Safety and Efficacy of Pimavanserin in Adults With Parkinson's Disease and Depression

NCT ID: NCT03482882

Last Updated: 2020-08-31

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

47 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-03-09

Study Completion Date

2019-07-24

Brief Summary

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The purpose of this study is to assess the efficacy of pimavanserin for the treatment of depression in adults with Parkinson's disease.

Detailed Description

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Conditions

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Treatment of Depression in Adults With Parkinson's Disease (PD)

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Drug - pimavanserin

Group Type EXPERIMENTAL

Pimavanserin

Intervention Type DRUG

Pimavanserin 34 mg total daily dose, tablets, once daily by mouth (provided as two 17 mg NUPLAZID® tablets)

Interventions

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Pimavanserin

Pimavanserin 34 mg total daily dose, tablets, once daily by mouth (provided as two 17 mg NUPLAZID® tablets)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Can understand and provide signed informed consent, request for medical records and/or subject privacy form if applicable according to local regulations
2. Has a clinical diagnosis of idiopathic Parkinson's disease with a minimum duration of 1 year, defined as the presence of at least three of the following cardinal features, in the absence of alternative explanations or atypical features:

1. rest tremor
2. rigidity
3. bradykinesia and/or akinesia
4. postural and gait abnormalities
3. Meets clinical criteria for depression with Parkinson's disease as listed in the NINDS/NIMH Guidelines
4. If currently taking an anti-depressant, is being treated with only one SSRI or SNRI antidepressant at a dose within the US FDA-approved dose range. Subjects who are currently taking a second antidepressant or antidepressant augmentation agent at a sub-therapeutic dose or for an inadequate duration at Screening, and can be discontinued from this agent before the Baseline visit (in the opinion of the Investigator), may be eligible for the study.
5. Is on a stable dose of anti-Parkinson's medication for 1 month prior to Screening
6. If the subject is female, she must be of non-childbearing potential or agree to use two methods of clinically acceptable contraception

Exclusion Criteria

1. Use of an antipsychotic within 3 weeks or 5 half-lives of Baseline (whichever is longer)
2. Had a myocardial infarction within the 6 months prior to Screening
3. Has a known personal or family history or symptoms of long QT syndrome
4. Evidence of severe or medically significant hepatic or renal impairment on laboratory tests as assessed by the Investigator or Medical Monitor
5. Has a history of PD psychosis, schizophrenia, or other psychotic disorder, or bipolar I or II disorder.
6. Actively suicidal at Visit 1 (Screening) or Visit 2 (Baseline)
7. Is pregnant or breastfeeding
8. Has previously been treated with pimavanserin or is currently taking pimavanserin
9. Has a sensitivity to pimavanserin or its excipients
10. Is judged by the Investigator or the Medical Monitor to be inappropriate for the study
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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ACADIA Pharmaceuticals Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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ATP Clinical Research, Inc.

Costa Mesa, California, United States

Site Status

The Parkinson's and Movement Disorder Institute

Fountain Valley, California, United States

Site Status

SC3 Research-Reseda

Pasadena, California, United States

Site Status

The Neurology Group

Pomona, California, United States

Site Status

SC3 Research-Reseda

Reseda, California, United States

Site Status

CNS Network

Torrance, California, United States

Site Status

Associated Neurologists, P.C.

Danbury, Connecticut, United States

Site Status

Parkinson's Disease and Movement Disorder Center of Boca Raton

Boca Raton, Florida, United States

Site Status

University of Florida

Gainesville, Florida, United States

Site Status

Parkinson's Disease Treatment Center of SW Florida

Port Charlotte, Florida, United States

Site Status

Infinity Clinical Research, LLC

Sunrise, Florida, United States

Site Status

Tallahassee Neurological Clinic, P.A.

Tallahassee, Florida, United States

Site Status

SRI Biosciences, Clinical Trials and Strategic Development Services

Plymouth, Michigan, United States

Site Status

Washington University School of medicine

St Louis, Missouri, United States

Site Status

Bio Behavioral Health

Toms River, New Jersey, United States

Site Status

Albany Medical College

Albany, New York, United States

Site Status

David L. Kreitzman, MD, PC

Commack, New York, United States

Site Status

Asheville Neurology Specialists, PA

Asheville, North Carolina, United States

Site Status

Neurology/Neurophysiology

Johnstown, Pennsylvania, United States

Site Status

Booth Gardner Parkinson's Care Center

Kirkland, Washington, United States

Site Status

Inland Northwest Research

Spokane, Washington, United States

Site Status

Countries

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United States

References

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DeKarske D, Alva G, Aldred JL, Coate B, Cantillon M, Jacobi L, Nunez R, Norton JC, Abler V. An Open-Label, 8-Week Study of Safety and Efficacy of Pimavanserin Treatment in Adults with Parkinson's Disease and Depression. J Parkinsons Dis. 2020;10(4):1751-1761. doi: 10.3233/JPD-202058.

Reference Type DERIVED
PMID: 32804101 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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ACP-103-048

Identifier Type: -

Identifier Source: org_study_id

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