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CPMS-7001_Parkinson’s disease Confidential 1 CPMS-7001 Treatment of Parkinson’s Disease Using NEXALIN, a Transcranial Electrical Stimulator STATISTICAL REPORT February 05, 2009 Nexalin Technology, Inc. Nexalin Technology, Inc. 1382 Valencia Ave., Unit F Tustin, CA 92780 Phone: (714) 258-8004 Email: [email protected]

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Page 1: CPMS-7001 Treatment of Parkinson’s Disease Using NEXALIN, a … · 2019-08-21 · CPMS-7001_Parkinson’s disease Confidential 1 CPMS-7001 Treatment of Parkinson’s Disease Using

CPMS-7001_Parkinson’s disease Confidential 1

CPMS-7001 Treatment of Parkinson’s Disease Using NEXALIN, a Transcranial Electrical Stimulator

STATISTICAL REPORT

February 05, 2009

Nexalin Technology, Inc.

Nexalin Technology, Inc.1382 Valencia Ave., Unit F Tustin, CA 92780 Phone: (714) 258-8004Email: [email protected]

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Table of Contents

Topic Page

Table of Contents ................................................................................................................ 2

Introduction ......................................................................................................................... 3

Overview of Study .............................................................................................................. 3

Statistical Methods .............................................................................................................. 4

Results ................................................................................................................................. 5

Arm 1 .............................................................................................................................. 5

Arm 2 .............................................................................................................................. 5

Conclusions ......................................................................................................................... 5

Reference Tables ................................................................................................................. 6

UPDRS Total Score: Improvement from Baseline_Arm1 .............................................. 6

UPDRS Total Score: Means over Time_Arm 1 ............................................................. 7

UPDRS Mentation Section: Improvement from Baseline_Arm 1 .................................. 8

UPDRS Mentation Section: Means over Time_Arm 1 ................................................... 9

UPDRS Activities Section: Improvement from Baseline_Arm 1 ................................. 10

UPDRS Activities Section: Means over Time_Arm 1 ................................................. 11

UPDRS Motor Exam Section: Improvement from Baseline_Arm 1 ............................ 12

UPDRS Motor Exam Section: Means over Time_Arm 1 ............................................. 13

TUG Time Test: Improvement from Baseline_Arm 1 ................................................. 14

TUG Time Test: Means over Time_Arm 1 .................................................................. 15

UPDRS Total Score: Improvement from Baseline_Arm 2 ........................................... 16

UPDRS Total Score: Means over Time_Arm 2 ........................................................... 17

UPDRS Mentation Section: Improvement from Baseline_Arm 2 ................................ 18

UPDRS Mentation Section: Means over Time_Arm 2 ................................................. 19

UPDRS Activities Section: Improvement from Baseline_Arm 2 ................................. 20

UPDRS Activities Section: Means over Time_Arm 2 ................................................. 21

UPDRS Motor Exam Section: Improvement from Baseline_Arm 2 ............................ 22

UPDRS Motor Exam Section: Means over Time_Arm 2 ............................................. 23

TUG Test Time: Improvement from Baseline_Arm 2 ................................................. 24

TUG Test Time: Means over Time_Arm 2 .................................................................. 25

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Introduction

This open label, uncontrolled study of Nexalin in Parkinson’s disease was done in Russia.

The study had two arms. The primary efficacy outcomes were changes from Baseline of

the United Parkinson’s Disease Rating Scale (UPDRS) and the Timed Up and Go Test

(TUG). This report presents a brief summary of the statistical analysis done on the

primary efficacy variables:

Overview of Study

There were two Arms in this study. Arm 1 had 20 subjects and lasted 5 weeks. Arm 2 had

30 subjects and lasted 22 weeks.

