Trial Outcomes & Findings for Efficacy, Safety, Tolerability of Pramipexol ER Versus Pramipexol IR Versus Placebo in Early PD Patients (NCT NCT00479401)

NCT ID: NCT00479401

Last Updated: 2014-07-17

Results Overview

Activities of daily living are scored from 0-52 in UPDRS II, result of motor examination scored 0-108 in UPDRS III. A decrease in the score means improvement.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

539 participants

Primary outcome timeframe

baseline and after 33 weeks treatment

Results posted on

2014-07-17

Participant Flow

Participant milestones

Participant milestones
Measure
Pramipexole Extended Release (PPX ER)
PPX ER tablets taken once in the morning
Pramipexole Immediate Release (PPX IR)
PPX IR tablets taken three times a day
Placebo
Placebo to PPX ER once and to PPX IR three times a day
Overall Study
STARTED
223
213
103
Overall Study
COMPLETED
174
176
91
Overall Study
NOT COMPLETED
49
37
12

Reasons for withdrawal

Reasons for withdrawal
Measure
Pramipexole Extended Release (PPX ER)
PPX ER tablets taken once in the morning
Pramipexole Immediate Release (PPX IR)
PPX IR tablets taken three times a day
Placebo
Placebo to PPX ER once and to PPX IR three times a day
Overall Study
Adverse Event
24
20
4
Overall Study
Lack of Efficacy
2
2
4
Overall Study
Protocol Violation
2
1
1
Overall Study
Lost to Follow-up
1
1
1
Overall Study
Withdrawal by Subject
16
10
2
Overall Study
Exclusion criteria, relocation
4
3
0

Baseline Characteristics

Efficacy, Safety, Tolerability of Pramipexol ER Versus Pramipexol IR Versus Placebo in Early PD Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Pramipexole Extended Release (PPX ER)
n=223 Participants
PPX ER tablets taken once in the morning
Pramipexole Immediate Release (PPX IR)
n=213 Participants
PPX IR tablets taken three times a day
Placebo
n=103 Participants
Placebo to PPX ER once and to PPX IR three times a day
Total
n=539 Participants
Total of all reporting groups
Age, Continuous
61.3 years
STANDARD_DEVIATION 9.8 • n=5 Participants
61.7 years
STANDARD_DEVIATION 9.6 • n=7 Participants
62.0 years
STANDARD_DEVIATION 9.6 • n=5 Participants
61.6 years
STANDARD_DEVIATION 9.7 • n=4 Participants
Sex: Female, Male
Female
96 Participants
n=5 Participants
92 Participants
n=7 Participants
52 Participants
n=5 Participants
240 Participants
n=4 Participants
Sex: Female, Male
Male
127 Participants
n=5 Participants
121 Participants
n=7 Participants
51 Participants
n=5 Participants
299 Participants
n=4 Participants

PRIMARY outcome

Timeframe: baseline and after 33 weeks treatment

Population: Full Analysis Set, all randomized patients, received at least one dose of study drug and provided any post baseline efficacy assessment

Activities of daily living are scored from 0-52 in UPDRS II, result of motor examination scored 0-108 in UPDRS III. A decrease in the score means improvement.

Outcome measures

Outcome measures
Measure
Pramipexole Extended Release (PPX ER)
n=213 Participants
PPX ER tablets taken once in the morning
Pramipexole Immediate Release (PPX IR)
n=207 Participants
PPX IR tablets taken three times a day
Placebo
n=103 Participants
Placebo to PPX ER once and to PPX IR three times a day
Change From Baseline in Unified Parkinson's Disease Rating Scale (UPDRS) Parts II+III Total Score
-8.6 units on a scale
Interval -9.9 to -7.2
-8.8 units on a scale
Interval -10.2 to -7.4
-3.8 units on a scale
Interval -5.9 to -1.8

SECONDARY outcome

Timeframe: after 18 weeks of treatment compared to baseline

Population: Full Analysis Set 1, all randomized patients, received at least one dose of study drug and provided any post baseline efficacy assessment and completed 18 weeks of treatment or discontinued prematurely at the interim cut off date Apr 2008

