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Parkinson DiseasePhase 3NCT00466167

Pivotal Study in Advanced Parkinsons Disease Patients

A Phase 3 study testing Pramipexol Extended Release and Pramipexol Immediate Release in people with Parkinson Disease, run by Boehringer Ingelheim at 76 sites in 14 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The general aim of this trial is to determine the efficacy (as measured by the change from baseline to the end of the maintenance phase in the total score for Unified Parkinsons Disease Rating Scale Parts II and III combined), safety, and tolerability of pramipexole ER, in daily doses from 0.375 milligram to 4.5… Read more about this study

Who is it for?
Ages 32 years and older
Conditions the study is for
Parkinson Disease
What is being tested?
Pramipexol Extended Release and Pramipexol Immediate Release
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
517 participants
Where
76 sitesin 14 countries
Study dates
Apr 2007to Nov 2008
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 32 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female patient with advanced idiopathic Parkinsons disease confirmed by at least two of the following signs: resting tremor, bradykinesia, rigidity.
  • Parkinsons disease diagnosed for at least 2 years.
  • Patients 30 years of age or older at the time of diagnosis.
  • Modified Hoehn and Yahr stage of 2 to 4 at on-time.
  • Treatment with standard or controlled release Levodopa combined with a Dopa-Decarboxylase-inhibitor, or with Levodopa combined with a Dopa-Decarboxylase-inhibitor/entacapone, at an optimised dose according to investigators judgement, this dose being stable for at least 4 weeks prior to baseline visit.
  • Motor fluctuations, with at least 2 cumulative hours of off-time every day during waking hours (documented on a patient diary completed for 2 consecutive days before baseline visit).
  • Patient willing and able to comply with scheduled visits, treatment plan, laboratory tests and other study procedures. In particular, after training, it has to be documented at baseline visit that the patient is able to recognise the off-time and on-time periods during waking hours and that the patient (or a family member or a guardian) is able to record them accurately in the patient diary.
  • Signed informed consent obtained before any study procedures are carried out (in accordance with International Conference on Harmonisation-Good Clinical Practice guidelines and local legislation).

Who cannot join

  • Atypical parkinsonian syndromes due to drugs, metabolic disorders, encephalitis or degenerative diseases
  • Dementia, as defined by a Mini-Mental State Exam score < 24 at screening visit
  • Any psychiatric disorder according to Diagnostic and Statistical Manual of Mental Disorders 4th edition criteria that could prevent compliance or completion of the study and/or put the patient at risk if he/she takes part in the study
  • History of psychosis, except history of drug induced hallucinations
  • History of deep brain stimulation
  • Clinically significant Electrocardiogram abnormalities at screening visit
Show all 20Show fewer
  • Clinically significant hypotension and/or symptomatic orthostatic hypotension at screening or baseline visit
  • Malignant melanoma or history of previously treated malignant melanoma
  • Any other clinically significant disease, whether treated or not, that could put the patient at risk or could prevent compliance or completion of the study
  • Pregnancy or breast-feeding
  • Sexually active female of childbearing potential not using a medically approved method of birth control for at least one month prior to the screening visit and throughout the study period
  • Serum levels of Aspartate Aminotransferase (Serum Glutamic-Oxaloacetic Transaminase), Alanine Aminotransferase (Serum Glutamic Pyruvic Transaminase), alkaline phosphatases or bilirubin > 2 Upper Limit of Normal
  • Patients with a creatinine clearance < 50 millilitres/minute
  • Any dopamine agonist (including pramipexole) within 4 weeks prior to baseline visit
  • Any medication with central dopaminergic antagonist activity within 4 weeks prior to the baseline visit
  • Any of the following drugs within 4 weeks prior to baseline visit: methylphenidate, cinnarizine, amphetamines
  • Flunarizine within 3 months prior to baseline visit
  • Known hypersensitivity to pramipexole or its excipients
  • Drug abuse according to investigators judgement, within 2 years prior to screening
  • Participation in other investigational drug studies, or use of other investigational drugs within one month or five times the half-life of the investigational drug (whichever is longer) prior to baseline visit

Trial locations and contacts

76 sites in 14 countries.

76 sites in 14 countries

Italy8 sites
  • 248.525.39001 Policlinico di Catania

    Catania

  • 248.525.39010 Campus Universitario Germaneto

    Catanzaro

  • 248.525.39009 Ce.S.I.

