Study of Rasagiline in Levodopa-treated PD Patients With Motor Fluctuations

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
H. Lundbeck A/S
ClinicalTrials.gov Identifier:
NCT01268891
First received: December 30, 2010
Last updated: June 29, 2012
Last verified: June 2012
  Purpose

To evaluate the efficacy of a fixed dose of rasagiline (1 mg/day) vs placebo as assessed by the change from baseline in mean total daily OFF time during 18 weeks of treatment in levodopa-treated Parkinson's Disease (PD) patients with motor fluctuations.


Condition Intervention Phase
Parkinson's Disease
Drug: Rasagiline
Drug: Placebo
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver, Investigator)
Primary Purpose: Treatment
Official Title: Randomised, Double-blind, Parallel-group, Placebo-controlled, Fixed-dose Study of Rasagiline in Levodopa-treated Parkinson's Patients With Motor Fluctuations in Korea

Resource links provided by NLM:


Further study details as provided by H. Lundbeck A/S:

Primary Outcome Measures:
  • Efficacy of rasagiline (1 mg/day) vs placebo as assessed by the change from baseline in mean total daily OFF time during 18 weeks of treatment in levodopa-treated PD patients with motor fluctuations [ Time Frame: 18 weeks ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Change from baseline to week 18 on Clinical Global Impression (CGI-I) during ON time [ Time Frame: 18 weeks ] [ Designated as safety issue: No ]
  • Change from baseline to week 18 on Unified Parkinson's Disease Rating Scale (UPDRS) Activities of Daily Living during OFF time [ Time Frame: 18 weeks ] [ Designated as safety issue: No ]
  • Change from baseline to week 18 on UPDRS Motor score during ON time [ Time Frame: 18 weeks ] [ Designated as safety issue: No ]

Enrollment: 132
Study Start Date: January 2011
Primary Completion Date: June 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Rasagiline Drug: Rasagiline
1 mg daily; orally; 18 weeks
Other Name: Azilect®
Placebo Comparator: Placebo Drug: Placebo
Once daily; orally; 18 weeks

Detailed Description:

Levodopa has been the mainstay therapy for PD for decades, and it is considered to be one of the most effective medications for relief of the symptoms of PD. However, within few months to few years the majority of levodopa-treated patients notice a decline in the duration of benefit of each dose and develop motor-complications. A major problem is the appearance of fluctuations in mobility, cycles of ON and OFF periods. The administration of rasagiline, a MAO-B inhibitor, can slow the elimination of the endogenous dopamine supplies or the dopamine produced from the exogenous levodopa therapy and may therefore improve ON-OFF fluctuations.

The objective of this study is to evaluate the efficacy, tolerability, and safety of rasagiline compared to placebo in Korean PD patients with motor fluctuations on levodopa therapy.

  Eligibility

Ages Eligible for Study:   30 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients with idiopathic PD
  • Patients with motor fluctuations averaging at least 1 hour daily in the OFF state during the waking hours
  • Patients with a Modified Hoehn and Yahr stage <5 in the OFF state
  • Patients taking optimised levodopa/DOPA decarboxylase inhibitor (DDI) therapy for at least 14 days prior to baseline
  • Patients receiving at least 3 daily doses of levodopa and not more than 8 daily doses of levodopa
  • Patient who have demonstrated the ability to keep accurate 24-hour diaries prior to randomisation

Exclusion Criteria:

  • Patients with a clinically significant or unstable medical or surgical condition that would preclude his/her safe and complete study participation
  • Patients taking any disallowed medication according to the Azilect® approved label
  • Patients taking MAO inhibitors within 3 months prior to baseline visit
  • Patients with a known serious adverse reaction to selegiline
  • Patients with a clinically significant psychiatric illness, including a major depression, which compromises their ability to provide consent or participate fully in the study
  • Patients with a Mini Mental State Examination (MMSE) score <=24
  • Patients with a diagnosis of melanoma or a history of melanoma, or a suspicious lesion
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01268891

Locations
Korea, Republic of
KR003
Busan, Korea, Republic of
KR007
Busan, Korea, Republic of, 614-735
KR012
Daegu, Korea, Republic of, 702-210
KR011
Kwangju, Korea, Republic of, 501-757
KR004
Seongnam, Korea, Republic of, 463-707
KR008
Seoul, Korea, Republic of, 135-710
KR009
Seoul, Korea, Republic of, 156-707
KR002
Seoul, Korea, Republic of, 138-736
KR005
Seoul, Korea, Republic of, 120-752
KR010
Seoul, Korea, Republic of, 130-702
KR006
Seoul, Korea, Republic of, 133-792
KR001
Seoul, Korea, Republic of, 110-744
Sponsors and Collaborators
H. Lundbeck A/S
Investigators
Study Director: Email contact via H. Lundbeck A/S LundbeckClinicalTrials@lundbeck.com
  More Information

No publications provided

Responsible Party: H. Lundbeck A/S
ClinicalTrials.gov Identifier: NCT01268891     History of Changes
Other Study ID Numbers: 13484A
Study First Received: December 30, 2010
Last Updated: June 29, 2012
Health Authority: South Korea: Korea Food and Drug Administration (KFDA)

Keywords provided by H. Lundbeck A/S:
Azilect
Motor fluctuations
Parkinson´s Disease
Rasagiline

Additional relevant MeSH terms:
Parkinson Disease
Parkinsonian Disorders
Basal Ganglia Diseases
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Movement Disorders
Neurodegenerative Diseases
Levodopa
Rasagiline
Antiparkinson Agents
Anti-Dyskinesia Agents
Central Nervous System Agents
Therapeutic Uses
Pharmacologic Actions
Dopamine Agents
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action
Physiological Effects of Drugs
Monoamine Oxidase Inhibitors
Enzyme Inhibitors
Neuroprotective Agents
Protective Agents

ClinicalTrials.gov processed this record on May 23, 2013