Clinicians evaluation in a rating scale of 7 steps, 1 meaning very much improved to 7 meaning very much worse. Responders are the patients with 'much improved' and 'very much improved' on the scale

Outcome measures

Outcome measures
Measure
Pramipexole Extended Release (PPX ER)
n=100 Participants
PPX ER tablets taken once in the morning
Pramipexole Immediate Release (PPX IR)
n=100 Participants
PPX IR tablets taken three times a day
Placebo
n=50 Participants
Placebo to PPX ER once and to PPX IR three times a day
Percentage of Responders on the Clinical Global Impressions of Improvement (CGI-I) Scale
37 Percentage of Participants
48 Percentage of Participants
18 Percentage of Participants

SECONDARY outcome

Timeframe: after 18 weeks of treatment compared to baseline

Population: Full Analysis Set 1, all randomized patients, received at least one dose of study drug and provided any post baseline efficacy assessment and completed 18 weeks of treatment or discontinued prematurely at the interim cut off date Apr 2008

Patient rated evaluation of the PD symptoms on a rating scale of 7 steps, 1 meaning very much better to 7 meaning very much worse. Responders are the patients with 'much better' and 'very much better' on the score.

Outcome measures

Outcome measures
Measure
Pramipexole Extended Release (PPX ER)
n=101 Participants
PPX ER tablets taken once in the morning
Pramipexole Immediate Release (PPX IR)
n=101 Participants
PPX IR tablets taken three times a day
Placebo
n=50 Participants
Placebo to PPX ER once and to PPX IR three times a day
Percentage of Responders on the Patients Global Impressions of Improvement (PGI-I) Scale
35.6 Percentage of Participants
23.8 Percentage of Participants
12 Percentage of Participants

SECONDARY outcome

Timeframe: after 33 weeks treatment

Population: Full Analysis Set, all randomized patients, received at least one dose of study drug and provided any post baseline efficacy assessment

Responders are defined as at least 20% decrease in the UPDRS II+III score. UPDRS II+III ranges 0-160 scores from best to worse.

Outcome measures

Outcome measures
Measure
Pramipexole Extended Release (PPX ER)
n=213 Participants
PPX ER tablets taken once in the morning
Pramipexole Immediate Release (PPX IR)
n=207 Participants
PPX IR tablets taken three times a day
Placebo
n=103 Participants
Placebo to PPX ER once and to PPX IR three times a day
UPDRS II+III Responder Rate (at Least 20% Improvement)
68.5 percentage of responders
65.7 percentage of responders
48.5 percentage of responders

SECONDARY outcome

Timeframe: baseline and after 33 weeks treatment

Population: Full Analysis Set with (LOCF), all randomized patients, received at least one dose of study drug and provided any post baseline efficacy assessment

UPDRS I evaluates mentation behaviour and mood with a total score of 0-16. Decrease in the scores means improvement

Outcome measures

Outcome measures
Measure
Pramipexole Extended Release (PPX ER)
n=213 Participants
PPX ER tablets taken once in the morning
Pramipexole Immediate Release (PPX IR)
n=207 Participants
PPX IR tablets taken three times a day
Placebo
n=103 Participants
Placebo to PPX ER once and to PPX IR three times a day
UPDRS Part I Change From Baseline
0.0 units on a scale
Interval -1.0 to 0.0
0.0 units on a scale
Interval -1.0 to 0.0
0.0 units on a scale
Interval -1.0 to 0.0

SECONDARY outcome

Timeframe: after 33 weeks treatment

Population: Full Analysis Set, all randomized patients, received at least one dose of study drug and provided any post baseline efficacy assessment

UPDRS II evaluates activities of daily living in a score 0-52. Decrease of the score means improvement

