Trial Outcomes & Findings for Varenicline for Gait and Balance Impairment in Parkinson Disease (NCT NCT01341080)

NCT ID: NCT01341080

Last Updated: 2022-12-30

Results Overview

Efficacy was measured as a change on the Berg Balance Scale (BBS) from baseline to the end of the study after 8 weeks on drug. The BBS is a 14-item measure consisting of basic balance tasks, with a final score indicative of overall balance ability. The maximum score is 56 and minimum is 0. Higher scores reflect better balance.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

40 participants

Primary outcome timeframe

9 weeks

Results posted on

2022-12-30

Participant Flow

Subjects were recruitment from the Parkinson's Disease and Movement Disorder clinic at Rush University Medical Center over the course of the study (2011-2018).

40 participants signed an informed consent form and 36 were randomized. Six participants terminated participation early, with 2 having sufficient data for last observations carried forward intention-to-treat analyses. The remaining 32 were used in the analysis.

Participant milestones

Participant milestones
Measure
Varenicline
Varenicline: Varenicline 1mg twice daily for eight weeks after a one week dose escalation period.
Sugar Pill
Sugar pill: 1mg twice daily for eight weeks after a one week dose escalation phase.
Overall Study
STARTED
18
18
Overall Study
COMPLETED
15
17
Overall Study
NOT COMPLETED
3
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Forty participants signed an informed consent form and 36 were randomized. Six participants terminated participation early, with 2 having sufficient data for last observations carried forward intention-to-treat analyses. The remaining sample was 32 participants.Fifteen participants were randomized to receive varenicline and 17 to placebo.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Varenicline
n=18 Participants
Varenicline: Varenicline 1mg twice daily for eight weeks after a one week dose escalation period.
Sugar Pill
n=18 Participants
Sugar pill: 1mg twice daily for eight weeks after a one week dose escalation phase.
Total
n=36 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=15 Participants • Forty participants signed an informed consent form and 36 were randomized. Six participants terminated participation early, with 2 having sufficient data for last observations carried forward intention-to-treat analyses. The remaining sample was 32 participants.Fifteen participants were randomized to receive varenicline and 17 to placebo.
0 Participants
n=17 Participants • Forty participants signed an informed consent form and 36 were randomized. Six participants terminated participation early, with 2 having sufficient data for last observations carried forward intention-to-treat analyses. The remaining sample was 32 participants.Fifteen participants were randomized to receive varenicline and 17 to placebo.
0 Participants
n=32 Participants • Forty participants signed an informed consent form and 36 were randomized. Six participants terminated participation early, with 2 having sufficient data for last observations carried forward intention-to-treat analyses. The remaining sample was 32 participants.Fifteen participants were randomized to receive varenicline and 17 to placebo.
Age, Categorical
Between 18 and 65 years
3 Participants
n=15 Participants • Forty participants signed an informed consent form and 36 were randomized. Six participants terminated participation early, with 2 having sufficient data for last observations carried forward intention-to-treat analyses. The remaining sample was 32 participants.Fifteen participants were randomized to receive varenicline and 17 to placebo.
3 Participants
n=17 Participants • Forty participants signed an informed consent form and 36 were randomized. Six participants terminated participation early, with 2 having sufficient data for last observations carried forward intention-to-treat analyses. The remaining sample was 32 participants.Fifteen participants were randomized to receive varenicline and 17 to placebo.
6 Participants
n=32 Participants • Forty participants signed an informed consent form and 36 were randomized. Six participants terminated participation early, with 2 having sufficient data for last observations carried forward intention-to-treat analyses. The remaining sample was 32 participants.Fifteen participants were randomized to receive varenicline and 17 to placebo.
Age, Categorical
>=65 years
12 Participants
n=15 Participants • Forty participants signed an informed consent form and 36 were randomized. Six participants terminated participation early, with 2 having sufficient data for last observations carried forward intention-to-treat analyses. The remaining sample was 32 participants.Fifteen participants were randomized to receive varenicline and 17 to placebo.
14 Participants
n=17 Participants • Forty participants signed an informed consent form and 36 were randomized. Six participants terminated participation early, with 2 having sufficient data for last observations carried forward intention-to-treat analyses. The remaining sample was 32 participants.Fifteen participants were randomized to receive varenicline and 17 to placebo.
26 Participants
n=32 Participants • Forty participants signed an informed consent form and 36 were randomized. Six participants terminated participation early, with 2 having sufficient data for last observations carried forward intention-to-treat analyses. The remaining sample was 32 participants.Fifteen participants were randomized to receive varenicline and 17 to placebo.
