Trial Outcomes & Findings for Long-term Safety of Rivastigmine Capsule and Patch in Patients With Mild to Moderately-severe Dementia Associated With Parkinson's Disease (PDD) (NCT NCT00623103)

NCT ID: NCT00623103

Last Updated: 2011-11-28

Results Overview

The AEs were summarized by presenting the number and percentage of patients having any of the 4 AEs or discontinued due to any of the 4 predefined AEs (tremor, muscle rigidity, bradykinesia, and fall)in each treatment group. The 95% CIs associated with the rates were also presented.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

583 participants

Primary outcome timeframe

76 Weeks

Results posted on

2011-11-28

Participant Flow

Participant milestones

Participant milestones
Measure
Rivastigmine Capsule
Rivastigmine capsules starting at a total dose of 3 mg/day (1.5 mg twice daily orally) titrated up in 3 mg/day increments every 4 weeks to a final dose of 12 mg/day (6 mg twice daily orally0. The 12 mg/day dose or the highest dose tolerated was maintained until week 76.
Rivastigmine Patch
Rivastigmine patch once a day in the morning, worn for 24 hours, starting at 5 cm\^2 (delivering 4.6 mg rivastigmine over a 24 hour period) for 4 weeks then titrated up to 10 cm\^2 daily (delivering 9.5 mg rivastigmine over a 24 hour period). The 10 cm\^2 patch or the highest well tolerated dose was maintained until week 76.
Overall Study
STARTED
295
288
Overall Study
Safety Set: Received Study Drug
294
288
Overall Study
COMPLETED
184
175
Overall Study
NOT COMPLETED
111
113

Reasons for withdrawal

Reasons for withdrawal
Measure
Rivastigmine Capsule
Rivastigmine capsules starting at a total dose of 3 mg/day (1.5 mg twice daily orally) titrated up in 3 mg/day increments every 4 weeks to a final dose of 12 mg/day (6 mg twice daily orally0. The 12 mg/day dose or the highest dose tolerated was maintained until week 76.
Rivastigmine Patch
Rivastigmine patch once a day in the morning, worn for 24 hours, starting at 5 cm\^2 (delivering 4.6 mg rivastigmine over a 24 hour period) for 4 weeks then titrated up to 10 cm\^2 daily (delivering 9.5 mg rivastigmine over a 24 hour period). The 10 cm\^2 patch or the highest well tolerated dose was maintained until week 76.
Overall Study
Adverse Event
70
60
Overall Study
Unsatisfactory therapeutic effect
4
12
Overall Study
Withdrawal by Subject
18
24
Overall Study
Lost to Follow-up
4
1
Overall Study
Administrative problems
2
4
Overall Study
Death
11
11
Overall Study
Protocol deviation
2
1

Baseline Characteristics

Long-term Safety of Rivastigmine Capsule and Patch in Patients With Mild to Moderately-severe Dementia Associated With Parkinson's Disease (PDD)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Rivastigmine Capsule
n=295 Participants
Rivastigmine capsules starting at a total dose of 3 mg/day (1.5 mg twice daily orally) titrated up in 3 mg/day increments every 4 weeks to a final dose of 12 mg/day (6 mg twice daily orally0. The 12 mg/day dose or the highest dose tolerated was maintained until week 76.
Rivastigmine Patch
n=288 Participants
Rivastigmine patch once a day in the morning, worn for 24 hours, starting at 5 cm\^2 (delivering 4.6 mg rivastigmine over a 24 hour period) for 4 weeks then titrated up to 10 cm\^2 daily (delivering 9.5 mg rivastigmine over a 24 hour period). The 10 cm\^2 patch or the highest well tolerated dose was maintained until week 76.
Total
n=583 Participants
Total of all reporting groups
Age Continuous
72.35 years
STANDARD_DEVIATION 6.295 • n=5 Participants
72.26 years
STANDARD_DEVIATION 6.352 • n=7 Participants
72.31 years
STANDARD_DEVIATION 6.318 • n=5 Participants
Sex: Female, Male
Female
88 Participants
n=5 Participants
97 Participants
n=7 Participants
185 Participants
n=5 Participants
Sex: Female, Male
Male
207 Participants
n=5 Participants
191 Participants
n=7 Participants
398 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 76 Weeks

Population: Safety Population consisted of all participants who received at least 1 dose of study drug and had 1 post-baseline safety measurement. Participants with observation at 76 weeks were included in this analysis.

The AEs were summarized by presenting the number and percentage of patients having any of the 4 AEs or discontinued due to any of the 4 predefined AEs (tremor, muscle rigidity, bradykinesia, and fall)in each treatment group. The 95% CIs associated with the rates were also presented.

Outcome measures

Outcome measures
Measure
Rivastigmine Capsule
n=294 Participants
Rivastigmine capsules starting at a total dose of 3 mg/day (1.5 mg twice daily orally) titrated up in 3 mg/day increments every 4 weeks to a final dose of 12 mg/day (6 mg twice daily orally0. The 12 mg/day dose or the highest dose tolerated was maintained until week 76.
Rivastigmine Patch
n=288 Participants
Rivastigmine patch once a day in the morning, worn for 24 hours, starting at 5 cm\^2 (delivering 4.6 mg rivastigmine over a 24 hour period) for 4 weeks then titrated up to 10 cm\^2 daily (delivering 9.5 mg rivastigmine over a 24 hour period). The 10 cm\^2 patch or the highest well tolerated dose was maintained until week 76.
Percentage of Participants With Adverse Events (AEs) Due, or Potentially Due, to Worsening of Parkinson Disease (PD) Motor Symptoms (Tremor, Muscle Rigidity, Bradykinesia, Fall)
Tremor
24.5 Percentage of participants
Interval 19.7 to 29.8
9.7 Percentage of participants
Interval 6.6 to 13.7
Percentage of Participants With Adverse Events (AEs) Due, or Potentially Due, to Worsening of Parkinson Disease (PD) Motor Symptoms (Tremor, Muscle Rigidity, Bradykinesia, Fall)
Muscle Rigidity
4.1 Percentage of participants
Interval 2.1 to 7.0
5.2 Percentage of participants
Interval 2.9 to 8.4
Percentage of Participants With Adverse Events (AEs) Due, or Potentially Due, to Worsening of Parkinson Disease (PD) Motor Symptoms (Tremor, Muscle Rigidity, Bradykinesia, Fall)
Bradykinesia
5.1 Percentage of participants
Interval 2.9 to 8.3
6.3 Percentage of participants
Interval 3.7 to 9.7
Percentage of Participants With Adverse Events (AEs) Due, or Potentially Due, to Worsening of Parkinson Disease (PD) Motor Symptoms (Tremor, Muscle Rigidity, Bradykinesia, Fall)
Fall
17.0 Percentage of participants
Interval 12.9 to 21.8
20.1 Percentage of participants
Interval 15.7 to 25.2