Outcome measures

Outcome measures
Measure
Pramipexole Extended Release (PPX ER)
n=213 Participants
PPX ER tablets taken once in the morning
Pramipexole Immediate Release (PPX IR)
n=207 Participants
PPX IR tablets taken three times a day
Placebo
n=103 Participants
Placebo to PPX ER once and to PPX IR three times a day
UPDRS Part II Total Score
-2.2 units on a scale
Interval -2.6 to -1.7
-2.4 units on a scale
Interval -2.9 to -2.0
-0.9 units on a scale
Interval -1.5 to -0.3

SECONDARY outcome

Timeframe: after 33 weeks treatment

Population: Full Analysis Set, all randomized patients, received at least one dose of study drug and provided any post baseline efficacy assessment

UPDRS III is the result of a motor examination with the scores 0-108. A decrease in the scores means improvement

Outcome measures

Outcome measures
Measure
Pramipexole Extended Release (PPX ER)
n=213 Participants
PPX ER tablets taken once in the morning
Pramipexole Immediate Release (PPX IR)
n=207 Participants
PPX IR tablets taken three times a day
Placebo
n=103 Participants
Placebo to PPX ER once and to PPX IR three times a day
UPDRS Part III Total Score
-6.4 units on a scale
Interval -7.4 to -5.4
-6.4 units on a scale
Interval -7.4 to -5.4
-2.8 units on a scale
Interval -4.2 to -1.4

SECONDARY outcome

Timeframe: after 33 weeks treatment

Population: Full Analysis Set, all randomized patients, received at least one dose of study drug and provided any post baseline efficacy assessment

The Beck's Depression Inventory (BDI) is a 21-item self-rating scale that was originally designed as an instrument to assess the intensity of depressive symptoms (sadness, pessimism, sense of failure, dissatisfaction, guilt, expectation of punishment, dislike of self, self-accusation, suicidal ideation, episodes of crying, irritability, social withdrawal, indecisiveness, changes in body image, retardation, insomnia, fatigability, loss of appetite and weight, somatic preoccupation, low level of energy). Each item is scored from 0 (absent) to 3 (severe). The patients select the score which best describes their status in the last 7 days. Since its introduction in 1961, its use has been extended (also to PD patients) and today it is used also as a screening instrument as well as an outcome measure in depression treatment trials. The total score sums the 21 individual items yielding a score that can range from zero (minimal depression) to 63 (severe depression).

Outcome measures

Outcome measures
Measure
Pramipexole Extended Release (PPX ER)
n=208 Participants
PPX ER tablets taken once in the morning
Pramipexole Immediate Release (PPX IR)
n=206 Participants
PPX IR tablets taken three times a day
Placebo
n=102 Participants
Placebo to PPX ER once and to PPX IR three times a day
Beck's Depression Inventory Version I A
-2.0 units on a scale
Interval -2.7 to -1.3
-2.7 units on a scale
Interval -3.4 to -2.0
-2.1 units on a scale
Interval -3.1 to -1.2

SECONDARY outcome

Timeframe: after 33 weeks treatment

Population: Full Analysis Set, all randomized patients, received at least one dose of study drug and provided any post baseline efficacy assessment

Patient assessed 11 units on a scale from 'no pain' to 'unbearable pain'. Decrease of the score means improvement

Outcome measures

Outcome measures
Measure
Pramipexole Extended Release (PPX ER)
n=208 Participants
PPX ER tablets taken once in the morning
Pramipexole Immediate Release (PPX IR)
n=206 Participants
PPX IR tablets taken three times a day
Placebo
n=102 Participants
Placebo to PPX ER once and to PPX IR three times a day
Likert Scale for Pain Related to PD
-0.2 units on a scale
Interval -0.4 to 0.1
-0.1 units on a scale
Interval -0.4 to 0.1
0.2 units on a scale
Interval -0.2 to 0.5

SECONDARY outcome

Timeframe: after 33 weeks treatment

Population: Full Analysis Set, all randomized patients, received at least one dose of study drug and provided any post baseline efficacy assessment

