Placebo-controlled Study in Patients With Parkinson's Disease to Evaluate the Effect of Rotigotine on Non-motor Symptoms

NCT ID: NCT01300819

Last Updated: 2014-05-09

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

349 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-02-28

Study Completion Date

2012-11-30

Brief Summary

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The primary objective of this study was to demonstrate that Rotigotine improves non-motor symptoms compared to Placebo in subjects with Parkinson's Disease.

Detailed Description

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Conditions

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Idiopathic 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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Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Placebo patches of 2, 4, 6 \& 8 mg / 24 hours Daily application of Placebo patches starting at 2 mg / 24 hours (early Parkinson's Disease (PD) patients) or 4 mg / 24 hours (advanced PD patients). Dose was up-titrated in weekly increments of 2 mg / 24 hours until optimal or maximal dose was reached. Maximal dose was 8 mg / 24 hours for early PD patients and 16 mg / 24 hours for advanced PD patients.

Optimal or maximal dose was maintained for 12 weeks followed by a de-escalation by 2 mg / 24 hours every other day.

Rotigotine

Group Type EXPERIMENTAL

Rotigotine

Intervention Type DRUG

Rotigotine patches of 2, 4, 6, and 8 mg / 24 hours

Once daily application of Rotigotine patches starting at 2 mg / 24 hours (early Parkinson's Disease (PD) patients) or 4 mg / 24 hours (advanced PD patients). Dose was up-titrated in weekly increments of 2 mg / 24 hours until optimal or maximal dose was reached. Maximal dose is 8 mg / 24 hours for early PD patients and 16 mg / 24 hours for advanced PD patients.

Optimal or maximal dose was maintained for 12 weeks followed by a de-escalation by 2 mg / 24 hours every other day.

Interventions

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Placebo

Placebo patches of 2, 4, 6 \& 8 mg / 24 hours Daily application of Placebo patches starting at 2 mg / 24 hours (early Parkinson's Disease (PD) patients) or 4 mg / 24 hours (advanced PD patients). Dose was up-titrated in weekly increments of 2 mg / 24 hours until optimal or maximal dose was reached. Maximal dose was 8 mg / 24 hours for early PD patients and 16 mg / 24 hours for advanced PD patients.

Optimal or maximal dose was maintained for 12 weeks followed by a de-escalation by 2 mg / 24 hours every other day.

Intervention Type OTHER

Rotigotine

Rotigotine patches of 2, 4, 6, and 8 mg / 24 hours

Once daily application of Rotigotine patches starting at 2 mg / 24 hours (early Parkinson's Disease (PD) patients) or 4 mg / 24 hours (advanced PD patients). Dose was up-titrated in weekly increments of 2 mg / 24 hours until optimal or maximal dose was reached. Maximal dose is 8 mg / 24 hours for early PD patients and 16 mg / 24 hours for advanced PD patients.

Optimal or maximal dose was maintained for 12 weeks followed by a de-escalation by 2 mg / 24 hours every other day.

Intervention Type DRUG

Other Intervention Names

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Neupro®

Eligibility Criteria

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Inclusion Criteria

* Subject is male or female, ≥18 years of age
* Subject has idiopathic Parkinson's disease with at least 2 of the following cardinal signs being present: bradykinesia, resting tremor, rigidity or postural instability, and without any other known or suspected cause of Parkinsonism
* Subject has a Hoehn and Yahr stage score ≤4
* Subject has a total Non-Motor Symptoms Scale (NMSS) score ≥40
* If the subject is taking levodopa (L-DOPA), he/she must be on a stable dose of L-DOPA (in combination with benserazide or carbidopa) for at least 28 days prior to the Baseline Visit
* If the subject is receiving anticholinergics, monoamine oxidase (MAO) B inhibitors, or amantadine, he/she must have been on a stable dose for at least 28 days prior to the Baseline Visit and must be maintained on that dose for the duration of the study

Exclusion Criteria

* Subject discontinued from previous therapy with a dopamine agonist after an adequate length of treatment, at an adequate dose, due to lack of efficacy as assessed by the investigator
* Subject is receiving therapy with 1 of the following drugs, either concurrently or within 28 days prior to the Baseline Visit: alpha-methyl dopa, metoclopramide, reserpine, neuroleptics (except specific atypical neuroleptics: olanzapine, ziprasidone, aripiprazole, clozapine, and quetiapine), monoamine oxidase-A (MAO-A) inhibitors, methylphenidate, amphetamine, or other dopamine agonists (DAs)
* Subject is receiving central nervous system (CNS) therapy (eg, sedatives, hypnotics, selective serotonin reuptake inhibitors \[SSRIs\], anxiolytics, or other sleep-modifying medication) unless dose has been stable daily for at least 28 days prior to the Baseline Visit and is likely to remain stable for the duration of the study
* Subject has evidence of an impulse control disorder according to the modified Minnesota Impulsive Disorders Interview at the Screening Visit (Visit 1), confirmed by a positive structured clinical interview
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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UCB Pharma

