Trial Outcomes & Findings for Long-term Extension of RECOVER- Long-term Effect of the 24h Transdermal Delivery of Rotigotine in Subjects With Idiopathic Parkinson's Disease (NCT NCT00519532)

NCT ID: NCT00519532

Last Updated: 2014-10-27

Results Overview

The Unified Parkinson´s Disease Rating Scale Part III is an accepted and validated scale for the assessment of motor function in Parkinson´s disease. Each of the elements in the UPDRS III is measured on a scale of 0 to 4, where 0 is normal and 4 represents severe abnormalities. Baseline is defined as first titration visit (T1) of SP915.

Recruitment status

TERMINATED

Study phase

PHASE3

Target enrollment

84 participants

Primary outcome timeframe

Baseline (baseline SP915) and week 13 (End of maintenance)

Results posted on

2014-10-27

Participant Flow

A total of 84 subjects belong to the Enrolled Set (ES) and all of them received at least 1 dose of trial medication, so they all belong to the Safety Set (SS). 83 subjects belong to the Full Analysis Set (FAS).

Participant Flow information belong to the Enrolled Set (ES). Baseline Characteristics are described for the Full Analysis Set (FAS).

Participant milestones

Participant milestones
Measure
Rotigotine
Rotigotine Transdermal Patch
Overall Study
STARTED
84
Overall Study
COMPLETED
66
Overall Study
NOT COMPLETED
18

Reasons for withdrawal

Reasons for withdrawal
Measure
Rotigotine
Rotigotine Transdermal Patch
Overall Study
Adverse Event
11
Overall Study
Withdrawal by Subject
5
Overall Study
Lost to Follow-up
2

Baseline Characteristics

Long-term Extension of RECOVER- Long-term Effect of the 24h Transdermal Delivery of Rotigotine in Subjects With Idiopathic Parkinson's Disease

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Rotigotine
n=83 Participants
Rotigotine Transdermal Patch
Age, Categorical
<=18 years
0 Participants
n=93 Participants
Age, Categorical
Between 18 and 65 years
34 Participants
n=93 Participants
Age, Categorical
>=65 years
49 Participants
n=93 Participants
Age, Continuous
66.2 years
STANDARD_DEVIATION 10.4 • n=93 Participants
Sex: Female, Male
Female
26 Participants
n=93 Participants
Sex: Female, Male
Male
57 Participants
n=93 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
Race (NIH/OMB)
Asian
0 Participants
n=93 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=93 Participants
Race (NIH/OMB)
White
71 Participants
n=93 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
Race (NIH/OMB)
Unknown or Not Reported
9 Participants
n=93 Participants
L- Dopa
Early
10 participants
n=93 Participants
L- Dopa
Advanced
73 participants
n=93 Participants
Body Mass Index (BMI)
26.928 kg/ m^2
STANDARD_DEVIATION 4.219 • n=93 Participants
Height
170.1 cm
STANDARD_DEVIATION 10.58 • n=93 Participants
Weight
78.3 kg
STANDARD_DEVIATION 16.6 • n=93 Participants

PRIMARY outcome

Timeframe: Baseline (baseline SP915) and week 13 (End of maintenance)

Population: Full Analysis Set (FAS).

The Unified Parkinson´s Disease Rating Scale Part III is an accepted and validated scale for the assessment of motor function in Parkinson´s disease. Each of the elements in the UPDRS III is measured on a scale of 0 to 4, where 0 is normal and 4 represents severe abnormalities. Baseline is defined as first titration visit (T1) of SP915.

Outcome measures

Outcome measures
Measure
Rotigotine
n=76 Participants
Rotigotine Transdermal Patch
Change From Baseline in UPDRS III Score at Week 13 (End of Maintenance)
-5.8 units on a scale
Standard Deviation 9.4

PRIMARY outcome

Timeframe: Baseline (baseline SP889 NCT00474058) and week 13 (End of maintenance)

Population: Full Analysis Set (FAS).

