Trial Outcomes & Findings for Efficacy, Safety and Tolerability of Rotigotine Nasal Spray for the Acute Treatment of RLS Symptoms (NCT NCT00389831)

NCT ID: NCT00389831

Last Updated: 2014-10-02

Results Overview

Subjects rate the severity of the RLS symptoms at the start of each pre dose and post dose Suggested Immobilization Test (SIT-0 to SIT-6) and every 5min during each SIT, using a numeric symptoms severity scale, where 0=not severe and 10=very severe.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

44 participants

Primary outcome timeframe

4 hours post-treatment period at each treatment day

Results posted on

2014-10-02

Participant Flow

Participant milestones

Participant milestones
Measure
Placebo
Subjects receiving a single dose of placebo nasal spray on all 4 treatment days
Rotigotine Nasal Spray
Subjects receiving doses of placebo nasal spray on Day 1 or Day 2, Rotigotine nasal spray 62µg on Day 1 or Day 2, Rotigotine nasal spray 124µg on Day 3, and Rotigotine nasal spray 247µg on Day 4
Overall Study
STARTED
10
34
Overall Study
COMPLETED
10
27
Overall Study
NOT COMPLETED
0
7

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo
Subjects receiving a single dose of placebo nasal spray on all 4 treatment days
Rotigotine Nasal Spray
Subjects receiving doses of placebo nasal spray on Day 1 or Day 2, Rotigotine nasal spray 62µg on Day 1 or Day 2, Rotigotine nasal spray 124µg on Day 3, and Rotigotine nasal spray 247µg on Day 4
Overall Study
Lack of Efficacy
0
2
Overall Study
Did not receive treatment.
0
2
Overall Study
Other reasons
0
2
Overall Study
Lost to Follow-up
0
1

Baseline Characteristics

Efficacy, Safety and Tolerability of Rotigotine Nasal Spray for the Acute Treatment of RLS Symptoms

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=10 Participants
Subjects receiving a single dose of placebo nasal spray on all 4 treatment days
Rotigotine Nasal Spray
n=34 Participants
Subjects receiving doses of placebo nasal spray on Day 1 or Day 2, Rotigotine nasal spray 62µg on Day 1 or Day 2, Rotigotine nasal spray 124µg on Day 3, and Rotigotine nasal spray 247µg on Day 4
Total
n=44 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
9 Participants
n=5 Participants
33 Participants
n=7 Participants
42 Participants
n=5 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Age, Continuous
55.5 years
STANDARD_DEVIATION 5.40 • n=5 Participants
52.9 years
STANDARD_DEVIATION 7.78 • n=7 Participants
53.5 years
STANDARD_DEVIATION 7.33 • n=5 Participants
Sex: Female, Male
Female
8 Participants
n=5 Participants
21 Participants
n=7 Participants
29 Participants
n=5 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
13 Participants
n=7 Participants
15 Participants
n=5 Participants
Region of Enrollment
Germany
10 participants
n=5 Participants
34 participants
n=7 Participants
44 participants
n=5 Participants

PRIMARY outcome

Timeframe: 4 hours post-treatment period at each treatment day

Population: Full Analysis Set

Subjects rate the severity of the RLS symptoms at the start of each pre dose and post dose Suggested Immobilization Test (SIT-0 to SIT-6) and every 5min during each SIT, using a numeric symptoms severity scale, where 0=not severe and 10=very severe.

Outcome measures

Outcome measures
Measure
Placebo - Day 1
n=10 Participants
Subjects randomized to placebo treatment arm receiving a single dose of placebo nasal spray on Day 1.
Placebo - Day 2
n=10 Participants
Subjects randomized to placebo treatment arm receiving a single dose of placebo nasal spray on Day 2.
Placebo - Day 3
n=10 Participants
Subjects randomized to placebo treatment arm receiving a single dose of placebo nasal spray on Day 3.
Placebo - Day 4
n=10 Participants
Subjects randomized to placebo treatment arm receiving a single dose of placebo nasal spray on Day 4.
Rotigotine Nasal Spray - Placebo
n=31 Participants
Subjects randomized to rotigotine nasal spray arm receiving a single dose of placebo nasal spray on Day 1 or Day 2.
Rotigotine Nasal Spray - Rotigotine 62µg
n=31 Participants
Subjects randomized to rotigotine nasal spray arm receiving a single dose of rotigotine 62µg nasal spray on Day 1 or Day 2.
Rotigotine Nasal Spray - Rotigotine 124µg
n=28 Participants
Subjects randomized to rotigotine nasal spray arm receiving a single dose of rotigotine 124µg nasal spray on Day 3.
Rotigotine Nasal Spray - Rotigotine 247µg
n=28 Participants
Subjects randomized to rotigotine nasal spray arm receiving a single dose of rotigotine 247µg nasal spray on Day 4.
Average Numeric Symptom Severity Score After Single Dose of Rotigotine Nasal Spray or Matching Placebo
2.6 score on a scale
Standard Deviation 1.76
2.2 score on a scale
Standard Deviation 1.44
2.5 score on a scale
Standard Deviation 2.03
2.0 score on a scale
Standard Deviation 1.65
2.9 score on a scale
Standard Deviation 1.99
2.7 score on a scale
Standard Deviation 1.84
2.0 score on a scale
Standard Deviation 1.14
1.5 score on a scale
Standard Deviation 1.21