Arm 1 consisted of: two initial weeks, a one week (seven days) treatment period, and two

weeks of follow-up. The Baseline values were the single measures before the first

treatment. The changes from Baseline were analyzed at the following time periods:

Arm 1: Treatment Day 7

Post study Week 4

Post study Week5

Arm 2 consisted of: two initial weeks, a two-week treatment period, a two week interim

period, a second two week treatment period, and four follow-up visits (Weeks 9, 10, 16,

and 22). During the two week treatment periods, Nexalin was administered at Days 1 to 5

and days 8 to 12. The Baseline values were the single measures before the first treatment.

The changes from Baseline were analyzed at the following time periods:

Arm 2: Treatment session 1, day 5

Treatment session 1, day 6

Treatment session 1, day 10

Interim visit – Week 5

Treatment session 2, day 1

Treatment session 2, day 5

Treatment session 2, day 6

Treatment session 2, day 10

Post study visit – Week 9

Post study visit – Week 10

Follow-up – Week 16

Follow-up – Week 22

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Statistical Methods

The 5 efficacy variables were:

UPDRS Total Score. 44 = 4 + 26 + 14 questions.

UPDRS Mentation Subsection Score. 4 questions

UPDRS Activities Subsection Score. 26 questions

UPDRS Motor Exam Subsection Score. 14 questions

TUG Time, in seconds

The UPDRS question responses usually range between 0 and 4, with higher values being

worse for the subject.

There was no missing data.

This was an uncontrolled study and covariates were not considered an issue.

These variables were tested for change from Baseline with two sided paired t-tests. The

results are presented on the attached tables. Results were considered statistically

significant at p ≤ 0.05.

The graphs on the attached tables show means of the variables and percentage change of

mean from Baseline, computed using the formula:

100 * (mean baseline score – mean follow-up score) / mean baseline score.

Note that paired tests are not directly done on these plotted values.

Normality assumptions were examined by looking at q-q plots. The deviations from

normality seen were not considered enough to cause any concern with the analysis.

Paired Wilcox tests were also examined, to check for normality problems. As expected

the p-values were somewhat greater, but consistent with normally distributed data.

Two other measures were taken in the initial two weeks before Baseline. They were very

consistent with the Baseline values. If these were used in a 2 way ANOVA, smaller p-

values would be expected in most cases.

For these reasons we feel comfortable with the p values presented.

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Results

Arm 1

Statistically significant improvements (p≤0.05) were found with the assessment tools

noted below, at the listed measurement intervals:

UPDRS Total Score: Treatment Day 7, Post Study Week 4, Post Study Week 5

UPDRS Mentation Section: Treatment Day 7, Post Study Week 4

UPDRS Activities Section: Treatment Day 7, Post Study Week 4

UPDRS Motor Exam Section: Post Study Week 4

TUG Time: Treatment Day 7, Post Study Week 4, Post Study Week 5

Arm 2

Statistically significant improvements (p≤0.05) were found with the assessment tools

noted below, at the listed measurement intervals:

UPDRS Total Score: All times except Follow-up Week 22

UPDRS Mentation Section: All times except

Treatment 2 Day 1, Follow-up Week 16, and Follow-up Week 22

UPDRS Activities Section: All times except Follow-up Week 22

UPDRS Motor Exam Section: All times except Follow-up Week 22

TUG Time: All times except Treatment 1 day 5 and Follow-up Week 22

Actual p-values are shown in the reference tables included in the following pages.

Conclusions

Although significant results were noted in both treatment groups, the most effective

treatment regimen for patients suffering from the symptoms associated with Parkinson’s

disease remains unclear. A positive aspect that supports further research is that the

results demonstrate statistically significant improvements in many areas for up to 16

weeks in patients with a disease that is a continuously progressive disease.

Some of the flaws associated with the clinical investigation include the small sample size,

the lack of an objective test for the symptoms associated with Parkinson’s disease, the

potential for a high placebo response, and the lack of a strong response from a placebo

controlled feasibility study.

Further studies will need to be done in order to determine the maximum effectiveness of

Nexalin Therapy on the symptoms associated with Parkinson’s disease.