PRIMARY outcome

Timeframe: 76 Weeks

Population: Safety Population consisted of all participants who received at least 1 dose of study drug and had 1 post-baseline safety measurement. Participants with observation at 76 weeks were included in this analysis.

The discontinuations due to these AEs were summarized by presenting the number and percentage of patients having any of the 4 AEs or discontinued due to any of the 4 predefined AEs (tremor, muscle rigidity, bradykinesia, and fall) in each treatment group. The 95% CIs associated with these rates were also presented.

Outcome measures

Outcome measures
Measure
Rivastigmine Capsule
n=294 Participants
Rivastigmine capsules starting at a total dose of 3 mg/day (1.5 mg twice daily orally) titrated up in 3 mg/day increments every 4 weeks to a final dose of 12 mg/day (6 mg twice daily orally0. The 12 mg/day dose or the highest dose tolerated was maintained until week 76.
Rivastigmine Patch
n=288 Participants
Rivastigmine patch once a day in the morning, worn for 24 hours, starting at 5 cm\^2 (delivering 4.6 mg rivastigmine over a 24 hour period) for 4 weeks then titrated up to 10 cm\^2 daily (delivering 9.5 mg rivastigmine over a 24 hour period). The 10 cm\^2 patch or the highest well tolerated dose was maintained until week 76.
Percentage of Participants With Study Drug Discontinuations Due to Predefined AEs That Are Due, or Potentially Due, to Worsening of PD Motor Symptoms (Tremor, Muscle Rigidity, Bradykinesia, Fall)
Tremor
2.4 Percentage of participants
Interval 1.0 to 4.8
0.7 Percentage of participants
Interval 0.1 to 2.5
Percentage of Participants With Study Drug Discontinuations Due to Predefined AEs That Are Due, or Potentially Due, to Worsening of PD Motor Symptoms (Tremor, Muscle Rigidity, Bradykinesia, Fall)
Muscle Rigidity
0.3 Percentage of participants
Interval 0.0 to 1.9
0.3 Percentage of participants
Interval 0.0 to 1.9
Percentage of Participants With Study Drug Discontinuations Due to Predefined AEs That Are Due, or Potentially Due, to Worsening of PD Motor Symptoms (Tremor, Muscle Rigidity, Bradykinesia, Fall)
Bradykinesia
1.0 Percentage of participants
Interval 0.2 to 3.0
0.0 Percentage of participants
Interval 0.0 to 0.0
Percentage of Participants With Study Drug Discontinuations Due to Predefined AEs That Are Due, or Potentially Due, to Worsening of PD Motor Symptoms (Tremor, Muscle Rigidity, Bradykinesia, Fall)
Fall
1.0 Percentage of participants
Interval 0.2 to 3.0
1.4 Percentage of participants
Interval 0.4 to 3.5

SECONDARY outcome

Timeframe: From Baseline to Weeks 8, 16, 24, 52 and 76

Population: Safety population consisted of all participants who received at least 1 dose of study drug and had 1 post-baseline safety measurement. "n" in each of the categories is the number of participants at each time point with non-missing baseline and post-baseline measurements.

Unified Parkinson Disease Rating Scale (UPDRS) is a 6 part Parkinson's disease specific rating scale that estimates clinical function taking into consideration both disability (functional deficits) and impairment (objective clinical signs). Part III records the motor examination in Items 18-31 rated on a scale of 0 to 4 with (0 being absent/ normal and 4 being the worse) for a total possible score of 0 to 56.

Outcome measures

Outcome measures
Measure
Rivastigmine Capsule
n=294 Participants
Rivastigmine capsules starting at a total dose of 3 mg/day (1.5 mg twice daily orally) titrated up in 3 mg/day increments every 4 weeks to a final dose of 12 mg/day (6 mg twice daily orally0. The 12 mg/day dose or the highest dose tolerated was maintained until week 76.
Rivastigmine Patch
n=288 Participants
Rivastigmine patch once a day in the morning, worn for 24 hours, starting at 5 cm\^2 (delivering 4.6 mg rivastigmine over a 24 hour period) for 4 weeks then titrated up to 10 cm\^2 daily (delivering 9.5 mg rivastigmine over a 24 hour period). The 10 cm\^2 patch or the highest well tolerated dose was maintained until week 76.
Change in Unified Parkinson Disease Rating Scale (UPDRS) Part III Motor Examination Scores at Weeks 8, 16, 24, 52 and 76 (or Early Discontinuation) Compared to Baseline
Week 8 (n=276,277)
-0.4 Score on a scale
Standard Deviation 6.99
-0.9 Score on a scale
Standard Deviation 7.05
Change in Unified Parkinson Disease Rating Scale (UPDRS) Part III Motor Examination Scores at Weeks 8, 16, 24, 52 and 76 (or Early Discontinuation) Compared to Baseline
Week 16 (n=254,252)
0.5 Score on a scale
Standard Deviation 7.72
-1.7 Score on a scale
Standard Deviation 7.44
Change in Unified Parkinson Disease Rating Scale (UPDRS) Part III Motor Examination Scores at Weeks 8, 16, 24, 52 and 76 (or Early Discontinuation) Compared to Baseline
Week 24 (n=229,237)
0.1 Score on a scale
Standard Deviation 8.19
-1.4 Score on a scale
Standard Deviation 7.90
Change in Unified Parkinson Disease Rating Scale (UPDRS) Part III Motor Examination Scores at Weeks 8, 16, 24, 52 and 76 (or Early Discontinuation) Compared to Baseline
Week 52 (n=203,206)
0.7 Score on a scale
Standard Deviation 8.66
1.6 Score on a scale
Standard Deviation 9.57
Change in Unified Parkinson Disease Rating Scale (UPDRS) Part III Motor Examination Scores at Weeks 8, 16, 24, 52 and 76 (or Early Discontinuation) Compared to Baseline
Week 76 (n=183,175)
2.1 Score on a scale
Standard Deviation 9.98
2.1 Score on a scale
Standard Deviation 9.65

