Trial Outcomes & Findings for Placebo-controlled Study in Patients With Parkinson's Disease to Evaluate the Effect of Rotigotine on Non-motor Symptoms (NCT NCT01300819)

NCT ID: NCT01300819

Last Updated: 2014-05-09

Results Overview

The Nonmotor Symptoms Scale (NMSS) is a validated tool for rating frequency and severity of nonmotor symptoms in Parkinson's Disease (PD). The severity and frequency of the subject's nonmotor symptoms is assessed by the investigator in the following 9 domain categories: cardiovascular, including falls; sleep/fatigue; mood/cognition; perceptual problems/hallucinations; attention/memory; gastrointestinal tract; urinary; sexual function; miscellaneous. Severity and frequency are rated using a 4-point scale ranging from 0 (none) to 3 (severe; major source of distress or disturbance to subject) for severity and from 1 (rarely) to 4 (very frequent \[daily or all the time\]) for frequency. The total NMSS score ranges from 0 to 350. A negative change from Baseline to end of Maintenance indicates an improvement in NMSS.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

349 participants

Primary outcome timeframe

From Baseline (Day 1) to end of 12-week Maintenance (Day 84)

Results posted on

2014-05-09

Participant Flow

The study was conducted in 71 sites spread across 12 countries, with 349 subjects randomized. The study duration per subject was up to 29 weeks. The Participant Flow consists of patients in the Enrolled Set (ES). The Enrolled Set (ES) includes all subjects who signed the Informed Consent Form.

Eligibility was assessed during the Screening Period, which lasted up to 4 weeks prior to the Baseline Visit. Eligible subjects returned for a Baseline Visit, during which all Baseline assessments were performed and then the subject was randomized to either Rotigotine or Placebo.

Participant milestones

Participant milestones
Measure
Placebo
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 will be up-titrated in weekly increments of 2 mg / 24 hours until optimal or maximal dose is 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 will be maintained for 12 weeks followed by a de-escalation by 2 mg / 24 hours every other day.
Rotigotine
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 will be up-titrated in weekly increments of 2 mg / 24 hours until optimal or maximal dose is 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 will be maintained for 12 weeks followed by a de-escalation by 2 mg / 24 hours every other day.
Overall Study
STARTED
125
224
Overall Study
COMPLETED
103
180
Overall Study
NOT COMPLETED
22
44

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo
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 will be up-titrated in weekly increments of 2 mg / 24 hours until optimal or maximal dose is 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 will be maintained for 12 weeks followed by a de-escalation by 2 mg / 24 hours every other day.
Rotigotine
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 will be up-titrated in weekly increments of 2 mg / 24 hours until optimal or maximal dose is 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 will be maintained for 12 weeks followed by a de-escalation by 2 mg / 24 hours every other day.
Overall Study
Adverse Event
9
27
Overall Study
Lack of Efficacy
2
1
Overall Study
Withdrawal by Subject
10
12
Overall Study
Patient was 1 month late for Visit 10
0
1
Overall Study
Refusal to down titrate study drug
0
1
Overall Study
Administrative reason
0
1
Overall Study
Safety follow up not done by mistake
0
1
Overall Study
Follow up call was not done
1
0

