Trial Outcomes & Findings for An Open-Label Extension Trial to Assess the Safety and Tolerability of Long Term Treatment of Rotigotine in Subjects With Idiopathic Parkinson's Disease (NCT NCT00505687)

NCT ID: NCT00505687

Last Updated: 2014-10-02

Results Overview

Adverse events are any untoward medical occurrences in a subject administered study treatment, whether or not these events are related to treatment.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

186 participants

Primary outcome timeframe

four years

Results posted on

2014-10-02

Participant Flow

An Open-Label Extension Trial to Assess the Safety and Tolerability of Long-term Treatment of Rotigotine in Subjects with Idiopathic Parkinson's Disease in 26 locations from February 2005 to December 2008.

Participant milestones

Participant milestones
Measure
Rotigotine
Optimal dosing for Rotigotine transdermal patches, once daily: Subjects can receive a dose up to 16 mg/24 hours.
Overall Study
STARTED
186
Overall Study
COMPLETED
91
Overall Study
NOT COMPLETED
95

Reasons for withdrawal

Reasons for withdrawal
Measure
Rotigotine
Optimal dosing for Rotigotine transdermal patches, once daily: Subjects can receive a dose up to 16 mg/24 hours.
Overall Study
Important protocol violation
2
Overall Study
Lack of Efficacy
15
Overall Study
Adverse Event
48
Overall Study
Subject withdrew consent
15
Overall Study
Lost to Follow-up
1
Overall Study
Other: Underwent Implantation Of DBS
1
Overall Study
Other: Scheduled DBS Surgery
1
Overall Study
Other: Prolonged Hospitalization
1
Overall Study
Other: Patches Would Not Stick D/T Sweat
1
Overall Study
Other: Neupro Given In Hospital
1
Overall Study
Other: Disease Progression
1
Overall Study
Other: As Per Sponsor
8

Baseline Characteristics

An Open-Label Extension Trial to Assess the Safety and Tolerability of Long Term Treatment of Rotigotine in Subjects With Idiopathic Parkinson's Disease

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Rotigotine
n=186 Participants
Optimal dosing for Rotigotine transdermal patches, once daily: Subjects can receive a dose up to 16 mg/24 hours.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
94 Participants
n=5 Participants
Age, Categorical
>=65 years
92 Participants
n=5 Participants
Age, Continuous
62.5 years
STANDARD_DEVIATION 10.4 • n=5 Participants
Sex: Female, Male
Female
60 Participants
n=5 Participants
Sex: Female, Male
Male
126 Participants
n=5 Participants
Region of Enrollment
United States
80 participants
n=5 Participants
Region of Enrollment
Spain
9 participants
n=5 Participants
Region of Enrollment
Austria
4 participants
n=5 Participants
Region of Enrollment
South Africa
22 participants
n=5 Participants
Region of Enrollment
Israel
20 participants
n=5 Participants
Region of Enrollment
Germany
22 participants
n=5 Participants
Region of Enrollment
United Kingdom
20 participants
n=5 Participants
Region of Enrollment
Italy
9 participants
n=5 Participants

PRIMARY outcome

Timeframe: four years

Population: Of the 186 subjects who entered the study, 186 are included in this summary based on the Safety Set (SS).

Adverse events are any untoward medical occurrences in a subject administered study treatment, whether or not these events are related to treatment.

Outcome measures

Outcome measures
Measure
Rotigotine
n=186 Participants
Optimal dosing for Rotigotine transdermal patches, once daily: Subjects can receive a dose up to 16 mg/24 hours.
Number of Subjects With at Least One Adverse Event During This Open-label Extension Study
170 Subjects

SECONDARY outcome

Timeframe: four years

Population: Of the 186 subjects who entered the study, 186 are included in this summary based on the Safety Set (SS).

Adverse events are any untoward medical occurrences in a subject administered study treatment, whether or not these events are related to treatment.

Outcome measures

Outcome measures
Measure
Rotigotine
n=186 Participants
Optimal dosing for Rotigotine transdermal patches, once daily: Subjects can receive a dose up to 16 mg/24 hours.
Number of Subjects Who Withdrew From the Trial Due to an Adverse Event
48 Subjects

SECONDARY outcome

Timeframe: Visit 6 (post year 1), Visit 10 (post year 2), Visit 14 (post year 3), End of Treatment (last study visit or early withdrawal visit)

Population: Of the 186 subjects who entered the study, 186 are included in this summary based on the Safety Set (SS). Last observation carried forward (LOCF) was utilized.

The Epworth Sleepiness Scale (ESS) is a self-administered questionnaire with 8 questions. The total ESS score is the sum of 8 item-scores and can range between 0 and 24. The higher the score, the higher the person's level of daytime sleepiness.

