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临床试验/EUCTR2014-003739-20-DE
EUCTR2014-003739-20-DE进行中(未招募)1 期

Open-Label Safety Study of ADS-5102 (Amantadine HCl) Extended Release Capsules for the Treatment of Levodopa-Induced Dyskinesia

Adamas Pharmaceuticals, Inc.0 个研究点目标入组 223 人开始时间: 2015年1月21日最近更新:

试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
223

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

入选标准

  • Group 1: Current Adamas LID study subjects
  • Below are the inclusion criteria subjects who are continuing directly into ADS-AMT-PD302 without a time gap between their Adamas LID efficacy study and ADS-AMT-PD302:
  • 1. Signed a current IRB/REB/IEC-approved informed consent form
  • 2. Completed study visits per protocol in a previous Adamas efficacy study
  • 3. Ambulatory or ambulatory-aided (e.g. walker or cane) ability while ON, such that the subject can complete study assessments
  • 4. Knowledgeable and reliable caregiver/study partner, if appropriate, to accompany the subject to study visits and assist in completion of study assessments, as needed and allowed
  • 5. History of peak dose dyskinesia that might benefit from specific dyskinesia treatment in the judgment of the subject and clinical investigator
  • 6. On a stable regimen of antiparkinson’s medications, including a levodopa preparation administered not less than three times daily
  • Group 2: Previous Adamas LID study subjects
  • Below are the inclusion criteria for subjects who participated in a previous Adamas efficacy study evaluating ADS-5102 in LID and will enter ADS-AMT-PD302 with a time gap:
  • 1. Signed a current IRB/REB/IEC-approved informed consent form
  • 2. Completed study visits per protocol in a previous Adamas efficacy study
  • 3. Ambulatory or ambulatory-aided (e.g. walker or cane) ability while ON, such that the subject can complete study assessments
  • 4. Knowledgeable and reliable caregiver/study partner, if appropriate, to accompany the subject to study visits and assist in completion of study instruments, as needed and allowed
  • 5. Peak dose dyskinesia during Screening that might benefit from specific dyskinesia treatment in the judgment of the subject and clinical investigator OR a history of peak dose dyskinesia that is currently being managed by amantadine treatment
  • 6. On a stable regimen of antiparkinson’s medications at least 30 days prior to screening, including a levodopa preparation administered not less than three times daily
  • 7. Parkinson’s disease, per UK Parkinson's Disease Society (UKPDS) Brain Bank Clinical Diagnostic Criteria
  • Group 3: Non Adamas LID study subjects – with prior DBS
  • Below are the eligibility criteria for subjects who would have been deemed ineligible for participation in previous or current Adamas efficacy studies due to having undergone deep brain stimulation:
  • 1. Signed a current IRB/REB/IEC-approved informed consent form
  • 2. Male or female subjects between 30 and 85 years of age, inclusive
  • 3. Subject has undergone deep brain stimulation procedure prior to start of this study (14 July 2014)
  • 4. Ambulatory or ambulatory-aided (e.g. walker or cane) ability while ON, such that the subject can complete study assessments
  • 5. Knowledgeable and reliable caregiver/study partner, if appropriate, to accompany the subject to study visits and assist in completion of study instruments, as needed and allowed
  • 6. Peak dose dyskinesia during Screening that might benefit from specific dyskinesia treatment in the judgment of the subject and clinical investigator OR a history of peak dose dysk

排除标准

  • Group 1 Current Adamas subjects
  • Discontinued due to ADS-5102-AEs
  • H&Y Stage 5
  • Presence of orthostatic hypotension
  • GFR < 50 mL/min/1.73m2
  • Female is pregnant or lactating
  • Sexually active female, not sterile or 2 y postmenopausal, or will not use highly effective hormonal contraception, with a barrier, from screening to least 4 weeks post-treatment
  • Possible treatment with restricted medication
  • Planned participation in another trial
  • Group 2 Previous Adamas subjects
  • Discontinued due to ADS-5102-AEs
  • History of neurosurgery related to PD, Except DBS
  • History of other neurological disease that would affect motor function or cognition
  • Current sensory impairments impairing assessment completion or untreated angle closure glaucoma
  • History of alcohol or substance dependence or abuse seizures, stroke or TIA since completion in previous Adamas trial
  • History of MI, or NYHA Functional Classification of Heart Failure Class 3 or 4 since completion of participation in previous Adamas trial
  • Any clinically significant ECG other than isolated PVCs or first degree AV block
  • History of cancer since completion in previous Adamas trial
  • MMSE<24 during screening
  • H&Y Stage 5
  • Presence of an acute or chronic major psychiatric disorder or symptom (e.g. suicidal ideation) that would affect ability to complete assessments
  • Presence of orthostatic hypotension
  • Any of the following results at screening:
  • Hb<10g/dL
  • WBC<3.0x1e9/L
  • Neutrophils<1.5x1e9/L
  • Lymphocytes<0.5x1e9/L
  • Platelets<100x1e9/L
  • AST &/or ALT>2 ULN
  • GFR<50mL/min/1.73m2
  • Can’t swallow oral capsules or GI malabsorption
  • Female is pregnant or lactating
  • Sexually active female, not sterile or 2 y postmenopausal, or will not use highly effective hormonal contraception, with a barrier, from screening to least 4 weeks post-treatment
  • Inability to tolerate amantadine or history of suicidal ideation or suicide attempt during prior amantadine use
  • History of hypersensitivity or allergic reaction to amantadine, rimantidine, or memantine, or to any of the excipients used in the study medication
  • Received live attenuated influenza vaccine within 2 weeks prior to enrolment
  • Current treatment with carbonic anhydrase inhibitors, sodium bicarbonate, or urinary acidification agents, quinine, quinidine, triamterene, or trimethoprim
  • Current treatment with medications that act primarily by blocking dopamine receptors & current treatment with medications that prolong the QT interval & known risk of torsades de pointes
  • Treatment with an investigational drug (other than ADS-5102) within 30 days prior to screening
  • Treatment with an investigational biologic 6 m to screening
  • Possible treatment with restricted medication
  • Current/planned participation in another trial
  • Group 3 Non Adamas Subjects – with prior DBS
  • History of neurosurgery related to PD, excep

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