A Phase 2 Study and Open-Label Extension of NEU-411 in Companion Diagnostic-Positive Participants With Early Parkinson's Disease

Last updated: February 18, 2026
Sponsor: Neuron23 Inc.
Overall Status: Active - Recruiting

Phase

2

Condition

N/A

Treatment

Placebo

NEU-411

Clinical Study ID

NCT06680830
NEU-411-PD201
  • Ages 40-80
  • All Genders

Study Summary

The goal of this Phase 2 clinical trial is to investigate the efficacy and safety of NEU-411 in men and women aged 40-80 years with early Parkinson's Disease (PD) who have predicted elevations in the activity of the "leucine-rich repeat kinase 2" ("LRRK2" for short) pathway based on their genetic profile. A DNA test will be used to identify the "LRRK2-driven" population with predicted elevation in the LRRK2 pathway.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Aged 40-80 years at time of screening, inclusive

  2. Diagnosis of clinically established or clinically probable Parkinson's Disease (PD)

  3. LRRK2-driven PD using the investigational companion diagnostic genetic test (CDx)

  4. Modified Hoehn and Yahr (mH&Y) of 1 to 2.5

Exclusion

Exclusion Criteria:

  1. Secondary or atypical parkinsonian syndromes

  2. Uncontrolled diabetes mellitus with hemoglobin A1c (HbA1c) >8%

  3. Other significant medical conditions (as determined by medical history, examination,or clinical investigations at screening)

Additional inclusion and exclusion criteria for the RCP and OLE are outlined in the full study protocol.

Study Design

Total Participants: 150
Treatment Group(s): 2
Primary Treatment: Placebo
Phase: 2
Study Start date:
January 17, 2025
Estimated Completion Date:
September 30, 2027

Study Description

NEU-411-PD201 is a Phase 2, randomized, placebo-controlled, proof-of-concept study and open-label extension (OLE) in participants with early Parkinson's Disease (PD) who have LRRK2-driven PD as measured by an investigational companion diagnostic genetic test (CDx). The study will evaluate the efficacy, safety, pharmacokinetics, and pharmacodynamics of NEU-411, an orally-administered, potent, selective, bioavailable, highly permeable, brain penetrant, small molecule inhibitor of LRRK2 activity as compared to placebo.

After participants are screened for inclusion in the randomized, placebo-controlled portion of the study, approximately 150 participants will be randomized in a 1:1 allocation to NEU-411 30 mg once per day or placebo for a 52-week treatment period with a safety follow-up visit within 2 weeks after the last treatment visit. Eligible participants may enroll in the OLE and receive treatment for an additional 26 weeks.

Connect with a study center

  • Rambam Medical Center

    Haifa 294801, 3109601
    Israel

    Site Not Available

  • Shaare Zedek Medical Center

    Jerusalem 281184, 9103102
    Israel

    Site Not Available

  • Sheba Medical Center

    Ramat Gan 293788, 5262000
    Israel

    Site Not Available

  • Tel Aviv Medical Center

    Tel Aviv 293397, 6423906
    Israel

    Site Not Available

  • IRCCS Ospedale San Raffaele (HSR) - Dipartimento Di Neurologia

    Milan 6951411, 20132
    Italy

    Site Not Available

  • Universita Degli Studi Della Campania "Luigi Vanvitelli" - Azienda Ospedaliera Universitaria

    Napoli 9031661, 80138
    Italy

    Active - Recruiting

  • Universita Degli Studi Di Padova - Azienda Ospedaliera Di Padova - Clinica Neurologica

    Padua 3171728, 35128
    Italy

    Active - Recruiting

  • Azienda Ospedaliero Universitaria Pisana - Stabilimento Ospedaliero Di Santa Chiara

    Pisa 3170647, 56126
    Italy

    Site Not Available

  • Fondazione Policilinico Universitario A Gemelli IRCCS

    Rome 3169070, 00168
    Italy

    Active - Recruiting

  • Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) - San Raffaele Pisana

    Rome 3169070, 00166
    Italy

    Site Not Available

  • Centrum Medyczne Neuromed

    Bydgoszcz 3102014, 85-163
    Poland

    Site Not Available

  • NZOZ Wielospecjalistyczna Poradnia Lekarska Synapsis Lech Szczechowski

    Katowice 3096472, 32-600
    Poland

    Site Not Available

  • Pro Life Medica Sp. z o. o. ETA Lublin

    Lublin 765876, 20-412
    Poland

    Site Not Available

  • Insula Badania Sp. Z o.o.

