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Abstract Details

Safety and Tolerability During a 4-Week Continuous Subcutaneous Infusion of ABBV-951, a New Drug Formulation for the Treatment of Parkinson’s Disease: Final Results of a Phase 1b Study
Movement Disorders
S41 - Parkinson's Disease Interventions and Clinical Trials (1:24 PM-1:36 PM)
003
Evaluate safety/tolerability of ABBV-951 delivered via continuous subcutaneous infusion(CSCI) in Parkinson’s disease(PD) patients. 

ABBV-951 is a new soluble formulation of carbidopa and levodopa prodrugs, delivered as a CSCI via an external pump, being developed for the treatment of PD. Previous Ph1 studies demonstrated that ABBV-951 was well-tolerated in healthy volunteers. Here we assessed the safety of individually titrated therapeutic doses of ABBV-951 administered to PD patients via 24-hour CSCI for 28 days in an outpatient setting.

Eligible subjects for this Ph1b study(NCT03374917) were PD patients whose motor complications were inadequately controlled by oral medications and who experienced a minimum of 2.5h/day "Off" time. A screening and titration period were followed by weekly study visits. Local and systemic safety/tolerability were assessed by the infusion site assessment 2-part rating scale(numeric scores:0-7 and letter grades:A-G) and adverse event(AE) monitoring. Exploratory efficacy assessed by mean change from baseline in MDS-UPDRS scores and PD Diaries.

Twenty-one patients were included in the safety analysis(62% male, mean age 61.6, 43% with ≥10 years PD duration). AEs occurred in 19 patients(90.5%); 2 serious AEs (cellulitis and abdominal abscess) were reported in 1 patient who prematurely discontinued the study. Another patient prematurely discontinued due to an AE of infusion site infection. Five patients(24%) had Numeric Score ≥3 or Letter Grade ≥C on the Infusion Site Evaluation Scale; all other patients were classified as 0, 1, or 2 score or A or B grade, consistent with findings reported for other CSCI therapies. There were no clinically significant changes in laboratory, ECG, or vital sign parameters. ABBV-951 doses ranged 400mg-3400mg levodopa equivalents. Exploratory efficacy results showed decreased “Off” time compared to baseline.

Results demonstrate that ABBV-951 was well-tolerated when delivered via 24-hour CSCI for 28 days and support future investigations of ABBV-951 as a potentially new treatment option for PD patients.
Authors/Disclosures
Maurizio Facheris, MD, MSc (Abbvie Inc)
PRESENTER
Dr. Facheris has received personal compensation for serving as an employee of AbbVie Inc.. Dr. Facheris has stock in AbbVie Inc..
Susan Criswell, MD (Washington University) Dr. Criswell has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Abbvie.
Nirav Pavasia, MD (Neurology Consultants of Dallas) Dr. Pavasia has received personal compensation in the range of $50,000-$99,999 for serving on a Speakers Bureau for Neurocrine. Dr. Pavasia has received personal compensation in the range of $50,000-$99,999 for serving on a Speakers Bureau for Kyowa Kirin. Dr. Pavasia has received personal compensation in the range of $10,000-$49,999 for serving on a Speakers Bureau for Amneal. Dr. Pavasia has received personal compensation in the range of $50,000-$99,999 for serving on a Speakers Bureau for Supernus. Dr. Pavasia has received personal compensation in the range of $10,000-$49,999 for serving on a Speakers Bureau for Abbvie.
Rajesh Pahwa, MD, FAAN (University of Kansas Medical Center) Dr. Pahwa has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant for Abbott. Dr. Pahwa has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for AbbVie. Dr. Pahwa has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant for ACADIA. Dr. Pahwa has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for Amneal. Dr. Pahwa has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant for Lundbeck. Dr. Pahwa has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for Supernus. Dr. Pahwa has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for Insightec. Dr. Pahwa has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Jaaz. Dr. Pahwa has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Fasikl. Dr. Pahwa has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Genetech. Dr. Pahwa has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant for Merz. Dr. Pahwa has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for Mitsubishi Tanabe. Dr. Pahwa has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for Photopharmics. The institution of Dr. Pahwa has received research support from Abbott. The institution of Dr. Pahwa has received research support from Abbvie. The institution of Dr. Pahwa has received research support from Biogen. The institution of Dr. Pahwa has received research support from Parkinson Foundation. The institution of Dr. Pahwa has received research support from Roche. The institution of Dr. Pahwa has received research support from Sage. The institution of Dr. Pahwa has received research support from Sun Pharma. The institution of Dr. Pahwa has received research support from Theravance. The institution of Dr. Pahwa has received research support from Neuroderm. The institution of Dr. Pahwa has received research support from Ask Bio. The institution of Dr. Pahwa has received research support from Blue Rock. The institution of Dr. Pahwa has received research support from Cerevance. The institution of Dr. Pahwa has received research support from Fasikl. The institution of Dr. Pahwa has received research support from Scion. The institution of Dr. Pahwa has received research support from UCB. The institution of Dr. Pahwa has received research support from Ono. The institution of Dr. Pahwa has received research support from Intra-cellular Therapies. The institution of Dr. Pahwa has received research support from Ask Bio. The institution of Dr. Pahwa has received research support from Michael J Fox Foundation . The institution of Dr. Pahwa has received research support from Neuron 23. The institution of Dr. Pahwa has received research support from Roche.
No disclosure on file
Weining Robieson, PhD (AbbVie) Dr. Robieson has received personal compensation for serving as an employee of AbbVie. Dr. Robieson has received stock or an ownership interest from AbbVie.
David Shprecher, DO, FAAN (Banner Sun Health Research Institute) Dr. Shprecher has received personal compensation for serving as an employee of Banner Health. Dr. Shprecher has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant for Amneal. Dr. Shprecher has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant for Sanders+Parks. Dr. Shprecher has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant for Neurocrine. Dr. Shprecher has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Abbvie. Dr. Shprecher has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Kyowa Kirin. Dr. Shprecher has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Medplace. The institution of Dr. Shprecher has received research support from MJFF. The institution of Dr. Shprecher has received research support from Cognition Therapeutics. The institution of Dr. Shprecher has received research support from Biogen. The institution of Dr. Shprecher has received research support from Neuraly. The institution of Dr. Shprecher has received research support from Jazz Pharmaceuticals. The institution of Dr. Shprecher has received research support from Sanofi Aventis. The institution of Dr. Shprecher has received research support from Annovis. The institution of Dr. Shprecher has received research support from Neurocrine. The institution of Dr. Shprecher has received research support from Teva. The institution of Dr. Shprecher has received research support from Nuvelution. The institution of Dr. Shprecher has received research support from EIP Pharma. Dr. Shprecher has received personal compensation in the range of $500-$4,999 for serving as a Speaker with International Parkinson's and MDS. Dr. Shprecher has received personal compensation in the range of $5,000-$9,999 for serving as a Speaker with Parkinson's Movement Disorder Alliance.