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临床试验/NCT00391898
NCT00391898已完成4 期

A 3-month, Multi-center, Double-blind, Randomized Study to Evaluate the Efficacy of Levodopa/Carbidopa/Entacapone vs Levodopa/Carbidopa in Parkinson's Disease Patients With Impairment of Activities of Daily Living and Early Wearing-off With Levodopa

Novartis26 个研究点 分布在 1 个国家目标入组 95 人开始时间: 2006年10月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
4 期
状态
已完成
发起方
Novartis
入组人数
95
试验地点
26
主要终点
Change in the Unified Parkinson's Disease Rating Scale (UPDRS) Part II (Activities of Daily Living [ADL]) Score From Baseline to Month 3

研究概览

简要总结

The study evaluated the efficacy of levodopa/carbidopa/entacapone vs levodopa/carbidopa in patients with Parkinson's disease and early wearing-off with levodopa

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Double (Participant, Investigator)

入排标准

年龄范围
30 Years 至 80 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Male and female patients ages ≥ 30 and ≤ 80 years old.
  • A clinical diagnosis of idiopathic Parkinson's disease.
  • Taking a stable dose of levodopa/carbidopa (≥ 300 and ≤ 600mg) for a period of at least 1 month prior to study entry.
  • Must be using any of the following levodopa/carbidopa standard formulation levodopa/carbidopa 100/25mg dose in any intake of the day.
  • 1 full tablet, and/or
  • 1½ tablets The patient can also be using, for a period of at least 1 month prior to study entry, 1 tablet of the controlled release formulation of levodopa/carbidopa 100/25 mg (marketed in Spain as Sinemet Plus retard) or 1 tablet the controlled release formulation of levodopa/carbidopa 200/50 mg (marketed in Spain as Sinemet retard) in each intake, at different doses.
  • Must have early end-of-dose wearing-off defined by >= 2 or <=7 positive responses to the QUICK questionnaire.
  • Must have a minimum UPDRS part II (ADL) score of
  • Patients without dyskinesia or with mild dyskinesia.
  • Female patients must be either post-menopausal or using one or more acceptable methods of contraception.
  • Must be capable of satisfying the requirements of the protocol and must be willing and able to give informed consent according to legal requirements.

排除标准

  • Previous or current use of entacapone.
  • History, signs, or symptoms suggesting the diagnosis of secondary or atypical parkinsonism.
  • Unstable Parkinson's disease patients.
  • Patients who experience severe dyskinesia.
  • The following levodopa/carbidopa doses and strengths are not permitted:
  • Patients taking ½ tablet of standard formulation levodopa/carbidopa 100/25
  • Patients taking standard formulation levodopa/carbidopa 100/10 or 250/25
  • Patients taking fewer than 3 or more than 6 daily intakes of standard formulation levodopa/carbidopa 100/25 (fewer than 300mg or more than 600mg of levodopa)
  • Patients with hallucinations or psychiatric diseases related to levodopa or dopamine agonists intake. Patients with major depression.
  • Female patients who are pregnant, trying to become pregnant or nursing (lactating) an infant.
  • Concomitant treatment with MAO-inhibitors (except selegiline up to 10mg/day), rotigotine or neuroleptics, within 60 days prior to the screening visit.
  • Patients with a previous history of Neuroleptic Malignant Syndrome (NMS) and/or non-traumatic rhabdomyolysis.
  • Participated in another trial of an investigational drug/device within the last 30 days prior to study entry.
  • Patients who have a history of poor compliance or are in the Investigator's judgment unlikely to comply with medical regimens or study requirements.

研究组 & 干预措施

Levodopa/carbidopa/entacapone

Experimental

干预措施: Levodopa/carbidopa/entacapone (Drug)

Levodopa/carbidopa

Active Comparator

干预措施: Levodopa/carbidopa (Drug)

结局指标

主要结局

Change in the Unified Parkinson's Disease Rating Scale (UPDRS) Part II (Activities of Daily Living [ADL]) Score From Baseline to Month 3

时间窗: Baseline to end of study (Month 3)

The UPDRS is a standardized assessment scale used to measure a patient's disease state. It is completed by a blinded rater. There are 6 parts to the UPDRS. Part II (items 5-17; total score 0-52, calculated as the sum of the individual items) measures the patient's activities of daily living. A lower total score indicates greater symptom control. A negative change score indicates improvement.

次要结局

  • Change in the UPDRS Part IV (Complications of Therapy) Score From Baseline to Month 3(Baseline to end of study (Month 3))
  • Change in the 39-item Parkinson's Disease Questionnaire (PDQ-39) Total Score From Baseline to Month 3(Baseline to end of study (Month 3))
  • Change in the UPDRS Part I (Mentation, Behavior, and Mood) Score From Baseline to Month 3(Baseline to end of study (Month 3))
  • Change in the UPDRS Part III (Motor Function) Score From Baseline to Month 3(Baseline to end of study (Month 3))
  • Change on the QUICK Questionnaire (QQ) Score From Baseline to Month 3(Baseline to end of study (Month 3))
  • Patient and Investigator Global Evaluation of the Patient(Baseline to end of study (Month 3))

研究者

发起方
Novartis
申办方类型
Industry

研究点 (26)

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