Overnight Switch Trial From Pramipexole IR to Pramipexole ER in Patients With Early Parkinson Disease

NCT ID: NCT00558025

Last Updated: 2014-05-16

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

156 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-10-31

Brief Summary

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The objectives of this trial conducted in early Parkinson's disease (PD) patients are:

* To assess if patients with early Parkinson's disease (PD) can be successfully switched (overnight switching) from Pramipexole (PPX) Immediate Release (IR) to Pramipexole Extended Release (ER). A successful switch at a specific visit is defined as no worsening of the Unified Parkinsons Disease Rating Scale (UPDRS) parts II+III score by more than 15% from baseline and no drug-related adverse events leading to withdrawal;
* To establish if this successful switch can be obtained with or without dose-adaptation;
* To provide information about the conversion ratio (mg:mg) from Pramipexole IR to Pramipexole ER.

Detailed Description

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Conditions

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Parkinson 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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Pramipexole Extended Release (ER)

Pramipexole Extended Release (ER) once daily

Group Type EXPERIMENTAL

Pramipexole Extended Release

Intervention Type DRUG

Pramipexole Immediate Release (IR)

Pramipexole Immediate Release (IR) once daily

Group Type EXPERIMENTAL

Pramipexole Immediate Release

Intervention Type DRUG

Interventions

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Pramipexole Extended Release

Intervention Type DRUG

Pramipexole Immediate Release

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Male or female patient with idiopathic Parkinson's disease (PD) confirmed by at least two of the following signs: resting tremor, bradykinesia, rigidity.
2. Parkinson's disease diagnosed within 5 years.
3. Patients 30 years of age or older at the time of diagnosis.
4. Modified Hoehn and Yahr stage of 1 to 3.
5. Patients receiving pramipexole IR for at least three months prior to baseline visit (randomization visit, V2).
6. Pramipexole dose should be optimized (according investigator¿s judgement), greater or equal to 1.5 mg/day, stable and equally divided 3 times per day, for a least 4 weeks prior to baseline visit (V2).
7. Patients willing and able to comply with scheduled visits, treatment plan, laboratory tests and other study procedures.
8. Signed informed consent obtained before any study procedures are carried out in accordance with International Conference on Harmonization - Good Clinical Practice (ICH-GCP) guidelines and local legislation).

Exclusion Criteria

1. Motor complications under levodopa therapy at V1.
2. Atypical parkinsonian syndromes due to drugs, metabolic disorders, encephalitis or degenerative diseases.
3. Dementia, as defined by a Mini-Mental State Exam score \< 24 at V1
4. Any psychiatric disorder according to Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) criteria
5. History of psychosis, except history of drug induced hallucinations
6. Clinically significant electrocardiogram (ECG) abnormalities at V1.
7. Clinically significant hypotension either at screening visit or at baseline visit.
8. Malignant melanoma or history of previously treated malignant melanoma.
9. Any other clinically significant disease
10. Pregnancy or breast-feeding.
11. Sexually active female of childbearing potential
12. Serum levels of Aspartate Aminotransferase (Serum Glutamic Oxaloacetic Transaminase) (AST (SGOT)), Alanine Aminotransferase (Serum Glutamate Pyruvate Transaminase) (ALT (SGPT)), alkaline phosphatases or bilirubin \> 2 Upper Limit of Normal (ULN) (on screening lab test).
13. Patients with a creatinine clearance \< 50 mL/min
14. Any dopamine agonist (except pramipexole IR) within three months prior to baseline visit.
15. History of discontinuation of treatment with pramipexole IR
16. Previous treatment with pramipexole ER.
17. Any medication (including intra-muscular formulations) with central dopaminergic antagonist activity within 4 weeks prior to the baseline visit (i.e. typical neuroleptics, atypical antipsychotics, reserpine, methyldopa, centrally-active antiemetics, etc).
18. Any of the following drugs within 4 weeks prior to the baseline visit: methylphenidate, cinnarizine, amphetamines.
19. Flunarizine within 3 months prior to baseline visit.
20. Known hypersensitivity to Pramipexole or its excipients.
21. Drug abuse (including alcohol), according to Investigator¿s judgement, within 2 years prior to screening.
22. Participation in other investigational drug studies or use of other investigational drugs within 4 weeks or five times the half-life of the investigational drug (whichever is longer) prior to baseline visit.
Minimum Eligible Age

