Dose-Finding Safety Study of BIIB014 in Combination With Levodopa in Moderate to Late Stage Parkinson's Disease

NCT ID: NCT00438607

Last Updated: 2009-07-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

83 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-04-30

Study Completion Date

2009-04-30

Brief Summary

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The main purpose of this study is to determine the safety of BIIB014 and how well BIIB014 is tolerated when given at different doses to patients with moderate to late-stage Parkinson's Disease who are also taking the Parkinson's medication, levodopa (L-DOPA).

This study will also explore:

1. the pharmacokinetics of BIIB014 in Parkinson's patients who are also taking L-DOPA (this will be done by measuring the levels of BIIB014 in the blood at several different times during the study), and
2. the activity of BIIB014 when given to Parkinson's patients who are also taking L-DOPA (this will be done by performing different Parkinson's Disease assessments during the study to examine change in waking OFF time, change in time with troublesome dyskinesia, change in Unified PD Rating Scale (UPDRS) scores, and Clinical Global Improvement).

Patients who enter this study will be randomly assigned to receive either BIIB014 or a placebo but because the study is blinded, neither they nor their study doctor will know which study treatment they are taking.

The study will be divided into 2 parts:

* Part A: a, rapid, sequential cohort, dose escalation to establish MTD, followed by
* Part B: a parallel-group exploration of the two highest tolerated doses versus placebo.

Note: As Part A of the study is now concluded, some of the study design information presented below (e.g., number of study arms) pertains only to Part B.

Detailed Description

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Conditions

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Parkinson's Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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1

BIIB014 at MTD from Part A

Group Type OTHER

BIIB014

Intervention Type DRUG

oral administration of BIIB014 at dose to be specified from Part A, given daily for 8 weeks

2

BIIB014 at dose immediately below MTD from Part A

Group Type OTHER

BIIB014

Intervention Type DRUG

oral administration of BIIB014 at dose to be specified from Part A, given daily for 8 weeks

3

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Matched placebo for MTD or MTD-1

Interventions

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BIIB014

oral administration of BIIB014 at dose to be specified from Part A, given daily for 8 weeks

Intervention Type DRUG

Placebo

Matched placebo for MTD or MTD-1

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Must carry a diagnosis of idiopathic PD according to UK Parkinson's Disease Society Brain Bank Clinical Diagnostic Criteria, and be Hoehn \& Yahr Stage II to IV (inclusive) when OFF.
* Must be on a stable dose of L-3,4-dihydroxyphenylalanine (L-DOPA)/carbidopa or L-DOPA/benserazide for at least 4 weeks prior to enrollment.
* Except for L-DOPA and certain allowed dopamine agonists, must not be receiving any other PD medications. (Current treatment with certain dopamine agonists is allowed but subjects must have been on a stable dose for at least 4 weeks prior to enrollment).
* Some subjects must demonstrate a definite end of L-DOPA dose wearing off (at least 2 hours OFF time per waking day) and must be able to keep accurate patient diaries of PD activity.

Exclusion Criteria

* A Mini Mental State Examination (MMSE) score \<26.
* History or clinical features consistent with an atypical parkinsonian syndrome.
* Any significant non-Parkinson's central nervous system disorder.
* Any significant AXIS I psychiatric disease from the Diagnostic and Statistical Manual of Mental Disorders (DSM).
* Any previous surgical intervention for Parkinson's Disease.
* History of certain malignancies.
* History of severe allergic anaphylactic reactions to any drug.
* Clinically significant baseline electrocardiogram (ECG).
* Orthostatic hypotension.
* HbA1c \>7.0%
Minimum Eligible Age

30 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Biogen

INDUSTRY

Sponsor Role lead

Responsible Party

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Biogen Idec

Principal Investigators

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Biogen Idec

Role: STUDY_DIRECTOR

Cambridge, MA USA

Locations

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Research Sites

Bangalore, , India

Site Status

Research Site

Chennai, , India

Site Status

Research Site

Hyderabaad, , India

Site Status

Research Site

Ludhiana, , India

Site Status

Research Site

Mumbai, , India

Site Status

Research Site

New Delhi, , India

Site Status

Research Site

Secunderabad, , India

Site Status

Research Site

Ashkelon, , Israel

Site Status

Research Site

Jerusalem, , Israel

Site Status

Research Site

Ramat Gan, , Israel

Site Status

Research Site

Tel Aviv, , Israel

Site Status

Research Site

Cambridge, , United Kingdom

Site Status

Research Site

Manchester, , United Kingdom

Site Status

Research Site

Norwich, , United Kingdom

Site Status

Research Site

Salford, , United Kingdom

Site Status

Countries

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India Israel United Kingdom

Other Identifiers

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EUDRA CT NO: 2006-003490-27

Identifier Type: -

Identifier Source: secondary_id

ISCRTN 12870393

Identifier Type: -

Identifier Source: secondary_id

204PD202

Identifier Type: -

Identifier Source: org_study_id

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