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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UCB Clinical Trial Call Center

Role: STUDY_DIRECTOR

+1 877 822 9493 (UCB)

Locations

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101

Feldbach, , Austria

Site Status

104

Vienna, , Austria

Site Status

107

Vienna, , Austria

Site Status

125

Antwerp, , Belgium

Site Status

121

Bruges, , Belgium

Site Status

122

Brussels, , Belgium

Site Status

124

Ghent, , Belgium

Site Status

131

Liège, , Belgium

Site Status

44

Plovdiv, , Bulgaria

Site Status

52

Rousse, , Bulgaria

Site Status

41

Sofia, , Bulgaria

Site Status

45

Sofia, , Bulgaria

Site Status

48

Sofia, , Bulgaria

Site Status

49

Sofia, , Bulgaria

Site Status

53

Sofia, , Bulgaria

Site Status

42

Varna, , Bulgaria

Site Status

232

Chomutov, , Czechia

Site Status

227

Litomyšl, , Czechia

Site Status

222

Ostrava-Poruba, , Czechia

Site Status

231

Pilsen, , Czechia

Site Status

233

Prague, , Czechia

Site Status

189

Aix-en-Provence, , France

Site Status

181

Amiens, , France

Site Status

186

Limoges, , France

Site Status

185

Pessac, , France

Site Status

184

Roanne, , France

Site Status

183

Toulouse, , France

Site Status

62

Berlin, , Germany

Site Status

77

Berlin, , Germany

Site Status

67

Bochum, , Germany

Site Status

80

Böblingen, , Germany

Site Status

61

Marburg, , Germany

Site Status

79

Oldenburg, , Germany

Site Status

114

Stuttgart, , Germany

Site Status

65

Ulm, , Germany

Site Status

73

Westerstede, , Germany

Site Status

87

Budapest, , Hungary

Site Status

88

Budapest, , Hungary

Site Status

95

Győr, , Hungary

Site Status

89

Miskolc, , Hungary

Site Status

81

Nyíregyháza, , Hungary

Site Status

84

Pécs, , Hungary

Site Status

86

Szeged, , Hungary

Site Status

254

Arcugnano, , Italy

Site Status

267

Chieti Scalo, , Italy

Site Status

270

Napoli, , Italy

Site Status

266

Perugia, , Italy

Site Status

264

Pisa, , Italy

Site Status

257

Pozzilli, , Italy

Site Status

262

Roma, , Italy

Site Status

269

Treviso, , Italy

Site Status

258

Varese, , Italy

Site Status

252

Venezia, , Italy

Site Status

255

Verona, , Italy

Site Status

207

Brasov, , Romania

Site Status

201

Bucharest, , Romania

Site Status

213

Bucharest, , Romania

Site Status

203

Clluj-Napoca, , Romania

Site Status

211

Cluj-Napoca, , Romania

Site Status

208

Sibiu, , Romania

Site Status

217

Sibiu, , Romania

Site Status

212

Târgu Mureş, , Romania

Site Status

204

Timișoara, , Romania

Site Status

209

Timișoara, , Romania

Site Status

245

Banská Bystrica, , Slovakia

Site Status

247

Banská Bystrica, , Slovakia

Site Status

240

Bratislava, , Slovakia

Site Status

242

Bratislava, , Slovakia

Site Status

243

Bratislava, , Slovakia

Site Status

249

Dolný Kubín, , Slovakia

Site Status

250

Krompachy, , Slovakia

Site Status

244

Lučenec, , Slovakia

Site Status

248

Žilina, , Slovakia

Site Status

157

Alicante, , Spain

Site Status

142

Barcelona, , Spain

Site Status

146

Barcelona, , Spain

Site Status

143

Madrid, , Spain

Site Status

145

Madrid, , Spain

Site Status

147

Madrid, , Spain

Site Status

148

Madrid, , Spain

Site Status

158

Oviedo, , Spain

Site Status

141

Sant Cugat (Barcelona), , Spain

Site Status

152

Santiago de Compostela, , Spain

Site Status

24

Lugano, , Switzerland

Site Status

21

Sankt Gallen, , Switzerland

Site Status

26

Sargans, , Switzerland

Site Status

22

Zurich, , Switzerland

Site Status

Countries

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Austria Belgium Bulgaria Czechia France Germany Hungary Italy Romania Slovakia Spain Switzerland

References

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Antonini A, Bauer L, Dohin E, Oertel WH, Rascol O, Reichmann H, Schmid M, Singh P, Tolosa E, Chaudhuri KR. Effects of rotigotine transdermal patch in patients with Parkinson's disease presenting with non-motor symptoms - results of a double-blind, randomized, placebo-controlled trial. Eur J Neurol. 2015 Oct;22(10):1400-7. doi: 10.1111/ene.12757. Epub 2015 Jun 22.

Reference Type DERIVED
PMID: 26095948 (View on PubMed)

Related Links

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Other Identifiers

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2010-021394-37

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

SP0976

Identifier Type: -

Identifier Source: org_study_id

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