Safety and Efficacy Study of Fipamezole in Treatment of Motor Dysfunctions in Parkinson's Disease

NCT ID: NCT00559871

Last Updated: 2009-06-03

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

PHASE2

Total Enrollment

180 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-10-31

Study Completion Date

2009-05-31

Brief Summary

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The purpose of this study is to determine whether Fipamezole is effective in the treatment of levodopa-induced dyskinesia in advanced Parkinson's disease.

Detailed Description

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This study is a multi-center, double-blind, placebo-controlled, multiple dose escalating, safety, tolerance, pharmacokinetics, and efficacy study of fipamezole administered in Parkinson's disease patients who are concomitantly being treated with a combination product of levodopa with a dopamine decarboxylase inhibitor (DDI) and possible other antiparkinson medication. Approximately 30 sites in the US and India will participate in this study. The patients will be randomized into one of four treatment arms to receive either fixed or ascending doses of Fipamezole (from 30 to 90 mg tid) or placebo. For efficacy assessments, levodopa-induced dyskinesia is assessed using a standardised rating scale. Time spent in 'Off' state or in 'On' state without dyskinesia, 'On' with non-troublesome dyskinesia or 'On' with troublesome dyskinesia, is assessed using patient diaries. Impact of dyskinesia on daily activities is quantified using a PDYS-26 questionnaire. To explore potential positive or negative impact of Fipamezole on cognitive functions, the study includes two cognitive tests. Finally, the study includes investigator assessments of CGI-I scales for dyskinesia, Parkinson's disease, and clinical condition in general.

Conditions

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Parkinson's 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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1

One placebo tablet administered tid from Day 1 to 28

Group Type PLACEBO_COMPARATOR

fipamezole

Intervention Type DRUG

Fipamezole in Zydis formulation three times per day for up to 28 days

2

One 30-mg tablet of Fipamezole tid from Day 1 to 28

Group Type ACTIVE_COMPARATOR

fipamezole

Intervention Type DRUG

Fipamezole in Zydis formulation three times per day for up to 28 days

3

One 30-mg tablet of Fipamezole tid from Day 1 to 7; and one 60-mg tablet of Fipamezole tid from Day 8 to 28

Group Type ACTIVE_COMPARATOR

fipamezole

Intervention Type DRUG

Fipamezole in Zydis formulation three times per day for up to 28 days

4

One 30-mg tablet of Fipamezole tid from Day 1 to 7; one 60-mg tablet of Fipamezole tid from Day 8 to 14; and one 90-mg tablet of Fipamezole tid from Day 15 to 28

Group Type ACTIVE_COMPARATOR

fipamezole

Intervention Type DRUG

Fipamezole in Zydis formulation three times per day for up to 28 days

Interventions

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fipamezole

Fipamezole in Zydis formulation three times per day for up to 28 days

Intervention Type DRUG

Other Intervention Names

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JP-1730

Eligibility Criteria

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Inclusion Criteria

* Idiopathic Parkinson's disease.
* Levodopa/DDI associated peak-dose dyskinesia which is at least moderately disabling and present for ≥25% of the waking day (UPDRS part IV, items 32 and 33, each ≥ 2).
* Stable Parkinson's medication for at least 1 month prior to randomization.
* Hoehn and Yahr Stages 1 to 4 during 'Off' period.
* Demonstrated ability to comprehend and give informed consent.
* Ability to complete patient diary.

Exclusion Criteria

* Other clinically significant conditions apart from those typically associated with Parkinson's disease.
* Intake of medication associated with exacerbation of dyskinesia or with extrapyramidal side effects and tardive dyskinesia or induction of liver enzymes; neuroleptics; or specified drugs known to be substantially metabolized through the following cytochrome P450 isoenzymes: 1A2, 2B6, 2C19, 2C9, 2D6, and 2E1.
* Use of St. John's Wort or Ginkgo Biloba within 48 hrs prior to randomization and until the last treatment day with the study medication.
* Intake of an investigational drug within 30 days prior to initial screening.
Minimum Eligible Age

30 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Santhera Pharmaceuticals

INDUSTRY

Sponsor Role collaborator

Juvantia Pharma Ltd

INDUSTRY

Sponsor Role lead

Responsible Party

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Santhera Pharmaceuticals

Principal Investigators

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Peter A. LeWitt, M.D.

Role: PRINCIPAL_INVESTIGATOR

Henry Ford Health Systems, Franklin Pointe Medical Center

Locations

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University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

Neurology Clinic PC

Northport, Alabama, United States

Site Status

University of Arizona Health Sciences Center

Tucson, Arizona, United States

Site Status

Parkinson and Movement Disorder Institute

Fountain Valley, California, United States

Site Status

University of California Irvine

Irvine, California, United States

Site Status

Coastal Neurological Medicine Group

La Jolla, California, United States

Site Status

Colorado Neurological Institute

Englewood, Colorado, United States

Site Status

Parkinson's Disease and Movement Disorder Center

Boca Raton, Florida, United States

Site Status

Sunrise Clinical Research

Hollywood, Florida, United States

Site Status

Pharmax Research Clinic

Miami, Florida, United States

Site Status

University of Miami

Miami, Florida, United States

Site Status

Collier Neurological Clinic

Naples, Florida, United States

Site Status

University of South Florida, Parkinson's Disease and Movement Center

Tampa, Florida, United States

Site Status

Emory Healthcare

Atlanta, Georgia, United States

Site Status

Medical College of Georgia

Augusta, Georgia, United States

Site Status

Rush University Medical Center

Chicago, Illinois, United States

Site Status

Parkinson Disease Center - University of Kansas Medical Center

Kansas City, Kansas, United States

Site Status

Ochsner Clinic Foundation

New Orleans, Louisiana, United States

Site Status

Maryland Parkinson's Disease and Movement Disorder Center

Baltimore, Maryland, United States

Site Status

U Mass Memorial Medical Center

Worcester, Massachusetts, United States

Site Status

Henry Ford Health Systems, Franklin Pointe Medical Center

Southfield, Michigan, United States

Site Status

Struthers Parkinson's Center

Golden Valley, Minnesota, United States

Site Status

Neurology Group of Bergen County

Ridgewood, New Jersey, United States

Site Status

Biomedical Research Alliance of New York

Forest Hills, New York, United States

Site Status

Duke Health Center at Morreene Road

Durham, North Carolina, United States

Site Status

Oregon Health and Science University

Portland, Oregon, United States

Site Status

Semmes Murphey Neurologic and Spine Institute

Memphis, Tennessee, United States

Site Status

Baylor College of Medicine

Houston, Texas, United States

Site Status

Neurology Associates

San Antonio, Texas, United States

Site Status

Max Superspecialty Hospital

Sāket, New Delhi, India

Site Status

Neurology centre

Ahmedabad, , India

Site Status

St John's Medical College & Hospital

Bangalore, , India

Site Status

M S Ramaiah Medical College Hospital

Bangalore, , India

Site Status

Nizam's Institute of Medical Sciences

Hyderabaad, , India

Site Status

Chatrapati Sahuji Maharaj Medical University

Lucknow, , India

Site Status

J.S.S. Medical College and Hospital

Mysore, , India

Site Status

Countries

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United States India

Other Identifiers

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SNT-II-004

Identifier Type: -

Identifier Source: org_study_id

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