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Early Parkinson Disease (Early PD)Phase 3NCT00479401

Efficacy, Safety, Tolerability of Pramipexol ER Versus Pramipexol IR Versus Placebo in Early PD Patients

A Phase 3 study testing Pramipexol Extended Release and Pramipexol Immediate Release in people with Early Parkinson Disease (Early PD), run by Boehringer Ingelheim at 95 sites in 14 countries.

Completed

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

Official record
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Trial summary

The objectives of this trial conducted in early Parkinson's Disease (PD) patients are to determine the efficacy (as measured by the change from baseline to the end of the maintenance phase in the total score for the Unified Parkinson's Disease Rating Scale (UPDRS) Parts II and III combined), safety, and tolerability… Read more about this study

Who is it for?
Ages 30 years and older
Conditions the study is for
Early Parkinson Disease (Early PD)
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
539 participants
Where
95 sitesin 14 countries
Study dates
May 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 30 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female patient with idiopathic Parkinsons disease (PD) confirmed by at least two of the following signs: resting tremor, bradykinesia, rigidity.
  • Parkinsons disease diagnosed within 5 years.
  • Patients 30 years of age or older at the time of diagnosis.
  • Modified Hoehn and Yahr stage of 1 to 3.
  • Patients requiring additional therapy/ introduction of therapy (for de novo patients) to treat their parkinsonian symptoms at the time of enrollment (screening visit, V1) according to the investigators judgement.

Who cannot join

  • Atypical parkinsonian syndromes due to drugs (e.g., metoclopramide, flunarizine), metabolic disorders (e.g., Wilson's disease), encephalitis or degenerative diseases (e.g., progressive supranuclear palsy).
  • 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 (DSM-IV)
  • History of psychosis
  • Clinically significant electrocardiogram (ECG) abnormalities at screening visit
  • Clinically significant hypotension
Show all 20Show fewer
  • 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
  • Sexually active female of childbearing potential not using a medically approved method of birth control
  • Serum levels of Aspartate Aminotransferase (AST) , Alanine Aminotransferase (ALT), alkaline phosphatases or bilirubin > 2 Upper Limit of Normal (ULN)
  • Patients with a creatinine clearance < 50 mL/min
  • Any dopamine agonist (including pramipexole) within 4 weeks prior to baseline visit, or L-Dopa within 8 weeks prior to baseline visit.
  • Total cumulative duration of prior exposure to Levodopa of more than 3 months.
  • Any medication (including intra-muscular formulations) with central dopaminergic antagonist activity within 4 weeks prior to the baseline visit
  • Any of the following drugs within 4 weeks prior to the baseline visit: methylphenidate, cinnarizine, amphetamines.
  • Flunarizine within 3 months prior to baseline visit
  • Known hypersensitivity to Pramipexole or its excipients
  • Drug abuse (including alcohol), 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

Trial locations and contacts

95 sites in 14 countries.

95 sites in 14 countries

United States16 sites
  • 248.524.01014 Boehringer Ingelheim Investigational Site