    Chieti

  • 248.525.39007 Ospedale della Misericordia

    Grosseto

  • 248.525.39002 Università Federico II

    Naples

  • 248.525.39008 Azienda Ospedaliera Pisana- Università degli Studi di Pisa

    Pisa

  • 248.525.39005 Università La Sapienza di Roma

    Roma

  • 248.525.39011 Policlinico Tor Vergata

    Roma

Other trials in Italy

Philippines8 sites
  • 248.525.63210 Makati Medical Center

    Makati City

  • 248.525.63202 Chinese General Hospital

    Manila

  • 248.525.63205 Jose Reyes Memorial Medical Center

    Manila

  • 248.525.63206 Metropolitan Medical Center

    Manila

  • 248.525.63207 Manila Doctors Hospital

    Manila

  • 248.525.63201 The Medical City

    Pasig

  • 248.525.63204 St Lukes Medical Center

    Quezon

  • 248.525.63208 University of the East Ramon Magsaysay Memorial Medical Ctr

    Quezon

Other trials in Philippines

South Korea8 sites
  • 248.525.82001 Boehringer Ingelheim Investigational Site

    Gyeonggi-do

  • 248.525.82008 Boehringer Ingelheim Investigational Site

    Kyeonggi-do

  • 248.525.82007 Boehringer Ingelheim Investigational Site

    Pusan

  • 248.525.82002 Boehringer Ingelheim Investigational Site

    Seoul

  • 248.525.82003 Boehringer Ingelheim Investigational Site

    Seoul

  • 248.525.82004 Boehringer Ingelheim Investigational Site

    Seoul

  • 248.525.82005 Boehringer Ingelheim Investigational Site

    Seoul

  • 248.525.82006 Boehringer Ingelheim Investigational Site

    Seoul

Other trials in South Korea

India7 sites
  • 248.525.91004 National Institute of Mental Health & Neuro Sciences

    Bangalore

  • 248.525.91002 Apollo Hospital

    Chennai

  • 248.525.91001 Institute of Human Behaviour & Allied Sciences

    Delhi

  • 248.525.91003 Nizam's Institute of Medical Sciences

    Hyderabad

  • 248.525.91007 Boehringer Ingelheim Investigational Site

    Indore

  • 248.525.91005 Mallikatta Neuro Research Center

    Karnataka

  • 248.525.91006 King Edward Memorial Hospital & Research Centre

    Pune

Other trials in India

Russia7 sites
  • 248.525.07001 Boehringer Ingelheim Investigational Site

    Moscow

  • 248.525.07002 Boehringer Ingelheim Investigational Site

    Moscow

  • 248.525.07003 Boehringer Ingelheim Investigational Site

    Moscow

  • 248.525.07004 Boehringer Ingelheim Investigational Site

    Moscow

  • 248.525.07007 Boehringer Ingelheim Investigational Site

    Moscow

  • 248.525.07005 Boehringer Ingelheim Investigational Site

    Saint Petersburg

  • 248.525.07006 Boehringer Ingelheim Investigational Site

    Saint Petersburg

Other trials in Russia

Spain6 sites
  • 248.525.34001 Boehringer Ingelheim Investigational Site

    Alcorcon (Madrid)

  • 248.525.34003 Boehringer Ingelheim Investigational Site

    Barcelona

  • 248.525.34004 Boehringer Ingelheim Investigational Site

    Barcelona

  • 248.525.34005 Boehringer Ingelheim Investigational Site

    Madrid

  • 248.525.34002 Boehringer Ingelheim Investigational Site

    San Cugat Del Valles (Barcelona)

  • 248.525.34008 Boehringer Ingelheim Investigational Site

    Tarrasa (Barcelona)

Other trials in Spain

Ukraine6 sites
  • 248.525.38003 Boehringer Ingelheim Investigational Site

    Dnipropetrovsk

  • 248.525.38006 Boehringer Ingelheim Investigational Site

    Kharkiv

  • 248.525.38002 Boehringer Ingelheim Investigational Site

    Kiev

  • 248.525.38004 Boehringer Ingelheim Investigational Site

    Kiev

  • 248.525.38001 Boehringer Ingelheim Investigational Site

    Zaporizhzhya

  • 248.525.38005 Boehringer Ingelheim Investigational Site

    Zaporizhzhya

Other trials in Ukraine

Czechia5 sites
  • 248.525.42003 Boehringer Ingelheim Investigational Site

    Pardubice

  • 248.525.42001 Boehringer Ingelheim Investigational Site

    Prague

  • 248.525.42005 Boehringer Ingelheim Investigational Site

    Rakovník

  • 248.525.42002 Boehringer Ingelheim Investigational Site

    Rychnov nad Kněžnou

  • 248.525.42004 Boehringer Ingelheim Investigational Site

    Valašské Meziříčí

Other trials in Czechia

United Kingdom5 sites
  • 248.525.44005 Boehringer Ingelheim Investigational Site