Baseline Characteristics

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

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=125 Participants
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 will be up-titrated in weekly increments of 2 mg / 24 hours until optimal or maximal dose is 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 will be maintained for 12 weeks followed by a de-escalation by 2 mg / 24 hours every other day.
Rotigotine
n=224 Participants
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 will be up-titrated in weekly increments of 2 mg / 24 hours until optimal or maximal dose is 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 will be maintained for 12 weeks followed by a de-escalation by 2 mg / 24 hours every other day.
Total
n=349 Participants
Total of all reporting groups
Age, Continuous
66.6 years
STANDARD_DEVIATION 9.8 • n=5 Participants
68.0 years
STANDARD_DEVIATION 9.4 • n=7 Participants
67.5 years
STANDARD_DEVIATION 9.6 • n=5 Participants
Age, Customized
< 65 years
51 participants
n=5 Participants
74 participants
n=7 Participants
125 participants
n=5 Participants
Age, Customized
>= 65 years
74 participants
n=5 Participants
150 participants
n=7 Participants
224 participants
n=5 Participants
Sex: Female, Male
Female
58 Participants
n=5 Participants
95 Participants
n=7 Participants
153 Participants
n=5 Participants
Sex: Female, Male
Male
67 Participants
n=5 Participants
129 Participants
n=7 Participants
196 Participants
n=5 Participants
Region of Enrollment
France
3 participants
n=5 Participants
6 participants
n=7 Participants
9 participants
n=5 Participants
Region of Enrollment
Hungary
8 participants
n=5 Participants
11 participants
n=7 Participants
19 participants
n=5 Participants
Region of Enrollment
Czech Republic
8 participants
n=5 Participants
13 participants
n=7 Participants
21 participants
n=5 Participants
Region of Enrollment
Slovakia
15 participants
n=5 Participants
28 participants
n=7 Participants
43 participants
n=5 Participants
Region of Enrollment
Spain
12 participants
n=5 Participants
23 participants
n=7 Participants
35 participants
n=5 Participants
Region of Enrollment
Belgium
4 participants
n=5 Participants
9 participants
n=7 Participants
13 participants
n=5 Participants
Region of Enrollment
Romania
18 participants
n=5 Participants
36 participants
n=7 Participants
54 participants
n=5 Participants
Region of Enrollment
Austria
2 participants
n=5 Participants
1 participants
n=7 Participants
3 participants
n=5 Participants
Region of Enrollment
Bulgaria
30 participants
n=5 Participants
51 participants
n=7 Participants
81 participants
n=5 Participants
Region of Enrollment
Germany
15 participants
n=5 Participants
24 participants
n=7 Participants
39 participants
n=5 Participants
Region of Enrollment
Switzerland
1 participants
n=5 Participants
3 participants
n=7 Participants
4 participants
n=5 Participants
Region of Enrollment
Italy
9 participants
n=5 Participants
19 participants
n=7 Participants
28 participants
n=5 Participants
Weight
77.52 kilogram
STANDARD_DEVIATION 14.90 • n=5 Participants
76.97 kilogram
STANDARD_DEVIATION 13.66 • n=7 Participants
77.16 kilogram
STANDARD_DEVIATION 14.10 • n=5 Participants
Height
167.42 centimeter
STANDARD_DEVIATION 10.17 • n=5 Participants
168.54 centimeter
STANDARD_DEVIATION 8.56 • n=7 Participants
168.14 centimeter
STANDARD_DEVIATION 9.17 • n=5 Participants
Body Mass Index (BMI)
27.593 kilogram per square meter
STANDARD_DEVIATION 4.505 • n=5 Participants
27.047 kilogram per square meter
STANDARD_DEVIATION 4.348 • n=7 Participants
27.243 kilogram per square meter
STANDARD_DEVIATION 4.406 • n=5 Participants

PRIMARY outcome

Timeframe: From Baseline (Day 1) to end of 12-week Maintenance (Day 84)

Population: This analysis was performed according to the Full Analysis Set (FAS), which is defined as all treated subjects with a baseline and post-baseline NMSS measure, and follows the intention-to-treat principle.

The Nonmotor Symptoms Scale (NMSS) is a validated tool for rating frequency and severity of nonmotor symptoms in Parkinson's Disease (PD). The severity and frequency of the subject's nonmotor symptoms is assessed by the investigator in the following 9 domain categories: cardiovascular, including falls; sleep/fatigue; mood/cognition; perceptual problems/hallucinations; attention/memory; gastrointestinal tract; urinary; sexual function; miscellaneous. Severity and frequency are rated using a 4-point scale ranging from 0 (none) to 3 (severe; major source of distress or disturbance to subject) for severity and from 1 (rarely) to 4 (very frequent \[daily or all the time\]) for frequency. The total NMSS score ranges from 0 to 350. A negative change from Baseline to end of Maintenance indicates an improvement in NMSS.