    Augusta, Georgia

  • 248.524.01010 Boehringer Ingelheim Investigational Site

    Boca Raton, Florida

  • 248.524.01009 Boehringer Ingelheim Investigational Site

    Burlington, Vermont

  • 248.524.01012 Boehringer Ingelheim Investigational Site

    Chicago, Illinois

  • 248.524.01005 Boehringer Ingelheim Investigational Site

    Commack, New York

  • 248.524.01002 Boehringer Ingelheim Investigational Site

    Dallas, Texas

  • 248.524.01008 Boehringer Ingelheim Investigational Site

    Danbury, Connecticut

  • 248.524.01007 Boehringer Ingelheim Investigational Site

    Elkridge, Maryland

  • 248.524.01018 Boehringer Ingelheim Investigational Site

    Gilbert, Arizona

  • 248.524.01017 Boehringer Ingelheim Investigational Site

    Hattiesburg, Mississippi

  • 248.524.01001 Boehringer Ingelheim Investigational Site

    Kansas City, Kansas

  • 248.524.01016 Boehringer Ingelheim Investigational Site

    La Jolla, California

  • 248.524.01003 Boehringer Ingelheim Investigational Site

    Midvale, Utah

  • 248.524.01013 Boehringer Ingelheim Investigational Site

    Oxnard, California

  • 248.524.01015 Boehringer Ingelheim Investigational Site

    Southfield, Michigan

  • 248.524.01004 Boehringer Ingelheim Investigational Site

    Sun City, Arizona

Other trials in United States

Japan15 sites
  • 248.524.81010 Boehringer Ingelheim Investigational Site

    Aomori, Aomori

  • 248.524.81001 Boehringer Ingelheim Investigational Site

    Bunkyo-ku, Tokyo

  • 248.524.81005 Boehringer Ingelheim Investigational Site

    Fuchu, Tokyo

  • 248.524.81011 Boehringer Ingelheim Investigational Site

    Fujisawa, Kanagawa

  • 248.524.81013 Boehringer Ingelheim Investigational Site

    Fukuoka, Fukuoka

  • 248.524.81015 Boehringer Ingelheim Investigational Site

    Iwamizawa,Hokkaido

  • 248.524.81003 Boehringer Ingelheim Investigational Site

    Kodaira, Tokyo

  • 248.524.81014 Boehringer Ingelheim Investigational Site

    Kyoto, Kyoto

  • 248.524.81009 Boehringer Ingelheim Investigational Site

    Morioka, Iwate

  • 248.524.81008 Boehringer Ingelheim Investigational Site

    Okayama, Okayama

  • 248.524.81006 Boehringer Ingelheim Investigational Site

    Ota-ku, Tokyo

  • 248.524.81004 Boehringer Ingelheim Investigational Site

    Sagamihara, Kanagawa

  • 248.524.81007 Boehringer Ingelheim Investigational Site

    Shimogyo-ku, Kyoto, Kyoto

  • 248.524.81012 Boehringer Ingelheim Investigational Site

    Shiroishi, Miyagi

  • 248.524.81002 Boehringer Ingelheim Investigational Site

    Takamatsu, Kagawa

Other trials in Japan

Germany9 sites
  • 248.524.49002 Boehringer Ingelheim Investigational Site

    Berlin

  • 248.524.49003 Boehringer Ingelheim Investigational Site

    Bochum

  • 248.524.49011 Boehringer Ingelheim Investigational Site

    Bochum

  • 248.524.49008 Boehringer Ingelheim Investigational Site

    Bremerhaven

  • 248.524.49006 Boehringer Ingelheim Investigational Site

    Dresden

  • 248.524.49007 Boehringer Ingelheim Investigational Site

    Göttingen

  • 248.524.49001 Boehringer Ingelheim Investigational Site

    Kassel

  • 248.524.49004 Boehringer Ingelheim Investigational Site

    Leipzig

  • 248.524.49005 Boehringer Ingelheim Investigational Site

    Marburg

Other trials in Germany

India9 sites
  • 248.524.91002 Boehringer Ingelheim Investigational Site

    Chennai

  • 248.524.91009 Boehringer Ingelheim Investigational Site

    Hyderabad

  • 248.524.91010 Boehringer Ingelheim Investigational Site

    Hyderabad

  • 248.524.91001 Boehringer Ingelheim Investigational Site

    Karnataka

  • 248.524.91005 Boehringer Ingelheim Investigational Site

    Maharashtra

  • 248.524.91007 Boehringer Ingelheim Investigational Site

    Maharashtra

  • 248.524.91004 Boehringer Ingelheim Investigational Site

    New Delhi

  • 248.524.91006 Boehringer Ingelheim Investigational Site

    New Delhi