30 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Boehringer Ingelheim

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Boehringer Ingelheim

Role: STUDY_CHAIR

Boehringer Ingelheim

Locations

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248.636.3303A Boehringer Ingelheim Investigational Site

Aix-en-Provence, , France

Site Status

248.636.3303B Boehringer Ingelheim Investigational Site

Aix-en-Provence, , France

Site Status

248.636.3303C Boehringer Ingelheim Investigational Site

Aix-en-Provence, , France

Site Status

248.636.3307C Boehringer Ingelheim Investigational Site

Bron, , France

Site Status

248.636.3309B Boehringer Ingelheim Investigational Site

Clermont-Ferrand, , France

Site Status

248.636.3305A Boehringer Ingelheim Investigational Site

Créteil, , France

Site Status

248.636.3305B Boehringer Ingelheim Investigational Site

Créteil, , France

Site Status

248.636.3313A Boehringer Ingelheim Investigational Site

Dijon, , France

Site Status

248.636.3304A Boehringer Ingelheim Investigational Site

Évreux, , France

Site Status

248.636.3308B Boehringer Ingelheim Investigational Site

Lille, , France

Site Status

248.636.3308C Boehringer Ingelheim Investigational Site

Lille, , France

Site Status

248.636.3308D Boehringer Ingelheim Investigational Site

Lille, , France

Site Status

248.636.3308E Boehringer Ingelheim Investigational Site

Lille, , France

Site Status

248.636.3302A Boehringer Ingelheim Investigational Site

Marseille, , France

Site Status

248.636.3302B Boehringer Ingelheim Investigational Site

Marseille, , France

Site Status

248.636.3306B Boehringer Ingelheim Investigational Site

Montpellier, , France

Site Status

248.636.3312A Boehringer Ingelheim Investigational Site

Rouen, , France

Site Status

248.636.3312B Boehringer Ingelheim Investigational Site

Rouen, , France

Site Status

248.636.3311A Boehringer Ingelheim Investigational Site

Strasbourg, , France

Site Status

248.636.3301A Boehringer Ingelheim Investigational Site

Toulouse, , France

Site Status

248.636.3301B Boehringer Ingelheim Investigational Site

Toulouse, , France

Site Status

248.636.3301D Boehringer Ingelheim Investigational Site

Toulouse, , France

Site Status

248.636.49006 Boehringer Ingelheim Investigational Site

Achim Bei Bremen, , Germany

Site Status

248.636.49004 Boehringer Ingelheim Investigational Site

Berlin, , Germany

Site Status

248.636.49007 Boehringer Ingelheim Investigational Site

Berlin, , Germany

Site Status

248.636.49008 Boehringer Ingelheim Investigational Site

Berlin, , Germany

Site Status

248.636.49002 Boehringer Ingelheim Investigational Site

Gera, , Germany

Site Status

248.636.49001 Boehringer Ingelheim Investigational Site

Karlsruhe, , Germany

Site Status

248.636.49003 Boehringer Ingelheim Investigational Site

Steglitz, , Germany

Site Status

248.636.49005 Boehringer Ingelheim Investigational Site

Unterhaching, , Germany

Site Status

248.636.31005 Boehringer Ingelheim Investigational Site

's-Hertogenbosch, , Netherlands

Site Status

248.636.31002 Boehringer Ingelheim Investigational Site

Geldrop, , Netherlands

Site Status

248.636.31003 Boehringer Ingelheim Investigational Site

Helmond, , Netherlands

Site Status

248.636.31006 Boehringer Ingelheim Investigational Site

Maastricht, , Netherlands

Site Status

248.636.31004 Boehringer Ingelheim Investigational Site

Nijmegen, , Netherlands

Site Status

248.636.31001 Boehringer Ingelheim Investigational Site

Sittard, , Netherlands

Site Status

Countries

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France Germany Netherlands

Other Identifiers

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Eudract 2007-003353-90

Identifier Type: -

Identifier Source: secondary_id

248.636

Identifier Type: -

Identifier Source: org_study_id

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