NCT01568073已完成3 期
Efficacy and Safety of BIA 9-1067 in Idiopathic Parkinson's Disease Patients With "Wearing-off" Phenomenon Treated With Levodopa Plus a Dopa Decarboxylase Inhibitor (DDCI): a Double-blind, Randomised, Placebo- and Active-controlled, Parallel-group, Multicentre Clinical Study
Bial - Portela C S.A.1 个研究点 分布在 1 个国家目标入组 600 人开始时间: 2011年3月最近更新:
适应症
干预措施
相关药物
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 发起方
- 入组人数
- 600
- 试验地点
- 1
- 主要终点
- Efficacy of 3 BIA 9-1067 (5 mg, 25 mg, and 50 mg) Compared With 200 mg of Entacapone or Placebo,
研究概览
简要总结
This study aims to demonstrate the efficacy and safety of BIA 9-1067, compared with entacapone or placebo, when administered with the existing treatment of L-DOPA plus a Dopa Decarboxylase Inhibitor (DDCI), in patients with Parkinson's Disease (PD) and end-of-dose motor fluctuations.
详细描述
Efficacy and safety of BIA 9-1067 in idiopathic Parkinson's disease patients with "wearing-off" phenomenon treated with levodopa plus a dopa decarboxylase inhibitor (DDCI): a double-blind, randomised, placebo- and active-controlled, parallel-group, multicentre clinical study.
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
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 30 Years 至 83 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •V1 (Screening, up to 14 days before V2)
- •Able to comprehend and willing to sign an informed consent form.
- •Male and female subjects between 30 and 83 years old, inclusive.
- •Diagnosed with idiopathic PD according to the UK Parkinson's Disease Society Brain Bank Clinical Diagnostic Criteria for at least 3 years.
- •Disease severity Stages I-III (modified Hoehn &Yahr staging) at ON.
- •Treated with L-DOPA/DDCI for at least 1 year with clear clinical improvement as per investigator's judgment.
- •Treated with 3 to 8 daily doses of L-DOPA/DDCI, which can include a slow-release formulation.
- •On a stable regimen of L-DOPA/DDCI and other anti-PD drugs for at least 4 weeks before screening.
- •Signs of "wearing-off" phenomenon (end-of-dose deterioration) for a minimum of 4 weeks before screening, with average total daily OFF time while awake of at least 1.5 hours, excluding the early morning pre-first dose OFF, despite optimal anti-PD therapy (based on the investigator's judgment).
- •Able to keep reliable diaries of motor fluctuations (alone or with family/caregiver assistance).
- •Amenorrheic for at least 1 year or surgically sterile for at least 6 months before screening. Females of childbearing potential must be using an effective non-hormonal contraceptive method.
- •V2 (Randomisation, Day 0)
- •Have filled-in self-rating diary charts in accordance with the diary chart instructions and with ≤ 3 errors per day.
- •At least 1.5 OFF hours per day, excluding the early morning pre-first dose OFF period (i.e. the time between wake-up and response to the first L DOPA/DDCI dosage), as recorded in the self-rating diary for at least 2 of the 3 days preceding V
- •Results of the screening laboratory tests are considered acceptable by the investigator (i.e. not clinically relevant for the well-being of the subject or for the purpose of the study).
排除标准
- •V1 (Screening, up to 14 days before V2)
- •Non-idiopathic PD (atypical parkinsonism, secondary [acquired or symptomatic] parkinsonism, Parkinson-plus syndrome).
- •Dyskinesia disability score > 3 in the Unified Parkinson's Disease Rating Scale (UPDRS) Sub-section IV A, item
- •Severe and/or unpredictable OFF periods.
- •Treatment with prohibited medication: tolcapone, neuroleptics, venlafaxine, monoamine oxidase inhibitors (except selegiline up to 10 mg/day in oral formulation or 1.25 mg/day in buccal absorption formulation or rasagiline up to 1 mg/day), or antiemetics with antidopaminergic action (except domperidone) within the month before screening.
- •Previous use of entacapone.
- •Treatment with apomorphine, alpha-methyldopa, or reserpine within the month before screening or likely to be needed at any time during the study.
- •Dosage change of concomitant anti-PD medication within 4 weeks of screening.
- •Previous or planned (during the entire study duration, including the OL period) deep brain stimulation.
- •Previous stereotactic surgery (e.g. pallidotomy, thalamotomy) for PD or with planned stereotactic surgery during the study period.
- •Any IMP within the 3 months (or within 5 half-lives, whichever is longer) before screening.
- •Any medical condition that might place the subject at increased risk or interfere with assessments.
- •Past (within the past year) or present history of suicidal ideation or suicide attempts.
- •Current or previous (within the past year) diagnosis of major depressive disorder, mania, bipolar disorder, psychosis, dysthymia, generalised anxiety disorder, alcohol or substance abuse excluding caffeine or nicotine, impulse control disorders (e.g. pathological gambling), dementia or eating disorders according to Diagnostic and Statistical Manual of Mental Disorders, 4th edition, text revision (DSM-IV) American Psychiatric Association, 2000 criteria, as determined by the investigator.
- •A clinically relevant electrocardiogram (ECG) abnormality (relevance should be assessed by a cardiologist if needed).