Outcome measures

Outcome measures
Measure
Placebo
n=120 Participants
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 will be up-titrated in weekly increments of 2 mg / 24 hours until optimal or maximal dose is 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 will be maintained for 12 weeks followed by a de-escalation by 2 mg / 24 hours every other day.
Rotigotine
n=207 Participants
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 will be up-titrated in weekly increments of 2 mg / 24 hours until optimal or maximal dose is 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 will be maintained for 12 weeks followed by a de-escalation by 2 mg / 24 hours every other day.
Change From Baseline to the End of Maintenance in Total Nonmotor Symptoms Scale (NMSS) Score
-19.1 scores on a scale
Standard Deviation 24.2
-23.1 scores on a scale
Standard Deviation 23.4

SECONDARY outcome

Timeframe: From Baseline (Day 1) to end of 12-week Maintenance (Day 84)

Population: This analysis was performed according to the Full Analysis Set (FAS), which is defined as all treated subjects with a baseline and post-baseline NMSS measure, and follows the intention-to-treat principle.

The Unified Parkinson's Disease Rating Scale (UPDRS) Part III is a scale for the assessment of function in Parkinson's Disease. UPDRS Part III measures Motor Function. It consists of 14 items with 27 questions, each ranging from 0 to 4. The sum score for the UPDRS Part III ranges from 0 to 108. A higher score indicates greater disability. A negative change from Baseline to end of Maintenance score indicates improvement.

Outcome measures

Outcome measures
Measure
Placebo
n=120 Participants
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 will be up-titrated in weekly increments of 2 mg / 24 hours until optimal or maximal dose is 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 will be maintained for 12 weeks followed by a de-escalation by 2 mg / 24 hours every other day.
Rotigotine
n=206 Participants
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 will be up-titrated in weekly increments of 2 mg / 24 hours until optimal or maximal dose is 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 will be maintained for 12 weeks followed by a de-escalation by 2 mg / 24 hours every other day.
Change From Baseline to the End of Maintenance in Total Unified Parkinson's Disease Rating Scale (UPDRS) Part III Score
-3.6 scores on a scale
Standard Deviation 8.3
-5.7 scores on a scale
Standard Deviation 8.0

SECONDARY outcome

Timeframe: From Baseline (Day 1) to end of 12-week Maintenance (Day 84)

Population: This analysis was performed according to the Full Analysis Set (FAS), which is defined as all treated subjects with a baseline and post-baseline NMSS measure, and follows the intention-to-treat principle.

Parkinson's Disease Questionnaire - 39 (PDQ-39) is a self-administered questionnaire. It comprises of 39 questions, relating to eight key areas of health and daily activities, including both Motor and Non-motor symptoms. It is scored on a scale of zero to 100, with lower scores indicating better health and high scores more severe symptoms in change from Baseline to end of Maintenance.

Outcome measures

Outcome measures
Measure
Placebo
n=116 Participants
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 will be up-titrated in weekly increments of 2 mg / 24 hours until optimal or maximal dose is 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 will be maintained for 12 weeks followed by a de-escalation by 2 mg / 24 hours every other day.
Rotigotine
n=204 Participants
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 will be up-titrated in weekly increments of 2 mg / 24 hours until optimal or maximal dose is 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 will be maintained for 12 weeks followed by a de-escalation by 2 mg / 24 hours every other day.
Change From Baseline to the End of Maintenance in Health-related Quality of Life (HRQL) Measured by a 39-item Parkinson's Disease Questionnaire (PDQ-39)
-2.6 scores on a scale
Standard Deviation 12.5
-5.9 scores on a scale
Standard Deviation 10.8

SECONDARY outcome

Timeframe: From Baseline (Day 1) to end of 12-week Maintenance (Day 84)

Population: This analysis was performed according to the Full Analysis Set (FAS), which is defined as all treated subjects with a baseline and post-baseline NMSS measure, and follows the intention-to-treat principle.