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Reference Tables

Parkinson’s Disease Study – Arm 1

UPDRS Total Score: Improvement from Baseline_Arm1

UPDRS Total Score: Improvement from Baseline

0.00

2.00

4.00

6.00

8.00

10.00

12.00

14.00

16.00

18.00

20.00

Baseline S7W3 P1W4 P2W5

Study Visit

Per

cen

t Im

pro

vem

ent

UPDRS Total Score: Percent Improvement from Baseline

Visit Baseline Treatment

Day 7 Post Study

Week 4 Post Study

Week 5

Visit Code B S7W3 P1W4 P2W5 % change 0.00 14.1 18.5 11.7 p-value 0.009152* 0.001574* 0.02656*

* Statistically significant (p≤0.05)

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Parkinson’s Disease Study – Arm 1

UPDRS Total Score: Means over Time_Arm 1

UPDRS Total Score

0.0

10.0

20.0

30.0

40.0

50.0

60.0

B S7W3 P1W4 P2W5

Study Visit

Mea

n

UPDRS Total Score: Means over Time

Visit Baseline Treatment

Day 7 Post Study

Week 4 Post Study

Week 5

Visit Code B S7W3 P1W4 P2W5 Mean 49.6  42.6  40.5  43.9 

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Parkinson’s Disease Study – Arm 1

UPDRS Mentation Section: Improvement from Baseline_Arm 1

UPDRS Mentation Section: Improvement from Baseline

0.00

5.00

10.00

15.00

20.00

25.00

30.00

35.00

B S7W3 P1W4 P2W5

Study Visit

Per

cen

t Im

pro

vem

ent

UPDRS Mentation Section: Percent Improvement from Baseline

Visit Baseline Treatment

Day 7 Post Study

Week 4 Post Study

Week 5

Visit Code B S7W3 P1W4 P2W5 % change 0.00 31.5 29.6 27.8 p-value 0.04329* 0.03852* 0.06507

* Statistically significant (p≤0.05)

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Parkinson’s Disease Study – Arm 1

UPDRS Mentation Section: Means over Time_Arm 1

UPDRS Mentation Section

0.0

0.5

1.0

1.5

2.0

2.5

3.0

B S7W3 P1W4 P2W5

Study Visit

Mea

n

UPDRS Mentation Section: Means over Time

Visit Baseline Treatment

Day 7 Post Study

Week 4 Post Study

Week 5

Visit Code B S7W3 P1W4 P2W5 Mean 2.7  1.9  1.9  1.9 

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Parkinson’s Disease Study – Arm 1

UPDRS Activities Section: Improvement from Baseline_Arm 1

UPDRS Activities Section: Improvement from Baseline

0.00

5.00

10.00

15.00

20.00

25.00

B S7W3 P1W4 P2W5

Study Visit

Per

cen

t Im

pro

vem

ent

UPDRS Activities Section: Percent Improvement from Baseline

Visit Baseline Treatment

Day 7 Post Study

Week 4 Post Study

Week 5

Visit Code B S7W3 P1W4 P2W5 % change 0.00 19.8 22.1 12.1 p-value 0.003873* 0.001620* 0.05728

* Statistically significant (p≤0.05)

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Parkinson’s Disease Study – Arm 1

UPDRS Activities Section: Means over Time_Arm 1

UPDRS Activities Section

0.0

5.0

10.0

15.0

20.0

25.0

30.0

B S7W3 P1W4 P2W5

Study Visit

Mea

n

UPDRS Activities Section: Means over Time

Visit Baseline Treatment

Day 7 Post Study

Week 4 Post Study

Week 5

Visit Code B S7W3 P1W4 P2W5 Mean 26.1  20.9  20.3  22.9 

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Parkinson’s Disease Study – Arm 1

