Study to Evaluate Safety and Daytime Sedation in Subjects With Parkinson's Disease With Neuropsychiatric Symptoms Treated With Pimavanserin or Low-Dose Quetiapine

NCT ID: NCT04164758

Last Updated: 2021-10-14

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

11 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-10-23

Study Completion Date

2020-09-25

Brief Summary

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This is a pilot study to explore the effects of pimavanserin and low-dose quetiapine in subjects with Parkinson's disease with neuropsychiatric symptoms.

Detailed Description

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Conditions

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Parkinson's Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Drug - pimavanserin

Pimavanserin 34 mg provided as 2 x 17 mg encapsulated tablets

Group Type EXPERIMENTAL

Pimavanserin

Intervention Type DRUG

Pimavanserin 34 mg (provided as 2×17 mg encapsulated tablets) administered orally as a single dose once daily

Placebo

Placebo encapsulated tablet

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Placebo (provided as 2 × placebo encapsulated tablets) administered orally as a single dose once daily

Quetiapine

Immediate release Quetiapine encapsulated tablets

Group Type ACTIVE_COMPARATOR

Quetiapine

Intervention Type DRUG

Quetiapine 25 mg (provided as 1×25 mg quetiapine encapsulated tablet and 1 × placebo encapsulated tablet), OR 50 mg (provided as 2×25 mg quetiapine encapsulated tablets), OR 100 mg (provided as 2×50 mg quetiapine encapsulated tablets) administered orally as a single dose once daily

Interventions

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Pimavanserin

Pimavanserin 34 mg (provided as 2×17 mg encapsulated tablets) administered orally as a single dose once daily

Intervention Type DRUG

Placebo

Placebo (provided as 2 × placebo encapsulated tablets) administered orally as a single dose once daily

Intervention Type OTHER

Quetiapine

Quetiapine 25 mg (provided as 1×25 mg quetiapine encapsulated tablet and 1 × placebo encapsulated tablet), OR 50 mg (provided as 2×25 mg quetiapine encapsulated tablets), OR 100 mg (provided as 2×50 mg quetiapine encapsulated tablets) administered orally as a single dose once daily

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Male or female subjects 50 to 85 years of age, inclusive
2. Able to understand the protocol requirements and provide written informed consent
3. Able to complete questions on a handheld device / tablet, is willing to wear an actigraph and can be reliably rated on assessment scales
4. Able to designate an 'informant' (relative, housemate, friend) who can provide information about the subject's well being and attend clinic visits with the subject
5. Is able to swallow the test capsule without difficulty during the Screening visit
6. Has a Mini-Mental State Examination (MMSE) score ≥19
7. Has a diagnosis of idiopathic Parkinson's disease, without any other known or suspected cause of parkinsonism. Initial diagnosis of PD must have been made more than 1 year prior to Screening.
8. Has non-motor neuropsychiatric symptoms severe enough to warrant treatment with an antipsychotic agent based on investigator judgement and CGI-S score
9. If the subject is on anti-Parkinsonian medication, they must be on a stable regimen for 1 month prior to Baseline and not planning (at the time of the Baseline visit) to make a major change in dose(s)
10. If the subject is female, she must not be pregnant or breastfeeding. She must also be of non-childbearing potential or must agree to use a clinically acceptable method of contraception or be abstinent for at least 1 month prior to the Baseline visit, during the study, and 41 days following completion of double-blind treatment.

Exclusion Criteria

1. Has atypical parkinsonism or secondary parkinsonism variants such as tardive or medication induced parkinsonism
2. Is in hospice, is receiving end-of-life palliative care, or is bedridden or confined to a wheelchair
3. Has neuropsychiatric symptoms that are primarily attributable to current delirium or substance abuse
4. Has current evidence of an unstable neurological, cardiovascular, respiratory, gastrointestinal, renal, hepatic, hematologic, or other medical or psychiatric disorder, including cancer or malignancies that, in the judgment of the Investigator, would jeopardize the safe participation of the subject in the study or significantly interfere with the conduct or interpretation of the study
5. Has a known personal or family history of long QT syndrome or family history of sudden cardiac death
6. Has orthostatic hypotension as judged by the investigator and medical monitor
7. Is judged by the Investigator or the Medical Monitor to be inappropriate for the study for any reason, including if the subject is judged to be a danger to self or others
Minimum Eligible Age

50 Years

Maximum Eligible Age

85 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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Movement Disorders Center of Arizona

Scottsdale, Arizona, United States

Site Status

Tucson Neuroscience Research

Tucson, Arizona, United States

Site Status

Sutter Institute for Medical Research

Sacramento, California, United States

Site Status

Galiz Research

Hialeah, Florida, United States

Site Status

Charter Research, LLC

Lady Lake, Florida, United States

Site Status

Premier Clinical Research Institute, Inc.

Miami, Florida, United States

Site Status

Infinity Clinical Research, LLC

Sunrise, Florida, United States

Site Status

Charter Research, LLC

Winter Park, Florida, United States

Site Status

Meridian Clinical Research

Savannah, Georgia, United States

Site Status

Hawaii Pacific Neuroscience, LLC.

Honolulu, Hawaii, United States

Site Status

University of lowa Hospital and Clinics

Iowa City, Iowa, United States

Site Status

SRI International

Plymouth, Michigan, United States

Site Status

Bio Behavioral Health

Toms River, New Jersey, United States

Site Status

M3 Wake Research, Inc.

Raleigh, North Carolina, United States

Site Status

Dayton Center for Neurological Disorders

Centerville, Ohio, United States

Site Status

Prisma Health-Upstate

Greenville, South Carolina, United States

Site Status

Countries

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United States

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-103-056

Identifier Type: -

Identifier Source: org_study_id