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ADS-5102

Phase 3

Dyskinesia | Small molecule | Neurology |Supernus Pharmaceuticals, Inc.|Last Updated: Jan 18, 2022

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials4
Total Enrollment509

FDA Designations

No designations recorded

Clinical trial landscape

ADS-5102 · 7 trials · 8 indications

Phase 3 5Phase 2 2
NCT03567057A Safety and Efficacy Study of ADS-5102 in Patients With Multiple Sclerosis and Walking ImpairmentMultiple Sclerosis
COMPLETED424 Analytics
NCT03436199Safety and Efficacy of ADS-5102 in Multiple Sclerosis Patients With Walking ImpairmentWalking Impairment
COMPLETED558 Analytics
NCT02274766Efficacy and Safety Study of ADS-5102 in PD Patients With Levodopa-Induced DyskinesiaDyskinesia
COMPLETED77 Analytics
NCT02202551Open-Label Safety Study of ADS-5102 in PD Patients With LIDDyskinesia
COMPLETED223 Analytics
NCT02136914ADS-5102 for the Treatment of Levodopa Induced Dyskinesia (EASE LID Study)Dyskinesia
COMPLETED126 Analytics
PHASE3COMPLETED
A Safety and Efficacy Study of ADS-5102 in Patients With Multiple Sclerosis and Walking Impairment
Multiple SclerosisUnlock trial analytics
PHASE3COMPLETED
Safety and Efficacy of ADS-5102 in Multiple Sclerosis Patients With Walking Impairment
Walking ImpairmentUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety Study of ADS-5102 in PD Patients With Levodopa-Induced Dyskinesia
DyskinesiaUnlock trial analytics
PHASE3COMPLETED
Open-Label Safety Study of ADS-5102 in PD Patients With LID
DyskinesiaUnlock trial analytics
PHASE3COMPLETED
ADS-5102 for the Treatment of Levodopa Induced Dyskinesia (EASE LID Study)
DyskinesiaUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Patients With Adverse Events
Through study completion, an average of 1 year.

The incidence of treatment-emergent adverse events was used as the measure for long-term safety and tolerability of ADS-5102.

Timed 25 Foot Walk (T25FW, Feet/Second): the Proportion of Subjects With a ≥ 20% Increase in Walking Speed (Measured by T25FW) From Baseline at Week 16 (Responder Analysis)
16 weeks

The T25FW is a measure of lower extremity function. The subject is directed to a clearly marked 25-foot course and is instructed to walk 25 feet as quickly as possible, but safely. The task is immediately administered again by having the subject walk back the same distance. For this outcome measure, the result is reported as speed (feet per second). Improvement is indicated by an increase in speed.

Change in the Unified Dyskinesia Rating Scale (UDysRS) Total Score
Baseline to Week 12

The UDysRS is a dyskinesia rating scale from 0-104; it evaluates involuntary movements associated with PD. A higher score indicates more severe PD. The UDysRS was measured at Baseline and Weeks 2, 4, 8, and 12.

Number of Participants With Reported AEs and Safety-Related Study Drug Discontinuations
Up to 101 weeks

The primary objective of the study was to evaluate the safety and tolerability of ADS-5102 oral capsules, an extended release (ER) formulation of amantadine, administered at a dose of 340 mg once daily at bedtime for the treatment of levodopa-induced dyskinesia (LID) in subjects with Parkinson's disease (PD).

Change From Baseline in the Unified Dyskinesia Rating Scale (UDysRS) Score at Week 12
Baseline to Week 12

The UDysRS is a dyskinesia rating scale from 0-104; it evaluates involuntary movements associated with PD. A higher score indicates more severe PD. The UDysRS was measured at Baseline and Weeks 2, 8, 12, 18, and 24.