- •Current evidence of unstable cardiovascular disease, including but not limited to uncontrolled hypertension, myocardial infarction with important systolic or diastolic dysfunction, unstable angina, congestive heart failure (New York Heart Association class ≥ III), and significant cardiac arrhythmia (Mobitz II 2nd or 3rd degree AV block or any other arrhythmia causing haemodynamic repercussions as symptomatic bradycardia or syncope).
- •Prior renal transplant or current renal dialysis.
- •Pheochromocytoma, paraganglioma, or other catecholamine secretive neoplasm.
- •Known hypersensitivity to the ingredients of IMPs used.
- •History of neuroleptic malignant syndrome (NMS) or NMS-like syndromes, or non-traumatic rhabdomyolysis.
- •History of or current cancer disease, which in the investigator's opinion would exclude the subject from the study (e.g. melanoma, prostate cancer).
- •Unstable active narrow-angle or unstable wide-angle glaucoma.
- •History of or current evidence of any relevant disease in the context of this study, i.e. with respect to the safety of the subject or related to the study conditions, e.g. which may influence the absorption or metabolism (such as a relevant liver disease) of the IMP.
- •Pregnant or breastfeeding. V2 (Randomisation, Day 0)
- •Any abnormality in the liver enzymes (alanine aminotransferase and/or aspartate aminotransferase) > 2 times the upper limit of the normal range, in the screening laboratory tests results.
- •Plasma sodium < 130 mmol/L, white blood cell count < 3000 cells/mm3, or any other relevant clinical laboratory abnormality in the screening laboratory tests results that, in the investigator's opinion, may compromise the subject's safety.
- •Inadequate compliance to concomitant L-DOPA/DDCI and other anti-PD drugs during the Screening period.
研究组 & 干预措施
Placebo
Placebo Comparator
PLC, Placebo
干预措施: Levodopa (Drug)
BIA 9-1067
Experimental
OPC, Opicapone
干预措施: BIA 9-1067 (Drug)
Entacapone
Active Comparator
Comtan®; Active comparator
干预措施: Levodopa (Drug)
BIA 9-1067
Experimental
OPC, Opicapone
干预措施: Levodopa (Drug)
BIA 9-1067
Experimental
OPC, Opicapone
干预措施: Carbidopa (Drug)
BIA 9-1067
Experimental
OPC, Opicapone
干预措施: Benserazide (Drug)
Entacapone
Active Comparator
Comtan®; Active comparator
干预措施: Entacapone (Drug)
Entacapone
Active Comparator
Comtan®; Active comparator
干预措施: Carbidopa (Drug)
Entacapone
Active Comparator
Comtan®; Active comparator
干预措施: Benserazide (Drug)
Placebo
Placebo Comparator
PLC, Placebo
干预措施: Placebo (Drug)
Placebo
Placebo Comparator
PLC, Placebo
干预措施: Carbidopa (Drug)
Placebo
Placebo Comparator
PLC, Placebo
干预措施: Benserazide (Drug)
结局指标
主要结局
Efficacy of 3 BIA 9-1067 (5 mg, 25 mg, and 50 mg) Compared With 200 mg of Entacapone or Placebo,
时间窗: 14 to 15 weeks
The primary efficacy variable will be the change from baseline in absolute OFF-time at the end of the DB period, This results refers when administered with the existing treatment of L-DOPA plus a DDCI, in patients with PD and end-of-dose motor fluctuations
次要结局
- Total UPDRS SCORE (I, II (ON), and III)(14 to 15 weeks)
- Parkinson's Disease Sleep Scale (PDSS)(14 to 15 weeks)
- Non-motor Symptoms Scale (NMSS)(14 to 15 weeks)
研究者
研究点 (1)
Loading locations...
相似试验
已完成
3 期
A clinical trial to study the effect of BIA 9-1067 used in addition to levodopa and dopa decarboxylase inhibitor (DDCI) in patients with Parkinson?s diseaseCTRI/2011/07/001859BIAL Portela Ca SA405
进行中（未招募）
不适用
Efficacy and safety of BIA 9-1067 in idiopathic Parkinson’s disease patients with wearing-off” phenomenon treated with levodopa plus a dopa decarboxylase inhibitor (DDCI): a double-blind, randomised, placebo-controlled, parallel-group, multicentre clinical study. - BIPARK STUDY IIIdiopathic Parkinson's DiseaseMedDRA version: 12.1Level: LLTClassification code 10061536Term: Parkinson's diseaseEUCTR2010-022366-27-EEBIAL Portela & Cª, S.A.405
进行中（未招募）
不适用
BIPARK STUDY IIEUCTR2010-022366-27-CZBIAL Portela & Cª, S.A.405
进行中（未招募）
1 期
BIPARK STUDY IIEUCTR2010-022366-27-GBBIAL Portela & Cª, S.A.405
进行中（未招募）
1 期
Efficacy and safety of BIA 9-1067 in idiopathic Parkinson’s disease patients with wearing-off” phenomenon treated with levodopa plus a dopa decarboxylase inhibitor (DDCI): a double-blind, randomised, placebo-controlled, parallel-group, multicentre clinical study. - BIPARK STUDY IIIdiopathic Parkinson's DiseaseMedDRA version: 12.1Level: LLTClassification code 10061536Term: Parkinson's diseaseEUCTR2010-022366-27-BEBIAL Portela & Cª, S.A.405