Conservative Iron Chelation as a Disease-modifying Strategy in Parkinson's Disease
FAIRPARKII
4 other identifiers
interventional
372
8 countries
25
Brief Summary
This study evaluates the effect of iron chelation as a therapeutic strategy to slow the progression of Parkinson's disease. Half of participants will receive the deferiprone to 15 mg / kg twice daily morning and evening (30mg / kg per day), while the other half will receive a placebo. The treatment lasts nine months.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2 parkinson-disease
Started Feb 2016
Longer than P75 for phase_2 parkinson-disease
25 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 7, 2016
CompletedFirst Posted
Study publicly available on registry
January 14, 2016
CompletedStudy Start
First participant enrolled
February 9, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 22, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
September 22, 2020
CompletedFebruary 5, 2026
March 1, 2021
4.6 years
January 7, 2016
February 2, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Global effect (symptomatic and disease modifying effects) on motor and non motor handicap
the change in the total Movement Disorders Society-Unified Parkinson Disease Rating Scale score between baseline and 36 weeks (i.e. the end of the placebo-controlled phase for analysis of both disease-modifying and symptomatic effects)
at 36 weeks
Secondary Outcomes (12)
Disease-modifying effect on motor and non motor handicap
baseline, at 40 weeks
Effect of the motor symptoms
baseline, at 12, 36 and 40 weeks
Quality of life and autonomy by PDQ-39 score
baseline, at 36 and 40 weeks
Quality of life and autonomy by Clinical Global Impression score
baseline, at 36 and 40 weeks
Health economics assessment
baseline, at 36 and 40 weeks
- +7 more secondary outcomes
Study Arms (2)
DEFERIPRONE
ACTIVE COMPARATORHalf of participants will receive the deferiprone (DFP) to 15 mg / kg twice daily morning and evening (30mg / kg per day).The treatment lasts nine months.
PLACEBO
PLACEBO COMPARATORHalf of participants will receive the placebo twice daily morning and evening. The treatment lasts nine months.
Interventions
15 mg / kg twice daily morning and evening (30mg / kg per day).The treatment lasts nine months.
the placebo twice daily morning and evening. The treatment lasts nine months
Eligibility Criteria
You may qualify if:
- Adult patients
- Parkinson's disease diagnosed according United Kingdom Parkinson's disease Society Brain Bank Clinical Diagnostic Criteria and based on the presence of at least two of the three cardinal features of the disease (rest tremor, bradykinesia and rigidity). If rest tremor is not present, subjects must have unilateral onset of symptoms.
- Treatment-naïve, i.e. the best population for assessing a disease-modifying effect without the interaction of dopaminergic treatment (no dopaminergic agonists, L-dopa, anticholinergics, monoamine oxidase B inhibitors (e.g. rasagiline) or deep brain stimulation).
- Patients covered by a Health Insurance System in countries where required by law
- Written informed consent dated and signed prior to the beginning of any procedures related to the clinical trial
You may not qualify if:
- Disease duration greater than 18 months.
- Patients with high frequency of comorbidity or vital risks that may reasonably impair life expectancy
- Hoehn and Yahr stage 3 or more.
- Significant cognitive impairment (a Mini Mental State Examination score \<24 or an equivalent impairment on a similar scale) or dementia diagnosed in accordance with the Movement Disorders Society criteria (Emre et al., 2007).
- Atypical or secondary parkinsonism (supranuclear palsy, multisystem atrophy, etc.) or anomalies on MRI suggestive of vascular involvement or significant cortical or subcortical atrophy (i.e. atypical for Parkinson's Disease).
- Progressing axis I psychiatric disorders (psychosis, hallucinations, substance addiction, bipolar disorder, or severe depression), in accordance with the Diagnostic and Statistical Manual of Mental Disorders.
- Subjects undergoing brain stimulation.
- Positive Human Immunodepression Virus serology.
- Hypersensitivity to deferiprone.
- Patients with agranulocytosis or with a history of agranulocytosis.
- Patients taking a treatment at risk of agranulocytosis (clozapine, Closaril®/Leponex®).
- Pregnant or breastfeeding women or women of childbearing potential not taking highly effective contraception.
