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Study to Observe the Effect of Mirapex ER® Once-daily (QD) Versus Twice-daily (BID)

Phase 4
Conditions
Parkinson's Disease
Interventions
Registration Number
NCT01515774
Lead Sponsor
Seoul National University Hospital
Brief Summary

1. In order to observe the benefit, side effects, and patient preference of Mirapex ER when used in once-daily (QD) or twice-daily (BID) dosing

2. In order to estimate the conversion rate of dopamine agonists into Mirapex ER

Detailed Description

1. Study subjects : Parkinson disease who are on Requip or Mirapex and are considering to change into Mirapex ER

2. Cross over study design:

* Group 1: Once daily dose for 2 month then into BID in divided dose for 2 months

* Group 2: BID in divided dose for 2 months then into QD dose for 2 months

3. Dose adjustment may be done in the first 4 weeks.

4. Compare the benefit, side effects, and patient preference between the QD vs BID dosing

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
200
Inclusion Criteria
  1. Age: 30-80
  2. Parkinson disease
  3. On dopamine agonists (Requip or Mirapex) and are considering to change into Mirapex ER
  4. On stable antiparkinsonian medication for at least 4 weeks
  5. Who signed consent to the study
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Exclusion Criteria
  1. Who are on less than 2 mg of Requip or 0.375 mg of Mirapex
  2. Who have dementia, psychosis, major depression and other serious neurological or medical problems
  3. Who are allergic to the similar medications
  4. Who has history of heavy metal poisoning
  5. Who were on othe clinical trials of other medications within the last 4 weeks
  6. Who are pregnant or lactating
  7. Who are considered not eligible by the investigator
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Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Group 1Mirapex ERGive QD dose first then BID dosing
Group 2Mirapex ERGive BID dosing and then QD dosing
Primary Outcome Measures
NameTimeMethod
Patient preference4 months

Overall preference in QD versus BID

Secondary Outcome Measures
NameTimeMethod
Motor complications2 months at each arm

Visual rating scale for off severity, dyskinesia severity Duration - off duration, dyskinesia duration

Sleep problems2 months at each arm

Parkinson's disease sleep scale (PDSS) Excessive daytime sleepiness scale(ESS)

Motor UPDRS and HY stage2months at each arm
Side effects2 months at each arm

Rating scale (0\~10): Nausea, Dizziness, Somnolence, Headache, Constipation, Dyspepsia, Fatigue, Hallucination, Edema, Dry mouth,Others

Patient global impression for improvement2 months at each arm
Preference in each factor4 months

Preference of QD versus BID in each factor: off duration, off severity, dyskinesia duration, dyskinesia severity, on quality, adverse events, sleep quality, convenience

Patient choice4 months

Patient choice in QD or BID Reason for the choice

Trial Locations

Locations (1)

Seoul National University Hospital

🇰🇷

Seoul, Korea, Republic of

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