The Parkinson Disease Sleep Scale (PDSS) is a questionnaire with 15 questions to assess sleep and nocturnal disability in Parkinson´s disease. The item- scores range between 0= never and 4= very often. Baseline is defined as Visit 2 of previous double- blind trial SP889.

Outcome measures

Outcome measures
Measure
Rotigotine
n=78 Participants
Rotigotine Transdermal Patch
Change From Baseline in Parkinson Disease Sleep Scale (PDSS) at Week 13 (End of Maintenance)
-5.8 units on a scale
Standard Deviation 7.8

SECONDARY outcome

Timeframe: Baseline (baseline SP889 NCT00474058) and week 13 (End of maintenance)

Population: Full Analysis Set (FAS).

Subjects were asked to assess nocturnal akinesia, dystonia and cramps, using an ordinal severity scale. While a score of 0= normal and 4= maximal severity, subjects could also rate their symptoms with values of 0.5, 1.5, 2.5, 3.5. The nocturnal akinesia score was used to evaluate motor performance while the dystonia and cramps scores were used to evaluate sleep. Baseline is defined as Visit 2 of previous double- blind trial SP889.

Outcome measures

Outcome measures
Measure
Rotigotine
n=79 Participants
Rotigotine Transdermal Patch
Change From Baseline in Nocturnal Akinesia, Dystonia, and Cramps Score (NADCS) at Week 13 (End of Maintenance)
-1.5 units on a scale
Standard Deviation 2.1

SECONDARY outcome

Timeframe: Baseline (baseline SP889 NCT00474058) and week 13 (End of maintenance)

Population: Full Analysis Set (FAS).

The change in number of nocturias was used to evaluate improvements in sleep disorders. Baseline is defined as Visit 2 of previous double- blind trial SP889.

Outcome measures

Outcome measures
Measure
Rotigotine
n=78 Participants
Rotigotine Transdermal Patch
Change From Baseline in Number of Nocturias at Week 13 (End of Maintenance)
-0.4 Nocturias
Standard Deviation 1.2

