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Evaluating the Effectiveness of Neupro® (Rotigotine) and L-dopa Combination Therapy in Patients With Parkinson's Disease

Completed
Conditions
Idiopathic Parkinson's Disease
Registration Number
NCT02227355
Lead Sponsor
UCB Biopharma S.P.R.L.
Brief Summary

This study aims to evaluate the effectiveness of Rotigotine and Levodopa combination therapy for younger and older patients with Parkinson's Disease under real life conditions. Effects on ability to perform activities of daily living, sleep, medication dose and other factors will be assessed.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
195
Inclusion Criteria

The following selection criteria must be followed for patients entering the Noninterventional Study (NIS):

  • The decision by the treating physician to prescribe Rotigotine transdermal patch is made before participating in the NIS due to a clinical therapeutic indication (e.g., because of intolerance and/or ineffectiveness of another dopamine agonist)
  • The patient is either male or female and over 18 years of age
  • A Patient Data Consent form is signed and dated by the patient or by the legal representative
  • The patient has idiopathic Parkinson's Disease, has not received Rotigotine within 28 days prior to the Baseline Visit and is willing to participate in questionnaire based assessments
  • The patient is receiving L-dopa as monotherapy or a combination therapy composed of L-dopa and a dopamine agonist other than Rotigotine
  • The patient has been on L-dopa therapy for at least 6 months and is responding to initial L-dopa therapy
  • The patient has a Hoehn and Yahr stage score of 1 to 4.
Exclusion Criteria
  • Patients will be excluded from the study if they have participated in a clinical study of a medication or a medical device within 3 months prior to Baseline or if they are participating in a clinical study at the time of inclusion or have already participated in the current study.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Change from Baseline to end of the Observational Period in Unified Parkinson's Disease Rating Scale Part II (UPDRS Part II) total scoreBaseline to end of Observational Period (6 months)

The UPDRS Part II (Activities of Daily Living) consists of 13 items, each to be scored between 0 (normal/none) and 4 (highest level of severity). The sum score is calculated as the sum of the 13 individual scores (13 questions=52 points maximum; the higher the sum score, the greater degree of disability).

Secondary Outcome Measures
NameTimeMethod
Change from Baseline to end of the Observational Period in L-dopa doseBaseline to end of Observational Period (6 months)
Assessment at the end of the Observation Period in the score of the Clinical Global Impressions (CGI) Item 2 (Global Rating of Change of Condition)End of the Observation Period (Month 6)

CGI Item 2 (Global Rating of Change of Condition) requires the clinician to rate how much the patient's illness has improved or worsened relative to a baseline state. Scores range from 0 to 7 as follows: 0=not assessed, 1=very much improved, 2=much improved, 3=minimally improved, 4=no change, 5=minimally worse, 6=much worse, 7=very much worse.

Change from Baseline to end of the Observation Period in Parkinson's Disease Sleep Scale (PDSS-2) total scoreBaseline to end of Observational Period (6 months)

The PDSS-2 is a 15 item scale that is used to assess sleep and nocturnal disability in Parkinson's Disease. It is designed for interviewer-administered completion or self-completion by patients.

Patients are asked to rate how often during the past week he/she slept well or experienced various symptoms of sleep disability. Each of the 15 items are to be scored between 0 (never) to 4 (very often) with the total score ranging from 0 to 60; the higher the sum score, the greater the degree of impairment.

Response at the end of the Observation Period defined as 20 % decrease in Unified Parkinson's Disease Rating Scale Part II (UPDRS Part II) total scoreEnd of the Observation Period (Month 6)

The UPDRS Part II (Activities of Daily Living) consists of 13 items, each to be scored between 0 (normal/none) and 4 (highest level of severity). The sum score is calculated as the sum of the 13 individual scores (13 questions = 52 points maximum); the higher the sum score, the greater degree of disability.

Trial Locations

Locations (42)

12

🇩🇪

Berlin, Germany

11

🇩🇪

Leer, Germany

47

🇮🇹

Brescia, Italy

48

🇬🇧

Liverpool, United Kingdom

42

🇫🇷

Lille, France

53

🇩🇪

Düsseldorf, Germany

33

🇬🇧

London, United Kingdom

2

🇩🇪

Münster, Germany

8

🇩🇪

Senftenberg, Germany

29

🇮🇹

Cosenza, Italy

46

🇮🇹

Milano, Italy

38

🇬🇧

North Shields, United Kingdom

40

🇫🇷

Nimes, France

51

🇩🇪

Aschaffenburg, Germany

31

🇬🇧

Middlesborough, United Kingdom

5

🇩🇪

Böblingen, Germany

4

🇩🇪

Haag, Germany

30

🇮🇹

Firenze, Italy

27

🇮🇹

Napoli, Italy

52

🇬🇧

Lincoln, United Kingdom

22

🇪🇸

Palma de Mallorca, Spain

24

🇪🇸

Madrid, Spain

10

🇩🇪

Ulm, Germany

34

🇬🇧

Manchester, United Kingdom

6

🇩🇪

Alzenau, Germany

14

🇩🇪

Tübingen, Germany

54

🇩🇪

Schriesheim, Germany

62

🇮🇹

Roma, Italy

36

🇬🇧

London, United Kingdom

60

🇮🇹

Cagliari, Italy

28

🇮🇹

Roma, Italy

15

🇪🇸

Donostia San Sebastian, Spain

20

🇪🇸

Barakaldo, Spain

35

🇬🇧

Norwich, United Kingdom

63

🇬🇧

Plymouth, United Kingdom

3

🇩🇪

Westerstede, Germany

13

🇩🇪

Beelitz-Heilstätten, Germany

41

🇫🇷

Mougins, France

7

🇩🇪

Erbach, Germany

45

🇮🇹

Ancona, Italy

37

🇬🇧

Bury, United Kingdom

49

🇬🇧

Cambridge, United Kingdom

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