PDSS is a self-rated instrument addressing 15 commonly reported symptoms associated with sleep disturbance on 15 visual analogue scales (VAS: 0 to 10 cm) each ranging from worst score ('awful or always' at the left extremity to the best score ('excellent or never' at the right extremity) An increase in the score means improvement. Worst possible score 0, best score 150)

Outcome measures

Outcome measures
Measure
Pramipexole Extended Release (PPX ER)
n=207 Participants
PPX ER tablets taken once in the morning
Pramipexole Immediate Release (PPX IR)
n=205 Participants
PPX IR tablets taken three times a day
Placebo
n=101 Participants
Placebo to PPX ER once and to PPX IR three times a day
Parkinson's Disease Sleep Scale (PDSS)
2.3 units on a scale
Interval -0.4 to 5.0
5.6 units on a scale
Interval 2.8 to 8.4
5.6 units on a scale
Interval 1.8 to 9.4

SECONDARY outcome

Timeframe: after 33 weeks treatment

Population: Full Analysis Set, all randomized patients, received at least one dose of study drug and provided any post baseline efficacy assessment

The PDQ-39 is a self-administered questionnaire which comprises 39 items addressing 8 domains of health which patients consider to be adversely affected by the disease. Higher scores are consistently associated with more severe symptoms of the disease such as tremor and stiffness, while lower scores indicate a better perceived health status. The 8 domains include: * mobility (e.g. fear of falling when walking): 10 items * activities of daily living (e.g. difficulty cutting food): 6 items * emotional well-being (e.g. feelings of isolation): 6 items * stigma (e.g. social embarrassment): 4 items * social support: 3 items * cognition: 4 items * communication: 3 items * bodily discomfort: 3 items. A total score is calculated by summing the responses to the 39 individual items and the total ranges from 0 (no problem at all) to 156 (maximum level of problem). A negative change in the total score indicates improvement.

Outcome measures

Outcome measures
Measure
Pramipexole Extended Release (PPX ER)
n=195 Participants
PPX ER tablets taken once in the morning
Pramipexole Immediate Release (PPX IR)
n=199 Participants
PPX IR tablets taken three times a day
Placebo
n=98 Participants
Placebo to PPX ER once and to PPX IR three times a day
Change From Baseline in Parkinson's Disease Quality of Life Questionnaire Total Score
-4.1 units on a scale
Interval -6.1 to -2.0
-6.5 units on a scale
Interval -8.6 to -4.5
-2.1 units on a scale
Interval -4.9 to 0.8

SECONDARY outcome

Timeframe: after 33 weeks treatment

Population: Full Analysis Set, all randomized patients, received at least one dose of study drug and provided any post baseline efficacy assessment

European Quality of Life Visual Analog Scale (EQ-5D VAS) is a 20 centimeter vertical analog scale assessing the patient's general health status with scores ranging from 0 (worst imaginable health) to 100 (perfect health). A positive change in the scale indicates improvement in health status.

Outcome measures

Outcome measures
Measure
Pramipexole Extended Release (PPX ER)
n=195 Participants
PPX ER tablets taken once in the morning
Pramipexole Immediate Release (PPX IR)
n=199 Participants
PPX IR tablets taken three times a day
Placebo
n=98 Participants
Placebo to PPX ER once and to PPX IR three times a day
Change From Baseline in European Quality of Life Visual Analog Scale
4.0 units on a scale
Interval 1.4 to 7.6
6.6 units on a scale
Interval 3.9 to 9.2
3.2 units on a scale
Interval -0.4 to 6.9

SECONDARY outcome

Timeframe: from trial start on to any time before final assessment of the patient, up to 33 weeks

Population: Full Analysis Set, all randomized patients, received at least one dose of study drug and provided any post baseline efficacy assessment

L-dopa could be introduced as rescue medication based upon the clinical judgement of the investigator. descriptive on the Full Analysis Set (FAS) population