Adverse Events

Rotigotine

Serious events: 16 serious events
Other events: 55 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Rotigotine
n=84 participants at risk
Rotigotine Transdermal Patch
Cardiac disorders
Atrial fibrillation
1.2%
1/84 • Number of events 1 • Adverse Events (AEs) were collected over the whole trial period from Visit 1 to the Safety Follow- Up Visit.
Serious and non- serious Adverse Events (AEs) refer to the Safety Set (SS). The SS includes all subjects who received at least 1 dose of trial medication.
Cardiac disorders
Atrioventricular block third degree
1.2%
1/84 • Number of events 1 • Adverse Events (AEs) were collected over the whole trial period from Visit 1 to the Safety Follow- Up Visit.
Serious and non- serious Adverse Events (AEs) refer to the Safety Set (SS). The SS includes all subjects who received at least 1 dose of trial medication.
Gastrointestinal disorders
Vomiting
1.2%
1/84 • Number of events 1 • Adverse Events (AEs) were collected over the whole trial period from Visit 1 to the Safety Follow- Up Visit.
Serious and non- serious Adverse Events (AEs) refer to the Safety Set (SS). The SS includes all subjects who received at least 1 dose of trial medication.
Gastrointestinal disorders
Reflux oesophagitis
1.2%
1/84 • Number of events 1 • Adverse Events (AEs) were collected over the whole trial period from Visit 1 to the Safety Follow- Up Visit.
Serious and non- serious Adverse Events (AEs) refer to the Safety Set (SS). The SS includes all subjects who received at least 1 dose of trial medication.
Gastrointestinal disorders
Inguinal hernia
1.2%
1/84 • Number of events 1 • Adverse Events (AEs) were collected over the whole trial period from Visit 1 to the Safety Follow- Up Visit.
Serious and non- serious Adverse Events (AEs) refer to the Safety Set (SS). The SS includes all subjects who received at least 1 dose of trial medication.
General disorders
Application site vesicles
1.2%
1/84 • Number of events 1 • Adverse Events (AEs) were collected over the whole trial period from Visit 1 to the Safety Follow- Up Visit.
Serious and non- serious Adverse Events (AEs) refer to the Safety Set (SS). The SS includes all subjects who received at least 1 dose of trial medication.
General disorders
Chest pain
1.2%
1/84 • Number of events 1 • Adverse Events (AEs) were collected over the whole trial period from Visit 1 to the Safety Follow- Up Visit.
Serious and non- serious Adverse Events (AEs) refer to the Safety Set (SS). The SS includes all subjects who received at least 1 dose of trial medication.
General disorders
Death
1.2%
1/84 • Number of events 1 • Adverse Events (AEs) were collected over the whole trial period from Visit 1 to the Safety Follow- Up Visit.
Serious and non- serious Adverse Events (AEs) refer to the Safety Set (SS). The SS includes all subjects who received at least 1 dose of trial medication.
Infections and infestations
Osteomyelitis
1.2%
1/84 • Number of events 1 • Adverse Events (AEs) were collected over the whole trial period from Visit 1 to the Safety Follow- Up Visit.
Serious and non- serious Adverse Events (AEs) refer to the Safety Set (SS). The SS includes all subjects who received at least 1 dose of trial medication.
Injury, poisoning and procedural complications
Femoral neck fracture
3.6%
3/84 • Number of events 3 • Adverse Events (AEs) were collected over the whole trial period from Visit 1 to the Safety Follow- Up Visit.
Serious and non- serious Adverse Events (AEs) refer to the Safety Set (SS). The SS includes all subjects who received at least 1 dose of trial medication.