The Nonmotor Symptoms Scale (NMSS) is a validated tool for rating frequency and severity of nonmotor symptoms in Parkinson's Disease (PD). The severity and frequency of the subject's nonmotor symptoms is assessed by the investigator in 9 different domains. Severity (ranges: 0 = None, 1 = Mild, 2 = Moderate, 3 = Severe) and frequency (ranges: 1 = Rarely (\<1/wk), 2 = Often (1/wk), 3 = Frequent (several times per week), 4 = Very Frequent (daily or all the time) are rated using a 4-point scale. The final score is derived from multiplying the severity score and the frequency score. A negative change from Baseline to end of Maintenance indicates an improvement in NMSS. The possible min/max final scores per subdomain are calculated as follows: Range of final score per subdomain: 0 - 12 per question multiplied by the number of questions per subdomain: Subdomain Cardiovascular (2 questions): range 0 - 24

Outcome measures

Outcome measures
Measure
Placebo
n=120 Participants
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 will be up-titrated in weekly increments of 2 mg / 24 hours until optimal or maximal dose is 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 will be maintained for 12 weeks followed by a de-escalation by 2 mg / 24 hours every other day.
Rotigotine
n=207 Participants
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 will be up-titrated in weekly increments of 2 mg / 24 hours until optimal or maximal dose is 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 will be maintained for 12 weeks followed by a de-escalation by 2 mg / 24 hours every other day.
Change From Baseline to the End of Maintenance in the Nonmotor Symptoms Scale Score: Subdomain Cardiovascular
-1.2 scores on a scale
Standard Deviation 2.8
-1.1 scores on a scale
Standard Deviation 3.2

SECONDARY outcome

Timeframe: From Baseline (Day 1) to end of 12-week Maintenance (Day 84)

Population: This analysis was performed according to the Full Analysis Set (FAS), which is defined as all treated subjects with a baseline and post-baseline NMSS measure, and follows the intention-to-treat principle.

The Nonmotor Symptoms Scale (NMSS) is a validated tool for rating frequency and severity of nonmotor symptoms in Parkinson's Disease (PD). The severity and frequency of the subject's nonmotor symptoms is assessed by the investigator in 9 different domains. Severity (ranges: 0 = None, 1 = Mild, 2 = Moderate, 3 = Severe) and frequency (ranges: 1 = Rarely (\<1/wk), 2 = Often (1/wk), 3 = Frequent (several times per week), 4 = Very Frequent (daily or all the time) are rated using a 4-point scale. The final score is derived from multiplying the severity score and the frequency score. A negative change from Baseline to end of Maintenance indicates an improvement in NMSS. The possible min/max final scores per subdomain are calculated as follows: Range of final score per subdomain: 0 - 12 per question multiplied by the number of questions per subdomain: Subdomain Sleep/Fatigue (4 questions): range 0-48

Outcome measures

Outcome measures
Measure
Placebo
n=120 Participants
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 will be up-titrated in weekly increments of 2 mg / 24 hours until optimal or maximal dose is 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 will be maintained for 12 weeks followed by a de-escalation by 2 mg / 24 hours every other day.
Rotigotine
n=207 Participants
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 will be up-titrated in weekly increments of 2 mg / 24 hours until optimal or maximal dose is 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 will be maintained for 12 weeks followed by a de-escalation by 2 mg / 24 hours every other day.
Change From Baseline to the End of Maintenance in the Nonmotor Symptoms Scale Score: Subdomain Sleep/Fatigue
-3.9 scores on a scale
Standard Deviation 5.9
-5.4 scores on a scale
Standard Deviation 7.8

SECONDARY outcome

Timeframe: From Baseline (Day 1) to end of 12-week Maintenance (Day 84)

Population: This analysis was performed according to the Full Analysis Set (FAS), which is defined as all treated subjects with a baseline and post-baseline NMSS measure, and follows the intention-to-treat principle.

The Nonmotor Symptoms Scale (NMSS) is a validated tool for rating frequency and severity of nonmotor symptoms in Parkinson's Disease (PD). The severity and frequency of the subject's nonmotor symptoms is assessed by the investigator in 9 different domains. Severity (ranges: 0 = None, 1 = Mild, 2 = Moderate, 3 = Severe) and frequency (ranges: 1 = Rarely (\<1/wk), 2 = Often (1/wk), 3 = Frequent (several times per week), 4 = Very Frequent (daily or all the time) are rated using a 4-point scale. The final score is derived from multiplying the severity score and the frequency score. A negative change from Baseline to end of Maintenance indicates an improvement in NMSS. The possible min/max final scores per subdomain are calculated as follows: Range of final score per subdomain: 0 - 12 per question multiplied by the number of questions per subdomain: Subdomain Mood/Cognition (6 questions): range 0 - 72

