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Safety and Efficacy Study of SYN115 in Parkinson's Patients Using Levodopa to Treat End of Dose Wearing Off

Registration Number
NCT01283594
Lead Sponsor
Biotie Therapies Inc.
Brief Summary

The purpose of this research study is to test the effect of SYN115 compared to placebo (a "sugar pill" that looks like SYN115 but does not include active drug) on movement during the "on" and "off" states as well as other symptoms that some patients with Parkinson's disease experience. This study will also look at whether or not patients with Parkinson's disease experience "side-effects" with SYN115.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
420
Inclusion Criteria
  • Meet Parkinson's Disease (PD) diagnosis consistent with UK PD diagnostic criteria
  • Meet Hoehn and Yahr PD stage
  • Good response to levodopa
  • Stable regimen of anti-parkinson medications
  • Are able to complete a Parkinson's disease diary
  • If of childbearing potential(male and female), use an acceptable method of birth control
  • Able and willing to sign an IRB/IEC approved informed consent
  • Able and willing to understand study requirements, follow study instructions, attend all visits and undergo all planned tests.
Exclusion Criteria
  • Secondary or atypical Parkinson's
  • Neurosurgical intervention for Parkinson's disease
  • Treatment with apomorphine
  • Treatment with anti-psychotic drugs
  • Other abnormal findings on physical or neuro exam or history that in the opinion of the investigator would make subject unsuitable for the study or prejudice safety and efficacy evaluation
  • MMSE less than 26
  • Subjects with untreated or uncontrolled current episode of major depression
  • Receipt of any anti-psychotic drugs greater than 1 month in the past 5 years or any exposure in past year (except for quetiapine at doses <100mg per day)
  • Women pregnant or lactating
  • History of hepatitis, cholangitis
  • Untreated or uncontrolled hypothyroidism or hyperthyroidism
  • Drops in blood pressure requiring medication to maintain blood pressure
  • Any clinically significant out of range laboratory evaluations
  • Known sensitivity to the study medication or its components
  • Suicide ideation or type 4 or type 5 on the Columbia suicide severity rating scale
  • Finding of malignant melanoma on full body skin exam
  • Impulse disorder conditions

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Tozadenant (SYN115) 180 mg BIDTozadenant (SYN115) 180 mg BIDTozadenant tablets, white-coated, modified-oval tablets manufactured in 60 mg dosage strengths.
Tozadenant (SYN115) 120 mg BIDLevodopa (L-dopa)Tozadenant tablets, white-coated, modified-oval tablets manufactured in 60 mg dosage strengths.
Tozadenant (SYN115) 60 mg BIDLevodopa (L-dopa)Tozadenant tablets, white-coated, modified-oval tablets manufactured in 60 mg dosage strengths.
Tozadenant (SYN115) 120 mg BIDTozadenant (SYN115) 120 mg BIDTozadenant tablets, white-coated, modified-oval tablets manufactured in 60 mg dosage strengths.
Sugar PillPlaceboWhite-coated, modified-oval placebo tablets.
Tozadenant (SYN115) 240 mg BIDLevodopa (L-dopa)Tozadenant tablets, white-coated, modified-oval tablets manufactured in 60 mg dosage strengths.
Sugar PillLevodopa (L-dopa)White-coated, modified-oval placebo tablets.
Tozadenant (SYN115) 60 mg BIDTozadenant (SYN115) 60 mg BIDTozadenant tablets, white-coated, modified-oval tablets manufactured in 60 mg dosage strengths.
Tozadenant (SYN115) 180 mg BIDLevodopa (L-dopa)Tozadenant tablets, white-coated, modified-oval tablets manufactured in 60 mg dosage strengths.
Tozadenant (SYN115) 240 mg BIDTozadenant (SYN115) 240 mg BIDTozadenant tablets, white-coated, modified-oval tablets manufactured in 60 mg dosage strengths.
Primary Outcome Measures
NameTimeMethod
Assess efficacy of different doses of SYN115 for reducing the mean total hours of awake time per day spent in the off state12 weeks
Secondary Outcome Measures
NameTimeMethod
To assess the effect of SYN115 on dyskinesia12 weeks
To assess the effect of SYN115 on UPDRS scores12 weeks
To assess investigator and patient impressions of PD severity and change12 weeks
To assess the effect of SYN115 on non motor symptoms of PD12 weeks
To assess the safety and tolerability of SYN11512 weeks
To assess the effects of SYN115 on daytime drowsiness, impulsive behavior, development of melanoma and suicidal ideation12 weeks
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