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临床试验/EUCTR2015-005626-19-ES
EUCTR2015-005626-19-ES进行中(未招募)1 期

A 12 Month, Dose-Level Blinded Study Investigating the Safety and Efficacy of CVT-301 (Levodopa Inhalation Powder) in Parkinson's Disease Patients With Motor Response Fluctuations (OFF Phenomena)

Civitas Therapeutics, a wholly owned subsidiary of Acorda0 个研究点目标入组 440 人开始时间: 2016年4月20日最近更新:
适应症

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
440

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • Inclusion Criteria (not assessed for the CVT-301-004 study
  • ? Has signed and dated an IRB/IEC-approved informed
  • consent form before any protocol-specific screening
  • procedures are performed.
  • ? Is a male or female aged 30 to 86 years, inclusive. Women
  • of child-bearing potential must use protocol-defined
  • contraceptive measures and must have a
  • negative serum human chorionic gonadotropin (hCG) test at
  • screening. These patients must be willing to remain on their
  • current form of contraception for the duration of the study.
  • ? Patients who have idiopathic PD (i.e., not induced by drugs
  • or other diseases) as defined by fulfilling Steps 1 and 2 of
  • the United Kingdom (UK) Brain Bank criteria, diagnosed
  • after the age of 30 years.
  • ? Patients who are classified as Stage 1 to 3 (in the ON state)
  • on the modified Hoehn and Yahr scale for staging of PD
  • ? Patients who have experienced motor fluctuations for a
  • minimum of 2 hours of average daily OFF time per waking
  • day (excluding early morning OFF time) by self-report and
  • confirmed by the PD Diary (on 3 consecutive days) during
  • the screening period.
  • ? Patients who are on a LD-containing therapy, not including
  • Rytary (or equivalent), must be stable on oral LD-containing
  • therapy for at least 2 weeks prior to SV1 with a
  • LD/dopamine decarboxylase inhibitor (DDI)-containing
  • ? Patients who are on a LD-containing therapy, when
  • including Rytary (or equivalent), should be on a stable dose
  • for at least 6 weeks prior to SV1
  • ? The frequency of L-dopa administrations must be at least 3
  • times during the waking day and a total daily LD dose of ?
  • ? Patients should be stable on other PD medications for at
  • least 4 weeks prior to SV1.
  • ? Patients must have a ?25% difference between UPDRS Part
  • 3 scores recorded in their ON and OFF states at screening.
  • ? Patients must have normal cognition as confirmed by a score
  • of ?25 on the MMSE (in the ON state).
  • ? Patients must be able to perform a spirometry maneuver in
  • the ON and OFF states and must have a screening FEV1 ?
  • 50% of predicted, and an FEV1/FVC ratio > 60% in the ON
  • state at screening. (A pulmonologist will review the
  • spirometry tracings/morphology of any patients with an
  • FEV1 that is ? 50% to < 60% of predicted or an FEV1/FVC
  • ratio that is >60% to <70% in order to determine eligibility.
  • Patients with an FEV1/FVC ratio that is >60% to <70% will
  • complete spirometry before and after the administration of a
  • bronchodilator in a pulmonary function laboratory. Testing
  • will be performed in accordance with the 2005
  • ATS/European Respiratory Society [ERS] criteria prior to
  • randomization. The results of the bronchodilator challenge
  • will be reviewed by a pulmonologist prior to potential
  • 另有 7 项未显示

排除标准

  • ? Patients who have dyskinesia of a severity that would
  • significantly interfere with their ability to participate or
  • perform study procedures.
  • ? Pregnant or lactating females or females wishing to become
  • ? Patients who have any known contraindication to the use of
  • LD, including a history of malignant melanoma or a history
  • of narrow-angle glaucoma.
  • ? Patients who have had previous surgery for PD (including
  • but not limited to cell transplantation) or plan to have
  • stereotactic surgery during the study period. Patients who
  • have had deep brain stimulation [DBS] will also be excluded
  • unless the procedure was performed more than 6 months
  • prior to study enrollment.
  • ? Patients with a history of psychotic symptoms requiring
  • treatment, or suicidal ideation or attempt within the prior
  • ? Patients who have cancer with the exception of the
  • following: basal cell carcinoma or successfully treated
  • squamous cell carcinoma of the skin; cervical carcinoma in
  • situ; prostatic carcinoma in situ; or other malignancies
  • curatively treated and with no evidence of disease recurrence
  • for at least 3 years.
  • ? Patients taking certain prohibited medications.
  • ? Patients with a history of drug or alcohol abuse within the
  • prior 12 months.
  • ? Patients with chronic obstructive pulmonary disease
  • (COPD), asthma, or other chronic respiratory disease within
  • the last 5 years
  • ? Patients with any contraindication to performing routine
  • spirometry or who are unable to perform a spirometry
  • ? Patients with a current history of symptomatic orthostatic
  • hypotension despite adequate treatment.
  • ? Patients with any condition that in the investigator?s opinion
  • would make patients unable to comply with study procedures or make them unsuitable for their participation in the study.
  • ? Patients who have any clinically significant abnormality or
  • finding from examination, tests, or history that may
  • compromise patient safety. Potential issues of concern
  • should be raised to the medical monitor during eligibility
  • ? For new CVT-301 naïve patients, patients who have been
  • treated with an investigational drug within 4 weeks or 5 halflives (whichever is longer) prior to the beginning of the
  • screening period (this includes investigational formulations
  • of marketed products).

研究者

发起方
Civitas Therapeutics, a wholly owned subsidiary of Acorda

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