The Effect of IV Amantadine on Freezing of Gait (FOG) Resistant to Dopaminergic Therapy

NCT ID: NCT01313819

Last Updated: 2011-11-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-04-30

Study Completion Date

2011-12-31

Brief Summary

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Tp determine the effect of IV amantadine on dopaminergic-drug-resistant freezing of gait(FOG)in patients with Parkinson's disease

Detailed Description

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1. Freezing of gait (FOG) is one of the most disabling symptoms of Parkinson's disease.

We experienced that severe FOG was markedly improved by IV amantadine in the patients who had Parkinson's disease. But IV drug may have placebo effect. Therefore, We designed double blind, placebo controlled study to know whether IV amantadine is effective in the patient with dopaminergic-drug-resistant freezing of gait(FOG).
2. Cross over study design

* Compare the change of FOGQ(freezing of gait questionaire) score from the baseline to IV amantadine and placebo drug
* randomized assigned order of amantadine and placebo drug.
* investigator of FOG: blinded to the order of drugs
* each patient has IV drug for 2 days for each drug

Conditions

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Parkinson's Disease Freezing of Gait

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Group 1

Give IV amantadine first then IV placebo(normal saline) drug

Group Type ACTIVE_COMPARATOR

PK-Merz® 200mg/500ml inj(Amantadine) , Normal saline 500ml inj

Intervention Type DRUG

IV amantadine at 200 mg in 500 cm3 of saline solution or normal saline 500 cm3 given over a 3-h period, twice a day for 2 days along with the pre-existing dopaminergic and non-dopaminergic medication

Group 2

Give IV placebo drug first then IV amantadine

Group Type ACTIVE_COMPARATOR

PK-Merz® 200mg/500ml inj(Amantadine) , Normal saline 500ml inj

Intervention Type DRUG

IV amantadine at 200 mg in 500 cm3 of saline solution or normal saline 500 cm3 given over a 3-h period, twice a day for 2 days along with the pre-existing dopaminergic and non-dopaminergic medication

Interventions

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PK-Merz® 200mg/500ml inj(Amantadine) , Normal saline 500ml inj

IV amantadine at 200 mg in 500 cm3 of saline solution or normal saline 500 cm3 given over a 3-h period, twice a day for 2 days along with the pre-existing dopaminergic and non-dopaminergic medication

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* age: 30-80 years
* idiopathic Parkinson's disease
* The patient must be taking optimised levodopa/DDI therapy (based on investigator's judgement) during OPD observation period, though the patient have FOG-Q score ≥ 10 points even though On-state.

Exclusion Criteria

* "Off" freezing:The patient has improved FOG in "On" state
* clinically significant or unstable medical or surgical condition
* The patient has Parkinson plus like MSA, PSP, and PPFG, and secondary parkinsonism like NPH, vascular parkinsonism, postencephalitic parkinsonism, CO poisoning.
* history of seizure.
Minimum Eligible Age

30 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Seoul National University Hospital

OTHER

Sponsor Role lead

Responsible Party

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BS Jeon

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Beom S Jeon, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Seoul National University Hospital

Locations

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Seoul National University Hospital

Seoul, , South Korea

Site Status RECRUITING

Countries

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South Korea

Central Contacts

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Beom S Jeon, MD, PhD

Role: CONTACT

82-2-2072-2876

Facility Contacts

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Beom S Jeon, MD, PhD

Role: primary

82-2-2072-2876

References

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Giladi N, Kao R, Fahn S. Freezing phenomenon in patients with parkinsonian syndromes. Mov Disord. 1997 May;12(3):302-5. doi: 10.1002/mds.870120307.

Reference Type BACKGROUND
PMID: 9159723 (View on PubMed)

Giladi N. Medical treatment of freezing of gait. Mov Disord. 2008;23 Suppl 2:S482-8. doi: 10.1002/mds.21914.

Reference Type BACKGROUND
PMID: 18668620 (View on PubMed)

Kim YE, Yun JY, Yang HJ, Kim HJ, Gu N, Yoon SH, Cho JY, Jeon BS. Intravenous amantadine for freezing of gait resistant to dopaminergic therapy: a randomized, double-blind, placebo-controlled, cross-over clinical trial. PLoS One. 2012;7(11):e48890. doi: 10.1371/journal.pone.0048890. Epub 2012 Nov 19.

Reference Type DERIVED
PMID: 23185280 (View on PubMed)

Other Identifiers

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H-1012-044-344

Identifier Type: -

Identifier Source: org_study_id