PRIMARY outcome

Timeframe: 4 hours post-treatment period at each treatment day

Population: Full Analysis Set

The Periodic Limb Movement (PLM) during Wakefulness Index (PLMWI) measures the number of limb movements per hour and indicates the frequency of PLMs when the subject is awake and the degree of motor symptoms of the disorder during wake time. No movements would result in a score of 0 PLM per hour. Outcome is the average movements per hour in the 4 hour post-dose period per subject.

Outcome measures

Outcome measures
Measure
Placebo - Day 1
n=10 Participants
Subjects randomized to placebo treatment arm receiving a single dose of placebo nasal spray on Day 1.
Placebo - Day 2
n=10 Participants
Subjects randomized to placebo treatment arm receiving a single dose of placebo nasal spray on Day 2.
Placebo - Day 3
n=10 Participants
Subjects randomized to placebo treatment arm receiving a single dose of placebo nasal spray on Day 3.
Placebo - Day 4
n=10 Participants
Subjects randomized to placebo treatment arm receiving a single dose of placebo nasal spray on Day 4.
Rotigotine Nasal Spray - Placebo
n=31 Participants
Subjects randomized to rotigotine nasal spray arm receiving a single dose of placebo nasal spray on Day 1 or Day 2.
Rotigotine Nasal Spray - Rotigotine 62µg
n=31 Participants
Subjects randomized to rotigotine nasal spray arm receiving a single dose of rotigotine 62µg nasal spray on Day 1 or Day 2.
Rotigotine Nasal Spray - Rotigotine 124µg
n=27 Participants
Subjects randomized to rotigotine nasal spray arm receiving a single dose of rotigotine 124µg nasal spray on Day 3.
Rotigotine Nasal Spray - Rotigotine 247µg
n=28 Participants
Subjects randomized to rotigotine nasal spray arm receiving a single dose of rotigotine 247µg nasal spray on Day 4.
Average PLMWI (Periodic Leg Movement Index During Wakefulness) After Single Dose of Rotigotine Nasal Spray or Matching Placebo.
37.8 PLM per hour
Standard Deviation 35.10
22.6 PLM per hour
Standard Deviation 28.36
34.9 PLM per hour
Standard Deviation 39.78
19.0 PLM per hour
Standard Deviation 23.60
28.7 PLM per hour
Standard Deviation 29.91
25.4 PLM per hour
Standard Deviation 25.14
26.2 PLM per hour
Standard Deviation 22.78
20.2 PLM per hour
Standard Deviation 21.70

Adverse Events

Placebo - Day 1

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Placebo - Day 2

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Placebo - Day 3

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Placebo - Day 4

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Rotigotine Nasal Spray - Placebo

