MedPath

Azilect® (Rasagiline) in Levodopa-treated Parkinson's Patients With Motor Fluctuations in China

Phase 3
Completed
Conditions
Parkinson's Disease
Interventions
Drug: Placebo
Registration Number
NCT01479530
Lead Sponsor
H. Lundbeck A/S
Brief Summary

The rationale for conducting this study is to evaluate the efficacy, tolerability, and safety of rasagiline compared to placebo in levodopa-treated Parkinson's Disease (PD) Chinese patients with motor fluctuations. Azilect® (Rasagiline) is indicated for the treatment of idiopathic PD as monotherapy (without levodopa) or as adjunct therapy (with levodopa) in patients with end of dose fluctuations.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
321
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 ≤3 in the "ON" state.
  • Patients taking optimised levodopa or dopa decarboxylase inhibitor (DDI) therapy; they must be stable 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.
  • Patients 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 with a clinically significant or unstable vascular disease.
  • Patients who have undergone a neurosurgical intervention of PD.
  • Patients with severe disabling dyskinesias.
  • 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.

Other inclusion and exclusion criteria may apply.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Azilect®Azilect®-
PlaceboPlacebo-
Primary Outcome Measures
NameTimeMethod
Change From Baseline in Mean Total Daily OFF Time Using Parkinson's Disease Patient DiaryBaseline and Weeks 4, 8, 12, and 16

Parkinson's Disease Patient Diary is a self-administered diary designed to assess motor fluctuations throughout the day. It is divided into 30-minute intervals, and the patient selects one of four options for each interval: asleep; off; on with no dyskinesia or without troublesome dyskinesia; or on with troublesome dyskinesia.

The Change From Baseline in Mean Total Daily OFF time is calculated by taking the difference between the average of the total daily OFF time at Weeks 4, 8, 12, and 16, and the Baseline Total Daily OFF Time.

Secondary Outcome Measures
NameTimeMethod
Change From Baseline in UPDRS Motor Score During ON TimeBaseline and Week 16

UPDRS is a 42-item rating scale designed to assess Parkinson's Disease-related disability and impairment using a patient interview and a physical examination. It has 4 parts and 4 subsection scores. A higher score indicates a worse outcome. I: mentation, behaviour and mood symptoms - 0 to 16; II: ADL - 0 to 52; III: motor function - 0 to 108; IV: complications of dopaminergic therapy - 0 to 23. Subsection scores for I to III are used to calculate a total score that ranges from 0 (no disability) to 176 (total dependence).

Change From Baseline in UPDRS-ADL Score During OFF TimeBaseline and Week 16

Unified Parkinson's Disease Rating Scale (UPDRS) is a 42-item rating scale designed to assess Parkinson's Disease-related disability and impairment using a patient interview and a physical examination. It has 4 parts and 4 subsection scores. A higher score indicates a worse outcome. I: mentation, behaviour and mood symptoms - 0 to 16; II: activities of daily living (ADL) - 0 to 52; III: motor function - 0 to 108; IV: complications of dopaminergic therapy - 0 to 23. Subsection scores for I to III are used to calculate a total score that ranges from 0 (no disability) to 176 (total dependence).

Clinical Status Using CGI-I Score During ON TimeWeek 16

Clinical Global Impression - Global Improvement (CGI-I) is a single-item rating scale used to evaluate a patient's condition relative to baseline on a 7-point scale, regardless of whether the improvement is related to the investigational medicinal product (IMP). The scale ranges from 1 (very much improved) to 7 (very much worse).

Trial Locations

Locations (18)

CN017

🇨🇳

Beijing, China

CN015

🇨🇳

Beijing, China

CN008

🇨🇳

Beijing, China

CN018

🇨🇳

Beijing, China

CN011

🇨🇳

Chengdu, China

CN003

🇨🇳

Guangzhou, China

CN013

🇨🇳

Shanghai, China

CN019

🇨🇳

Qingyu Zhou, China

CN004

🇨🇳

Hangzhou, China

CN005

🇨🇳

Guangzhou, China

CN020

🇨🇳

Qingyu Zhou, China

CN012

🇨🇳

Shanghai, China

CN007

🇨🇳

Shanghai, China

CN006

🇨🇳

Suzhou, China

CN009

🇨🇳

Wuhan, China

CN010

🇨🇳

Xi'an, China

CN014

🇨🇳

Zi'an, China

CN001

🇨🇳

Beijing, China

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