Outcome measures

Outcome measures
Measure
Placebo
n=120 Participants
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 will be up-titrated in weekly increments of 2 mg / 24 hours until optimal or maximal dose is 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 will be maintained for 12 weeks followed by a de-escalation by 2 mg / 24 hours every other day.
Rotigotine
n=207 Participants
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 will be up-titrated in weekly increments of 2 mg / 24 hours until optimal or maximal dose is 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 will be maintained for 12 weeks followed by a de-escalation by 2 mg / 24 hours every other day.
Change From Baseline to the End of Maintenance in the Nonmotor Symptoms Scale Score: Subdomain Mood/Cognition
-5.1 scores on a scale
Standard Deviation 10.0
-6.6 scores on a scale
Standard Deviation 11.0

SECONDARY outcome

Timeframe: From Baseline (Day 1) to end of 12-week Maintenance (Day 84)

Population: This analysis was performed according to the Full Analysis Set (FAS), which is defined as all treated subjects with a baseline and post-baseline NMSS measure, and follows the intention-to-treat principle.

The Nonmotor Symptoms Scale (NMSS) is a validated tool for rating frequency and severity of nonmotor symptoms in Parkinson's Disease (PD). The severity and frequency of the subject's nonmotor symptoms is assessed by the investigator in 9 different domains. Severity (ranges: 0 = None, 1 = Mild, 2 = Moderate, 3 = Severe) and frequency (ranges: 1 = Rarely (\<1/wk), 2 = Often (1/wk), 3 = Frequent (several times per week), 4 = Very Frequent (daily or all the time) are rated using a 4-point scale. The final score is derived from multiplying the severity score and the frequency score. A negative change from Baseline to end of Maintenance indicates an improvement in NMSS. The possible min/max final scores per subdomain are calculated as follows: Range of final score per subdomain: 0 - 12 per question multiplied by the number of questions per subdomain: Subdomain Perception/Hallucinations (3 questions): range 0 - 36

Outcome measures

Outcome measures
Measure
Placebo
n=120 Participants
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 will be up-titrated in weekly increments of 2 mg / 24 hours until optimal or maximal dose is 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 will be maintained for 12 weeks followed by a de-escalation by 2 mg / 24 hours every other day.
Rotigotine
n=207 Participants
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 will be up-titrated in weekly increments of 2 mg / 24 hours until optimal or maximal dose is 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 will be maintained for 12 weeks followed by a de-escalation by 2 mg / 24 hours every other day.
Change From Baseline to the End of Maintenance in the Nonmotor Symptoms Scale Score: Subdomain Perception/Hallucinations
-0.2 scores on a scale
Standard Deviation 1.8
-0.2 scores on a scale
Standard Deviation 1.6

SECONDARY outcome

Timeframe: From Baseline (Day 1) to end of 12-week Maintenance (Day 84)

Population: This analysis was performed according to the Full Analysis Set (FAS), which is defined as all treated subjects with a baseline and post-baseline NMSS measure, and follows the intention-to-treat principle.

The Nonmotor Symptoms Scale (NMSS) is a validated tool for rating frequency and severity of nonmotor symptoms in Parkinson's Disease (PD). The severity and frequency of the subject's nonmotor symptoms is assessed by the investigator in 9 different domains. Severity (ranges: 0 = None, 1 = Mild, 2 = Moderate, 3 = Severe) and frequency (ranges: 1 = Rarely (\<1/wk), 2 = Often (1/wk), 3 = Frequent (several times per week), 4 = Very Frequent (daily or all the time) are rated using a 4-point scale. The final score is derived from multiplying the severity score and the frequency score. A negative change from Baseline to end of Maintenance indicates an improvement in NMSS. The possible min/max final scores per subdomain are calculated as follows: Range of final score per subdomain: 0 - 12 per question multiplied by the number of questions per subdomain: Subdomain Attention/Memory (3 questions): range 0 - 36

