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临床试验/EUCTR2020-001175-32-GB
EUCTR2020-001175-32-GB进行中(未招募)1 期

Randomised, double-blind, placebo-controlled, clinical study to evaluate the effect of opicapone 50 mg on Parkinson’s disease patients with end-of-dose motor fluctuations and associated pain. - OpiCapone Effect on motor fluctuations and pAiN (OCEAN)

Bial - Portela & Ca, S.A.0 个研究点目标入组 176 人开始时间: 2020年8月7日最近更新:
适应症
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
176

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • Inclusion criteria at Visit 1 (Screening):
  • 1. Able to comprehend and willing to sign an informed consent form and to comply
  • with all aspects of the study.
  • 2. Male or female patients aged 30 years or older.
  • 3. Experiencing PD associated pain for at least 4 weeks prior to screening.
  • 4. Diagnosed with idiopathic PD according to the UK Parkinson’s Disease Society
  • Brain Bank Clinical Diagnostic Criteria (2006) or according to MDS Clinical
  • Diagnostic Criteria (2015).
  • 5. Disease severity Stages I-III (modified Hoehn & Yahr staging) at ON.
  • 6. Treated with 3 to 7 intakes per day of L-dopa/DDCI (which may include a slow-
  • release formulation), on a stable regimen for at least 4 weeks before V1.
  • 7. In case of any other anti-PD-treatment, it should be on a stable regimen for
  • at least 4 weeks before V1, and not likely to need any adjustment until V6.
  • 8. No changes in chronic treatment regimen for pain within the last 4 weeks
  • before V1. This includes medication (including but not limited to paracetamol,
  • opioids, nonsteroidal anti-inflammatory drugs [NSAIDS], antidepressants,
  • anticonvulsants and corticosteroids) and non-medication therapies (including
  • but not limited to transcutaneous electrical nerve stimulation and
  • bioelectrical therapy).
  • 9. Signs of wearing-off” phenomenon (end-of-dose motor fluctuations) 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
  • investigator’s assessment).
  • 10. Domain 3 of KPPS = 12.
  • 11. For females: Postmenopausal for at least 2 years before V1, surgically
  • sterile for at least 6 months before V1, or practicing effective
  • contraception until V6. Female patients who request to continue with oral
  • contraceptives must be willing to use non-hormonal methods of contraception
  • in addition during the course of this study. For males: Male patients who are
  • sexually active with a partner of childbearing potential must use, with their
  • partner, a condom plus an approved method of highly effective contraception
  • during the treatment period until V6.
  • Inclusion Criteria at V2b (Baseline):
  • 12. Have filled-in self-rating diary in accordance with the diary instructions
  • and with = 3 missing entries per day, in the 3 days preceding V2a/V2b.
  • 13. With 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 at least 2 of the 3 days in the self-rating
  • diary for the 3 days preceding V2a/V2b.
  • 14. Results of the screening laboratory tests are considered acceptable by the
  • investigator (i.e. not clinically relevant for the well-being of the patient
  • or for the purpose of the study).
  • 15. Domain 3 of KPPS = 12.
  • 16. Adequate compliance to relevant (PD and pain related) concomitant medication
  • during the screening period (based on the investigator’s judgment).
  • Are the trial subjects under 18? no
  • Number of subjects for this age range: 0
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 176
  • F.1.3 Elderly (>=65 years) yes
  • 另有 1 项未显示

排除标准

  • 1. Non-idiopathic PD (atypical parkinsonism, secondary [acquired or symptomatic]
  • parkinsonism, Parkinson-plus syndrome).
  • 2. Severe and/or unpredictable OFF periods, according to investigator judgement.
  • 3. Major/prominent non-PD-related pain (e.g. due to malignant disease).
  • 4. Treatment with prohibited medication: entacapone, tolcapone, monoamine oxidase
  • (MAO) inhibitors (except selegiline up to 10 mg/day in oral formulation or
  • 1.25 mg/day in buccal absorption formulation, rasagiline up to 1 mg/day or
  • safinamide up to 100 mg/day), or antiemetics with antidopaminergic action
  • (except domperidone) within the last 4 weeks before V1.
  • 5. Previous or planned (during the entire study duration) L-dopa/carbidopa
  • intestinal gel infusion, deep brain stimulation or stereotactic surgery (e.g.
  • pallidotomy, thalamotomy).
  • 6. Treatment with apomorphine within the last 4 weeks before V1 or likely to be
  • needed at any time until V6.
  • 7. Previous or current use of opicapone.
  • 8. Use of any other IP, currently or within the 3 months (or within 5 half-lives
  • of the IP, whichever is longer) before V1.
  • 9. Past (within the past year) or present history of suicidal ideation or suicide
  • 10. Current or previous (within the past year) alcohol or substance abuse
  • excluding caffeine or nicotine.
  • 11. Phaeochromocytoma, paraganglioma, or other catecholamine secreting neoplasms.
  • 12. Known hypersensitivity to the excipients of IP (including lactose
  • intolerance, galactose intolerance, Lapp lactase deficiency or glucose-
  • galactose malabsorption) or of rescue medication.
  • 13. History of neuroleptic malignant syndrome or non-traumatic rhabdomyolysis.
  • 14. History of severe hepatic impairment (Child-Pugh Class C).
  • 15. Previous history of psychosis or psychiatric disorders, including severe
  • major depression.
  • 16. Any medical condition that might place the patient at increased risk or
  • interfere with assessments.
  • 17. For females: Pregnant or breastfeeding.
  • 18. Employees of the investigator, study centre, sponsor, clinical research
  • organisation and study consultants, when employees are directly involved in
  • this study or other studies under the direction of this investigator or study
  • centre, and their family members.
  • 19. Persons committed to an institution by virtue of an order issued either by
  • the judicial or other authorities.

研究者

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