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ADS-5102

Phase 3

Multiple Sclerosis | Small molecule | Neurology |Supernus Pharmaceuticals, Inc.|Trials Updated: Jan 18, 2022

Development status

Highest phase Phase 3
Registered trials 6 across 1 sponsor since May 2014

Target and mechanism

ModalitySmall molecule

Also known as ADS-5102 (extended release amantadine HCl)

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLEDBiomarker
Total Trials7
Total Enrollment1,551

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?

ADS-5102 is an investigational extended-release formulation of amantadine HCl developed by Supernus Pharmaceuticals, Inc. (ticker: SUPN). It is a small molecule being studied in neurology for levodopa-induced dyskinesia in Parkinson's disease, and for walking impairment in multiple sclerosis. It is not yet approved and remains in clinical development.

What is ADS-5102 used for?

ADS-5102 is being studied for levodopa-induced dyskinesia in Parkinson's disease and for walking impairment in multiple sclerosis. Both programs have reached Phase 3 testing, and the drug remains investigational rather than approved for any indication.

Who makes ADS-5102?

ADS-5102 is developed by Supernus Pharmaceuticals, Inc., which trades under the ticker SUPN. The company has sponsored the clinical program evaluating the extended-release amantadine HCl formulation in Parkinson's disease and multiple sclerosis.

What phase is ADS-5102 in?

ADS-5102 has completed Phase 3 clinical development. Four trials have been completed, including Phase 3 studies in multiple sclerosis walking impairment and in Parkinson's disease with levodopa-induced dyskinesia, plus one Phase 2 study. No trials are currently active, and the drug is investigational.

What clinical trials is ADS-5102 in?

ADS-5102 has been evaluated in four completed trials: NCT03567057 and NCT03436199, Phase 3 studies in multiple sclerosis with walking impairment; NCT02471222, a Phase 2 study in the same population; and NCT02274766, a Phase 3 study in Parkinson's disease patients with levodopa-induced dyskinesia. All were randomized, double-blind, and placebo-controlled.

Is ADS-5102 the same as extended-release amantadine HCl?

Yes. ADS-5102 is an extended-release formulation of amantadine HCl, and the names ADS-5102, 137 mg and ADS-5102, 274 mg refer to the same investigational product at different dose strengths. Searches for extended-release amantadine HCl in this development program refer to ADS-5102.