Outcome measures

Outcome measures
Measure
Placebo
n=120 Participants
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 will be up-titrated in weekly increments of 2 mg / 24 hours until optimal or maximal dose is 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 will be maintained for 12 weeks followed by a de-escalation by 2 mg / 24 hours every other day.
Rotigotine
n=207 Participants
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 will be up-titrated in weekly increments of 2 mg / 24 hours until optimal or maximal dose is 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 will be maintained for 12 weeks followed by a de-escalation by 2 mg / 24 hours every other day.
Change From Baseline to the End of Maintenance in the Nonmotor Symptoms Scale Score: Subdomain Attention/Memory,
-1.3 scores on a scale
Standard Deviation 4.8
-1.5 scores on a scale
Standard Deviation 4.7

SECONDARY outcome

Timeframe: From Baseline (Day 1) to end of 12-week Maintenance (Day 84)

Population: This analysis was performed according to the Full Analysis Set (FAS), which is defined as all treated subjects with a baseline and post-baseline NMSS measure, and follows the intention-to-treat principle.

The Nonmotor Symptoms Scale (NMSS) is a validated tool for rating frequency and severity of nonmotor symptoms in Parkinson's Disease (PD). The severity and frequency of the subject's nonmotor symptoms is assessed by the investigator in 9 different domains. Severity (ranges: 0 = None, 1 = Mild, 2 = Moderate, 3 = Severe) and frequency (ranges: 1 = Rarely (\<1/wk), 2 = Often (1/wk), 3 = Frequent (several times per week), 4 = Very Frequent (daily or all the time) are rated using a 4-point scale. The final score is derived from multiplying the severity score and the frequency score. A negative change from Baseline to end of Maintenance indicates an improvement in NMSS. The possible min/max final scores per subdomain are calculated as follows: Range of final score per subdomain: 0 - 12 per question multiplied by the number of questions per subdomain: Subdomain Gastrointestinal tract (3 questions): range 0 - 36

Outcome measures

Outcome measures
Measure
Placebo
n=120 Participants
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 will be up-titrated in weekly increments of 2 mg / 24 hours until optimal or maximal dose is 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 will be maintained for 12 weeks followed by a de-escalation by 2 mg / 24 hours every other day.
Rotigotine
n=207 Participants
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 will be up-titrated in weekly increments of 2 mg / 24 hours until optimal or maximal dose is 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 will be maintained for 12 weeks followed by a de-escalation by 2 mg / 24 hours every other day.
Change From Baseline to the End of Maintenance in the Nonmotor Symptoms Scale Score: Subdomain Gastrointestinal Tract
-1.4 scores on a scale
Standard Deviation 3.4
-1.6 scores on a scale
Standard Deviation 3.5

SECONDARY outcome

Timeframe: From Baseline (Day 1) to end of 12-week Maintenance (Day 84)

Population: This analysis was performed according to the Full Analysis Set (FAS), which is defined as all treated subjects with a baseline and post-baseline NMSS measure, and follows the intention-to-treat principle.

The Nonmotor Symptoms Scale (NMSS) is a validated tool for rating frequency and severity of nonmotor symptoms in Parkinson's Disease (PD). The severity and frequency of the subject's nonmotor symptoms is assessed by the investigator in 9 different domains. Severity (ranges: 0 = None, 1 = Mild, 2 = Moderate, 3 = Severe) and frequency (ranges: 1 = Rarely (\<1/wk), 2 = Often (1/wk), 3 = Frequent (several times per week), 4 = Very Frequent (daily or all the time) are rated using a 4-point scale. The final score is derived from multiplying the severity score and the frequency score. A negative change from Baseline to end of Maintenance indicates an improvement in NMSS. The possible min/max final scores per subdomain are calculated as follows: Range of final score per subdomain: 0 - 12 per question multiplied by the number of questions per subdomain: Subdomain Urinary (3 questions): range 0 - 36

Outcome measures

Outcome measures
Measure
Placebo
n=120 Participants
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 will be up-titrated in weekly increments of 2 mg / 24 hours until optimal or maximal dose is 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 will be maintained for 12 weeks followed by a de-escalation by 2 mg / 24 hours every other day.
Rotigotine
n=207 Participants
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 will be up-titrated in weekly increments of 2 mg / 24 hours until optimal or maximal dose is 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 will be maintained for 12 weeks followed by a de-escalation by 2 mg / 24 hours every other day.
Change From Baseline to the End of Maintenance in the Nonmotor Symptoms Scale Score: Subdomain Urinary
-2.7 scores on a scale
Standard Deviation 6.6
-2.4 scores on a scale
Standard Deviation 6.0

SECONDARY outcome

Timeframe: From Baseline (Day 1) to end of 12-week Maintenance (Day 84)

Population: This analysis was performed according to the Full Analysis Set (FAS), which is defined as all treated subjects with a baseline and post-baseline NMSS measure, and follows the intention-to-treat principle.