Outcome measures

Outcome measures
Measure
Pramipexole Extended Release (PPX ER)
n=213 Participants
PPX ER tablets taken once in the morning
Pramipexole Immediate Release (PPX IR)
n=207 Participants
PPX IR tablets taken three times a day
Placebo
n=103 Participants
Placebo to PPX ER once and to PPX IR three times a day
Patients Who Started to Use L-Dopa Rescue Medication
15 patients
9 patients
22 patients

SECONDARY outcome

Timeframe: from trial start on to any time before final assessment of the patient, up to 33 weeks

Population: Treated Set (TS), all randomized patients, who were dispensed study medication and documented to have taken at least 1 dose of study medication.

mMIDI is a semi-structured clinical interview to assess pathological gambling (12 questions, positive screen if patient answers 'yes' to question 1 and to at least 5 of the rest of the questions), compulsive buying (9 questions from 1a to 4c, positive screen if the patient answers 'yes' to 1a, 2a, 3a, and 4a) and compulsive sexual behaviour (4 questions, positive screen if patient answers 'yes' to question 1,2,3, or 4).

Outcome measures

Outcome measures
Measure
Pramipexole Extended Release (PPX ER)
n=223 Participants
PPX ER tablets taken once in the morning
Pramipexole Immediate Release (PPX IR)
n=213 Participants
PPX IR tablets taken three times a day
Placebo
n=103 Participants
Placebo to PPX ER once and to PPX IR three times a day
Number of Patients With Treatment Emergent Abnormal Behaviour as Indicated by the Modified Minnesota Impulsive Disorders Interview (mMIDI Questionnaire)
4 patients
3 patients
1 patients

SECONDARY outcome

Timeframe: baseline and after 33 weeks of treatment

Population: Treated Set Labs (TSLabs), all patients in TS with a clinical laboratory measurements at baseline and at the last visit.

The significant abnormality of values was based on standard criteria defined in appendix 16.1.10, LISTING 4 Criteria for clinically significant abnormalities based on normalized laboratory values.

Outcome measures

Outcome measures
Measure
Pramipexole Extended Release (PPX ER)
n=199 Participants
PPX ER tablets taken once in the morning
Pramipexole Immediate Release (PPX IR)
n=202 Participants
PPX IR tablets taken three times a day
Placebo
n=99 Participants
Placebo to PPX ER once and to PPX IR three times a day
Possible Clinically Significant Abnormal Laboratory Parameters
Haematocrit - decrease
4 participants
9.8
3 participants
10.1
1 participants
10.7
Possible Clinically Significant Abnormal Laboratory Parameters
Haemoglobin - decrease
11 participants
6 participants
1 participants
Possible Clinically Significant Abnormal Laboratory Parameters
Red blood cell ct. - decrease
1 participants
0 participants
0 participants
Possible Clinically Significant Abnormal Laboratory Parameters
White blood cell ct. - decrease
1 participants
0 participants
0 participants
Possible Clinically Significant Abnormal Laboratory Parameters
Neut., poly (segs) - decrease
2 participants
0 participants
0 participants
Possible Clinically Significant Abnormal Laboratory Parameters
Eosinophils - increase
6 participants
3 participants
3 participants
Possible Clinically Significant Abnormal Laboratory Parameters
Neut., poly (segs), absol. - decrease
1 participants
0 participants
0 participants
Possible Clinically Significant Abnormal Laboratory Parameters
Sodium - decrease
5 participants
5 participants
0 participants
Possible Clinically Significant Abnormal Laboratory Parameters
Potassium - increase
3 participants
1 participants
0 participants
Possible Clinically Significant Abnormal Laboratory Parameters
Chloride - decrease
2 participants
0 participants
0 participants
Possible Clinically Significant Abnormal Laboratory Parameters
Alkaline phosphatase - increase
0 participants
1 participants
0 participants
Possible Clinically Significant Abnormal Laboratory Parameters
GGT - increase
3 participants
1 participants
0 participants
Possible Clinically Significant Abnormal Laboratory Parameters
Glucose - decrease
3 participants
0 participants
0 participants
Possible Clinically Significant Abnormal Laboratory Parameters
Glucose - increase
1 participants
1 participants
0 participants
Possible Clinically Significant Abnormal Laboratory Parameters
Cholesterol, total - increase
0 participants
0 participants
1 participants
Possible Clinically Significant Abnormal Laboratory Parameters
Creatinine - increase
0 participants
0 participants
1 participants
Possible Clinically Significant Abnormal Laboratory Parameters
Triglyceride - increase
9 participants
3 participants
5 participants
Possible Clinically Significant Abnormal Laboratory Parameters
Uric acid - increase
3 participants
1 participants
2 participants

