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Parkinson DiseasePhase 2/3NCT00560508

A 12-week Study of Pramipexole Extended Release (ER) in Patients With Parkinson's Disease (PD), Followed by a 52-week Long-term Treatment Period

A Phase 2/3 study testing Pramipexole Immediate Release and Pramipexole Extended Release in people with Parkinson Disease, run by Boehringer Ingelheim at 19 sites in Japan.

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 objective of this trial is to investigate the safety, tolerability, trough plasma concentration, and efficacy of pramipexole ER in comparison with those of pramipexole IR administrated orally for 12 weeks in patients with PD on levodopa (L-DOPA) therapy (the double-blind period). Read more about this study

Who is it for?
Ages 1 year and older
Conditions the study is for
Parkinson Disease
What is being tested?
Pramipexole Immediate Release and Pramipexole Extended Release
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
112 participants
Where
19 sitesJapan
Study dates
Nov 2007to Nov 2009
Phase
Phase 2/3
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 1 year and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Male or female patients with diagnosis of PD including juvenile Parkinsonism, in whom the onset began at the age of forty or younger.
  • Patients with a modified Hoehn and Yahr scale of II to IV at "on" time.
  • Patients who have received an individual dosage of L-DOPA (either standard L-DOPA or L-DOPA with dopa-decarboxylase inhibitor) at a stable dose for at least 4 weeks before the baseline visit (Visit 2).
  • Patients who exhibit any therapeutically problematic issues or status based on L-DOPA therapy:
  • wearing-off phenomena
  • no on /delayed on
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  • dystonia at off time
  • on-off phenomena
  • freezing phenomena at off time
  • the sub-optimal dose of L-DOPA had been administered due to side effects (such as dyskinesia), or therapeutical strategy

Who cannot join

  • Atypical parkinsonian syndromes due to drugs, metabolic disorders, encephalitis or degenerative diseases.
  • Dementia, as defined by a Mini-Mental State Examination (MMSE) score <24 at screening visit.
  • Any psychiatric disorder according to DSM-IV criteria that could prevent compliance or completion of the trial and/or put the patient at risk if he/she takes part in the trial.
  • History of psychosis, except history of drug induced hallucinations (provided the investigator considers that participation in the trial would not represent a significant risk for the patient).
  • Clinically significant ECG abnormalities at screening visit, according to investigator's judgement.
  • Clinically significant hypotension or symptomatic orthostatic hypotension (i.e., clinical symptoms of orthostatic hypotension such as dizziness postural etc associated with a decline >=20 mmHg in systolic blood pressure and a decline >=10 mmHg in diastolic blood pressure, at one minute after standing compared with the previous supine systolic and diastolic blood pressure obtained after 5 minutes of quiet rest) either at screening visit or at baseline visit.
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  • Any other clinically significant disease, whether treated or not, that could put the patient at risk or could prevent compliance or completion of the trial.
  • Pregnancy (to be excluded by serum pregnancy test at screening visit) or breast-feeding.
  • Sexually active female of childbearing potential not using a medically approved method of birth control within one month before to the screening visit and throughout the trial period.
  • Serum levels of AST, ALT, alkaline phosphatases or bilirubin >2 upper limits of normal .
  • Patients with a creatinine clearance <50 mL/min
  • Patients with a complication or signs of malignant tumours or those within 5 years after the treatment.

Trial locations and contacts

19 sites in 1 country.