UPDRS Motor Exam Section: Improvement from Baseline_Arm 1

UPDRS Motor Exam Section: Improvement from Baseline

0.00

2.00

4.00

6.00

8.00

10.00

12.00

14.00

B S7W3 P1W4 P2W5

Study Visit

Per

cen

t Im

pro

vem

ent

UPDRS Motor Exam Section: Percent Improvement from Baseline

Visit Baseline Treatment

Day 7 Post Study

Week 4 Post Study

Week 5

Visit Code B S7W3 P1W4 P2W5 % change 0.00 4.8 12.7 9.1 p-value 0.1756 0.01044* 0.06644

* Statistically significant (p≤0.05)

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Parkinson’s Disease Study – Arm 1

UPDRS Motor Exam Section: Means over Time_Arm 1

UPDRS Motor Exam Section

16.5

17.0

17.5

18.0

18.5

19.0

19.5

20.0

20.5

21.0

21.5

B S7W3 P1W4 P2W5

Study Visit

Mea

n

UPDRS Motor Exam Section: Means over Time

Visit Baseline Treatment

Day 7 Post Study

Week 4 Post Study

Week 5

Visit Code B S7W3 P1W4 P2W5 Mean 20.9  19.9  18.2  19.0 

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Parkinson’s Disease Study – Arm 1

TUG Time Test: Improvement from Baseline_Arm 1

Timed Up and Go (TUG) Time Test: Improvement from Baseline

0.00

2.00

4.00

6.00

8.00

10.00

12.00

14.00

16.00

B S7W3 P1W4 P2W5

Study Visit

Per

cen

t Im

pro

vem

ent

Timed Up and Go (TUG) Test Time: Percent Improvement from Baseline

Visit Baseline Treatment

Day 7 Post Study

Week 4 Post Study

Week 5

Visit Code B S7W3 P1W4 P2W5 % change 0.00 13.6 14.0 14.4 p-value 0.004332* 0.008148* 0.01096*

* Statistically significant (p≤0.05)

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Parkinson’s Disease Study – Arm 1

TUG Time Test: Means over Time_Arm 1

Timed Up and Go (TUG) Time Test

9.0

9.5

10.0

10.5

11.0

11.5

12.0

B S7W3 P1W4 P2W5

Study Visit

Mea

n

Timed Up and Go (TUG) Test Time: Means over Time

Visit Baseline Treatment

Day 7 Post Study

Week 4 Post Study

Week 5

Visit Code B S7W3 P1W4 P2W5 Mean 11.8  10.2  10.2  10.1 

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Parkinson’s Disease Study – Arm 2

UPDRS Total Score: Improvement from Baseline_Arm 2

UPDRS Total Score: Improvement from Baseline

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

16.0

B S5W3 S6W3 S10W4 IW5 S1W7 S5W7 S6W7 S10W8 P1W9 P2W10 F1W16 F2W22

Study Visit

Per

cen

t Im

pro

vem

ent

UPDRS Total Score: Percent Improvement from Baseline

Visit Baseline

Treatment Session1 Treatment

Day 5

Treatment Session1 Treatment

Day 6

Treatment Session1 Treatment

Day 10 Interim Visit

Week 5

Treatment Session2 Treatment

Day 1

Treatment Session2 Treatment

Day 5

Treatment Session2 Treatment

Day 6

Treatment Session2 Treatment

Day 10

Post Study

Week 9

Post Study

Week 10 Follow-up Week 16

Follow-up Week 22

Visit Code B S5W3 S6W3 S10W4 IW5 S1W7 S5W7 S6W7 S10W8 P1W9 P2W10 F1W16 F2W22

% change 0.0 6.8 9.6 15.2 11.3 7.5 10.2 12.0 14.6 14.0 12.7 8.1 2.7

p-value 0.005488* 0.000287* 3.85E-05* 0.000363* 0.003714* 0.002605* 0.00102* 0.000137* 0.00014* 0.000322* 0.003608* 0.2227 * Statistically significant (p≤0.05)

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Parkinson’s Disease Study – Arm 2