  • 248.524.91011 Boehringer Ingelheim Investigational Site

    Pune

Other trials in India

Argentina8 sites
  • 248.524.54001 Boehringer Ingelheim Investigational Site

    Capital Federal

  • 248.524.54002 Boehringer Ingelheim Investigational Site

    Capital Federal

  • 248.524.54003 Boehringer Ingelheim Investigational Site

    Capital Federal

  • 248.524.54007 Boehringer Ingelheim Investigational Site

    Capital Federal

  • 248.524.54008 Instituto de Neurociencias de Buenos Aires

    Capital Federal

  • 248.524.54009 Boehringer Ingelheim Investigational Site

    Capital Federal

  • 248.524.54006 Boehringer Ingelheim Investigational Site

    Mar del Plata

  • 248.524.54004 Boehringer Ingelheim Investigational Site

    Santa Fe

Other trials in Argentina

Hungary8 sites
  • 248.524.36007 Boehringer Ingelheim Investigational Site

    Eger

  • 248.524.36005 Boehringer Ingelheim Investigational Site

    Győr

  • 248.524.36008 Boehringer Ingelheim Investigational Site

    Miskolc

  • 248.524.36004 Boehringer Ingelheim Investigational Site

    Sopron

  • 248.524.36001 Boehringer Ingelheim Investigational Site

    Szeged

  • 248.524.36006 Boehringer Ingelheim Investigational Site

    Szeged

  • 248.524.36003 Boehringer Ingelheim Investigational Site

    Szombathely

  • 248.524.36002 Boehringer Ingelheim Investigational Site

    Zalaegerszeg

Other trials in Hungary

Russia6 sites
  • 248.524.07001 Boehringer Ingelheim Investigational Site

    Moscow

  • 248.524.07002 Boehringer Ingelheim Investigational Site

    Moscow

  • 248.524.07003 Boehringer Ingelheim Investigational Site

    Moscow

  • 248.524.07004 Boehringer Ingelheim Investigational Site

    Moscow

  • 248.524.07005 Boehringer Ingelheim Investigational Site

    Saint Petersburg

  • 248.524.07006 Boehringer Ingelheim Investigational Site

    Saint Petersburg

Other trials in Russia

Ukraine6 sites
  • 248.524.38005 Boehringer Ingelheim Investigational Site

    Kiev

  • 248.524.38001 Boehringer Ingelheim Investigational Site

    Lviv

  • 248.524.38002 Boehringer Ingelheim Investigational Site

    Uzhhorod

  • 248.524.38003 Boehringer Ingelheim Investigational Site

    Vinnytzya

  • 248.524.38004 Boehringer Ingelheim Investigational Site

    Zaporizhzhya

  • 248.524.38006 Boehringer Ingelheim Investigational Site

    Zaporizhzhya

Other trials in Ukraine

Czechia4 sites
  • 248.524.42004 Boehringer Ingelheim Investigational Site

    Olomouc

  • 248.524.42003 Boehringer Ingelheim Investigational Site

    Pardubice

  • 248.524.42001 Boehringer Ingelheim Investigational Site

    Prague

  • 248.524.42002 Boehringer Ingelheim Investigational Site

    Rychnov nad Kněžnou

Other trials in Czechia

Taiwan4 sites
  • 248.524.88603 Boehringer Ingelheim Investigational Site

    Kaohsiung City

  • 248.524.88605 Boehringer Ingelheim Investigational Site

    Taichung

  • 248.524.88601 Boehringer Ingelheim Investigational Site

    Taipei

  • 248.524.88602 Boehringer Ingelheim Investigational Site

    Taoyuan

Other trials in Taiwan

Finland3 sites
  • 248.524.35803 Boehringer Ingelheim Investigational Site

    Hyvinkää

  • 248.524.35801 Boehringer Ingelheim Investigational Site

    Oulu

  • 248.524.35802 Boehringer Ingelheim Investigational Site

    Tampere

Other trials in Finland

Malaysia3 sites
  • 248.524.60001 Boehringer Ingelheim Investigational Site

    Kuala Lumpur

  • 248.524.60004 Boehringer Ingelheim Investigational Site

    Kuala Terengganu

  • 248.524.60002 Boehringer Ingelheim Investigational Site

    Pulau Pinang

Other trials in Malaysia

Austria2 sites
  • 248.524.43001 Boehringer Ingelheim Investigational Site

    Innsbruck

  • 248.524.43004 Boehringer Ingelheim Investigational Site

    Vienna

Other trials in Austria

Slovakia2 sites
  • 248.524.42103 Boehringer Ingelheim Investigational Site

    Dubnica nad Váhom

  • 248.524.42101 Boehringer Ingelheim Investigational Site