- Kidney or liver failure.
- Other serious diseases.
- Inability to provide informed consent.
- +9 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- ApoPharmacollaborator
- University Hospital, Lillelead
- European Commissioncollaborator
Study Sites (25)
Medizinische Universitat Innsbruck
Innsbruck, Austria
Charles University
Prague, Czechia
Univerzita Karlova V Praze
Prague, Czechia
CHU Pellegrin
Bordeaux, France
Hôpital Wertheimer
Bron, France
Hôpital Montpied
Clermont-Ferrand, France
Hôpital Salengro, CHRU
Lille, France
CHU la TIMONE
Marseille, France
AP-HP, Hôpital Pitié-Salpêtrière
Paris, France
CHU de Strasbourg, Hôpital de Hautepierre
Strasbourg, France
Chu Purpan
Toulouse, France
University Hospital, Saarland University
Homburg, Germany
Christian-albrechts universität zu kiel
Kiel, Germany
Klinik und Poliklinik für Neurologie der Universitätsmedizin Rostock
Rostock, Germany
Acadamic central center, Amsterdam
Amsterdam, Netherlands
Radboud university medical center
Nijmegen, Netherlands
Centro Hospitalar e universitario de Coimbra
Coimbra, Portugal
Centro Hospitalar do Alto Ave
Guimarães, Portugal
Centro Hospitalar Lisboa Norte
Lisbon, Portugal
Hospital Clinic Universitari de Barcelona
Barcelona, Spain
Hospital de Bellvitge
Barcelona, Spain
Hospital de la Santa Creu i Sant Pau
Barcelona, Spain
Cambridge University Hospital
Cambridge, United Kingdom
University of Glasgow
Glasgow, United Kingdom
Newcastle University
Newcastle, United Kingdom
Related Publications (3)
Devos D, Labreuche J, Rascol O, Corvol JC, Duhamel A, Guyon Delannoy P, Poewe W, Compta Y, Pavese N, Ruzicka E, Dusek P, Post B, Bloem BR, Berg D, Maetzler W, Otto M, Habert MO, Lehericy S, Ferreira J, Dodel R, Tranchant C, Eusebio A, Thobois S, Marques AR, Meissner WG, Ory-Magne F, Walter U, de Bie RMA, Gago M, Vilas D, Kulisevsky J, Januario C, Coelho MVS, Behnke S, Worth P, Seppi K, Ouk T, Potey C, Leclercq C, Viard R, Kuchcinski G, Lopes R, Pruvo JP, Pigny P, Garcon G, Simonin O, Carpentier J, Rolland AS, Nyholm D, Scherfler C, Mangin JF, Chupin M, Bordet R, Dexter DT, Fradette C, Spino M, Tricta F, Ayton S, Bush AI, Devedjian JC, Duce JA, Cabantchik I, Defebvre L, Deplanque D, Moreau C; FAIRPARK-II Study Group. Trial of Deferiprone in Parkinson's Disease. N Engl J Med. 2022 Dec 1;387(22):2045-2055. doi: 10.1056/NEJMoa2209254.
PMID: 36449420RESULTMahoney-Sanchez L, Bouchaoui H, Ayton S, Devos D, Duce JA, Devedjian JC. Ferroptosis and its potential role in the physiopathology of Parkinson's Disease. Prog Neurobiol. 2021 Jan;196:101890. doi: 10.1016/j.pneurobio.2020.101890. Epub 2020 Jul 26.
PMID: 32726602DERIVEDMoreau C, Duce JA, Rascol O, Devedjian JC, Berg D, Dexter D, Cabantchik ZI, Bush AI, Devos D; FAIRPARK-II study group. Iron as a therapeutic target for Parkinson's disease. Mov Disord. 2018 Apr;33(4):568-574. doi: 10.1002/mds.27275. Epub 2018 Jan 30. No abstract available.
PMID: 29380903DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
David Devos, MD, PhD
University Hospital, Lille
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 7, 2016
First Posted
January 14, 2016
Study Start
February 9, 2016
Primary Completion
September 22, 2020
Study Completion
September 22, 2020
Last Updated
February 5, 2026
Record last verified: 2021-03