SECONDARY outcome

Timeframe: baseline and after 33 weeks of treatment

Population: Treated set (TS)

Outcome measures

Outcome measures
Measure
Pramipexole Extended Release (PPX ER)
n=223 Participants
PPX ER tablets taken once in the morning
Pramipexole Immediate Release (PPX IR)
n=213 Participants
PPX IR tablets taken three times a day
Placebo
n=103 Participants
Placebo to PPX ER once and to PPX IR three times a day
Clinical Relevant Abnormal Findings in Vital Signs and Physical Examination as Reported in Adverse Events
Hypertension
6 participants
7 participants
5 participants
Clinical Relevant Abnormal Findings in Vital Signs and Physical Examination as Reported in Adverse Events
Orthostatic hypotension
7 participants
1 participants
1 participants
Clinical Relevant Abnormal Findings in Vital Signs and Physical Examination as Reported in Adverse Events
Hypotension
0 participants
6 participants
1 participants
Clinical Relevant Abnormal Findings in Vital Signs and Physical Examination as Reported in Adverse Events
Weight increased
0 participants
7 participants
0 participants
Clinical Relevant Abnormal Findings in Vital Signs and Physical Examination as Reported in Adverse Events
Weight decreased
2 participants
3 participants
0 participants
Clinical Relevant Abnormal Findings in Vital Signs and Physical Examination as Reported in Adverse Events
Blood pressure diastolic increased
0 participants
1 participants
0 participants

Adverse Events

Pramipexole Extended Release (PPX ER)

Serious events: 16 serious events
Other events: 142 other events
Deaths: 0 deaths

Pramipexole Immediate Release (PPX IR)

Serious events: 11 serious events
Other events: 133 other events
Deaths: 0 deaths