    Trnava

Other trials in Slovakia

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 ER Versus Placebo and Versus Pramipexole IR Administered Orally Over a 26-week Maintenance Phase in Patients With Early Parkinsons Disease (PD).

The objectives of this trial conducted in early Parkinson's Disease (PD) patients are to determine the efficacy (as measured by the change from baseline to the end of the maintenance phase in the total score for the Unified Parkinson's Disease Rating Scale (UPDRS) Parts II and III combined), safety, and tolerability of Pramipexole Extended Release (ER) (in daily doses from 0.375mg to 4.5mg q.d.) in comparison to placebo, and to test for non-inferiority between the two formulations (ER and IR) of pramipexole.

In addition, the efficacy of Pramipexole Immediate Release (IR) will 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 NCT00479401
Study groupRoleWhat they receive
Pramipexole Extended Release (PPX ER)ExperimentalNot described
Receives: Drug: Pramipexol Extended Release
Pramipexole Immediate Release (PPX IR)ExperimentalNot 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 Total Score

    Activities of daily living are scored from 0-52 in UPDRS II, result of motor examination scored 0-108 in UPDRS III. A decrease in the score means improvement.

    Measured: baseline and after 33 weeks treatment

Secondary outcomes (15)
  1. Percentage of Responders on the Clinical Global Impressions of Improvement (CGI-I) Scale

    Clinicians evaluation in a rating scale of 7 steps, 1 meaning very much improved to 7 meaning very much worse. Responders are the patients with 'much improved' and 'very much improved' on the scale

    Measured: after 18 weeks of treatment compared to baseline

  2. Percentage of Responders on the Patients Global Impressions of Improvement (PGI-I) Scale

    Patient rated evaluation of the PD symptoms on a rating scale of 7 steps, 1 meaning very much better to 7 meaning very much worse. Responders are the patients with 'much better' and 'very much better' on the score.

    Measured: after 18 weeks of treatment compared to baseline

  3. UPDRS II+III Responder Rate (at Least 20% Improvement)

    Responders are defined as at least 20% decrease in the UPDRS II+III score. UPDRS II+III ranges 0-160 scores from best to worse.

    Measured: after 33 weeks treatment

  4. UPDRS Part I Change From Baseline

    UPDRS I evaluates mentation behaviour and mood with a total score of 0-16. Decrease in the scores means improvement

    Measured: baseline and after 33 weeks treatment

  5. UPDRS Part II Total Score

    UPDRS II evaluates activities of daily living in a score 0-52. Decrease of the score means improvement

    Measured: after 33 weeks treatment

  6. UPDRS Part III Total Score

    UPDRS III is the result of a motor examination with the scores 0-108. A decrease in the scores means improvement

    Measured: after 33 weeks treatment

  7. Beck's Depression Inventory Version I A

    The Beck's Depression Inventory (BDI) is a 21-item self-rating scale that was originally designed as an instrument to assess the intensity of depressive symptoms (sadness, pessimism, sense of failure, dissatisfaction, guilt, expectation of punishment, dislike of self, self-accusation, suicidal ideation, episodes of crying, irritability, social withdrawal, indecisiveness, changes in body image, retardation, insomnia, fatigability, loss of appetite and weight, somatic preoccupation, low level of energy). Each item is scored from 0 (absent) to 3 (severe). The patients select the score which best describes their status in the last 7 days. Since its introduction in 1961, its use has been extended (also to PD patients) and today it is used also as a screening instrument as well as an outcome measure in depression treatment trials. The total score sums the 21 individual items yielding a score that can range from zero (minimal depression) to 63 (severe depression).