Age, Continuous
71.93 years
STANDARD_DEVIATION 8.5 • n=15 Participants • Forty participants signed an informed consent form and 36 were randomized. Six participants terminated participation early, with 2 having sufficient data for last observations carried forward intention-to-treat analyses. The remaining sample was 32 participants.Fifteen participants were randomized to receive varenicline and 17 to placebo.
70.24 years
STANDARD_DEVIATION 7.9 • n=17 Participants • Forty participants signed an informed consent form and 36 were randomized. Six participants terminated participation early, with 2 having sufficient data for last observations carried forward intention-to-treat analyses. The remaining sample was 32 participants.Fifteen participants were randomized to receive varenicline and 17 to placebo.
71.03 years
STANDARD_DEVIATION 8.134 • n=32 Participants • Forty participants signed an informed consent form and 36 were randomized. Six participants terminated participation early, with 2 having sufficient data for last observations carried forward intention-to-treat analyses. The remaining sample was 32 participants.Fifteen participants were randomized to receive varenicline and 17 to placebo.
Sex: Female, Male
Female
3 Participants
n=15 Participants • Forty participants signed an informed consent form and 36 were randomized. Six participants terminated participation early, with 2 having sufficient data for last observations carried forward intention-to-treat analyses. The remaining sample was 32 participants.Fifteen participants were randomized to receive varenicline and 17 to placebo.
3 Participants
n=17 Participants • Forty participants signed an informed consent form and 36 were randomized. Six participants terminated participation early, with 2 having sufficient data for last observations carried forward intention-to-treat analyses. The remaining sample was 32 participants.Fifteen participants were randomized to receive varenicline and 17 to placebo.
6 Participants
n=32 Participants • Forty participants signed an informed consent form and 36 were randomized. Six participants terminated participation early, with 2 having sufficient data for last observations carried forward intention-to-treat analyses. The remaining sample was 32 participants.Fifteen participants were randomized to receive varenicline and 17 to placebo.
Sex: Female, Male
Male
12 Participants
n=15 Participants • Forty participants signed an informed consent form and 36 were randomized. Six participants terminated participation early, with 2 having sufficient data for last observations carried forward intention-to-treat analyses. The remaining sample was 32 participants.Fifteen participants were randomized to receive varenicline and 17 to placebo.
14 Participants
n=17 Participants • Forty participants signed an informed consent form and 36 were randomized. Six participants terminated participation early, with 2 having sufficient data for last observations carried forward intention-to-treat analyses. The remaining sample was 32 participants.Fifteen participants were randomized to receive varenicline and 17 to placebo.
26 Participants
n=32 Participants • Forty participants signed an informed consent form and 36 were randomized. Six participants terminated participation early, with 2 having sufficient data for last observations carried forward intention-to-treat analyses. The remaining sample was 32 participants.Fifteen participants were randomized to receive varenicline and 17 to placebo.
Race/Ethnicity, Customized
White
15 Participants
n=15 Participants • 36 participants were randomized and six participants terminated early. 2 had sufficient data for last observations carried forward. The remaining sample of 32 was used in the analysis.
17 Participants
n=17 Participants • 36 participants were randomized and six participants terminated early. 2 had sufficient data for last observations carried forward. The remaining sample of 32 was used in the analysis.
32 Participants
n=32 Participants • 36 participants were randomized and six participants terminated early. 2 had sufficient data for last observations carried forward. The remaining sample of 32 was used in the analysis.
Region of Enrollment
United States
15 participants
n=15 Participants • Forty participants signed an informed consent form and 36 were randomized. Six participants terminated participation early, with 2 having sufficient data for last observations carried forward intention-to-treat analyses. The remaining sample was 32 participants.Fifteen participants were randomized to receive varenicline and 17 to placebo.
17 participants
n=17 Participants • Forty participants signed an informed consent form and 36 were randomized. Six participants terminated participation early, with 2 having sufficient data for last observations carried forward intention-to-treat analyses. The remaining sample was 32 participants.Fifteen participants were randomized to receive varenicline and 17 to placebo.
32 participants
n=32 Participants • Forty participants signed an informed consent form and 36 were randomized. Six participants terminated participation early, with 2 having sufficient data for last observations carried forward intention-to-treat analyses. The remaining sample was 32 participants.Fifteen participants were randomized to receive varenicline and 17 to placebo.
Unified Parkinson's Disease Rating Scale
33.1 units on a scale
STANDARD_DEVIATION 9.7 • n=18 Participants
35.7 units on a scale
STANDARD_DEVIATION 12.7 • n=18 Participants
34.74 units on a scale
STANDARD_DEVIATION 11.558 • n=36 Participants