Injury, poisoning and procedural complications
Post procedural haematuria
1.2%
1/84 • Number of events 1 • Adverse Events (AEs) were collected over the whole trial period from Visit 1 to the Safety Follow- Up Visit.
Serious and non- serious Adverse Events (AEs) refer to the Safety Set (SS). The SS includes all subjects who received at least 1 dose of trial medication.
Investigations
Eosinophil count increased
1.2%
1/84 • Number of events 1 • Adverse Events (AEs) were collected over the whole trial period from Visit 1 to the Safety Follow- Up Visit.
Serious and non- serious Adverse Events (AEs) refer to the Safety Set (SS). The SS includes all subjects who received at least 1 dose of trial medication.
Musculoskeletal and connective tissue disorders
Trigger finger
1.2%
1/84 • Number of events 1 • Adverse Events (AEs) were collected over the whole trial period from Visit 1 to the Safety Follow- Up Visit.
Serious and non- serious Adverse Events (AEs) refer to the Safety Set (SS). The SS includes all subjects who received at least 1 dose of trial medication.
Musculoskeletal and connective tissue disorders
Osteoarthritis
1.2%
1/84 • Number of events 1 • Adverse Events (AEs) were collected over the whole trial period from Visit 1 to the Safety Follow- Up Visit.
Serious and non- serious Adverse Events (AEs) refer to the Safety Set (SS). The SS includes all subjects who received at least 1 dose of trial medication.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Bladder cancer
1.2%
1/84 • Number of events 1 • Adverse Events (AEs) were collected over the whole trial period from Visit 1 to the Safety Follow- Up Visit.
Serious and non- serious Adverse Events (AEs) refer to the Safety Set (SS). The SS includes all subjects who received at least 1 dose of trial medication.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant melanoma
1.2%
1/84 • Number of events 1 • Adverse Events (AEs) were collected over the whole trial period from Visit 1 to the Safety Follow- Up Visit.
Serious and non- serious Adverse Events (AEs) refer to the Safety Set (SS). The SS includes all subjects who received at least 1 dose of trial medication.
Nervous system disorders
Syncope vasovagal
1.2%
1/84 • Number of events 1 • Adverse Events (AEs) were collected over the whole trial period from Visit 1 to the Safety Follow- Up Visit.
Serious and non- serious Adverse Events (AEs) refer to the Safety Set (SS). The SS includes all subjects who received at least 1 dose of trial medication.
Nervous system disorders
Peroneal nerve palsy
1.2%
1/84 • Number of events 1 • Adverse Events (AEs) were collected over the whole trial period from Visit 1 to the Safety Follow- Up Visit.
Serious and non- serious Adverse Events (AEs) refer to the Safety Set (SS). The SS includes all subjects who received at least 1 dose of trial medication.
Respiratory, thoracic and mediastinal disorders
Emphysema
1.2%
1/84 • Number of events 1 • Adverse Events (AEs) were collected over the whole trial period from Visit 1 to the Safety Follow- Up Visit.
Serious and non- serious Adverse Events (AEs) refer to the Safety Set (SS). The SS includes all subjects who received at least 1 dose of trial medication.
Skin and subcutaneous tissue disorders
Hyperhidrosis
1.2%
1/84 • Number of events 1 • Adverse Events (AEs) were collected over the whole trial period from Visit 1 to the Safety Follow- Up Visit.
Serious and non- serious Adverse Events (AEs) refer to the Safety Set (SS). The SS includes all subjects who received at least 1 dose of trial medication.

