Oral Presentation
MDS
Accepted: 2024

Safety and Tolerability of Bemdaneprocel in People With Parkinson’s Disease: Results up to 24 Months From a Phase 1 Study

Sarva H; Henchcliffe C; Lozano A; Fasano A; Kalia S; Yu K; Brennan C; Stemple W; Floro N; Abid N; Lampron A; Tabar V

Abstract

Objective

  • To continue evaluating the safety and tolerability of bemdaneprocel through 24 months post transplantation, 12 months post discontinuation of immunosuppression, in participants with PD.

Methods

  • Participants with PD, with motor symptoms inadequately controlled by standard treatments, and who were >=50 to <=78 years of age in Canada or >=60 to <=78 years of age in the United States were eligible to enroll in the study.
  • A total of 12 participants enrolled sequentially.
  • Bemdaneprocel was administered stereotactically into the posterior putamen bilaterally through a single burr hole on each side in a single session.
  • Immunosuppression was initiated during transplantation and continued for 1 year post transplantation.
  • Unified Dyskinesia Rating Scale (UDysRS) observed scores and anti-Parkinson’s disease medication use (calculated as levodopa equivalent daily doses) were summarized at baseline and 6, 12, 18, and 24 months post transplantation.

Additional Safety Findings

  • None of the 3 treatment-emergent serious adverse events were related to transplanted cells or immunosuppression, and there were no graft-induced dyskinesias.
  • TEAEs in nervous system disorders and infections and infestations System Organ Classes were reported for 8/12 (66.7%) participants each.
  • The most frequently reported treatment-emergent adverse events in the nervous system disorders System Organ Class (n=8, 66.7%) were dyskinesia (n=3, 25.0%) and tremor (n=2, 16.7%).
  • The most frequently reported treatment-emergent adverse events in the infections and infestations System Organ Class (n=8, 66.7%) were COVID-19 (n=4, 33.3%) and pneumonia (n=2, 16.7%).

Conclusions

  • Bemdaneprocel was well tolerated and had a favorable safety profile in all 12 participants through 24 months post transplantation, 12 months post discontinuation of immunosuppression.
  • No serious adverse events were attributed to transplanted cells or immunosuppression, and there were no graft-induced dyskinesias, deaths, or study discontinuations.
  • Anti-Parkinson’s disease medication use was stable, and there were no intracerebral hemorrhages or mass lesions.
  • All participants have enrolled in a continued-evaluation study (NCT05897957) for ongoing evaluation of safety and efficacy.
  • These results support the continued development of bemdaneprocel for the treatment of people with PD.
View references
  1. Kim TW, et al. Cell Stem Cell. 2021;28(2):343-55.e5.
  2. Piao J, et al. Cell Stem Cell. 2021;28(2):217-29.e7.
  3. Kriks S, et al. Nature. 2011;480(7378):547-51.
  4. Henchcliffe C, et al. Presented at: International Congress of Parkinson’s Disease and Movement Disorders; August 27-31, 2023; Copenhagen, Denmark.
  5. Goetz CG, et al. Mov Disord. 2008;23(16):2398-403.

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Study ID NCT04802733
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