    Barnsley

  • 248.525.44007 Boehringer Ingelheim Investigational Site

    Blackburn

  • 248.525.44002 Boehringer Ingelheim Investigational Site

    London

  • 248.525.44004 Boehringer Ingelheim Investigational Site

    Norwich

  • 248.525.44003 Boehringer Ingelheim Investigational Site

    Salford

Other trials in United Kingdom

Hungary4 sites
  • 248.525.36005 Boehringer Ingelheim Investigational Site

    Győr

  • 248.525.36003 Boehringer Ingelheim Investigational Site

    Kecskemét

  • 248.525.36006 Boehringer Ingelheim Investigational Site

    Szeged

  • 248.525.36004 Boehringer Ingelheim Investigational Site

    Veszprém

Other trials in Hungary

Slovakia4 sites
  • 248.525.42104 Boehringer Ingelheim Investigational Site

    Bratislava

  • 248.525.42105 Boehringer Ingelheim Investigational Site

    Bratislava

  • 248.525.42103 Boehringer Ingelheim Investigational Site

    Dubnica nad Váhom

  • 248.525.42101 Boehringer Ingelheim Investigational Site

    Trnava

Other trials in Slovakia

Sweden4 sites
  • 248.525.46005 Boehringer Ingelheim Investigational Site

    Malmö

  • 248.525.46002 Boehringer Ingelheim Investigational Site

    Nyköping

  • 248.525.46001 Boehringer Ingelheim Investigational Site

    Stockholm

  • 248.525.46004 Boehringer Ingelheim Investigational Site

    Stockholm

Other trials in Sweden

Poland3 sites
  • 248.525.48001 Boehringer Ingelheim Investigational Site

    Gdansk

  • 248.525.48003 Boehringer Ingelheim Investigational Site

    Krakow

  • 248.525.48002 Wolski Hospital Dr. Anna Gostynska

    Warsaw

Other trials in Poland

Austria1 site
  • 248.525.43005 Boehringer Ingelheim Investigational Site

    Linz

Other trials in Austria

About this study

Official title: A Double-blind, Double-dummy, Placebo-controlled, Randomized, Three Parallel Groups Study Comparing the Efficacy, Safety and Tolerability of Pramipexole Extended Release (ER) Versus Placebo and Versus Pramipexole Immediate Release (IR) Administered Orally Over a 26-week Maintenance Phase in L-Dopa+ Treated Patients With Advanced Parkinsons Disease (PD).

The general aim of this trial is to determine the efficacy (as measured by the change from baseline to the end of the maintenance phase in the total score for Unified Parkinsons Disease Rating Scale Parts II and III combined), safety, and tolerability of pramipexole ER, in daily doses from 0.375 milligram to 4.5 milligram once a day, in comparison to placebo, in Levodopa combined with a Dopa-Decarboxylase-inhibitor treated Parkinson patients with advanced Parkinsons Disease and motor fluctuations.

In addition, a numerical comparison of the efficacy of pramipexole extended release versus pramipexole immediate release will be done.

The efficacy of pramipexole immediate release will also be compared to placebo, for assay sensitivity.

Being tested
Pramipexol Extended Release, Pramipexol Immediate Release, Placebo
Medical subject headings
Parkinson Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Pramipexol Extended ReleaseDrug

  • Pramipexol Immediate ReleaseDrug

  • PlaceboDrug

Study groups in NCT00466167
Study groupRoleWhat they receive
Pramipexole EROtherNot described
Receives: Drug: Pramipexol Extended Release
Pramipexole IROtherNot described
Receives: Drug: Pramipexol Immediate Release
PlaceboPlacebo comparatorNot described
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline in Unified Parkinson's Disease Rating Scale (UPDRS) Parts II+III Score at Week 18

    UPDRS II+III total score on Full Analysis Set (FAS)with LOCF (Last observation carried forward), week 18 - baseline, UPDRS II+III ranging from 0 (normal) to 160 (severe). UPDRS part II measures activities of daily living, part III measures motor symptoms

    Measured: baseline and week 18

Secondary outcomes (16)
  1. Change From Baseline in Percentage Off-time at Week 18

    Percentage off-time based on patient diary data, percentage ranging from 0 (best case) to 100 (worst case). Off-time describes a period when the patient experiences increased parkinsonian symptoms (e.g. immobility or inability to move with ease).