Serious events: 0 serious events
Other events: 16 other events
Deaths: 0 deaths

Rotigotine Nasal Spray - Rotigotine 62µg

Serious events: 0 serious events
Other events: 14 other events
Deaths: 0 deaths

Rotigotine Nasal Spray - Rotigotine 124µg

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

Rotigotine Nasal Spray - Rotigotine 247µg

Serious events: 0 serious events
Other events: 11 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Placebo - Day 1
n=10 participants at risk
Subjects randomized to placebo treatment group, receiving a single dose of placebo nasal spray on Day 1.
Placebo - Day 2
n=10 participants at risk
Subjects randomized to placebo treatment group, receiving a single dose of placebo nasal spray on Day 2.
Placebo - Day 3
n=10 participants at risk
Subjects randomized to placebo treatment group, receiving a single dose of placebo nasal spray on Day 3.
Placebo - Day 4
n=10 participants at risk
Subjects randomized to placebo treatment group, receiving a single dose of placebo nasal spray on Day 4.
Rotigotine Nasal Spray - Placebo
n=31 participants at risk
Subjects randomized to rotigotine nasal spray arm receiving a single dose of placebo nasal spray on Day 1 or Day 2.
Rotigotine Nasal Spray - Rotigotine 62µg
n=31 participants at risk
Subjects randomized to rotigotine nasal spray arm receiving a single dose of rotigotine 62µg nasal spray on Day 1 or Day 2.
Rotigotine Nasal Spray - Rotigotine 124µg
n=28 participants at risk
Subjects randomized to rotigotine nasal spray arm receiving a single dose of rotigotine 124µg nasal spray on Day 3.
Rotigotine Nasal Spray - Rotigotine 247µg
n=28 participants at risk
Subjects randomized to rotigotine nasal spray arm receiving a single dose of rotigotine 247µg nasal spray on Day 4.
Cardiac disorders
Palpitations
0.00%
0/10
10.0%
1/10 • Number of events 1
0.00%
0/10
0.00%
0/10
0.00%
0/31
0.00%
0/31
3.6%
1/28 • Number of events 2
0.00%
0/28
Eye disorders
Eye irritation
0.00%
0/10
0.00%
0/10
10.0%
1/10 • Number of events 1
0.00%
0/10
0.00%
0/31
0.00%
0/31
3.6%
1/28 • Number of events 1
0.00%
0/28
Gastrointestinal disorders
Diarrhoea
10.0%
1/10 • Number of events 1
0.00%
0/10
0.00%
0/10
10.0%
1/10 • Number of events 1
6.5%
2/31 • Number of events 2
0.00%
0/31
0.00%
0/28
0.00%
0/28
Gastrointestinal disorders
Dyspepsia
0.00%
0/10
0.00%
0/10
0.00%
0/10
0.00%
0/10
3.2%
1/31 • Number of events 1
0.00%
0/31
0.00%
0/28
0.00%
0/28
Gastrointestinal disorders
Flatulence
0.00%
0/10
0.00%
0/10
0.00%
0/10
0.00%
0/10
3.2%
1/31 • Number of events 1
3.2%
1/31 • Number of events 1
0.00%
0/28
0.00%
0/28
Gastrointestinal disorders
Abdominal pain
0.00%
0/10
0.00%
0/10
0.00%
0/10
10.0%
1/10 • Number of events 1
0.00%
0/31
0.00%
0/31
0.00%
0/28
0.00%
0/28
Gastrointestinal disorders
Abdominal pain upper
0.00%
0/10
0.00%
0/10
0.00%
0/10
0.00%
0/10
0.00%
0/31
0.00%
0/31
3.6%
1/28 • Number of events 1
3.6%
1/28 • Number of events 1
Gastrointestinal disorders
Abdominal discomfort
0.00%
0/10
0.00%
0/10
0.00%
0/10
0.00%
0/10
0.00%
0/31
0.00%
0/31
3.6%
1/28 • Number of events 1
0.00%
0/28
Gastrointestinal disorders
Nausea
0.00%
0/10
0.00%
0/10
0.00%
0/10
0.00%
0/10
6.5%
2/31 • Number of events 2
6.5%
2/31 • Number of events 2
3.6%
1/28 • Number of events 1
3.6%
1/28 • Number of events 1
General disorders
Application site irritation
0.00%
0/10
0.00%
0/10
0.00%
0/10
0.00%
0/10
0.00%
0/31
0.00%
0/31
0.00%
0/28
3.6%
1/28 • Number of events 1
General disorders
Application site reaction
0.00%
0/10
0.00%
0/10
0.00%
0/10
0.00%
0/10
0.00%
0/31
0.00%
0/31
3.6%
1/28 • Number of events 1
0.00%
0/28
General disorders
Fatigue
10.0%
1/10 • Number of events 1
0.00%
0/10
0.00%
0/10
0.00%
0/10
3.2%
1/31 • Number of events 1
3.2%
1/31 • Number of events 1
3.6%
1/28 • Number of events 1
0.00%
0/28
General disorders
Chest discomfort
0.00%
0/10
0.00%
0/10
0.00%
0/10
0.00%
0/10
0.00%
0/31
3.2%
1/31 • Number of events 1
0.00%
0/28
0.00%
0/28
General disorders
