Use of Zolpidem in Parkinson's Disease

NCT ID: NCT01351168

Last Updated: 2012-12-03

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

WITHDRAWN

Clinical Phase

PHASE2

Study Classification

INTERVENTIONAL

Brief Summary

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Levodopa treatment is associated with long-term complications. Dopamine deficiency is associated with abnormal activity in certain parts of the brain. Zolpidem may change this abnormal activity and, by doing so, may work in a different way than levodopa to help parkinsonism.

The working hypothesis for this aim is that ZLP is superior to placebo in acutely improving motor symptoms of PD. The investigators will conduct a randomized,controlled, double-blind, cross-over study in 40 patients with PD. Each patient will receive placebo, levodopa and 2 doses of ZLP in a randomized order on 4 different occasions, about one week apart.

Detailed Description

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Conditions

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Parkinson's Disease

Keywords

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Parkinson's disease zolpidem

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Sugar pill

Group Type PLACEBO_COMPARATOR

sugar pill

Intervention Type DRUG

a sugar pill (placebo) will all be given orally in identical capsules to the other study drugs

Levodopa

Group Type ACTIVE_COMPARATOR

Levodopa

Intervention Type DRUG

CD/LD 25/100, 2 tablets test dose based on subject's current CD/LD dosing; single randomized testing day

Zolpidam second dose

Group Type EXPERIMENTAL

Zolpidem second dose

Intervention Type DRUG

Zolpidem will be given at 7.5mg or 15 mg depending on the response from the first zolpidem dose.

Zolpidam first dose

Group Type EXPERIMENTAL

Zolpidem first dose

Intervention Type DRUG

Zolpidem will be given at 10 mg on randomized testing day. The randomization is such that the first dose of Zolpidem given to any subject will always be 10 mg

Interventions

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Levodopa

CD/LD 25/100, 2 tablets test dose based on subject's current CD/LD dosing; single randomized testing day

Intervention Type DRUG

Zolpidem first dose

Zolpidem will be given at 10 mg on randomized testing day. The randomization is such that the first dose of Zolpidem given to any subject will always be 10 mg

Intervention Type DRUG

Zolpidem second dose

Zolpidem will be given at 7.5mg or 15 mg depending on the response from the first zolpidem dose.

Intervention Type DRUG

sugar pill

a sugar pill (placebo) will all be given orally in identical capsules to the other study drugs

Intervention Type DRUG

Other Intervention Names

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Sinemet Ambien Ambien Placebo

Eligibility Criteria

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Inclusion Criteria

* Subjects will have Idiopathic Parkinson's disease according to diagnostic criteria of the United Kingdom Parkinson's Disease Society Brain Bank.
* Subjects will be capable and willing to provide written informed consent prior to participation.
* Subjects will be ambulatory (in ON- and OFF-states) men and women, between the ages of 30 and 75 years.
* Subjects will be on levodopa therapy, with a good response and indisputable motor fluctuations.
* All other PD medications are allowed.
* Subjects will be on a stable regimen of PD medications for 2 weeks prior to screening.
* Subjects will be required to come with a caregiver who can accompany the subject to/from each study visit. Note: Subjects will not be allowed to drive home.
* Female subjects will be advised to use adequate birth control throughout the study as the effects of ZLP on the fetus are unknown. Adequate birth control methods include surgical sterilization, a partner who has had a vasectomy, oral contraceptives, condom plus spermicidal cream/jelly, cervical cap plus spermicidal cream/jelly, diaphragm plus spermicidal cream/jelly, or intrauterine device (in place for at least 3 months) plus spermicidal cream/jelly. Abstinence is considered an acceptable contraceptive regimen. If a subject becomes pregnant during the study, it is important that they contact the study physician immediately.

Exclusion Criteria

* Neurodegenerative diseases.
* Tremor predominant PD, with a score of \> 2 in more than one body part.
* Inability to tolerate being off levodopa for 12 hours.
* A score on the Montreal Cognitive Assessment (MoCA) of less than 26.
* Pregnancy or lactation.
* History of drug or alcohol abuse.
* Known or suspected sensitivity to the investigational study drugs.
* Other known medical or psychiatric condition that may compromise participation in the study or that judged by the site investigator could disqualify a subject from entering the study.
* Participation in another investigational drug study whereby they received experimental drug \< 30 days prior to start of this study.
Minimum Eligible Age

30 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Rush University Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Leonard Verhagen Metman

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Leo Verhagen, MD PhD

Role: PRINCIPAL_INVESTIGATOR

Rush University Medical Center

Locations

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Rush University Medical Center

Chicago, Illinois, United States

Site Status

Countries

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United States

Other Identifiers

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ZOL-PD

Identifier Type: -

Identifier Source: org_study_id