SECONDARY outcome

Timeframe: From Baseline to Weeks 16, 24, 52 and 76

Population: Intent-to-treat population which included all patients who received at least 1 dose of study drug and had at least 1 pre- and post-baseline assessment for 1 of the efficacy variables. Last observation carried forward. (LOCF)

Mattis DRS-2 is a measure of cognitive status. The total score is the sum of 5 subscale scores: Attention \[0-37\], Initiation/Perservation \[0-37\] (performing alternating movements), Construction \[0-6\] (copying designs), Conceptualization \[0-39\] (similarities) and Memory \[0-25\] (sentence recall, design recognition)for a total possible score of 0-144. Higher score is reflective of better cognitive function, lower scores associated with more pronounced cognitive deficit. The change from baseline was calculated such that a positive number indicates an improvement.

Outcome measures

Outcome measures
Measure
Rivastigmine Capsule
n=273 Participants
Rivastigmine capsules starting at a total dose of 3 mg/day (1.5 mg twice daily orally) titrated up in 3 mg/day increments every 4 weeks to a final dose of 12 mg/day (6 mg twice daily orally0. The 12 mg/day dose or the highest dose tolerated was maintained until week 76.
Rivastigmine Patch
n=273 Participants
Rivastigmine patch once a day in the morning, worn for 24 hours, starting at 5 cm\^2 (delivering 4.6 mg rivastigmine over a 24 hour period) for 4 weeks then titrated up to 10 cm\^2 daily (delivering 9.5 mg rivastigmine over a 24 hour period). The 10 cm\^2 patch or the highest well tolerated dose was maintained until week 76.
Change in Mattis Dementia Rating Scale (Mattis DRS-2) Scores at Weeks 16, 24, 52 and 76 Compared to Baseline
Week 16
5.4 Score on a scale
Standard Deviation 11.98
3.4 Score on a scale
Standard Deviation 11.53
Change in Mattis Dementia Rating Scale (Mattis DRS-2) Scores at Weeks 16, 24, 52 and 76 Compared to Baseline
Week 24
6.5 Score on a scale
Standard Deviation 12.98
4.4 Score on a scale
Standard Deviation 12.85
Change in Mattis Dementia Rating Scale (Mattis DRS-2) Scores at Weeks 16, 24, 52 and 76 Compared to Baseline
Week 52
4.6 Score on a scale
Standard Deviation 13.62
1.3 Score on a scale
Standard Deviation 15.07
Change in Mattis Dementia Rating Scale (Mattis DRS-2) Scores at Weeks 16, 24, 52 and 76 Compared to Baseline
Week 76
3.9 Score on a scale
Standard Deviation 16.82
-1.4 Score on a scale
Standard Deviation 17.43

SECONDARY outcome

Timeframe: From Baseline to Weeks 16, 24, 52 and 76

Population: Intent-to-treat population which included all patients who received at least 1 dose of study drug and had at least 1 pre- and post-baseline assessment for 1 of the efficacy variables. Last observation carried forward. (LOCF)

The Ten Point Clock Test measures executive functioning and visuospatial skills. Participants are asked to put numbers on the face of a clock and then make the clock read 10 minutes after 11. Points are awarded on a scale of 0 to 10 for spacing of specific numbers and the positions of the hands. The change from baseline was calculated such that a positive number indicates improvement.

Outcome measures

Outcome measures
Measure
Rivastigmine Capsule
n=273 Participants
Rivastigmine capsules starting at a total dose of 3 mg/day (1.5 mg twice daily orally) titrated up in 3 mg/day increments every 4 weeks to a final dose of 12 mg/day (6 mg twice daily orally0. The 12 mg/day dose or the highest dose tolerated was maintained until week 76.
Rivastigmine Patch
n=273 Participants
Rivastigmine patch once a day in the morning, worn for 24 hours, starting at 5 cm\^2 (delivering 4.6 mg rivastigmine over a 24 hour period) for 4 weeks then titrated up to 10 cm\^2 daily (delivering 9.5 mg rivastigmine over a 24 hour period). The 10 cm\^2 patch or the highest well tolerated dose was maintained until week 76.
Change in Ten Point Clock Test (TPCT) Scores at Weeks 16, 24, 52 and 76 (or Early Discontinuation) Compared to Baseline
Week 16
0.5 Score on a scale
Standard Deviation 2.75
0.4 Score on a scale
Standard Deviation 3.02
Change in Ten Point Clock Test (TPCT) Scores at Weeks 16, 24, 52 and 76 (or Early Discontinuation) Compared to Baseline
Week 24
0.6 Score on a scale
Standard Deviation 3.18
0.3 Score on a scale
Standard Deviation 3.40
Change in Ten Point Clock Test (TPCT) Scores at Weeks 16, 24, 52 and 76 (or Early Discontinuation) Compared to Baseline
Week 52
0.3 Score on a scale
Standard Deviation 2.97
-0.1 Score on a scale
Standard Deviation 3.33
Change in Ten Point Clock Test (TPCT) Scores at Weeks 16, 24, 52 and 76 (or Early Discontinuation) Compared to Baseline
Week 76
0.0 Score on a scale
Standard Deviation 3.2
-0.3 Score on a scale
Standard Deviation 3.57

