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Prasinezumab

Phase 3

Parkinson's Disease | Small molecule | Neurology |Prothena Corporation plc|Last Updated: Jul 6, 2026

Target and mechanism

Molecular targetSNCA
Target classBinding Agent
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLEDDMC
Total Trials1
Total Enrollment900

FDA Designations

No designations recorded

Clinical trial landscape

Prasinezumab · 2 trials · 2 indications

Phase 3 1Phase 2 1
NCT07174310A Study to Evaluate the Efficacy and Safety of Intravenous (IV) Prasinezumab in Participants With Early-Stage Parkinson's DiseaseParkinson's Disease
RECRUITING900 Analytics
PHASE3RECRUITING
A Study to Evaluate the Efficacy and Safety of Intravenous (IV) Prasinezumab in Participants With Early-Stage Parkinson's Disease
Parkinson's DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Time to Confirmed Motor Progression Event on Movement Disorder Society - Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Part III Score
Up to at least Week 104
DBT Period: Time to Confirmed Motor Progression Event Assessed by Movement Disorder Society - Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Part III
From study start to end of DBT period to at least 76 weeks

Time to confirmed motor progression event was the first time point of a worsening event defined as either \>= 5 points increase in MDS-UPDRS Part III score (assessed in "OFF" medication state) from baseline sustained over 2 consecutive assessments or a change in medication after first occurrence of \>= 5 points increase in MDS-UPDRS Part III score from baseline \& before follow-up assessment. MDS-UPDRS Part III is a clinician rater scale that assessed the motor signs of PD. The scale is composed of 18 clinical domains or tasks, which yield 33 distinct scores or ratings. For each distinct rating, a numeric score is assigned between 0-4, where 0 = Normal, 1 = Slight, 2 = Mild, 3 = Moderate, and 4 = Severe. The total MDS-UPDRS Part III score (ranging from 0 to 132) is calculated by summing these 33 individual ratings, with higher scores indicating severe impairment.

Secondary Endpoints

Change From Baseline in Motor Function as Measured by the MDS-UPDRS Part III off Medication Score
Baseline, Week 104
Time to Worsening of Participants Motor Function as Reported by the Participant in the Presence of a Confirmed Motor Progression Event
Up to at least Week 104
Time to Meaningful Worsening in Clinician Global Impression of Change (CGI-C), Overall Disease Subscale
Up to at least Week 104
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
PrasinezumabEXPERIMENTALParticipants will receive Prasinezumab as an IV infusion in the double blind treatment period. Upon completion, eligible participants will enter into the Open Label Extension (OLE) phase.
PlaceboEXPERIMENTALParticipants will receive placebo as an IV Infusion.

Interventions

NameTypeDescription
PrasinezumabDRUGParticipants will receive Prasinezumab as an IV Infusion as per the schedule mentioned in the protocol.
PlaceboDRUGParticipants will receive Placebo as an IV Infusion per the schedule mentioned in the protocol
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Eligibility Criteria

Age Range50 Years to 85 Years
SexALL
Healthy VolunteersNo
Study Sites174

Inclusion Criteria: * Body weight within 40-110 kilograms (kg) (88-242 pounds \[lbs\]) and a body mass index within the range 18-34 kg/m2 * Diagnosis of idiopathic PD based on Movement Disorder Society (MDS) criteria * Has received monotherapy treatment * An MDS-UPDRS Part IV score of 0 at screenin...

Countries:United StatesAustraliaAustriaBrazilCanadaChinaDenmarkFranceGermanyItalyMexicoPolandPortugalSouth KoreaSpainTaiwanUnited KingdomLuxembourg
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Recent Changes (Last 90 Days)

LOWAug 1, 2026NCT07174310primaryCompletionDate: changed
MEDIUMAug 1, 2026NCT04777331primaryCompletionDate: changed
LOWAug 1, 2026NCT07174310primaryCompletionDate: changed
MEDIUMAug 1, 2026NCT04777331primaryCompletionDate: changed
LOWAug 1, 2026NCT07174310primaryCompletionDate: changed
MEDIUMAug 1, 2026NCT04777331primaryCompletionDate: changed
LOWMay 24, 2026NCT07174310studyFirstPostDate: changed
LOWMay 24, 2026NCT04777331studyFirstPostDate: changed

Frequently asked questions about Prasinezumab

What is Prasinezumab used for in Parkinson's Disease?

Prasinezumab is an investigational drug being studied for the treatment of early-stage Parkinson's Disease. It is administered intravenously and is currently in Phase 3 clinical development. The drug is designed to target the SNCA protein, which is associated with the progression of Parkinson's Disease.

What does Prasinezumab target?

Prasinezumab targets SNCA, also known as alpha-synuclein, a protein that forms clumps in the brains of people with Parkinson's Disease. As a binding agent, it is intended to interfere with the harmful effects of this protein. This mechanism is being evaluated in clinical trials for early-stage Parkinson's Disease.

Who makes Prasinezumab?

Prasinezumab is being developed by Prothena Corporation plc, a biopharmaceutical company traded on the NASDAQ under the ticker symbol PRTA. The company is conducting clinical trials to evaluate the safety and efficacy of this investigational drug for Parkinson's Disease.

What phase is Prasinezumab in?

Prasinezumab is currently in Phase 3 clinical development for early-stage Parkinson's Disease. It is an investigational drug, meaning it has not been approved by regulatory authorities. A Phase 3 trial is actively recruiting participants to further assess its efficacy and safety.

What clinical trials is Prasinezumab in?

Prasinezumab is being studied in two clinical trials. NCT04777331 is a Phase 2 study in early Parkinson's Disease with 586 participants, and NCT07174310 is a Phase 3 study in early-stage Parkinson's Disease with 900 participants. Both are randomized, double-blind, and controlled trials.

Is Prasinezumab the same as any other drug?

Prasinezumab is a unique investigational drug and is not known by any other names. It is being developed specifically for Parkinson's Disease and is not the same as any approved medication. Its distinct mechanism targets the SNCA protein, which sets it apart from other treatments.