Catheter site pain
0.00%
0/10
0.00%
0/10
0.00%
0/10
0.00%
0/10
6.5%
2/31 • Number of events 2
0.00%
0/31
0.00%
0/28
0.00%
0/28
Infections and infestations
Rhinitis
0.00%
0/10
0.00%
0/10
0.00%
0/10
0.00%
0/10
3.2%
1/31 • Number of events 1
0.00%
0/31
0.00%
0/28
0.00%
0/28
Injury, poisoning and procedural complications
Arthropod bite
0.00%
0/10
0.00%
0/10
0.00%
0/10
0.00%
0/10
0.00%
0/31
3.2%
1/31 • Number of events 1
0.00%
0/28
0.00%
0/28
Investigations
Bacteria urine identified
0.00%
0/10
0.00%
0/10
0.00%
0/10
0.00%
0/10
0.00%
0/31
0.00%
0/31
0.00%
0/28
3.6%
1/28 • Number of events 1
Investigations
White blood cells urine positive
0.00%
0/10
0.00%
0/10
0.00%
0/10
0.00%
0/10
0.00%
0/31
0.00%
0/31
0.00%
0/28
3.6%
1/28 • Number of events 1
Musculoskeletal and connective tissue disorders
Arthralgia
0.00%
0/10
0.00%
0/10
0.00%
0/10
0.00%
0/10
0.00%
0/31
3.2%
1/31 • Number of events 1
0.00%
0/28
0.00%
0/28
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/10
0.00%
0/10
0.00%
0/10
0.00%
0/10
9.7%
3/31 • Number of events 3
9.7%
3/31 • Number of events 3
0.00%
0/28
7.1%
2/28 • Number of events 2
Musculoskeletal and connective tissue disorders
Neck pain
0.00%
0/10
10.0%
1/10 • Number of events 1
0.00%
0/10
0.00%
0/10
0.00%
0/31
0.00%
0/31
0.00%
0/28
0.00%
0/28
Musculoskeletal and connective tissue disorders
Pain in extremity
0.00%
0/10
0.00%
0/10
0.00%
0/10
0.00%
0/10
0.00%
0/31
0.00%
0/31
0.00%
0/28
3.6%
1/28 • Number of events 1
Nervous system disorders
Headache
30.0%
3/10 • Number of events 3
20.0%
2/10 • Number of events 2
0.00%
0/10
20.0%
2/10 • Number of events 3
29.0%
9/31 • Number of events 10
16.1%
5/31 • Number of events 6
10.7%
3/28 • Number of events 4
10.7%
3/28 • Number of events 3
Nervous system disorders
Sciatica
0.00%
0/10
0.00%
0/10
0.00%
0/10
0.00%
0/10
0.00%
0/31
3.2%
1/31 • Number of events 1
3.6%
1/28 • Number of events 1
0.00%
0/28
Nervous system disorders
Dizziness
0.00%
0/10
0.00%
0/10
0.00%
0/10
0.00%
0/10
3.2%
1/31 • Number of events 1
0.00%
0/31
7.1%
2/28 • Number of events 2
7.1%
2/28 • Number of events 2
Nervous system disorders
Paraesthesia
0.00%
0/10
0.00%
0/10
10.0%
1/10 • Number of events 1
0.00%
0/10
0.00%
0/31
0.00%
0/31
0.00%
0/28
0.00%
0/28
Nervous system disorders
Restlessness
0.00%
0/10
0.00%
0/10
0.00%
0/10
0.00%
0/10
0.00%
0/31
3.2%
1/31 • Number of events 1
0.00%
0/28
0.00%
0/28
Nervous system disorders
Sleep disorder
0.00%
0/10
0.00%
0/10
0.00%
0/10
0.00%
0/10
0.00%
0/31
0.00%
0/31
7.1%
2/28 • Number of events 2
0.00%
0/28
Respiratory, thoracic and mediastinal disorders
Nasal congestion
0.00%
0/10
0.00%
0/10
10.0%
1/10 • Number of events 1
0.00%
0/10
3.2%
1/31 • Number of events 1
0.00%
0/31
0.00%
0/28
0.00%
0/28
Respiratory, thoracic and mediastinal disorders
Sneezing
0.00%
0/10
0.00%
0/10
10.0%
1/10 • Number of events 1
0.00%
0/10
0.00%
0/31
0.00%
0/31
0.00%
0/28
0.00%
0/28
Skin and subcutaneous tissue disorders
Cold sweat
0.00%
0/10
0.00%
0/10
0.00%
0/10
0.00%
0/10
0.00%
0/31
0.00%
0/31
0.00%
0/28
3.6%
1/28 • Number of events 1
Skin and subcutaneous tissue disorders
Hyperhidrosis
0.00%
0/10
0.00%
0/10
0.00%
0/10
0.00%
0/10
0.00%
0/31
0.00%
0/31
0.00%
0/28
3.6%
1/28 • Number of events 1
Vascular disorders
Pallor
0.00%
0/10
0.00%
0/10
0.00%
0/10
0.00%
0/10
0.00%
0/31
0.00%
0/31
0.00%
0/28
3.6%
1/28 • Number of events 1

Additional Information

UCB Clinical Trial Call Center

UCB Pharma

Phone: +1 877 822 9493

Results disclosure agreements

  • Principal investigator is a sponsor employee UCB has \> 60 days but \<= 180 days to review results communications prior to public release and may delete information that compromises ongoing studies or is considered proprietary. This restriction is not intended to compromise the objective scientific integrity of the manuscript, it being understood that results shall be published regardless of outcome.
  • Publication restrictions are in place

Restriction type: OTHER