of MS.

Page 15: ONGOING CLINICAL TRIALS University of Vermont Presented by: Rup Tandan, MD, FRCP

ONGOING CLINICAL TRIALS IN MSONGOING CLINICAL TRIALS IN MSOPEN TO ENROLLMENTOPEN TO ENROLLMENT

Stratify Stratify –– 2 Biogen 2 BiogenJCV Anitbody program in patients with RRMS receiving or considering treatment with Tysabri

Genentech/Roche Ocrelizumab study in Relapsing MS Genentech/Roche Ocrelizumab study in Relapsing MS A multicenter, randomized trial to evaluate the safety and efficacy of ocrelizumab in comparision to interferon beta-1a (Rebif®) in patients with relapsing MS

Opexa Therapeutics, Inc. In Secondary Progressive MSOpexa Therapeutics, Inc. In Secondary Progressive MS A multicenter, double-blind trial to evaluate the safety and effectiveness of an investigational T-cell product when compared to placebo in patients with secondary progressive MS

Page 16: ONGOING CLINICAL TRIALS University of Vermont Presented by: Rup Tandan, MD, FRCP

STROKE/NEUROCRITICAL CARESTROKE/NEUROCRITICAL CAREIRISIRIS

(Insulin Resistance Intervention after Stroke)

PI: Mark Gorman, MDPI: Mark Gorman, MD

NINDS-funded multicenter randomized clinical secondary prevention trial

Looks at reduction of recurrent stroke, MI and death in insulin resistant stroke/TIA patients

Intervention is pioglitazone 45 mg (insulin sensitizer/PPAR- agonist) vs. placebo

Follow-up 3-5 years

Page 17: ONGOING CLINICAL TRIALS University of Vermont Presented by: Rup Tandan, MD, FRCP

IRIS STUDY IRIS STUDY Contact InformationContact Information

Study Coordinator:

[email protected]

802-656-8993

Principal Investigator:

[email protected]

Page 18: ONGOING CLINICAL TRIALS University of Vermont Presented by: Rup Tandan, MD, FRCP

ABBOTT PARKINSON’S STUDYABBOTT PARKINSON’S STUDY

PI: James Boyd, MDPI: James Boyd, MD

Study of levodopa/carbidopa intestinal gel vs. oral levodopa/carbidopa

For pts with advanced Parkinson’s, who experience motor fluctuations and 3 or more hours of “off” time daily, despite optimized levodopa treatment. Closed to enrollment in July 2011.

Pts who have had DBS or other surgery for Parkinson’s are not eligible

Page 19: ONGOING CLINICAL TRIALS University of Vermont Presented by: Rup Tandan, MD, FRCP

ABBOTT PARKINSON’S STUDYABBOTT PARKINSON’S STUDY (Continued)(Continued)

Levodopa/carbidopa intestinal gel is an approved therapy in Europe known as Duodopa. Under testing in U.S. for FDA approval.

Medication delivered through a PEG with jejunal extension tube, by continuous infusion pump pts wear 16 hrs per day.

Intended to stabilize dopamine levels and minimize motor fluctuations.

Page 20: ONGOING CLINICAL TRIALS University of Vermont Presented by: Rup Tandan, MD, FRCP

ABBOTT PARKINSON’S STUDY ABBOTT PARKINSON’S STUDY Contact InformationContact Information

Study Coordinator:

[email protected]

802-656-3878

Principal Investigator:

[email protected]