Outcome measures

Outcome measures
Measure
Rotigotine
n=186 Participants
Optimal dosing for Rotigotine transdermal patches, once daily: Subjects can receive a dose up to 16 mg/24 hours.
Mean Epworth Sleepiness Scale Score During the Open-label Extension.
End of Treatment (n=182)
10.1 Score on a scale
Standard Deviation 5.9
Mean Epworth Sleepiness Scale Score During the Open-label Extension.
Visit 6 (post year 1) (n=164)
9.3 Score on a scale
Standard Deviation 5.6
Mean Epworth Sleepiness Scale Score During the Open-label Extension.
Visit 10 (post year 2) (n=164)
10.0 Score on a scale
Standard Deviation 5.9
Mean Epworth Sleepiness Scale Score During the Open-label Extension.
Visit 14 (post year 3) (n=164)
10.3 Score on a scale
Standard Deviation 6.1

Adverse Events

Rotigotine

Serious events: 45 serious events
Other events: 136 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Rotigotine
n=186 participants at risk
Optimal dosing for Rotigotine transdermal patches, once daily: Subjects can receive a dose up to 16 mg/24 hours.
Blood and lymphatic system disorders
Anaemia
0.54%
1/186 • Number of events 1 • up to four years
Cardiac disorders
Angina pectoris
0.54%
1/186 • Number of events 1 • up to four years
Cardiac disorders
Myocardial infarction
0.54%
1/186 • Number of events 1 • up to four years
Cardiac disorders
Acute myocardial infarction
0.54%
1/186 • Number of events 1 • up to four years
Cardiac disorders
Coronary artery stenosis
0.54%
1/186 • Number of events 1 • up to four years
Cardiac disorders
Coronary artery occlusion
0.54%
1/186 • Number of events 1 • up to four years
Cardiac disorders
Atrial fibrillation
0.54%
1/186 • Number of events 1 • up to four years
Gastrointestinal disorders
Constipation
0.54%
1/186 • Number of events 1 • up to four years
Gastrointestinal disorders
Pancreatitis
0.54%
1/186 • Number of events 1 • up to four years
Gastrointestinal disorders
Gastritis
0.54%
1/186 • Number of events 2 • up to four years
Gastrointestinal disorders
Intestinal obstruction
0.54%
1/186 • Number of events 1 • up to four years
General disorders
Asthenia
0.54%
1/186 • Number of events 1 • up to four years
General disorders
Pyrexia
0.54%
1/186 • Number of events 1 • up to four years
General disorders
Chest pain
0.54%
1/186 • Number of events 1 • up to four years
Hepatobiliary disorders
Cholecystitis
0.54%
1/186 • Number of events 1 • up to four years
Hepatobiliary disorders
Cholelithiasis
0.54%
1/186 • Number of events 1 • up to four years
Infections and infestations
Cellulitis
1.1%
2/186 • Number of events 3 • up to four years
Infections and infestations
Septic shock
0.54%
1/186 • Number of events 1 • up to four years
Infections and infestations
Urosepsis
0.54%
1/186 • Number of events 1 • up to four years
Infections and infestations
Pneumonia
0.54%
1/186 • Number of events 2 • up to four years
Infections and infestations
Urinary tract infection
0.54%
1/186 • Number of events 1 • up to four years
Injury, poisoning and procedural complications
Fall
1.1%
2/186 • Number of events 2 • up to four years
Injury, poisoning and procedural complications
Femoral neck fracture
0.54%
1/186 • Number of events 1 • up to four years
Injury, poisoning and procedural complications
Hip fracture
0.54%
1/186 • Number of events 1 • up to four years
Injury, poisoning and procedural complications
Muscle strain
0.54%
1/186 • Number of events 1 • up to four years
Injury, poisoning and procedural complications
Post procedural haematoma
0.54%
1/186 • Number of events 1 • up to four years
Injury, poisoning and procedural complications
Lumbar vertebral fracture
0.54%
1/186 • Number of events 1 • up to four years
Injury, poisoning and procedural complications
Brain contusion
0.54%
1/186 • Number of events 1 • up to four years
Injury, poisoning and procedural complications
Humerus fracture
0.54%
1/186 • Number of events 1 • up to four years
Musculoskeletal and connective tissue disorders
Osteoarthritis
1.6%
3/186 • Number of events 4 • up to four years
Musculoskeletal and connective tissue disorders
Arthralgia
1.1%
2/186 • Number of events 2 • up to four years
Musculoskeletal and connective tissue disorders
Toe deformity
0.54%
1/186 • Number of events 1 • up to four years
Musculoskeletal and connective tissue disorders
Fracture nonunion
0.54%
1/186 • Number of events 2 • up to four years
Musculoskeletal and connective tissue disorders
Arthritis
0.54%
1/186 • Number of events 1 • up to four years
Musculoskeletal and connective tissue disorders
Intervertebral disc protrusion
0.54%
1/186 • Number of events 1 • up to four years
Musculoskeletal and connective tissue disorders
Tendonitis
0.54%
1/186 • Number of events 1 • up to four years
Musculoskeletal and connective tissue disorders
Bursitis
0.54%
1/186 • Number of events 1 • up to four years
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Carcinoid tumour of the small bowel
0.54%
1/186 • Number of events 1 • up to four years
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastatic neoplasm
0.54%
1/186 • Number of events 1 • up to four years
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant fibrous histiocytoma
0.54%
1/186 • Number of events 1 • up to four years
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colon cancer
0.54%
1/186 • Number of events 2 • up to four years
Nervous system disorders
Parkinson's disease
1.6%
3/186 • Number of events 3 • up to four years
Nervous system disorders
Parkinsonism
1.1%
2/186 • Number of events 3 • up to four years
Nervous system disorders
Syncope
1.1%
2/186 • Number of events 2 • up to four years
Nervous system disorders
Hypokinesia
0.54%
1/186 • Number of events 1 • up to four years
Nervous system disorders
Dyskinesia
0.54%
1/186 • Number of events 1 • up to four years
Nervous system disorders
Cerebrovascular accident
0.54%
1/186 • Number of events 1 • up to four years
Nervous system disorders
Hydrocephalus
0.54%
1/186 • Number of events 1 • up to four years
Nervous system disorders
Lumbar radiculopathy
0.54%
1/186 • Number of events 1 • up to four years
Nervous system disorders
Peroneal nerve palsy
0.54%
1/186 • Number of events 1 • up to four years
Nervous system disorders
Tremor
0.54%
1/186 • Number of events 1 • up to four years
Nervous system disorders
Balance disorder
0.54%
1/186 • Number of events 1 • up to four years
Psychiatric disorders
Abnormal behaviour
0.54%
1/186 • Number of events 1 • up to four years
Psychiatric disorders
Depression
0.54%
1/186 • Number of events 1 • up to four years
Psychiatric disorders
Completed suicide
0.54%
1/186 • Number of events 1 • up to four years
Renal and urinary disorders
Urinary retention
0.54%
1/186 • Number of events 1 • up to four years
Renal and urinary disorders
Pollakiuria
0.54%
1/186 • Number of events 1 • up to four years
Renal and urinary disorders
Urge incontinence
0.54%
1/186 • Number of events 1 • up to four years
Renal and urinary disorders
Renal failure
0.54%
1/186 • Number of events 1 • up to four years
Renal and urinary disorders
Nephrolithiasis
0.54%
1/186 • Number of events 1 • up to four years
Renal and urinary disorders
Renal colic
0.54%
1/186 • Number of events 1 • up to four years
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
0.54%
1/186 • Number of events 1 • up to four years
Respiratory, thoracic and mediastinal disorders
Pleural effusion
0.54%
1/186 • Number of events 1 • up to four years
Skin and subcutaneous tissue disorders
Urticaria
0.54%
1/186 • Number of events 1 • up to four years
Surgical and medical procedures
Rehabilitation therapy
0.54%
1/186 • Number of events 1 • up to four years