Safety of ADS-5102 assessed by adverse events, safety-related study drug discontinuations, vital signs, and safety laboratory test
Up to 4 weeks
Change in the Unified Dyskinesia Rating Scale (UDysRS) Total Score From Baseline to Week 8
Baseline (Day 1) and Week 8

The UDysRS is a dyskinesia rating scale from 0-104, and it evaluates involuntary movements associated with PD. A higher score indicates more severe PD. The last observation carried forward (LOCF) method was used for analysis. Participants were summarized according to the actual treatment received.

Secondary Endpoints

Timed 25-Foot Walk (Feet/Second) (Baseline Value)
Baseline
Timed 25-Foot Walk (Feet/Second) (Week 24 Value)
24 weeks
Timed 25-Foot Walk (Feet/Second) (Week 52 Value)
52 weeks
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
ADS-5102, 274 mgEXPERIMENTAL274 mg ADS-5102, administered once daily at bedtime for up to 52 weeks
ADS-5102, 137 mgEXPERIMENTALADS-5102, administered once daily at bedtime from Week 4 through Week 16
PlaceboOTHERplacebo, administered once daily at bedtime from Week 4 through Week 16
ADS-5102 (amantadine HCl extended release)EXPERIMENTALADS-5102 (amantadine HCl extended release)
ADS-5102EXPERIMENTALamantadine HCl extended release
Treatment APLACEBO_COMPARATOR -
Treatment BACTIVE_COMPARATORLow dose ADS-5102 (amantadine extended release)
Treatment CACTIVE_COMPARATORA mid-dose ADS-5102 (amantadine extended release)
Treatment DACTIVE_COMPARATORHigh dose ADS-5102 (amantadine extended release)

Interventions

NameTypeDescription
ADS-5102, 274 mgDRUGOral capsules
ADS-5102, 137 mgDRUGOral capsules
PlaceboOTHEROral capsules
ADS-5102DRUGOral capsules to be administered once nightly at bedtime, for 13 weeks.
ADS-5102 (extended release amantadine HCl)DRUGOral capsules to be administered once daily at bedtime, for 8 weeks
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Eligibility Criteria

Age Range18 Years to 70 Years
SexALL
Healthy VolunteersNo
Study Sites92

Inclusion Criteria: * Signed a current IRB-approved informed consent form * Successful completion of a prior double blind study of ADS-5102 in patients with MS walking impairment. Exclusion Criteria: * Based on the judgment of the investigator or Medical Monitor, participation in the study would ...

Countries:United StatesCanadaAustriaFranceGermanySpain
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Frequently asked questions about ADS-5102

What is ADS-5102 used for?

ADS-5102 is an investigational small molecule being developed for the treatment of levodopa-induced dyskinesia in Parkinson's disease. It is also being studied for walking impairment in multiple sclerosis. The drug is in Phase 3 clinical development and is not yet approved by the FDA.

Who makes ADS-5102?

ADS-5102 is being developed by Supernus Pharmaceuticals, Inc., a biopharmaceutical company traded on the NASDAQ under the ticker symbol SUPN. The company is conducting Phase 3 clinical trials for the drug in levodopa-induced dyskinesia associated with Parkinson's disease.

What phase is ADS-5102 in?

ADS-5102 is in Phase 3 clinical development. Four clinical trials have been completed, including one Phase 2 study and three Phase 3 studies. The drug remains investigational and has not received FDA approval for any indication.

What clinical trials has ADS-5102 been in?

ADS-5102 has been studied in four completed clinical trials. These include NCT01397422, a Phase 2 study in levodopa-induced dyskinesia; NCT02136914, a Phase 3 study; NCT02202551, an open-label Phase 3 safety study; and NCT02274766, a Phase 3 efficacy and safety study. All trials enrolled patients with Parkinson's disease and levodopa-induced dyskinesia.

How does ADS-5102 work?

ADS-5102 is an extended-release formulation of amantadine, a medication that modulates the glutamate system in the brain. By targeting glutamate receptors, it is designed to reduce the involuntary movements associated with levodopa-induced dyskinesia in Parkinson's disease patients.