SECONDARY outcome

Timeframe: At Week 16, 24, 52 and 76 (or early discontinuation)

Population: Intent-to-treat population which included all patients who received at least 1 dose of study drug and had at least 1 pre- and post-baseline assessment for 1 of the efficacy variables. Last observation carried forward. (LOCF)

The parameter for analysis was the change from baseline of total score of 10 items on the NPI scale (NPI-10). The total score is a sum of the 10 domains, where the score for a domain is defined as the product of frequency (range: 1-4) and severity (range: 1-3). Each domain has a maximum score of 12 and all domains were equally weighted for total score(thus the range for the total score is 0 to 120 with 0 being completely healthy to 120 which is the worse score patient can get). The change from baseline was calculated such that a negative number indicates an improvement (symptom reduction).

Outcome measures

Outcome measures
Measure
Rivastigmine Capsule
n=294 Participants
Rivastigmine capsules starting at a total dose of 3 mg/day (1.5 mg twice daily orally) titrated up in 3 mg/day increments every 4 weeks to a final dose of 12 mg/day (6 mg twice daily orally0. The 12 mg/day dose or the highest dose tolerated was maintained until week 76.
Rivastigmine Patch
n=288 Participants
Rivastigmine patch once a day in the morning, worn for 24 hours, starting at 5 cm\^2 (delivering 4.6 mg rivastigmine over a 24 hour period) for 4 weeks then titrated up to 10 cm\^2 daily (delivering 9.5 mg rivastigmine over a 24 hour period). The 10 cm\^2 patch or the highest well tolerated dose was maintained until week 76.
Change in Neuropsychiatric Inventory-10 (NPI-10) Scores at Weeks 16, 24, 52 and 76 (or Early Discontinuation) Compared to Baseline
Week 16
-3.3 Score
Standard Deviation 9.75
-0.5 Score
Standard Deviation 10.89
Change in Neuropsychiatric Inventory-10 (NPI-10) Scores at Weeks 16, 24, 52 and 76 (or Early Discontinuation) Compared to Baseline
Week 24
-2.6 Score
Standard Deviation 10.31
-1.0 Score
Standard Deviation 10.27
Change in Neuropsychiatric Inventory-10 (NPI-10) Scores at Weeks 16, 24, 52 and 76 (or Early Discontinuation) Compared to Baseline
Week 52
-1.7 Score
Standard Deviation 11.40
-0.3 Score
Standard Deviation 11.26
Change in Neuropsychiatric Inventory-10 (NPI-10) Scores at Weeks 16, 24, 52 and 76 (or Early Discontinuation) Compared to Baseline
Week 76
-1.6 Score
Standard Deviation 11.22
0.7 Score
Standard Deviation 12.62

SECONDARY outcome

Timeframe: From Baseline to Week 16, 24, 52 and 76 (or early discontinuation)

Population: Intent-to-treat population which included all patients who received at least 1 dose of study drug and had at least 1 pre- and post-baseline assessment for 1 of the efficacy variables. Last observation carried forward. (LOCF).

The 23 item caregiver-based ADL scale of the dementia Alzheimer's disease Cooperative Study-Activities of Daily Living (ADCS-ADL) was used for analysis. This is a caregiver rated questionnaire of 23 items, with possible scores over a range of 0-78, where 78 denote full functioning with no impairment. The total score was derived by adding up the item scores of the 23 items. The change from baseline was calculated such that a positive change indicates an improvement.

Outcome measures

Outcome measures
Measure
Rivastigmine Capsule
n=294 Participants
Rivastigmine capsules starting at a total dose of 3 mg/day (1.5 mg twice daily orally) titrated up in 3 mg/day increments every 4 weeks to a final dose of 12 mg/day (6 mg twice daily orally0. The 12 mg/day dose or the highest dose tolerated was maintained until week 76.
Rivastigmine Patch
n=288 Participants
Rivastigmine patch once a day in the morning, worn for 24 hours, starting at 5 cm\^2 (delivering 4.6 mg rivastigmine over a 24 hour period) for 4 weeks then titrated up to 10 cm\^2 daily (delivering 9.5 mg rivastigmine over a 24 hour period). The 10 cm\^2 patch or the highest well tolerated dose was maintained until week 76.
Change in Alzheimer's Disease Cooperative Study-Activities Of Daily Living (ADCS-ADL) Scores at Weeks 16, 24, 52 and 76 (or Early Discontinuation) Compared to Baseline
Week 16 (n=273, 270)
-0.4 Score
Standard Deviation 9.60
-1.3 Score
Standard Deviation 10.38
Change in Alzheimer's Disease Cooperative Study-Activities Of Daily Living (ADCS-ADL) Scores at Weeks 16, 24, 52 and 76 (or Early Discontinuation) Compared to Baseline
Week 24 (n=273,270)
-0.6 Score
Standard Deviation 10.12
-1.5 Score
Standard Deviation 10.91
Change in Alzheimer's Disease Cooperative Study-Activities Of Daily Living (ADCS-ADL) Scores at Weeks 16, 24, 52 and 76 (or Early Discontinuation) Compared to Baseline
Week 52 (n=273,270)
-2.2 Score
Standard Deviation 11.13
-5.4 Score
Standard Deviation 13.57
Change in Alzheimer's Disease Cooperative Study-Activities Of Daily Living (ADCS-ADL) Scores at Weeks 16, 24, 52 and 76 (or Early Discontinuation) Compared to Baseline
Week 76 (n=273, 270)
-4.4 Score
Standard Deviation 13.13
-7.8 Score
Standard Deviation 15.62

SECONDARY outcome

Timeframe: From Baseline to Week 8, 16, 24, 52 and 76 (or early discontinuation)

Population: The Safety population consisted of all patients who have received at least one dose of study drug and have had at least 1 safety measurement after baseline. n=indicates patients with observation during different timepoints.