UPDRS Total Score: Means over Time_Arm 2

UPDRS Total Score

34.0

36.0

38.0

40.0

42.0

44.0

46.0

B

S5W3

S6W3

S10W

4IW

5

S1W7

S5W7

S6W7

S10W

8

P1W9

P2W10

F1W16

F2W22

Study Visit

Mea

n

UPDRS Total Score: Means over Time

Visit Baseline

Treatment Session1 Treatment

Day 5

Treatment Session1 Treatment

Day 6

Treatment Session1 Treatment

Day 10 Interim Visit

Week 5

Treatment Session2 Treatment

Day 1

Treatment Session2 Treatment

Day 5

Treatment Session2 Treatment

Day 6

Treatment Session2 Treatment

Day 10

Post Study

Week 9

Post Study

Week 10 Follow-up Week 16

Follow-up Week 22

Visit Code B S5W3 S6W3 S10W4 IW5 S1W7 S5W7 S6W7 S10W8 P1W9 P2W10 F1W16 F2W22

Mean 44.6 41.6 40.4 37.9 39.6 41.3 40.1 39.3 38.1 38.4 39.0 41.0 43.4

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Parkinson’s Disease Study – Arm 2

UPDRS Mentation Section: Improvement from Baseline_Arm 2

UPDRS Mentation Section: Improvement from Baseline

0.0

5.0

10.0

15.0

20.0

25.0

30.0

B S5W3 S6W3 S10W4 IW5 S1W7 S5W7 S6W7 S10W8 P1W9 P2W10 F1W16 F2W22

Study Visit

Per

cen

t Im

pro

vem

ent

UPDRS Mentation Section: Percent Improvement from Baseline

Visit Baseline

Treatment Session1 Treatment

Day 5

Treatment Session1 Treatment

Day 6

Treatment Session1 Treatment

Day 10 Interim Visit

Week 5

Treatment Session2 Treatment

Day 1

Treatment Session2 Treatment

Day 5

Treatment Session2 Treatment

Day 6

Treatment Session2 Treatment

Day 10

Post Study

Week 9

Post Study

Week 10 Follow-up Week 16

Follow-up Week 22

Visit Code B S5W3 S6W3 S10W4 IW5 S1W7 S5W7 S6W7 S10W8 P1W9 P2W10 F1W16 F2W22

% change 0.0 14.1 23.1 28.2 25.6 14.1 20.5 25.6 25.6 25.6 21.8 12.8 10.3

p-value 0.04621* 0.002737* 0.000858* 0.005358* 0.1176 0.03991* 0.01119* 0.009853* 0.01119* 0.03247* 0.08632 0.1033 *Statistically significant (p≤0.05)

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Parkinson’s Disease Study – Arm 2

UPDRS Mentation Section: Means over Time_Arm 2

UPDRS Mentation Section

0.0

0.5

1.0

1.5

2.0

2.5

3.0

B

S5W3

S6W3

S10W

4IW

5

S1W7

S5W7

S6W7

S10W

8

P1W9

P2W10

F1W16

F2W22

Study Visit

Mea

n

UPDRS Mentation Section: Means over Time

Visit Baseline

Treatment Session1 Treatment

Day 5

Treatment Session1 Treatment

Day 6

Treatment Session1 Treatment

Day 10 Interim Visit

Week 5

Treatment Session2 Treatment

Day 1

Treatment Session2 Treatment

Day 5

Treatment Session2 Treatment

Day 6

Treatment Session2 Treatment

Day 10

Post Study

Week 9

Post Study

Week 10 Follow-up Week 16

Follow-up Week 22

Visit Code B S5W3 S6W3 S10W4 IW5 S1W7 S5W7 S6W7 S10W8 P1W9 P2W10 F1W16 F2W22

Mean 2.6 2.2 2.0 1.9 1.9 2.2 2.1 1.9 1.9 1.9 2.0 2.3 2.3

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Parkinson’s Disease Study – Arm 2