    Measured: after 33 weeks treatment

  8. Likert Scale for Pain Related to PD

    Patient assessed 11 units on a scale from 'no pain' to 'unbearable pain'. Decrease of the score means improvement

    Measured: after 33 weeks treatment

  9. Parkinson's Disease Sleep Scale (PDSS)

    PDSS is a self-rated instrument addressing 15 commonly reported symptoms associated with sleep disturbance on 15 visual analogue scales (VAS: 0 to 10 cm) each ranging from worst score ('awful or always' at the left extremity to the best score ('excellent or never' at the right extremity) An increase in the score means improvement. Worst possible score 0, best score 150)

    Measured: after 33 weeks treatment

  10. Change From Baseline in Parkinson's Disease Quality of Life Questionnaire Total Score

    The PDQ-39 is a self-administered questionnaire which comprises 39 items addressing 8 domains of health which patients consider to be adversely affected by the disease. Higher scores are consistently associated with more severe symptoms of the disease such as tremor and stiffness, while lower scores indicate a better perceived health status. The 8 domains include:

    • mobility (e.g. fear of falling when walking): 10 items
    • activities of daily living (e.g. difficulty cutting food): 6 items
    • emotional well-being (e.g. feelings of isolation): 6 items
    • stigma (e.g. social embarrassment): 4 items
    • social support: 3 items
    • cognition: 4 items
    • communication: 3 items
    • bodily discomfort: 3 items.

    A total score is calculated by summing the responses to the 39 individual items and the total ranges from 0 (no problem at all) to 156 (maximum level of problem). A negative change in the total score indicates improvement.

    Measured: after 33 weeks treatment

  11. Change From Baseline in European Quality of Life Visual Analog Scale

    European Quality of Life Visual Analog Scale (EQ-5D VAS) is a 20 centimeter vertical analog scale assessing the patient's general health status with scores ranging from 0 (worst imaginable health) to 100 (perfect health). A positive change in the scale indicates improvement in health status.

    Measured: after 33 weeks treatment

  12. Patients Who Started to Use L-Dopa Rescue Medication

    L-dopa could be introduced as rescue medication based upon the clinical judgement of the investigator. descriptive on the Full Analysis Set (FAS) population

    Measured: from trial start on to any time before final assessment of the patient, up to 33 weeks

  13. Number of Patients With Treatment Emergent Abnormal Behaviour as Indicated by the Modified Minnesota Impulsive Disorders Interview (mMIDI Questionnaire)

    mMIDI is a semi-structured clinical interview to assess pathological gambling (12 questions, positive screen if patient answers 'yes' to question 1 and to at least 5 of the rest of the questions), compulsive buying (9 questions from 1a to 4c, positive screen if the patient answers 'yes' to 1a, 2a, 3a, and 4a) and compulsive sexual behaviour (4 questions, positive screen if patient answers 'yes' to question 1,2,3, or 4).

    Measured: from trial start on to any time before final assessment of the patient, up to 33 weeks

  14. Possible Clinically Significant Abnormal Laboratory Parameters

    The significant abnormality of values was based on standard criteria defined in appendix 16.1.10, LISTING 4 Criteria for clinically significant abnormalities based on normalized laboratory values.

    Measured: baseline and after 33 weeks of treatment

  15. Clinical Relevant Abnormal Findings in Vital Signs and Physical Examination as Reported in Adverse Events

    Measured: baseline and after 33 weeks of treatment

Timeline

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

  1. First posted28 May 2007 (estimated)
  2. Study startMay 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
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
539 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00479401
Sponsor's protocol ID
248.524
Other IDs
Eudract No 2007-000073-39
Status last verified
Jun 2014
First submitted
25 May 2007
Last updated
17 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 Early Parkinson Disease (Early PD), run by Boehringer Ingelheim at 95 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 5 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 17 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 95 sites in United States, Japan, Germany, India, Argentina 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 15 Apr 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 Total Score (time frame: baseline and after 33 weeks treatment). 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 17 Jul 2014.

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