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Clinical Trials/NCT00955604
NCT00955604CompletedNot Applicable

Investigation of the Occurrence of Serotonin Toxicity in Parkinson's Disease (PD) Patients Treated Concomitantly With Rasagiline and Antidepressants, Using Retrospective Chart Review

Teva Branded Pharmaceutical Products R&D, Inc.0 sites1,500 target enrollmentStarted: July 2009Last updated:
Conditions
Interventions
Drugs

Trial Snapshot

Phase
Not Applicable
Status
Completed
Enrollment
1,500
Primary Endpoint
The frequency of serotonin toxicity, as determined by the Adjudication Committee will be calculated for each Group. The primary comparison will be Group R+AD vs. Group R and vs. Group AD

Study Overview

Brief Summary

To identify the occurrence of serotonin toxicity in Parkinson's Disease (PD) patients receiving antidepressant therapy and rasagiline, compared to those receiving rasagiline without antidepressant medications and compared to PD patients receiving antidepressants, but not rasagiline.

Study Design

Study Type
Observational
Observational Model
Cohort
Time Perspective
Retrospective

Eligibility Criteria

Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Male or female patients with a diagnosis of PD
  • Rasagiline treatment as mono- or adjunct therapy for PD with concomitant antidepressant medication (SSRIs, SNRIs, St. John's wort and/or TCAs) at any time during the specified review period, OR Rasagiline treatment as mono- or adjunct therapy for PD without concomitant antidepressant medication (SSRIs, SNRIs, St. John's wort and/or TCAs) at any time during the specified review period. OR Antidepressant therapy (SSRIs, SNRIs, St. John's wort and/or TCAs) and any other dopaminergic anti-PD treatment besides rasagiline or selegiline at any time during the specified review period
  • Willing to consent to review of office chart and to review of records of ER visits and/or hospitalizations corresponding to the review window, if required
  • Patients previously participating in a rasagiline clinical trial (and their follow-up protocols) are eligible, provided that they did not receive antidepressant therapy during trial participation.
  • In addition to the above criteria, each group has specific inclusion criteria stated below:
  • Group R+AD: Enrollment in this group requires that patients must have taken rasagiline and an antidepressant (SSRIs, SNRIs, St. John's wort and/or TCAs, regardless of indication) within 14 days of each other (or five weeks, if fluoxetine preceded rasagiline).
  • Group R: Enrollment in this group requires patients must have at least 2 months of rasagiline use.
  • Group AD: Patients must be taking an approved dopaminergic medication for PD. Enrollment in this group requires that patients must have at least 2 months of treatment with an antidepressant medication.

Exclusion Criteria

  • Use of rasagiline for any indication other than PD
  • Patients taking a monoamine oxidase inhibitor (MAOI) antidepressant and/or selegiline
  • Inability or unwillingness to request records of ER visits and/or hospitalizations corresponding to the review period.

Arms & Interventions

Group R

At least 2 months of rasagiline

Intervention: Group R Rasagiline (Drug)

Group AD

At least 2 months of Anti-PD and Rasagiline

Intervention: Group AD Anti-PD + Antidepressant (Drug)

Group R+AD

Group R+AD Rasagiline and an antidepressant (SRIs, SNRIs, St. John's wort and/or TCAs) for at least 14 days

Intervention: Group R+AD Rasagiline + Antidepressant (Drug)

Outcomes

Primary Outcomes

The frequency of serotonin toxicity, as determined by the Adjudication Committee will be calculated for each Group. The primary comparison will be Group R+AD vs. Group R and vs. Group AD

Time Frame: 9 months

Secondary Outcomes

No secondary outcomes reported

Investigators

Sponsor Class
Industry
Responsible Party
Sponsor

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