Efficacy in adjunctive treatment with oral levodopa

TEMPO-3 (with oral levodopa)

Patients experienced significantly more good “On” time* with JUVMO added to oral LD vs oral LD alone1,2

Primary endpoint: Change from baseline to week 26 in total daily good "On" time*

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See good "On" time for patients treated with JUVMO™ added to oral levodopa versus oral levodopa alone.

TEMPO-3: Phase 3, randomized, double-blind, placebo-controlled, parallel-group, flexible-dose, 27-week trial in 507 patients with PD experiencing motor fluctuations.1,2

*Good "On" time is defined as "On" time without troublesome dyskinesia (based on the 2-day average of the self-completed Hauser diary).1,2

Post hoc analysis (TEMPO-3)

Mean change in “On” time with no dyskinesia3

LS mean change from baseline to week 26

At week 26, patients taking JUVMO™ added to oral levodopa report +1.4 hours of "On" time with no dyskinesia.

Data Limitations: Data are from a post hoc analysis and are not adjusted for multiplicity; no conclusions of statistical significance can be drawn due to the exploratory nature of the analysis.

Long-term OLE (TEMPO-4)

Proportion of patients who did not increase their oral levodopa dose after 85 weeks4

93%

of patients taking JUVMO + oral levodopa did not increase their oral levodopa dose after 85 weeks (n=96/103)

TEMPO-4: Phase 3, open-label, 58-week trial of patients with PD who completed TEMPO-3.5

OLE Limitations: There is potential for enrichment of OLE data; unblinding patients may cause bias related to overall treatment effect; data are descriptive in nature, and findings should be interpreted with caution.

These data represent patients who rolled over from TEMPO-3. Patients were on a fixed dose of oral levodopa for the first 27 weeks in TEMPO-3.

TEMPO-3 & TEMPO-4 (with oral levodopa)

Durable good "On" time* through 85 weeks on JUVMO + oral levodopa1,2,4

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See good "On" time for patients treated with JUVMO™ added to oral levodopa versus oral levodopa alone.

In the RCT, analyses used the mITT population: randomized subjects with ≥1 dose of study drug and both baseline and postbaseline assessments. In the OLE, analyses used the FAS population: subjects with ≥1 dose of study drug.1,4,6

TEMPO-4: Phase 3, open-label, 58-week trial of patients with PD who completed TEMPO-3.5

OLE Limitations: There is potential for enrichment of OLE data; unblinding patients may cause bias related to overall treatment effect; data are descriptive in nature, and findings should be interpreted with caution.

*Good "On" time is defined as "On" time without troublesome dyskinesia (based on the 2-day average of the self-completed Hauser diary).1,2

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Post hoc analysis (TEMPO-3 & TEMPO-4)

Continuous hours of good “On” time* per day3

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At week 26, patients taking JUVMO™ reported 7.4 continuous hours of "On" time. At week 85, patients reported 8.3 continuous hours of "On" time.

Continuous good “On” time for placebo + oral levodopa at baseline and week 26 were 4.7 hours and 6.8 hours, respectively.3

Data Limitations: ​Data are from a post hoc analysis and are not adjusted for multiplicity; no conclusions of statistical significance can be drawn due to the exploratory nature of the analysis.​

OLE Limitations: There is potential for enrichment of OLE data; unblinding patients may cause bias related to overall treatment effect; data are descriptive in nature, ​and findings should be interpreted with caution.​

*Continuous “On” time defined as the longest stretch of time during the 16-hour waking day during which patients experienced “On” time without troublesome dyskinesia (good).3

TEMPO-4 (with oral levodopa)

Proportion of patients who did not increase their oral levodopa dose after 85 weeks4

In an open-label extension study, an observed

93%

of patients taking JUVMO + oral levodopa did not increase their oral levodopa dose after 85 weeks (n=96/103)

See percentage of patients who did not increase their oral levodopa dose at 85 weeks.

These data represent patients rolled over from TEMPO-3. Patients were on a fixed dose of oral levodopa for the first 27 weeks in TEMPO-3.

TEMPO-4: Phase 3, open-label, 58-week trial of patients with PD including those who completed TEMPO-3.5

OLE Limitations: There is potential for enrichment of OLE data; unblinding patients may cause bias related to overall treatment effect; data are descriptive in nature, and findings should be interpreted with caution.

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Review safety data from the JUVMO studies

FAS=full analysis set; LD=levodopa; LS=least squares; mITT=modified intent-to-treat; OLE=open-label extension; PD=Parkinson’s disease; RCT=randomized controlled trial.