Unified Parkinson Disease Rating Scale (UPDRS) is a 6 part Parkinson's disease specific rating scale that estimates clinical function taking into consideration both disability (functional deficits) and impairment (objective clinical signs). UPDRS Part V is assessed by the modified Hoehn and Yahr Staging Scale. The scale ranges from 0 (no signs of disease) to 5 (wheelchair bound or bedridden unless aided).

Outcome measures

Outcome measures
Measure
Rivastigmine Capsule
n=294 Participants
Rivastigmine capsules starting at a total dose of 3 mg/day (1.5 mg twice daily orally) titrated up in 3 mg/day increments every 4 weeks to a final dose of 12 mg/day (6 mg twice daily orally0. The 12 mg/day dose or the highest dose tolerated was maintained until week 76.
Rivastigmine Patch
n=288 Participants
Rivastigmine patch once a day in the morning, worn for 24 hours, starting at 5 cm\^2 (delivering 4.6 mg rivastigmine over a 24 hour period) for 4 weeks then titrated up to 10 cm\^2 daily (delivering 9.5 mg rivastigmine over a 24 hour period). The 10 cm\^2 patch or the highest well tolerated dose was maintained until week 76.
UPDRS Part V Stage (Modified Hoehn and Yahr Staging)at Baseline, Week 8,16,24,52 and 76 (or Early Discontinuation)
Baseline (n = 294,288)
2.7 Score
Standard Deviation 0.65
2.7 Score
Standard Deviation 0.70
UPDRS Part V Stage (Modified Hoehn and Yahr Staging)at Baseline, Week 8,16,24,52 and 76 (or Early Discontinuation)
Week 8 (n=17,18)
2.6 Score
Standard Deviation 0.70
2.7 Score
Standard Deviation 1.05
UPDRS Part V Stage (Modified Hoehn and Yahr Staging)at Baseline, Week 8,16,24,52 and 76 (or Early Discontinuation)
Week 16 (n=254,252)
2.8 Score
Standard Deviation 0.68
2.7 Score
Standard Deviation 0.67
UPDRS Part V Stage (Modified Hoehn and Yahr Staging)at Baseline, Week 8,16,24,52 and 76 (or Early Discontinuation)
Week 24 (229, 236)
2.7 Score
Standard Deviation 0.75
2.7 Score
Standard Deviation 0.67
UPDRS Part V Stage (Modified Hoehn and Yahr Staging)at Baseline, Week 8,16,24,52 and 76 (or Early Discontinuation)
Week 52 (n=202,208)
2.8 Score
Standard Deviation 0.73
2.8 Score
Standard Deviation 0.69
UPDRS Part V Stage (Modified Hoehn and Yahr Staging)at Baseline, Week 8,16,24,52 and 76 (or Early Discontinuation)
Week 76 (n=184, 175)
2.8 Score
Standard Deviation 0.74
2.8 Score
Standard Deviation 0.79

Adverse Events

Exelon Capsule

Serious events: 87 serious events
Other events: 239 other events
Deaths: 0 deaths