    Warsaw 756135, 02-699
    Poland

    Site Not Available

  • Policlinica Gipuzkoa - Centro de Investigacion Parkinson (CIP)

    San Sebastián 3110043, Donostia 20014
    Spain

    Site Not Available

  • Instituto de Investigacion Sanitaria Biocruces Bizkaia - Hospital Universitario Cruces

    Barakaldo 3109453, 49003
    Spain

    Site Not Available

  • Hospital Clinic de Barcelona (Hospital Clinic i Provincial) - Barnaclinic S.A.

    Barcelona 3128760, 08036
    Spain

    Active - Recruiting

  • Hospital Universitari Vall d'Hebron

    Barcelona 3128760, 08035
    Spain

    Active - Recruiting

  • Universidad Autonoma de Madrid (UAM) - Hospital Universitario de La Princesa

    Madrid 3117735, 28006
    Spain

    Active - Recruiting

  • Hospital Universitario HM Puerta del Sur

    Móstoles 3116025, 28938
    Spain

    Active - Recruiting

  • Hospital Universitario Virgen del Rocio (HUVR) - Instituto de Biomedicina de Sevilla (IBIS)

    Seville 2510911, 41013
    Spain

    Active - Recruiting

  • St George's Hospital, University of London

    London 2643743, England 6269131 SW17 0QT
    United Kingdom

    Active - Recruiting

  • University College London Hospitals NHS Foundation Trust

    London 2643743, England 6269131 WC1N 3BG
    United Kingdom

    Active - Recruiting

  • Clinical Aging Research Unit, Newcastle University

    Newcastle upon Tyne 2641673, England 6269131 NE4 5PL
    United Kingdom

    Active - Recruiting

  • Ninewells Hospital and Medical School - NHS Tayside

    Dundee 2650752, Scotland 2638360 DD19SY
    United Kingdom

    Active - Recruiting

  • Barrow Neurological Institute

    Phoenix, Arizona 85013
    United States

    Site Not Available

  • Banner Sun Health Research Institute

    Sun City, Arizona 85351
    United States

    Site Not Available

  • Banner Sun Health Research Institute

    Sun City 5316201, Arizona 5551752 85351
    United States

    Active - Recruiting

  • University of Arkansas

    Little Rock, Arkansas 72205
    United States

    Site Not Available

  • University of Arkansas

    Little Rock 4119403, Arkansas 4099753 72205
    United States

    Active - Recruiting

  • Neuro-Pain Medical Center

    Fresno, California 93710
    United States

    Site Not Available

  • University of California, Irvine

    Irvine, California 92697
    United States

    Site Not Available

  • University of California, Los Angeles

    Los Angeles, California 90095
    United States

    Site Not Available

  • Esperanza Clinical

    Murrieta, California 92562
    United States

    Site Not Available

  • Parkinson's Research Centers of America - Palo Alto

    Palo Alto, California 94301
    United States

    Site Not Available

  • Adaptive Research - California Neuro Institute

    San Jose, California 94085
    United States

    Site Not Available

  • Neuro-Pain Medical Center

    Fresno 5350937, California 5332921 93710
    United States

    Active - Recruiting

  • University of California, Irvine

    Irvine 5359777, California 5332921 92697
    United States

    Active - Recruiting

  • University of California, Los Angeles

    Los Angeles 5368361, California 5332921 90095
    United States

    Active - Recruiting

  • Esperanza Clinical

    Murrieta 5375911, California 5332921 92562
    United States

    Active - Recruiting

  • Parkinson's Research Centers of America - Palo Alto

    Palo Alto 5380748, California 5332921 94301
    United States

    Active - Recruiting

  • Sutter Neuroscience Institute

    Sacramento 5389489, California 5332921 95816
    United States

    Site Not Available

  • University of Colorado - Anschutz Medical Campus

    Aurora, Colorado 80045
    United States

    Site Not Available

  • University of Colorado - Anschutz Medical Campus

    Aurora 5412347, Colorado 5417618 80045
    United States

    Active - Recruiting

  • Invicro

    New Haven, Connecticut 06510
    United States

    Site Not Available

  • Invicro

    New Haven 4839366, Connecticut 4831725 06510
    United States

    Site Not Available

  • Parkinson's Disease and Movement Disorders Center of Boca Raton

    Boca Raton, Florida 33486
    United States