The Nonmotor Symptoms Scale (NMSS) is a validated tool for rating frequency and severity of nonmotor symptoms in Parkinson's Disease (PD). The severity and frequency of the subject's nonmotor symptoms is assessed by the investigator in 9 different domains. Severity (ranges: 0 = None, 1 = Mild, 2 = Moderate, 3 = Severe) and frequency (ranges: 1 = Rarely (\<1/wk), 2 = Often (1/wk), 3 = Frequent (several times per week), 4 = Very Frequent (daily or all the time) are rated using a 4-point scale. The final score is derived from multiplying the severity score and the frequency score. A negative change from Baseline to end of Maintenance indicates an improvement in NMSS. The possible min/max final scores per subdomain are calculated as follows: Range of final score per subdomain: 0 - 12 per question multiplied by the number of questions per subdomain: Subdomain Sexual function (2 questions): range 0 - 24

Outcome measures

Outcome measures
Measure
Placebo
n=120 Participants
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 will be up-titrated in weekly increments of 2 mg / 24 hours until optimal or maximal dose is 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 will be maintained for 12 weeks followed by a de-escalation by 2 mg / 24 hours every other day.
Rotigotine
n=207 Participants
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 will be up-titrated in weekly increments of 2 mg / 24 hours until optimal or maximal dose is 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 will be maintained for 12 weeks followed by a de-escalation by 2 mg / 24 hours every other day.
Change From Baseline to the End of Maintenance in the Nonmotor Symptoms Scale Score: Subdomain Sexual Function
-1.2 scores on a scale
Standard Deviation 4.2
-1.1 scores on a scale
Standard Deviation 4.3

SECONDARY outcome

Timeframe: From Baseline (Day 1) to end of 12-week Maintenance (Day 84)

Population: This analysis was performed according to the Full Analysis Set (FAS), which is defined as all treated subjects with a baseline and post-baseline NMSS measure, and follows the intention-to-treat principle.

The Nonmotor Symptoms Scale (NMSS) is a validated tool for rating frequency and severity of nonmotor symptoms in Parkinson's Disease (PD). The severity and frequency of the subject's nonmotor symptoms is assessed by the investigator in 9 different domains. Severity (ranges: 0 = None, 1 = Mild, 2 = Moderate, 3 = Severe) and frequency (ranges: 1 = Rarely (\<1/wk), 2 = Often (1/wk), 3 = Frequent (several times per week), 4 = Very Frequent (daily or all the time) are rated using a 4-point scale. The final score is derived from multiplying the severity score and the frequency score. A negative change from Baseline to end of Maintenance indicates an improvement in NMSS. The possible min/max final scores per subdomain are calculated as follows: Range of final score per subdomain: 0 - 12 per question multiplied by the number of questions per subdomain: Subdomain Miscellaneous (4 questions): range 0 - 48

Outcome measures

Outcome measures
Measure
Placebo
n=120 Participants
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 will be up-titrated in weekly increments of 2 mg / 24 hours until optimal or maximal dose is 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 will be maintained for 12 weeks followed by a de-escalation by 2 mg / 24 hours every other day.
Rotigotine
n=207 Participants
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 will be up-titrated in weekly increments of 2 mg / 24 hours until optimal or maximal dose is 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 will be maintained for 12 weeks followed by a de-escalation by 2 mg / 24 hours every other day.
Change From Baseline to the End of Maintenance in the Nonmotor Symptoms Scale Score: Subdomain Miscellaneous
-2.2 scores on a scale
Standard Deviation 4.4
-3.2 scores on a scale
Standard Deviation 5.7

