A Proof of Concept, Phase 2, Double-blind, Randomized Trial With d-Methadone Product Versus Placebo

NCT ID: NCT04145674

Last Updated: 2024-09-04

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

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-10-22

Study Completion Date

2025-12-30

Brief Summary

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Proof of concept, double-blind, randomized, placebo-controlled trial with d-methadone proposed for the first time for use in the treatment of patients diagnosed with primary, moderate to very severe Restless Legs Syndrome (RLS). Its glutamatergic mechanism of action might be effective on RLS arousal pattern and sleep disturbance which highly impair the quality of life of RLS's patients.

Patients will take the study drug/placebo once a day for 30 consecutive days.

Detailed Description

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Conditions

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Restless Legs Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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25 mg d-methadone

The experimental drug is a tablet formulation of d-methadone HCl in dose strength of 25 mg.

Group Type EXPERIMENTAL

D-methadone

Intervention Type DRUG

Patients will take one tablet of 25 mg d-methadone once daily at 6 pm over a period of 30 days

Placebo

The placebo is an exact match to the active tablets in size, color and marking without the active ingredient d-methadone HCl.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Patients will take one tablet of placebo once daily at 6 pm over a period of 30 days

Interventions

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D-methadone

Patients will take one tablet of 25 mg d-methadone once daily at 6 pm over a period of 30 days

Intervention Type DRUG

Placebo

Patients will take one tablet of placebo once daily at 6 pm over a period of 30 days

Intervention Type OTHER

Other Intervention Names

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esmethadone, dextromethadone, REL-1017

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of primary RLS.
* Moderate to very severe RLS defined as IRLS-RS score \> 10.
* Written informed consent.
* Willingness and ability to participate in the trial

Exclusion Criteria

* Positive history of known causes of secondary RLS.
* Any other concomitant treatment for RLS (wash-out period: at least 7 days).
* Moderate-severe sleep apnea defined as Apnea Hypopnea Index ≥ 15.
* History or presence of clinically significant abnormality as assessed by neurological examination which in the opinion of the Investigator would jeopardize the safety of the patients or the validity of the study results.
* Evidence of clinically significant hepatic or renal impairment
* History or family history of sudden unexplained death or long QT syndrome.
* Any 12-lead ECG with demonstration of QTc ≥ 450 msec or a QRS interval ≥ 120 msec at Screening.
* Concomitant use of psycho-drugs dopamine agonists and opioids (wash-out period: at least 7 days).
* History or presence of any condition in which an opioid is contraindicated
* History of allergy or hypersensitivity to methadone or related drugs.
* Any clinically significant neurological, sleep, hepatic, renal, metabolic, hematological, immunological, cardiovascular, pulmonary, chronic pain, psychiatric or gastrointestinal disorder.
* Women who are pregnant or breast feeding.
* Inability to follow the procedures of the study, (e.g. due to language problems, psychological disorders, dementia, etc. of the participant).
* Previous enrolment into the current study.
* Enrolment of the investigator, his/her family members, employees and other dependent persons.
* Participation in another study with investigational drug within the 30 days preceding and during the present study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Clinical Trial Unit Ente Ospedaliero Cantonale

OTHER

Sponsor Role collaborator

Mauro Manconi

OTHER

Sponsor Role lead

Responsible Party

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Mauro Manconi

Prof. MD

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Mauro Manconi, Prof. MD

Role: PRINCIPAL_INVESTIGATOR

Ente Ospedaliero Cantonale, Neurocenter of Southern Switzerland

Locations

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Sleep Center, IRCCS San Raffaele

Milan, , Italy

Site Status RECRUITING

Schlaf-Wach-Epilepsie Zentrum, Inselspital

Bern, , Switzerland

Site Status RECRUITING

Neurologie / Schlaflabor Kantonsspital Graubünden

Chur, , Switzerland

Site Status RECRUITING

Sleep Center, Neurocenter of Southern Switzerland

Lugano, , Switzerland

Site Status RECRUITING

Countries

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Italy Switzerland

Central Contacts

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Mauro Manconi, Prof. MD

Role: CONTACT

+41 91 811 68 25

Jane Frangi

Role: CONTACT

+41 91 811 6050

Facility Contacts

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Luigi Ferini-Strambi, Prof. MD

Role: primary

Sara Marelli, MD

Role: backup

Markus Schmidt, MD

Role: primary

Christina Michaela Caporale, MD

Role: primary

Mauro Manconi, Prof. MD

Role: primary

+41 91 811 68 25

Luisa Vicari

Role: backup

+41 91 811 60 50

Other Identifiers

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NSI-RLS-001

Identifier Type: -

Identifier Source: org_study_id

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