    Site Not Available

  • University of Florida

    Gainesville, Florida 32608
    United States

    Site Not Available

  • Neurology One

    Orlando, Florida 32825
    United States

    Site Not Available

  • USF Parkinson's & Movement Disorders Clinic

    Tampa, Florida 33613
    United States

    Site Not Available

  • Parkinson's Disease and Movement Disorders Center of Boca Raton

    Boca Raton 4148411, Florida 4155751 33486
    United States

    Active - Recruiting

  • University of Florida

    Gainesville 4156404, Florida 4155751 32608
    United States

    Active - Recruiting

  • Neurology One

    Orlando 4167147, Florida 4155751 32825
    United States

    Active - Recruiting

  • USF Parkinson's & Movement Disorders Clinic

    Tampa 4174757, Florida 4155751 33613
    United States

    Active - Recruiting

  • Emory University

    Atlanta, Georgia 30329
    United States

    Site Not Available

  • Augusta University

    Augusta, Georgia 30912
    United States

    Site Not Available

  • Emory University

    Atlanta 4180439, Georgia 4197000 30329
    United States

    Active - Recruiting

  • Augusta University

    Augusta 4180531, Georgia 4197000 30912
    United States

    Active - Recruiting

  • Northwestern Medical Group, Department of Neurology

    Chicago, Illinois 60611
    United States

    Site Not Available

  • Northwestern Medical Group, Department of Neurology

    Chicago 4887398, Illinois 4896861 60611
    United States

    Active - Recruiting

  • University of Kansas Medical Center

    Kansas City, Kansas 66160
    United States

    Site Not Available

  • University of Kansas Medical Center

    Kansas City 4273837, Kansas 4273857 66160
    United States

    Active - Recruiting

  • University of Kentucky

    Lexington, Kentucky 40536
    United States

    Site Not Available

  • University of Kentucky

    Lexington 4297983, Kentucky 6254925 40536
    United States

    Active - Recruiting

  • Ochsner Clinic Foundation

    New Orleans, Louisiana 70121
    United States

    Site Not Available

  • Ochsner Clinic Foundation

    New Orleans 4335045, Louisiana 4331987 70121
    United States

    Active - Recruiting

  • University of Maryland

    Baltimore, Maryland 21201
    United States

    Site Not Available

  • University of Maryland

    Baltimore 4347778, Maryland 4361885 21201
    United States

    Active - Recruiting

  • Beth Israel Deaconess Medical Center

    Boston, Massachusetts 02215
    United States

    Site Not Available

  • Beth Israel Deaconess Medical Center

    Boston 4930956, Massachusetts 6254926 02215
    United States

    Active - Recruiting

  • Quest Research Institute

    Farmington Hills, Michigan 48334
    United States

    Site Not Available

  • Quest Research Institute

    Farmington Hills 4992523, Michigan 5001836 48334
    United States

    Active - Recruiting

  • Struthers Parkinson Center

    Golden Valley, Minnesota 55427
    United States

    Site Not Available

  • Struthers Parkinson Center

    Golden Valley 5028163, Minnesota 5037779 55427
    United States

    Active - Recruiting

  • Cleveland Clinic

    Las Vegas, Nevada 89106
    United States

    Site Not Available

  • Cleveland Clinic

    Las Vegas 5506956, Nevada 5509151 89106
    United States

    Active - Recruiting

  • Darthmouth-Hitchcock Medical Center - Parkinson's Center

    Lebanon, New Hampshire 03756
    United States

    Site Not Available

  • Northwell Health

    Great Neck, New York 11021
    United States

    Site Not Available

  • Columbia University

    New York, New York 10032
    United States

    Active - Recruiting

  • Icahn School of Medicine at Mount Sinai/Mount Sinai West

    New York, New York 10019
    United States

    Site Not Available

  • University of Rochester

    Rochester, New York 14618
    United States

    Site Not Available

  • Northwell Health

    Great Neck 5119218, New York 5128638 11021
    United States

    Active - Recruiting

  • Columbia University

    New York 5128581, New York 5128638 10032
    United States

    Active - Recruiting

  • Icahn School of Medicine at Mount Sinai/Mount Sinai West

    New York 5128581, New York 5128638 10019