Other adverse events

Other adverse events
Measure
Rotigotine
n=84 participants at risk
Rotigotine Transdermal Patch
Gastrointestinal disorders
Nausea
11.9%
10/84 • Number of events 13 • Adverse Events (AEs) were collected over the whole trial period from Visit 1 to the Safety Follow- Up Visit.
Serious and non- serious Adverse Events (AEs) refer to the Safety Set (SS). The SS includes all subjects who received at least 1 dose of trial medication.
Gastrointestinal disorders
Vomiting
6.0%
5/84 • Number of events 6 • Adverse Events (AEs) were collected over the whole trial period from Visit 1 to the Safety Follow- Up Visit.
Serious and non- serious Adverse Events (AEs) refer to the Safety Set (SS). The SS includes all subjects who received at least 1 dose of trial medication.
Gastrointestinal disorders
Constipation
6.0%
5/84 • Number of events 6 • Adverse Events (AEs) were collected over the whole trial period from Visit 1 to the Safety Follow- Up Visit.
Serious and non- serious Adverse Events (AEs) refer to the Safety Set (SS). The SS includes all subjects who received at least 1 dose of trial medication.
General disorders
Application site pruritus
9.5%
8/84 • Number of events 10 • Adverse Events (AEs) were collected over the whole trial period from Visit 1 to the Safety Follow- Up Visit.
Serious and non- serious Adverse Events (AEs) refer to the Safety Set (SS). The SS includes all subjects who received at least 1 dose of trial medication.
General disorders
Application site erythema
11.9%
10/84 • Number of events 12 • Adverse Events (AEs) were collected over the whole trial period from Visit 1 to the Safety Follow- Up Visit.
Serious and non- serious Adverse Events (AEs) refer to the Safety Set (SS). The SS includes all subjects who received at least 1 dose of trial medication.
General disorders
Application site irritation
6.0%
5/84 • Number of events 6 • Adverse Events (AEs) were collected over the whole trial period from Visit 1 to the Safety Follow- Up Visit.
Serious and non- serious Adverse Events (AEs) refer to the Safety Set (SS). The SS includes all subjects who received at least 1 dose of trial medication.
General disorders
Oedema peripheral
9.5%
8/84 • Number of events 10 • Adverse Events (AEs) were collected over the whole trial period from Visit 1 to the Safety Follow- Up Visit.
Serious and non- serious Adverse Events (AEs) refer to the Safety Set (SS). The SS includes all subjects who received at least 1 dose of trial medication.
Infections and infestations
Urinary tract infection
8.3%
7/84 • Number of events 8 • Adverse Events (AEs) were collected over the whole trial period from Visit 1 to the Safety Follow- Up Visit.
Serious and non- serious Adverse Events (AEs) refer to the Safety Set (SS). The SS includes all subjects who received at least 1 dose of trial medication.
Infections and infestations
Nasopharyngitis
6.0%
5/84 • Number of events 6 • Adverse Events (AEs) were collected over the whole trial period from Visit 1 to the Safety Follow- Up Visit.
Serious and non- serious Adverse Events (AEs) refer to the Safety Set (SS). The SS includes all subjects who received at least 1 dose of trial medication.
Injury, poisoning and procedural complications
Fall
11.9%
10/84 • Number of events 11 • Adverse Events (AEs) were collected over the whole trial period from Visit 1 to the Safety Follow- Up Visit.
Serious and non- serious Adverse Events (AEs) refer to the Safety Set (SS). The SS includes all subjects who received at least 1 dose of trial medication.
Musculoskeletal and connective tissue disorders
Pain in extremity
9.5%
8/84 • Number of events 9 • Adverse Events (AEs) were collected over the whole trial period from Visit 1 to the Safety Follow- Up Visit.
Serious and non- serious Adverse Events (AEs) refer to the Safety Set (SS). The SS includes all subjects who received at least 1 dose of trial medication.
Musculoskeletal and connective tissue disorders
Back pain
7.1%
6/84 • Number of events 10 • Adverse Events (AEs) were collected over the whole trial period from Visit 1 to the Safety Follow- Up Visit.
Serious and non- serious Adverse Events (AEs) refer to the Safety Set (SS). The SS includes all subjects who received at least 1 dose of trial medication.
Musculoskeletal and connective tissue disorders
Arthralgia
6.0%
5/84 • Number of events 6 • Adverse Events (AEs) were collected over the whole trial period from Visit 1 to the Safety Follow- Up Visit.
Serious and non- serious Adverse Events (AEs) refer to the Safety Set (SS). The SS includes all subjects who received at least 1 dose of trial medication.
Nervous system disorders
Dyskinesia
10.7%
9/84 • Number of events 9 • Adverse Events (AEs) were collected over the whole trial period from Visit 1 to the Safety Follow- Up Visit.
Serious and non- serious Adverse Events (AEs) refer to the Safety Set (SS). The SS includes all subjects who received at least 1 dose of trial medication.
Nervous system disorders
Parkinson´s disease
9.5%
8/84 • Number of events 11 • Adverse Events (AEs) were collected over the whole trial period from Visit 1 to the Safety Follow- Up Visit.
Serious and non- serious Adverse Events (AEs) refer to the Safety Set (SS). The SS includes all subjects who received at least 1 dose of trial medication.
Nervous system disorders
Dizziness
10.7%
9/84 • Number of events 11 • Adverse Events (AEs) were collected over the whole trial period from Visit 1 to the Safety Follow- Up Visit.
Serious and non- serious Adverse Events (AEs) refer to the Safety Set (SS). The SS includes all subjects who received at least 1 dose of trial medication.
Nervous system disorders
Somnolence
13.1%
11/84 • Number of events 12 • Adverse Events (AEs) were collected over the whole trial period from Visit 1 to the Safety Follow- Up Visit.
Serious and non- serious Adverse Events (AEs) refer to the Safety Set (SS). The SS includes all subjects who received at least 1 dose of trial medication.
Nervous system disorders
Headache
6.0%
5/84 • Number of events 11 • Adverse Events (AEs) were collected over the whole trial period from Visit 1 to the Safety Follow- Up Visit.
Serious and non- serious Adverse Events (AEs) refer to the Safety Set (SS). The SS includes all subjects who received at least 1 dose of trial medication.
Psychiatric disorders
Hallucination
13.1%
11/84 • Number of events 22 • Adverse Events (AEs) were collected over the whole trial period from Visit 1 to the Safety Follow- Up Visit.
Serious and non- serious Adverse Events (AEs) refer to the Safety Set (SS). The SS includes all subjects who received at least 1 dose of trial medication.
Psychiatric disorders
Insomnia
8.3%
7/84 • Number of events 7 • Adverse Events (AEs) were collected over the whole trial period from Visit 1 to the Safety Follow- Up Visit.
Serious and non- serious Adverse Events (AEs) refer to the Safety Set (SS). The SS includes all subjects who received at least 1 dose of trial medication.

Additional Information

UCB Clinical Trial Call Center

UCB

Phone: +18778229493

Results disclosure agreements

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