A Study of MK0657 in Parkinson's Disease Patients (0657-006)

NCT ID: NCT00505843

Last Updated: 2015-01-29

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

PHASE1

Total Enrollment

18 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-05-31

Study Completion Date

2008-02-29

Brief Summary

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In this clinical trial, the safety of MK0657 when given with levodopa will be assessed in patients with Parkinson's Disease. This study will also measure the effectiveness of MK0657, when given in combination with levodopa, to improve motor symptoms and ameliorate dyskinesias (uncontrolled movements of a part of the body) as compared to placebo.

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

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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1

7mg MK0657 capsules + \>/=1.0 mg/kg/hr dose of levodopa.

Group Type OTHER

MK0657

Intervention Type DRUG

7mg MK0657 capsules

Comparator: levodopa

Intervention Type DRUG

levodopa \>/=1.0 mg/kg/hr dose of levodopa. levodopa infusions will occur over a 2 hour period

Comparator: carbidopa

Intervention Type DRUG

carbidopa 25mg administered 3 times: at 1 hour before levodopa infusion and at 1 and 3 hours after the start of levodopa infusion.

2

7mg MK0657 Pbo capsules + \>/=1.0 mg/kg/hr dose of levodopa.

Group Type OTHER

Comparator: Placebo (unspecified)

Intervention Type DRUG

7mg MK0657 Pbo capsules

Comparator: levodopa

Intervention Type DRUG

levodopa \>/=1.0 mg/kg/hr dose of levodopa. levodopa infusions will occur over a 2 hour period

Comparator: carbidopa

Intervention Type DRUG

carbidopa 25mg administered 3 times: at 1 hour before levodopa infusion and at 1 and 3 hours after the start of levodopa infusion.

Interventions

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MK0657

7mg MK0657 capsules

Intervention Type DRUG

Comparator: Placebo (unspecified)

7mg MK0657 Pbo capsules

Intervention Type DRUG

Comparator: levodopa

levodopa \>/=1.0 mg/kg/hr dose of levodopa. levodopa infusions will occur over a 2 hour period

Intervention Type DRUG

Comparator: carbidopa

carbidopa 25mg administered 3 times: at 1 hour before levodopa infusion and at 1 and 3 hours after the start of levodopa infusion.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Parkinson's Disease patients between the ages of 40 and 80 inclusive
* Patient is in general good health based on screening assessments
* Patient is willing to discontinue anti-parkinson's medications at least 8 hours prior to dosing
* Patient is levodopa responsive with levodopa-induced peak-dose dyskinesias
* Patient taking selective serotonin inhibitors (SSRIs), sleep medications and neuroleptics, have been on a stable dose for at least 30 days and has not experienced any CNS-related side effects
* Patient is not a heavy smoker or drinker

Exclusion Criteria

* Patient has atypical Parkinson's syndrome due to drugs, identified metabolic and/or neurologic disorders, encephalitis, or other degenerative syndrome
* Patient has known intolerance or hypersensitivity to levodopa or carbidopa
* Patient has been on anticholinergics or memantine within 30 days prior to dosing
* Patients have a history of the following: seizure disorder, stroke or head trauma, pronounced cognitive impairment, psychiatric disorder, cardiovascular disease, cancer, diabetes as defined by HbA1c of greater than 8%
* Patient has a systolic BP or less than 80 mm Hg or greater than 150 mm Hg
Minimum Eligible Age

40 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Monitor

Role: STUDY_DIRECTOR

Merck Sharp & Dohme LLC

References

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Addy C, Assaid C, Hreniuk D, Stroh M, Xu Y, Herring WJ, Ellenbogen A, Jinnah HA, Kirby L, Leibowitz MT, Stewart RM, Tarsy D, Tetrud J, Stoch SA, Gottesdiener K, Wagner J. Single-dose administration of MK-0657, an NR2B-selective NMDA antagonist, does not result in clinically meaningful improvement in motor function in patients with moderate Parkinson's disease. J Clin Pharmacol. 2009 Jul;49(7):856-64. doi: 10.1177/0091270009336735. Epub 2009 Jun 2.

Reference Type RESULT
PMID: 19491335 (View on PubMed)

Herring WJ, Assaid C, Budd K, Vargo R, Mazenko RS, Lines C, Ellenbogen A, Verhagen Metman L. A Phase Ib Randomized Controlled Study to Evaluate the Effectiveness of a Single-Dose of the NR2B Selective N-Methyl-D-Aspartate Antagonist MK-0657 on Levodopa-Induced Dyskinesias and Motor Symptoms in Patients With Parkinson Disease. Clin Neuropharmacol. 2017 Nov/Dec;40(6):255-260. doi: 10.1097/WNF.0000000000000241.

Reference Type DERIVED
PMID: 29059133 (View on PubMed)

Other Identifiers

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MK0657-006

Identifier Type: -

Identifier Source: secondary_id

2007_524

Identifier Type: -

Identifier Source: secondary_id

0657-006

Identifier Type: -

Identifier Source: org_study_id

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