    United States

    Active - Recruiting

  • University of Rochester

    Rochester 5134086, New York 5128638 14618
    United States

    Active - Recruiting

  • University of North Carolina - Chapel Hill

    Chapel Hill, North Carolina 27599
    United States

    Site Not Available

  • Velocity Clinical Research at Raleigh Neurology

    Raleigh, North Carolina 27607
    United States

    Site Not Available

  • University of North Carolina - Chapel Hill

    Chapel Hill 4460162, North Carolina 4482348 27599
    United States

    Active - Recruiting

  • Velocity Clinical Research at Raleigh Neurology

    Raleigh 4487042, North Carolina 4482348 27607
    United States

    Site Not Available

  • The Ohio State University

    Columbus, Ohio 43210
    United States

    Site Not Available

  • The Ohio State University

    Columbus 4509177, Ohio 5165418 43210
    United States

    Active - Recruiting

  • The Movement Disorder Clinic of Oklahoma

    Tulsa, Oklahoma 74136
    United States

    Site Not Available

  • The Movement Disorder Clinic of Oklahoma

    Tulsa 4553433, Oklahoma 4544379 74136
    United States

    Active - Recruiting

  • Oregon Health & Science University (OHSU)

    Portland, Oregon 97239
    United States

    Site Not Available

  • Oregon Health & Science University (OHSU)

    Portland 5746545, Oregon 5744337 97239
    United States

    Active - Recruiting

  • Thomas Jefferson University Hospital

    Philadelphia, Pennsylvania 19107
    United States

    Site Not Available

  • Thomas Jefferson University Hospital

    Philadelphia 4560349, Pennsylvania 6254927 19107
    United States

    Site Not Available

  • Medical University of South Carolina

    Charleston, South Carolina 29425
    United States

    Site Not Available

  • Medical University of South Carolina

    Charleston 4574324, South Carolina 4597040 29425
    United States

    Active - Recruiting

  • Vanderbilt University

    Nashville, Tennessee 37232
    United States

    Site Not Available

  • Vanderbilt University

    Nashville 4644585, Tennessee 4662168 37232
    United States

    Active - Recruiting

  • Neurology Consultants of Dallas PA

    Dallas, Texas 75243
    United States

    Site Not Available

  • Baylor College of Medicine

    Houston, Texas 77030
    United States

    Site Not Available

  • The University of Texas Health Science Center at Houston

    Houston, Texas 77030
    United States

    Site Not Available

  • Central Texas Neurology Consultants

    Round Rock, Texas 78681
    United States

    Site Not Available

  • Neurology Consultants of Dallas PA

    Dallas 4684888, Texas 4736286 75243
    United States

    Site Not Available

  • Baylor College of Medicine

    Houston 4699066, Texas 4736286 77030
    United States

    Active - Recruiting

  • The University of Texas Health Science Center at Houston

    Houston 4699066, Texas 4736286 77030
    United States

    Active - Recruiting

  • Central Texas Neurology Consultants

    Round Rock 4724129, Texas 4736286 78681
    United States

    Active - Recruiting

  • University of Utah Movement Division

    Salt Lake City, Utah 84108
    United States

    Site Not Available

  • University of Utah Movement Division

    Salt Lake City 5780993, Utah 5549030 84108
    United States

    Active - Recruiting

  • University of Virginia

    Charlottesville, Virginia 22903
    United States

    Site Not Available

  • University of Virginia

    Charlottesville 4752031, Virginia 6254928 22903
    United States

    Active - Recruiting

  • EvergreenHealth

    Kirkland, Washington 98034
    United States

    Site Not Available

  • EvergreenHealth

    Kirkland 5799841, Washington 5815135 98034
    United States

    Active - Recruiting

  • Inland Northwest Research

    Spokane 5811696, Washington 5815135 99202
    United States

    Site Not Available

  • Medical College of Wisconsin

    Milwaukee, Wisconsin 53226
    United States

    Site Not Available

  • Medical College of Wisconsin

    Milwaukee 5263045, Wisconsin 5279468 53226
    United States

    Active - Recruiting

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