Exelon Patch

Serious events: 83 serious events
Other events: 215 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Exelon Capsule
n=294 participants at risk
Exelon Capsule
Exelon Patch
n=288 participants at risk
Exelon Patch
Cardiac disorders
Acute myocardial infarction
0.00%
0/294
0.35%
1/288
Cardiac disorders
Angina pectoris
0.34%
1/294
0.69%
2/288
Cardiac disorders
Arteriosclerosis coronary artery
0.34%
1/294
0.00%
0/288
Cardiac disorders
Atrial fibrillation
1.0%
3/294
0.00%
0/288
Cardiac disorders
Atrial flutter
0.34%
1/294
0.00%
0/288
Cardiac disorders
Atrioventricular block second degree
0.00%
0/294
0.35%
1/288
Cardiac disorders
Bradycardia
0.34%
1/294
0.00%
0/288
Cardiac disorders
Cardiac arrest
0.34%
1/294
0.00%
0/288
Cardiac disorders
Cardiac failure
0.34%
1/294
0.69%
2/288
Cardiac disorders
Cardiac failure acute
0.00%
0/294
0.35%
1/288
Cardiac disorders
Cardiac valve sclerosis
0.34%
1/294
0.00%
0/288
Cardiac disorders
Cardio-respiratory arrest
0.34%
1/294
0.35%
1/288
Cardiac disorders
Coronary artery disease
0.34%
1/294
0.35%
1/288
Cardiac disorders
Myocardial infarction
0.68%
2/294
0.69%
2/288
Cardiac disorders
Sinus arrhythmia
0.34%
1/294
0.00%
0/288
Gastrointestinal disorders
Abdominal distension
0.34%
1/294
0.00%
0/288
Gastrointestinal disorders
Abdominal hernia
0.34%
1/294
0.00%
0/288
Gastrointestinal disorders
Abdominal pain
0.34%
1/294
0.00%
0/288
Gastrointestinal disorders
Abdominal pain upper
0.34%
1/294
0.00%
0/288
Gastrointestinal disorders
Constipation
0.00%
0/294
0.35%
1/288
Gastrointestinal disorders
Diarrhoea
0.34%
1/294
1.0%
3/288
Gastrointestinal disorders
Duodenal ulcer haemorrhage
0.34%
1/294
0.00%
0/288
Gastrointestinal disorders
Gastric ulcer haemorrhage
0.00%
0/294
0.35%
1/288
Gastrointestinal disorders
Haemorrhoidal haemorrhage
0.00%
0/294
0.35%
1/288
Gastrointestinal disorders
Haemorrhoids
0.00%
0/294
0.35%
1/288
Gastrointestinal disorders
Ileus
0.34%
1/294
0.35%
1/288
Gastrointestinal disorders
Inguinal hernia
0.34%
1/294
0.35%
1/288
Gastrointestinal disorders
Inguinal hernia strangulated
0.34%
1/294
0.00%
0/288
Gastrointestinal disorders
Intestinal obstruction
0.34%
1/294
0.35%
1/288
Gastrointestinal disorders
Melaena
0.00%
0/294
0.35%
1/288
Gastrointestinal disorders
Mesenteric occlusion
0.34%
1/294
0.35%
1/288
Gastrointestinal disorders
Nausea
0.68%
2/294
0.35%
1/288
Gastrointestinal disorders
Pancreatitis
0.34%
1/294
0.00%
0/288
Gastrointestinal disorders
Pancreatitis acute
0.34%
1/294
0.00%
0/288
Gastrointestinal disorders
Periodontitis
0.00%
0/294
0.35%
1/288
Gastrointestinal disorders
Rectal haemorrhage
0.00%
0/294
0.35%
1/288
Gastrointestinal disorders
Salivary hypersecretion
0.34%
1/294
0.00%
0/288
Gastrointestinal disorders
Small intestinal obstruction
0.68%
2/294
0.00%
0/288
Gastrointestinal disorders
Umbilical hernia
0.34%
1/294
0.00%
0/288
Gastrointestinal disorders
Vomiting
0.00%
0/294
0.35%
1/288
General disorders
Asthenia
0.34%
1/294
0.00%
0/288
General disorders
Complication of device insertion
0.00%
0/294
0.35%
1/288
General disorders
Device failure
0.34%
1/294
0.00%
0/288
General disorders
Fatigue
0.68%
2/294
0.00%
0/288
General disorders
Gait disturbance
0.00%
0/294
0.35%
1/288
General disorders
General physical health deterioration
0.34%
1/294
0.00%
0/288
General disorders
Non-cardiac chest pain
0.68%
2/294
0.00%
0/288
General disorders
Pyrexia
0.68%
2/294
1.0%
3/288
Hepatobiliary disorders
Cholelithiasis
0.68%
2/294
0.35%
1/288
Infections and infestations
Bronchitis
0.34%
1/294
0.00%
0/288
Infections and infestations
Bronchopneumonia
0.34%
1/294
0.35%
1/288
Infections and infestations
Cellulitis
0.00%
0/294
0.35%
1/288
Infections and infestations
Cystitis klebsiella
0.34%
1/294
0.00%
0/288
Infections and infestations
Gastroenteritis viral
0.00%
0/294
0.35%
1/288
Infections and infestations
Gastrointestinal infection
0.68%
2/294
0.00%
0/288
Infections and infestations
Helicobacter infection
0.68%
2/294
0.00%
0/288
Infections and infestations
Lung infection
0.34%
1/294
0.00%
0/288
Infections and infestations
Pneumonia
3.1%
9/294
2.4%
7/288
Infections and infestations
Pneumonia fungal
0.34%
1/294
0.00%
0/288
Infections and infestations
Post procedural sepsis
0.00%
0/294
0.35%
1/288
Infections and infestations
Rash pustular
0.34%
1/294
0.00%
0/288
Infections and infestations
Respiratory tract infection
0.68%
2/294
0.00%
0/288
Infections and infestations
Sepsis
0.00%
0/294
0.35%
1/288
Infections and infestations
Tracheobronchitis
0.00%
0/294
0.35%
1/288
Infections and infestations
Urinary tract infection
0.68%
2/294
1.4%
4/288
Injury, poisoning and procedural complications
Accidental overdose
0.00%
0/294
0.35%
1/288
Injury, poisoning and procedural complications
Brain herniation
0.34%
1/294
0.00%
0/288
Injury, poisoning and procedural complications
Concussion
0.34%
1/294
0.00%
0/288
Injury, poisoning and procedural complications
Contusion
0.68%
2/294
0.00%
0/288
Injury, poisoning and procedural complications
Fall
0.68%
2/294
3.1%
9/288
Injury, poisoning and procedural complications
Femoral neck fracture
0.68%
2/294
0.35%
1/288
Injury, poisoning and procedural complications
Femur fracture
2.0%
6/294
1.0%
3/288
Injury, poisoning and procedural complications
Hand fracture
0.34%
1/294
0.00%
0/288
Injury, poisoning and procedural complications
Head injury
0.68%
2/294
0.00%
0/288
Injury, poisoning and procedural complications
Hip fracture
1.0%
3/294
0.69%
2/288
Injury, poisoning and procedural complications
Humerus fracture
0.00%
0/294
0.69%
2/288
Injury, poisoning and procedural complications
Lower limb fracture
0.34%
1/294
0.69%
2/288
Injury, poisoning and procedural complications
Nerve root injury
0.00%
0/294
0.35%
1/288
Injury, poisoning and procedural complications
Pelvic fracture
0.00%
0/294
0.35%
1/288
Injury, poisoning and procedural complications
Post-traumatic pain
0.34%
1/294
0.00%
0/288
Injury, poisoning and procedural complications
Rib fracture
0.34%
1/294
0.69%
2/288
Injury, poisoning and procedural complications
Scapula fracture
0.34%
1/294
0.00%
0/288
Injury, poisoning and procedural complications
Skin laceration
0.34%
1/294
0.00%
0/288
Injury, poisoning and procedural complications
Spinal compression fracture
0.34%
1/294
0.00%
0/288
Injury, poisoning and procedural complications
Spinal fracture
0.34%
1/294
0.00%
0/288
Injury, poisoning and procedural complications
Upper limb fracture
0.34%
1/294
0.00%
0/288
Injury, poisoning and procedural complications
Wrist fracture
0.34%
1/294
0.00%
0/288
Investigations
Weight decreased
0.00%
0/294
0.35%
1/288
Metabolism and nutrition disorders
Decreased appetite
0.00%
0/294
0.35%
1/288
Metabolism and nutrition disorders
Dehydration