Other adverse events

Other adverse events
Measure
Rotigotine
n=186 participants at risk
Optimal dosing for Rotigotine transdermal patches, once daily: Subjects can receive a dose up to 16 mg/24 hours.
Gastrointestinal disorders
Nausea
11.3%
21/186 • Number of events 27 • up to four years
Gastrointestinal disorders
Constipation
6.5%
12/186 • Number of events 14 • up to four years
General disorders
Oedema peripheral
19.4%
36/186 • Number of events 45 • up to four years
General disorders
Application site erythema
12.9%
24/186 • Number of events 26 • up to four years
General disorders
Application site pruritus
8.6%
16/186 • Number of events 17 • up to four years
General disorders
Fatigue
5.4%
10/186 • Number of events 11 • up to four years
Injury, poisoning and procedural complications
Fall
15.6%
29/186 • Number of events 47 • up to four years
Musculoskeletal and connective tissue disorders
Back pain
11.3%
21/186 • Number of events 24 • up to four years
Musculoskeletal and connective tissue disorders
Pain in extremity
6.5%
12/186 • Number of events 14 • up to four years
Musculoskeletal and connective tissue disorders
Arthralgia
7.5%
14/186 • Number of events 16 • up to four years
Nervous system disorders
Somnolence
28.0%
52/186 • Number of events 58 • up to four years
Nervous system disorders
Dizziness
9.7%
18/186 • Number of events 19 • up to four years
Nervous system disorders
Parkinson's disease
5.4%
10/186 • Number of events 13 • up to four years
Psychiatric disorders
Insomnia
12.9%
24/186 • Number of events 25 • up to four years
Psychiatric disorders
Depression
10.2%
19/186 • Number of events 20 • up to four years
Psychiatric disorders
Anxiety
8.6%
16/186 • Number of events 20 • up to four years
Psychiatric disorders
Hallucination
5.9%
11/186 • Number of events 13 • up to four years
Psychiatric disorders
Abnormal dreams
5.9%
11/186 • Number of events 11 • up to four years
Psychiatric disorders
Sleep disorder
5.4%
10/186 • Number of events 10 • up to four years
Vascular disorders
Hypertension
5.9%
11/186 • Number of events 11 • up to four years

Additional Information

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