Placebo

Serious events: 4 serious events
Other events: 44 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Pramipexole Extended Release (PPX ER)
n=223 participants at risk
PPX ER tablets taken once in the morning
Pramipexole Immediate Release (PPX IR)
n=213 participants at risk
PPX IR tablets taken three times a day
Placebo
n=103 participants at risk
Placebo to PPX ER once and to PPX IR three times a day
Cardiac disorders
Atrial fibrillation
0.00%
0/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.47%
1/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Cardiac disorders
Coronary artery disease
0.45%
1/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Cardiac disorders
Myocardial infarction
0.00%
0/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.47%
1/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Cardiac disorders
Pericarditis
0.00%
0/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.47%
1/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Ear and labyrinth disorders
Vertigo positional
0.00%
0/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.97%
1/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Gastrointestinal disorders
Constipation
0.45%
1/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Gastrointestinal disorders
Diarrhoea
0.00%
0/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.47%
1/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Gastrointestinal disorders
Duodenal perforation
0.45%
1/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Gastrointestinal disorders
Gastric ulcer
0.45%
1/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Gastrointestinal disorders
Gastric ulcer haemorrhage
0.45%
1/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Gastrointestinal disorders
Haematochezia
0.45%
1/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Gastrointestinal disorders
Ileus paralytic
0.45%
1/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Gastrointestinal disorders
Inguinal hernia
0.00%
0/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.47%
1/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Gastrointestinal disorders
Peritonitis
0.45%
1/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Gastrointestinal disorders
Upper gastrointestinal haemorrhage
0.45%
1/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
General disorders
Fatigue
0.00%
0/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.47%
1/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Hepatobiliary disorders
Cholecystitis
0.00%
0/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.97%
1/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Hepatobiliary disorders
Cholelithiasis
0.00%
0/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.47%
1/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.97%
1/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Infections and infestations
Pneumonia
0.00%
0/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.47%
1/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Injury, poisoning and procedural complications
Humerus fracture
0.45%
1/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Injury, poisoning and procedural complications
Meniscus lesion
0.45%
1/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Injury, poisoning and procedural complications
Radius fracture
0.00%
0/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.97%
1/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Investigations
Heart rate irregular
0.45%
1/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Metabolism and nutrition disorders
Dehydration
0.00%
0/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.47%
1/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Metabolism and nutrition disorders
Hyponatraemia
0.45%
1/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Musculoskeletal and connective tissue disorders
Back pain
0.45%
1/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.47%
1/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.97%
1/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Basal cell carcinoma
0.90%
2/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lip and/or oral cavity cancer
0.45%
1/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Squamous cell carcinoma
0.45%
1/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Nervous system disorders
Carpal tunnel syndrome
0.45%
1/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Nervous system disorders
Convulsion
0.45%
1/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Nervous system disorders
Global amnesia
0.00%
0/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.47%
1/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Psychiatric disorders
Hallucination, visual
0.00%
0/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.47%
1/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Psychiatric disorders
Hallucinations, mixed
0.00%
0/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.47%
1/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Psychiatric disorders
Restlessness
0.45%
1/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Renal and urinary disorders
Urinary retention
0.45%
1/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.47%
1/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Respiratory, thoracic and mediastinal disorders
Nasal cyst
0.45%
1/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Vascular disorders
Deep vein thrombosis
0.45%
1/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Vascular disorders
Hypertension
0.00%
0/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.47%
1/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Vascular disorders
Venous thrombosis
0.00%
0/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.47%
1/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.00%
0/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks

Other adverse events

Other adverse events
Measure
Pramipexole Extended Release (PPX ER)
n=223 participants at risk
PPX ER tablets taken once in the morning
Pramipexole Immediate Release (PPX IR)
n=213 participants at risk
PPX IR tablets taken three times a day
Placebo
n=103 participants at risk
Placebo to PPX ER once and to PPX IR three times a day
Gastrointestinal disorders
Constipation
13.9%
31/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
11.7%
25/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
1.9%
2/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Gastrointestinal disorders
Dry mouth
5.4%
12/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
3.8%
8/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
0.97%
1/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Gastrointestinal disorders
Nausea
21.5%
48/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
23.9%
51/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
8.7%
9/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
General disorders
Fatigue
6.3%
14/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
5.2%
11/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
3.9%
4/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
General disorders
Oedema peripheral
5.4%
12/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
8.5%
18/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
3.9%
4/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Infections and infestations
Nasopharyngitis
6.3%
14/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
4.2%
9/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
7.8%
8/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Musculoskeletal and connective tissue disorders
Back pain
4.9%
11/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
5.2%
11/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
5.8%
6/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Nervous system disorders
Dizziness
11.7%
26/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
11.7%
25/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
6.8%
7/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Nervous system disorders
Headache
3.1%
7/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
7.0%
15/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
5.8%
6/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks
Nervous system disorders
Somnolence
36.3%
81/223 • from trial start on to any time before final assessment of the patient, up to 33 weeks
32.9%
70/213 • from trial start on to any time before final assessment of the patient, up to 33 weeks
14.6%
15/103 • from trial start on to any time before final assessment of the patient, up to 33 weeks

Additional Information

Boehringer Ingelheim Call Center

Boehringer Ingelheim Pharmaceuticals

Phone: 1-800-243-0127

Results disclosure agreements

  • Principal investigator is a sponsor employee Any publication of the result of this trial must be consistent with the Boehringer Ingelheim publication policy. The rights of the investigator and of the sponsor with regard to publication of the results of this trial are described in the investigator contract
  • Publication restrictions are in place

Restriction type: OTHER