1.0%
3/294
1.4%
4/288
Metabolism and nutrition disorders
Hypokalaemia
0.34%
1/294
0.00%
0/288
Metabolism and nutrition disorders
Weight loss poor
0.00%
0/294
0.35%
1/288
Musculoskeletal and connective tissue disorders
Arthralgia
0.00%
0/294
0.35%
1/288
Musculoskeletal and connective tissue disorders
Back pain
0.68%
2/294
0.00%
0/288
Musculoskeletal and connective tissue disorders
Bursitis
0.34%
1/294
0.00%
0/288
Musculoskeletal and connective tissue disorders
Mobility decreased
0.00%
0/294
0.35%
1/288
Musculoskeletal and connective tissue disorders
Musculoskeletal discomfort
0.00%
0/294
0.35%
1/288
Musculoskeletal and connective tissue disorders
Pathological fracture
0.34%
1/294
0.00%
0/288
Musculoskeletal and connective tissue disorders
Spinal osteoarthritis
0.00%
0/294
0.35%
1/288
Musculoskeletal and connective tissue disorders
Synovitis
0.34%
1/294
0.00%
0/288
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Bladder cancer
0.34%
1/294
0.00%
0/288
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer
0.00%
0/294
0.35%
1/288
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant melanoma
0.34%
1/294
0.00%
0/288
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Meningioma benign
0.00%
0/294
0.35%
1/288
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Prostate cancer
0.34%
1/294
0.35%
1/288
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Rectosigmoid cancer
0.00%
0/294
0.35%
1/288
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Waldenstrom's macroglobulinaemia
0.00%
0/294
0.35%
1/288
Nervous system disorders
Akinesia
0.68%
2/294
1.0%
3/288
Nervous system disorders
Aphasia
0.00%
0/294
0.35%
1/288
Nervous system disorders
Balance disorder
0.34%
1/294
0.00%
0/288
Nervous system disorders
Basilar artery thrombosis
0.00%
0/294
0.35%
1/288
Nervous system disorders
Bradykinesia
0.68%
2/294
1.0%
3/288
Nervous system disorders
Cerebral infarction
0.00%
0/294
0.69%
2/288
Nervous system disorders
Cerebrovascular accident
0.34%
1/294
0.00%
0/288
Nervous system disorders
Cognitive disorder
0.34%
1/294
0.00%
0/288
Nervous system disorders
Cogwheel rigidity
1.4%
4/294
0.69%
2/288
Nervous system disorders
Coma
0.00%
0/294
0.35%
1/288
Nervous system disorders
Convulsion
0.00%
0/294
0.35%
1/288
Nervous system disorders
Dementia
0.34%
1/294
0.00%
0/288
Nervous system disorders
Depressed level of consciousness
0.34%
1/294
0.00%
0/288
Nervous system disorders
Dizziness
0.34%
1/294
1.0%
3/288
Nervous system disorders
Dysarthria
0.00%
0/294
0.35%
1/288
Nervous system disorders
Dyskinesia
0.00%
0/294
1.0%
3/288
Nervous system disorders
Epilepsy
0.00%
0/294
0.69%
2/288
Nervous system disorders
Freezing phenomenon
0.68%
2/294
0.35%
1/288
Nervous system disorders
Hypokinesia
0.00%
0/294
0.35%
1/288
Nervous system disorders
Lacunar infarction
0.00%
0/294
0.35%
1/288
Nervous system disorders
Loss of consciousness
0.34%
1/294
0.69%
2/288
Nervous system disorders
Monoparesis
0.00%
0/294
0.35%
1/288
Nervous system disorders
On and off phenomenon
1.0%
3/294
0.00%
0/288
Nervous system disorders
Parkinson's disease
0.00%
0/294
0.35%
1/288
Nervous system disorders
Parkinsonian gait
1.0%
3/294
0.69%
2/288
Nervous system disorders
Parkinsonian rest tremor
1.0%
3/294
0.69%
2/288
Nervous system disorders
Psychomotor hyperactivity
0.68%
2/294
0.00%
0/288
Nervous system disorders
Psychomotor skills impaired
0.34%
1/294
0.00%
0/288
Nervous system disorders
Quadriplegia
0.34%
1/294
0.00%
0/288
Nervous system disorders
Somnolence
0.34%
1/294
0.35%
1/288
Nervous system disorders
Syncope
1.7%
5/294
0.35%
1/288
Nervous system disorders
Transient ischaemic attack
0.34%
1/294
1.4%
4/288
Psychiatric disorders
Agitation
0.00%
0/294
0.69%
2/288
Psychiatric disorders
Anxiety
0.34%
1/294
0.35%
1/288
Psychiatric disorders
Confusional state
1.0%
3/294
2.1%
6/288
Psychiatric disorders
Delirium
0.00%
0/294
0.69%
2/288
Psychiatric disorders
Delusion
0.34%
1/294
0.35%
1/288
Psychiatric disorders
Depression
0.00%
0/294
0.35%
1/288
Psychiatric disorders
Hallucination
0.34%
1/294
1.4%
4/288
Psychiatric disorders
Hallucination, visual
1.0%
3/294
1.0%
3/288
Psychiatric disorders
Insomnia
0.00%
0/294
0.69%
2/288
Psychiatric disorders
Mental status changes
0.34%
1/294
0.00%
0/288
Psychiatric disorders
Psychotic disorder
0.00%
0/294
0.35%
1/288
Psychiatric disorders
Psychotic disorder due to a general medical condition
0.00%
0/294
0.35%
1/288
Renal and urinary disorders
Bladder trabeculation
0.00%
0/294
0.35%
1/288
Renal and urinary disorders
Calculus bladder
0.34%
1/294
0.00%
0/288
Renal and urinary disorders
Haematuria
0.34%
1/294
0.00%
0/288
Renal and urinary disorders
Micturition urgency
0.00%
0/294
0.35%
1/288
Renal and urinary disorders
Renal failure
0.34%
1/294
0.35%
1/288
Renal and urinary disorders
Urinary bladder polyp
0.34%
1/294
0.00%
0/288
Renal and urinary disorders
Urinary incontinence
0.00%
0/294
0.35%
1/288
Renal and urinary disorders
Urinary retention
0.68%
2/294
0.00%
0/288
Renal and urinary disorders
Urinary tract obstruction
0.34%
1/294
0.00%
0/288
Reproductive system and breast disorders
Benign prostatic hyperplasia
0.34%
1/294
0.00%
0/288
Reproductive system and breast disorders
Prostatic obstruction
0.00%
0/294
0.35%
1/288
Respiratory, thoracic and mediastinal disorders
Acute pulmonary oedema
0.34%
1/294
0.00%
0/288
Respiratory, thoracic and mediastinal disorders
Brain hypoxia
0.34%
1/294
0.35%
1/288
Respiratory, thoracic and mediastinal disorders
Dyspnoea
1.0%
3/294
0.35%
1/288
Respiratory, thoracic and mediastinal disorders
Lung disorder
0.00%
0/294
0.35%
1/288
Respiratory, thoracic and mediastinal disorders
Pleural effusion
0.34%
1/294
0.00%
0/288
Respiratory, thoracic and mediastinal disorders
Pneumonia aspiration
0.00%
0/294
0.35%
1/288
Respiratory, thoracic and mediastinal disorders
Productive cough
0.00%
0/294
0.35%
1/288
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
1.4%
4/294
0.35%
1/288
Respiratory, thoracic and mediastinal disorders
Pulmonary oedema
0.34%
1/294
0.00%
0/288
Respiratory, thoracic and mediastinal disorders
Respiratory arrest
0.34%
1/294
0.00%
0/288
Skin and subcutaneous tissue disorders
Skin ulcer
0.00%
0/294
0.35%
1/288
Skin and subcutaneous tissue disorders
Urticaria
0.34%
1/294
0.00%
0/288
Vascular disorders
Haematoma
0.00%
0/294
0.35%
1/288
Vascular disorders
Hypertension
0.00%
0/294
0.69%
2/288
Vascular disorders
Hypertensive crisis
0.34%
1/294
0.35%
1/288
Vascular disorders
Hypotension
1.0%
3/294
0.00%
0/288
Vascular disorders
Orthostatic hypotension
0.34%
1/294
0.00%
0/288
Vascular disorders
Peripheral arterial occlusive disease
0.00%
0/294
0.35%
1/288
Vascular disorders
Phlebitis
0.34%
1/294
0.00%
0/288