Adverse Events

Placebo

Serious events: 4 serious events
Other events: 21 other events
Deaths: 0 deaths

Rotigotine

Serious events: 8 serious events
Other events: 66 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Placebo
n=125 participants at risk
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 will be up-titrated in weekly increments of 2 mg / 24 hours until optimal or maximal dose is 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 will be maintained for 12 weeks followed by a de-escalation by 2 mg / 24 hours every other day.
Rotigotine
n=223 participants at risk
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 will be up-titrated in weekly increments of 2 mg / 24 hours until optimal or maximal dose is 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 will be maintained for 12 weeks followed by a de-escalation by 2 mg / 24 hours every other day.
Cardiac disorders
Heart failure
0.00%
0/125 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
0.45%
1/223 • Number of events 1 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
General disorders
Death
0.80%
1/125 • Number of events 1 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
0.00%
0/223 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
Musculoskeletal and connective tissue disorders
Spinal column stenosis
0.80%
1/125 • Number of events 1 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
0.00%
0/223 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
Infections and infestations
Urinary tract infection
0.80%
1/125 • Number of events 1 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
0.00%
0/223 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
Nervous system disorders
Acute cerebral infarction
0.80%
1/125 • Number of events 1 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
0.00%
0/223 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
Nervous system disorders
Hemiparesis
0.80%
1/125 • Number of events 1 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
0.00%
0/223 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
Skin and subcutaneous tissue disorders
Decubitus ulcer
0.80%
1/125 • Number of events 1 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
0.00%
0/223 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
Cardiac disorders
Tachycardia paroxysmal
0.00%
0/125 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
0.45%
1/223 • Number of events 1 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
Gastrointestinal disorders
Gastric ulcer
0.00%
0/125 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
0.45%
1/223 • Number of events 1 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
Vascular disorders
Deep vein thrombosis
0.00%
0/125 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
0.45%
1/223 • Number of events 1 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
Injury, poisoning and procedural complications
Femur fracture
0.00%
0/125 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
0.45%
1/223 • Number of events 1 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
Nervous system disorders
Diabetic coma
0.00%
0/125 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
0.45%
1/223 • Number of events 1 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer
0.00%
0/125 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
0.45%
1/223 • Number of events 1 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
Injury, poisoning and procedural complications
Traumatic brain injury
0.00%
0/125 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
0.45%
1/223 • Number of events 1 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
Cardiac disorders
Artrial Fibrillation + Chest pain
0.00%
0/125 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
0.45%
1/223 • Number of events 1 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
Nervous system disorders
Worsening of Parkinson's Disease
0.00%
0/125 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
0.45%
1/223 • Number of events 1 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
Cardiac disorders
Exacerbation of chronic left sided heart insufficiency
0.80%
1/125 • Number of events 1 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
0.00%
0/223 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).

Other adverse events

Other adverse events
Measure
Placebo
n=125 participants at risk
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 will be up-titrated in weekly increments of 2 mg / 24 hours until optimal or maximal dose is 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 will be maintained for 12 weeks followed by a de-escalation by 2 mg / 24 hours every other day.
Rotigotine
n=223 participants at risk
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 will be up-titrated in weekly increments of 2 mg / 24 hours until optimal or maximal dose is 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 will be maintained for 12 weeks followed by a de-escalation by 2 mg / 24 hours every other day.
Gastrointestinal disorders
Nausea
5.6%
7/125 • Number of events 8 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
12.1%
27/223 • Number of events 30 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
General disorders
Application site pruritus
1.6%
2/125 • Number of events 3 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
6.7%
15/223 • Number of events 16 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
General disorders
Fatigue
5.6%
7/125 • Number of events 8 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
4.0%
9/223 • Number of events 10 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
Nervous system disorders
Somnolence
5.6%
7/125 • Number of events 8 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
8.1%
18/223 • Number of events 21 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
Nervous system disorders
Dizziness
7.2%
9/125 • Number of events 9 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
6.7%
15/223 • Number of events 15 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
Nervous system disorders
Headache
4.0%
5/125 • Number of events 5 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).
5.4%
12/223 • Number of events 14 • Adverse Events were collected during 16 weeks (from Baseline to Safety Follow up Visit).
The Analysis Population refers to the Safety Set (SS). The SS consists of all randomized subjects receiving at least 1 dose of Investigational Medicinal Product (IMP).

Additional Information

UCB Clinical Trial Call Center

UCB

Phone: +1 877 822 9493

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60