ARISE · Phase 3 topline results

Improving how people with Parkinson's feel and function every day

In ARISE, once-daily oral solengepras was evaluated across everyday function, daytime alertness, and quality of life — the measures that reflect how people with Parkinson’s experience their day.

experiences of daily living
1.91
points vs placebo

MDS-UPDRS Part II, solengepras 150 mg at Week 12. p=0.0008.

Functional and non-motor outcomeS

Meaningful impact across daily life, as reported by patients

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Solengepras 150 mg
Placebo

Everyday motor tasks

MDS-UPDRS Part II
Secondary · significant
1.91
points better than placebo · p=0.0008
2.05
0.14

How much Parkinson’s gets in the way of speaking, eating, dressing, hygiene, handwriting, hobbies, turning in bed, getting up, and walking.

Daytime alertness

Epworth Sleepiness Scale
Secondary · nominal
0.98
points less sleepy than placebo · nominal p=0.009
1.39
0.41

How likely someone is to doze off in everyday situations, such as reading, watching TV, in conversation. Sleepiness is a common burden of Parkinson’s and of some dopaminergic treatments.

Quality of life

PDQ-39
Exploratory · nominal
2.87
points better than placebo · nominal p=0.012
3.73
0.86

Impact of Parkinson’s on mobility, emotional well-being, communication, and relationships.

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Primary and key secondary endpoints

OFF time became good ON time

Participants entered ARISE with an average of 5.65 hours of daily OFF despite levodopa treatment; all were receiving levodopa, and nearly half were also on adjunctive therapies, including MAO-B and COMT inhibitors. With solengepras 150 mg, the hours taken out of OFF time came back almost one-for-one as ON time without troublesome dyskinesia — time when medication is working and movement isn’t disrupted by bothersome involuntary movements.

The reduction in OFF time was seen as early as Week 2, the first visit (0.75 h vs placebo; nominal p=0.0022), and at every visit through Week 12.

reduction in Daily OFF time · primary
−0.61 h
vs placebo at Week 12

p=0.0350 · 1.56 h vs 0.95 h from baseline

INCREASE IN Good ON time · key secondary
+0.60 h
vs placebo at Week 12

p=0.0468 · 1.58 h vs 0.98 h from baseline

Safety and tolerability

Generally well tolerated over 12 weeks

Most adverse events were mild or moderate. Solengepras does not act directly on dopamine receptors; the limited number of typical dopaminergic adverse events may be consistent with that mechanism.

8%

discontinued, vs 10% with placebo

0

serious adverse events, vs 0.9% with placebo

4.4%

reported dyskinesia, vs 1.8% with placebo

Low incidence of treatment emergent adverse events

Event
Solengepras 150 mg
Placebo
Headache
9 (8.0%)
4 (3.5%)
Urinary tract infection
9 (8.0%)
7 (6.1%)
Insomnia
7 (6.2%)
1 (0.9%)
Nausea
7 (6.2%)
2 (1.8%)
Study design

About ARISE

Global, multicenter, randomized, double-blind, placebo-controlled Phase 3 trial of solengepras as an add-on to levodopa and other Parkinson’s medications, in adults with motor fluctuations averaging at least 3 hours of OFF time a day.

341

participants randomized 1:1:1

12 weeks

once-daily oral dosing with no dose titration

91%

completed the trial (311 of 341)

A different mechanism

Non-dopaminergic, by design

Solengepras is a potential first-in-class inhibitor of GPR6, a receptor found on the cells of the striatal indirect pathway. Rather than replacing or mimicking dopamine, it aims to help rebalance the brain’s movement circuits — with the potential to address both motor and non-motor symptoms.

ClinicalTrials.gov: NCT06553027

Solengepras is an investigational therapy. It has not been approved by the U.S. Food and Drug Administration or any other regulatory authority.

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