PRIMARY outcome

Timeframe: 9 weeks

Efficacy was measured as a change on the Berg Balance Scale (BBS) from baseline to the end of the study after 8 weeks on drug. The BBS is a 14-item measure consisting of basic balance tasks, with a final score indicative of overall balance ability. The maximum score is 56 and minimum is 0. Higher scores reflect better balance.

Outcome measures

Outcome measures
Measure
Varenicline
n=15 Participants
Varenicline: Varenicline 1mg twice daily for eight weeks after a one week dose escalation period.
Sugar Pill
n=17 Participants
Sugar pill: 1mg twice daily for eight weeks after a one week dose escalation phase.
Berg Balance Scale
Baseline
43.93 score on a scale
Standard Deviation 1.97
41.14 score on a scale
Standard Deviation 2.55
Berg Balance Scale
End Point
43.25 score on a scale
Standard Deviation 1.84
45.13 score on a scale
Standard Deviation 2.34

SECONDARY outcome

Timeframe: 9 weeks

The change in cognitive functioning was measured with the Frontal Assessment Battery (FAB, score range 0-18) and the Mini-Mental State Exam (MMSE, score range 0-30) from baseline to 8 weeks on drug. High scores on both scales indicate better performance. The FAB measures executive functioning and consists of the following 6 sections: conceptualization, mental flexibility, motor programming, sensitivity to interference, inhibitory control, and environmental autonomy.

Outcome measures

Outcome measures
Measure
Varenicline
n=15 Participants
Varenicline: Varenicline 1mg twice daily for eight weeks after a one week dose escalation period.
Sugar Pill
n=17 Participants
Sugar pill: 1mg twice daily for eight weeks after a one week dose escalation phase.
Frontal Assessment Battery
End point
17.70 score on a scale
Standard Deviation 2.16
15.19 score on a scale
Standard Deviation 2.74
Frontal Assessment Battery
Baseline
17.40 score on a scale
Standard Deviation 0.97
15.25 score on a scale
Standard Deviation 2.77

SECONDARY outcome

Timeframe: 9 weeks

The change in cognitive functioning was measured with the Mini-Mental State Exam (MMSE) from baseline to 8 weeks on drug. The maximum score on the MMSE is 30 and lowest score 0, with higher score indicating better cognitive function.

Outcome measures

Outcome measures
Measure
Varenicline
n=15 Participants
Varenicline: Varenicline 1mg twice daily for eight weeks after a one week dose escalation period.
Sugar Pill
n=17 Participants
Sugar pill: 1mg twice daily for eight weeks after a one week dose escalation phase.
Mini Mental Status Exam (MMSE)
End point
28.00 score on a scale
Standard Deviation 2.00
28.13 score on a scale
Standard Deviation 1.7
Mini Mental Status Exam (MMSE)
Baseline
29.08 score on a scale
Standard Deviation 1.17
28.19 score on a scale
Standard Deviation 1.72

Adverse Events

Varenicline

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

Sugar Pill

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Deborah A Hall MD PhD

Rush University Medical Center

Phone: 312-563-2900

Results disclosure agreements

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