UPDRS Activities Section: Improvement from Baseline_Arm 2

UPDRS Activities Section: Improvement from Baseline

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

16.0

18.0

B S5W3 S6W3 S10W4 IW5 S1W7 S5W7 S6W7 S10W8 P1W9 P2W10 F1W16 F2W22

Study Visit

Per

cen

t Im

pro

vem

ent

UPDRS Activities Section: Percent Improvement from Baseline

Visit Baseline

Treatment Session1 Treatment

Day 5

Treatment Session1 Treatment

Day 6

Treatment Session1 Treatment

Day 10 Interim Visit

Week 5

Treatment Session2 Treatment

Day 1

Treatment Session2 Treatment

Day 5

Treatment Session2 Treatment

Day 6

Treatment Session2 Treatment

Day 10

Post Study

Week 9

Post Study

Week 10 Follow-up Week 16

Follow-up Week 22

Visit Code B S5W3 S6W3 S10W4 IW5 S1W7 S5W7 S6W7 S10W8 P1W9 P2W10 F1W16 F2W22

% change 0.0 6.4 9.2 15.9 8.9 6.6 9.2 11.1 13.6 11.8 10.7 7.0 1.4

p-value 0.03042* 0.002793* 0.000212* 0.006994* 0.0157* 0.007681* 0.003952* 0.000879* 0.000691* 0.001636* 0.01584* 0.6236 * Statistically significant (p≤0.05)

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Parkinson’s Disease Study – Arm 2

UPDRS Activities Section: Means over Time_Arm 2

UPDRS Activities Section

16.0

17.0

18.0

19.0

20.0

21.0

22.0

23.0

B

S5W3

S6W3

S10W

4IW

5

S1W7

S5W7

S6W7

S10W

8

P1W9

P2W10

F1W16

F2W22

Study Visit

Mea

n

UPDRS Activities Section: Means over Time

Visit Baseline

Treatment Session1 Treatment

Day 5

Treatment Session1 Treatment

Day 6

Treatment Session1 Treatment

Day 10 Interim Visit

Week 5

Treatment Session2 Treatment

Day 1

Treatment Session2 Treatment

Day 5

Treatment Session2 Treatment

Day 6

Treatment Session2 Treatment

Day 10

Post Study

Week 9

Post Study

Week 10 Follow-up Week 16

Follow-up Week 22

Visit Code B S5W3 S6W3 S10W4 IW5 S1W7 S5W7 S6W7 S10W8 P1W9 P2W10 F1W16 F2W22

Mean 21.8 20.4 19.8 18.4 19.9 20.4 19.8 19.4 18.9 19.3 19.5 20.3 21.5

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Parkinson’s Disease Study – Arm 2

UPDRS Motor Exam Section: Improvement from Baseline_Arm 2

UPDRS Motor Exam Section: Improvement from Baseline

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

16.0

B S5W3 S6W3 S10W4 IW5 S1W7 S5W7 S6W7 S10W8 P1W9 P2W10 F1W16 F2W22

Study Visit

Per

cen

t Im

pro

vem

ent

UPDRS Motor Exam Section: Percent Improvement from Baseline

Visit Baseline

Treatment Session1 Treatment

Day 5

Treatment Session1 Treatment

Day 6

Treatment Session1 Treatment

Day 10 Interim Visit

Week 5

Treatment Session2 Treatment

Day 1

Treatment Session2 Treatment

Day 5

Treatment Session2 Treatment

Day 6

Treatment Session2 Treatment

Day 10

Post Study

Week 9

Post Study

Week 10 Follow-up Week 16

Follow-up Week 22

Visit Code B S5W3 S6W3 S10W4 IW5 S1W7 S5W7 S6W7 S10W8 P1W9 P2W10 F1W16 F2W22

% change 0.0 6.3 8.3 12.7 12.0 7.6 9.9 11.2 14.4 15.0 13.7 8.7 3.1

p-value 0.02039* 0.002316* 0.00021* 0.001087* 0.007072* 0.005254* 0.002551* 0.000258* 0.000273* 0.00104* 0.008223* 0.2086 * Statistically significant (p≤0.05)

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CPMS-7001_Parkinson’s disease Confidential 23

