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The 201 Trial: a placebo-controlled randomized phase 2 study of safety and tolerance of the c-Abl kinase inhibitor risvodetinib in untreated Parkinson's disease.

The 201 Trial: a placebo-controlled randomized phase 2 study of safety and tolerance of the c-Abl kinase inhibitor risvodetinib in untreated Parkinson's disease.

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Where did the research take place?

The study site has not been established. Author addresses may differ from where the research occurred.

Atlanta, US · Author affiliation

ABLi Therapeutics, Atlanta, GA, USA. mhwerner@ablitherapeutics.com.
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Sarasota, US · Author affiliation

Clintrex Research, Sarasota, FL, USA.
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Camden, US · Author affiliation

Cooper Medical School at Rowan University/Cooper University Healthcare, Camden, NJ, USA.
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Boston, US · Author affiliation

Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
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IL · Author affiliation · country only

Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
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Scottsdale, US · Author affiliation

CND Life Sciences, Scottsdale, AZ, USA.
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US · Author affiliation · country only

QUEST Research Institute, Farmington, MI, USA.
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Tulsa, US · Author affiliation

The Movement Disorder Clinic of Oklahoma, Tulsa, OK, USA.
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Tampa, US · Author affiliation

University of South Florida Health Byrd Institute, Tampa, FL, USA.
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Boca Raton, US · Author affiliation

Parkinson's Disease and Movement Disorders Center, Boca Raton, FL, USA.
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Memphis, US · Author affiliation

Veracity Neuroscience, Memphis, TN, USA.
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Little Rock, US · Author affiliation

University of Arkansas for Medical Sciences, Little Rock, AR, USA.
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Miami, US · Author affiliation

University of Miami, Miami, FL, USA.
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Nashville, US · Author affiliation

Vanderbilt University Medical Center, Nashville, TN, USA.
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Round Rock, US · Author affiliation

Central Texas Neurology Consultants, Round Rock, TX, USA.
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Oregon, US · Author affiliation

Oregon Health & Science University, Portland, OR, USA.
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Los Angeles, US · Author affiliation

University of Southern California, Los Angeles, CA, USA.
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Reseda, US · Author affiliation

SC3 Research Group, Reseda, CA, USA.
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Durham, US · Author affiliation

Duke Movement Disorders Clinic, Durham, NC, USA.
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Golden Valley, US · Author affiliation

Struthers Parkinson's Center, Golden Valley, MN, USA.
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Naples, US · Author affiliation

Aqualane Clinical Research, Naples, FL, USA.
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Raleigh, US · Author affiliation

Raleigh Neurology Associates, Raleigh, NC, USA.
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GB · Author affiliation · country only

Neurology Center of New England, Foxborough, MA, USA.
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Milwaukee, US · Author affiliation

Medical College of Wisconsin, Milwaukee, WI, USA.
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Houston, US · Author affiliation

Baylor College of Medicine, Houston, TX, USA.
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Grand Rapids, US · Author affiliation

Michigan State University, Grand Rapids, MI, USA.
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New York City, US · Author affiliation

Department of Neurology and Neuroscience, Mount Sinai School of Medicine, New York, NY, USA.
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Original abstract

The nonreceptor Abelson (Abl) tyrosine kinases have been implicated as key drivers of initiation and progression in Parkinson's disease (PD). Risvodetinib, a potent, brain-penetrant, selective inhibitor of the nonreceptor Abl kinases c-Abl1 and c-Abl2/Arg (collectively, c-Abl), was evaluated in a randomized, double-blind, placebo-controlled phase 2a trial ('the 201 Trial') using once-daily 50 mg, 100 mg, 200 mg or placebo in 137 participants with early, untreated PD. The primary end points in safety and tolerability were met, with 95% of enrolled participants completing the 12-week dosing regimen and a 2-week safety follow-up. Both the average number of adverse events per person and the fraction of participants experiencing at least one treatment-emergent adverse event were similar between risvodetinib and placebo treatment groups, indicating that risvodetinib was safe and well tolerated. Although the trial was not powered to measure efficacy, 14 secondary end points evaluated motor and nonmotor features of disease in hierarchical order. The primary hierarchical secondary end point of the Movement Disorder Society revision to the Unified PD Rating Scale sum of Parts II + III did not reach statistical significance. The study findings indicate that risvodetinib is safe and well tolerated. Longer duration trials are needed to evaluate its potential clinical efficacy. ClinicalTrials.gov registration: NCT05424276 .

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