Other adverse events

Other adverse events
Measure
Exelon Capsule
n=294 participants at risk
Exelon Capsule
Exelon Patch
n=288 participants at risk
Exelon Patch
Gastrointestinal disorders
Constipation
7.1%
21/294
7.3%
21/288
Gastrointestinal disorders
Diarrhoea
9.2%
27/294
4.9%
14/288
Gastrointestinal disorders
Nausea
39.8%
117/294
8.0%
23/288
Gastrointestinal disorders
Vomiting
15.3%
45/294
2.4%
7/288
General disorders
Application site erythema
0.00%
0/294
13.9%
40/288
General disorders
Fatigue
6.5%
19/294
4.5%
13/288
Infections and infestations
Urinary tract infection
5.8%
17/294
7.3%
21/288
Injury, poisoning and procedural complications
Fall
16.3%
48/294
17.0%
49/288
Investigations
Weight decreased
6.5%
19/294
6.2%
18/288
Metabolism and nutrition disorders
Decreased appetite
6.1%
18/294
4.2%
12/288
Musculoskeletal and connective tissue disorders
Back pain
4.4%
13/294
5.6%
16/288
Nervous system disorders
Bradykinesia
4.4%
13/294
5.2%
15/288
Nervous system disorders
Dizziness
8.8%
26/294
7.3%
21/288
Nervous system disorders
Headache
5.1%
15/294
4.2%
12/288
Nervous system disorders
On and off phenomenon
4.1%
12/294
5.6%
16/288
Nervous system disorders
Parkinsonian gait
5.1%
15/294
4.2%
12/288
Nervous system disorders
Parkinsonian rest tremor
23.5%
69/294
9.0%
26/288
Nervous system disorders
Somnolence
7.8%
23/294
6.2%
18/288
Psychiatric disorders
Anxiety
5.8%
17/294
7.6%
22/288
Psychiatric disorders
Confusional state
7.1%
21/294
7.3%
21/288
Psychiatric disorders
Depression
2.0%
6/294
7.6%
22/288
Psychiatric disorders
Hallucination
6.5%
19/294
7.3%
21/288
Psychiatric disorders
Hallucination, visual
4.1%
12/294
5.6%
16/288
Psychiatric disorders
Insomnia
4.8%
14/294
8.0%
23/288
Vascular disorders
Hypertension
5.4%
16/294
4.2%
12/288
Vascular disorders
Hypotension
7.5%
22/294
3.5%
10/288
Vascular disorders
Orthostatic hypotension
6.1%
18/294
5.9%
17/288

Additional Information

Study Director

Novartis Pharmaceuticals

Phone: 862-778-8300

Results disclosure agreements

  • Principal investigator is a sponsor employee The terms and conditions of Novartis' agreements with its investigators may vary. However, Novartis does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of the pooled data (i.e., data from all sites) in the clinical trial.
  • Publication restrictions are in place

Restriction type: OTHER