    Measured: baseline and week 18

  2. Change From Baseline in Percentage On-time Without Dyskinesia at Week 18

    Percentage on-time based on patient diary data, percentage ranging from 0 (worst case) to 100 (best case). On-time describes a period when the patient has no symptoms of off-time and is not asleep.

    Measured: baseline and week 18

  3. Change From Baseline in Percentage On-time With Non-troublesome Dyskinesia at Week 18

    Percentage on-time with non-troublesome dyskinesia based on patient diary data, percentage ranging from 0 (worst case) to 100 (best case). On-time describes a period when the patient has no symptoms of off-time and is not asleep.

    Measured: baseline and week 18

  4. Change From Baseline in Percentage On-time With Troublesome Dyskinesia at Week 18

    Percentage on-time with troublesome dyskinesia based on patient diary data, percentage ranging from 0 (best case) to 100 (worst case). On-time describes a period when the patient has no symptoms of off-time and is not asleep.

    Measured: baseline and week 18

  5. Clinical Global Impression - Global Improvement (CGI-I) Responder

    CGI-I scores ranging from '1' (very much improved) to '7' (very much worse), CGI-I responder have scoring of 1 or 2 (at least much improved)

    Measured: after 18 weeks of treatment

  6. Response in Patient Global Impression (PGI-I)

    PGI-I scores ranging from '1' (very much better) to '7' (very much worse), PGI-I responder have scoring 1 or 2 (at least much better)

    Measured: after 18 weeks of treatment

  7. Change From Baseline in UPDRS I Score After 18 Weeks

    UPDRS I ranging from 0 (normal) to 16 (severe). UPDRS I measures Mentation, Behavior and Mood

    Measured: baseline and 18 weeks

  8. Change From Baseline in UPDRS II Score After 18 Weeks, Average at on and Off-period

    UPDRS II ranging from 0 (normal) to 52 (severe). UPDRS Part II is calculated as the average of UPDRS part II at on and UPDRS part II at off-period for each of the 13 activities.

    Measured: baseline and 18 weeks

  9. Change From Baseline in UPDRS III Score After 18 Weeks

    UPDRS III ranging from 0 (normal) to 108 (severe). UPDRS part III measures motor symptoms

    Measured: baseline and 18 weeks

  10. Change From Baseline in UPDRS IV Score After 18 Weeks

    UPDRS IV ranging from 0 (normal) to 23 (severe). UPDRS IV measures complications of therapy

    Measured: baseline and 18 weeks

  11. Change From Baseline in Beck's Depression Inventory (BDI) After 18 Weeks

    ranging from 0 (best case) to 63 (worst case)

    Measured: baseline and 18 weeks

  12. Change From Baseline in Parkinson's Disease Sleep Scale (PDSS) After 18 Weeks

    ranging from 0 (worst case) to 150 (best case)

    Measured: baseline and 18 weeks

  13. Change From Baseline in Parkinson's Disease Quality of Life Questionnaire 39 After 18 Weeks

    Ranging from 0 (best case) to 156 (worst case)

    Measured: baseline and 18 weeks

  14. Change From Baseline in European Quality of Life (EuroQol) Scale After 18 Weeks

    ranging from 0 (worst case) to 100 (best case)

    Measured: baseline and 18 weeks

  15. Change From Baseline in 11-point Likert Scale for Pain Related to PD at Week 18

    Likert scale is a method used for the measurement of pain. The patients were asked to rate their pain related to PD by ticking the number that best described their pain on the average in the previous week, from zero for "no pain" to ten for "unbearable pain".

    Measured: baseline and week 18

  16. Clinically Significant Abnormalities: Clinical Laboratory Evaluations (Biochemistry and Haematology)

    Measured: baseline and week 18

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Apr 2007 (estimated)
  2. Study startApr 2007
  3. Primary completionNov 2008

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Intervention model
Parallel groups
Enrolment
517 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00466167
Sponsor's protocol ID
248.525
Status last verified
May 2014
First submitted
25 Apr 2007
Last updated
8 Jul 2014

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Pramipexol Extended Release and Pramipexol Immediate Release in people with Parkinson Disease, run by Boehringer Ingelheim at 76 sites in 14 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 20 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 8 Jul 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 76 sites in Italy, Philippines, South Korea, India, Russia and 9 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 8 Feb 2010). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change From Baseline in Unified Parkinson's Disease Rating Scale (UPDRS) Parts II+III Score at Week 18 (time frame: baseline and week 18). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Jul 2014; AzTrials last refreshed its copy on 6 Nov 2026.

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