Parkinson’s Disease Study – Arm 2

UPDRS Motor Exam Section: Means over Time_Arm 2

UPDRS Motor Exam Section

0.0

5.0

10.0

15.0

20.0

25.0

B

S5W3

S6W3

S10W

4IW

5

S1W7

S5W7

S6W7

S10W

8

P1W9

P2W10

F1W16

F2W22

Study Visit

Mea

n

UPDRS Motor Exam Section: Means over Time

Visit Baseline

Treatment Session1 Treatment

Day 5

Treatment Session1 Treatment

Day 6

Treatment Session1 Treatment

Day 10 Interim Visit

Week 5

Treatment Session2 Treatment

Day 1

Treatment Session2 Treatment

Day 5

Treatment Session2 Treatment

Day 6

Treatment Session2 Treatment

Day 10

Post Study

Week 9

Post Study

Week 10 Follow-up Week 16

Follow-up Week 22

Visit Code B S5W3 S6W3 S10W4 IW5 S1W7 S5W7 S6W7 S10W8 P1W9 P2W10 F1W16 F2W22

Mean 18.9 18.5 17.6 17.8 18.7 18.2 17.9 17.3 17.2 17.4 18.4 19.6 21.5

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Parkinson’s Disease Study – Arm 2

TUG Test Time: Improvement from Baseline_Arm 2

Timed Up and Go (TUG) Test Time: Improvement from Baseline

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

B S5W3 S6W3 S10W4 IW5 S1W7 S5W7 S6W7 S10W8 P1W9 P2W10 F1W16 F2W22

Study Visit

Per

cen

t Im

pro

vem

ent

Timed Up and Go (TUG) Test Time: Percent Improvement from Baseline

Visit Baseline

Treatment Session1 Treatment

Day 5

Treatment Session1 Treatment

Day 6

Treatment Session1 Treatment

Day 10

Interim Visit Week

5

Treatment Session2 Treatment

Day 1

Treatment Session2 Treatment

Day 5

Treatment Session2 Treatment

Day 6

Treatment Session2 Treatment

Day 10 Post Study

Week 9 Post Study Week 10

Follow-up Week 16

Follow-up Week

22 Visit Code B S5W3 S6W3 S10W4 IW5 S1W7 S5W7 S6W7 S10W8 P1W9 P2W10 F1W16 F2W22

% change 0.0 3.2 7.8 7.4 10.3 7.4 11.3 12.4 13.1 11.0 9.2 5.0 2.5

p-value 0.1527 0.004696* 0.000144* 0.000867* 0.002337* 5.08E-05* 7.69E-06* 1.15E-05* 8.96E-05* 0.000703* 0.01687* 0.1287 * Statistically significant (p≤0.05)

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Parkinson’s Disease Study – Arm 2

TUG Test Time: Means over Time_Arm 2

Timed Up and Go (TUG) Time Test

7.6

7.8

8.0

8.2

8.4

8.6

8.8

9.0

9.2

9.4

9.6

B

S5W3

S6W3

S10W

4IW

5

S1W7

S5W7

S6W7

S10W

8

P1W9

P2W10

F1W16

F2W22

Study Visit

Mea

n

Timed Up and Go (TUG) Time Test: Means over Time

Visit Baseline

Treatment Session1 Treatment

Day 5

Treatment Session1 Treatment

Day 6

Treatment Session1 Treatment

Day 10 Interim Visit

Week 5

Treatment Session2 Treatment

Day 1

Treatment Session2 Treatment

Day 5

Treatment Session2 Treatment

Day 6

Treatment Session2 Treatment

Day 10

Post Study

Week 9

Post Study

Week 10 Follow-up Week 16

Follow-up Week 22

Visit Code B S5W3 S6W3 S10W4 IW5 S1W7 S5W7 S6W7 S10W8 P1W9 P2W10 F1W16 F2W22

Mean 9.4 9.1 8.7 8.7 8.4 8.7 8.3 8.2 8.2 8.4 8.5 8.9 9.2