19 sites in 1 country

Japan19 sites
  • 248.610.019 Boehringer Ingelheim Investigational Site

    Akashi, Hyogo

  • 248.610.020 Boehringer Ingelheim Investigational Site

    Akita, Akita

  • 248.610.006 Boehringer Ingelheim Investigational Site

    Aomori, Aomori

  • 248.610.017 Boehringer Ingelheim Investigational Site

    Asahikawa, Hokkaido

  • 248.610.018 Boehringer Ingelheim Investigational Site

    Asahikawa, Hokkaido

  • 248.610.001 Boehringer Ingelheim Investigational Site

    Bunkyo-ku, Tokyo

  • 248.610.014 Boehringer Ingelheim Investigational Site

    Fuchu, Tokyo

  • 248.610.011 Boehringer Ingelheim Investigational Site

    Fukuoka, Fukuoka

  • 248.610.015 Boehringer Ingelheim Investigational Site

    Iwamizawa,Hokkaido

  • 248.610.003 Boehringer Ingelheim Investigational Site

    Kodaira, Tokyo

  • 248.610.008 Boehringer Ingelheim Investigational Site

    Kyoto, Kyoto

  • 248.610.021 Boehringer Ingelheim Investigational Site

    Kyoto, Kyoto

  • 248.610.010 Boehringer Ingelheim Investigational Site

    Morioka, Iwate

  • 248.610.005 Boehringer Ingelheim Investigational Site

    Okayama, Okayama

  • 248.610.012 Boehringer Ingelheim Investigational Site

    Osaka, Osaka

  • 248.610.004 Boehringer Ingelheim Investigational Site

    Sagamihara, Kanagawa

  • 248.610.009 Boehringer Ingelheim Investigational Site

    Shimogyo-ku, Kyoto, Kyoto

  • 248.610.007 Boehringer Ingelheim Investigational Site

    Shiroishi, Miyagi

  • 248.610.002 Boehringer Ingelheim Investigational Site

    Takamatsu, Kagawa

Other trials in Japan

About this study

Official title: A Double-blind, Double-dummy, Randomised, Parallel-group Study to Investigate the Safety, Tolerability, Trough Plasma Concentration, and Efficacy of Pramipexole ER Versus Pramipexole Immediate Release (IR) Administered Orally for 12 Weeks in Patients With Parkinson's Disease (PD) on L-dopa Therapy, Followed by a 52-week Open-label Long-term Treatment Period to Evaluate the Long-term Safety and Efficacy of Pramipexole ER

The objective of this trial is to investigate the safety, tolerability, trough plasma concentration, and efficacy of pramipexole ER in comparison with those of pramipexole IR administrated orally for 12 weeks in patients with PD on levodopa (L-DOPA) therapy (the double-blind period). The double-blind period will be followed by the open-label 52 week administration of pramipexole ER to evaluate the long term safety and efficacy (the open-label period).

Being tested
Pramipexole Immediate Release, Pramipexole Extended Release
Medical subject headings
Parkinson Disease

What participants receive

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

  • Pramipexole Immediate ReleaseDrug

    titrated as individually needed (0.25 mg - 4.5 mg daily)

  • Pramipexole Extended ReleaseDrug

    titration as individually needed (0.375 mg -4.5 mg daily)

Study groups in NCT00560508
Study groupRoleWhat they receive
Pramipexole Extended ReleaseExperimentalpatient to receive a tablet containing 0.375 mg Pramipexole ER once a day plus containing 0.125 mg Pramipexole IR placebo twice a day -> a tablet containing 1.5 mg Pramipexole ER three times daily (TID) plus 0.5 mg Pramipexole IR placebo TID
Receives: Drug: Pramipexole Extended Release
Pramipexole Immediate ReleaseActive comparatorpatient to receive a tablet containing 0.125 mg Pramipexole IR twice a day plus containing 0.375 mg Pramipexole ER placebo once a day -> a tablet containing 0.5 mg Pramipexole IR three times daily (TID) plus 1.5 mg Pramipexole ER placebo TID
Receives: Drug: Pramipexole Immediate Release

What is being measured

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

  1. Percentage of Participants Who Experienced Adverse Events

    An adverse event is defined as any untoward medical occurrence

    Measured: 12 weeks

Secondary outcomes (32)
  1. Change From Baseline in Unified Parkinson's Disease Rating Scale (UPDRS) Parts II+III Total Score

    UPDRS II+III ranging from 0 point(normal) to 160 point (severe). UPDRS part II measures activities of daily living, part III measures motor symptoms

    Measured: baseline and after 12 weeks treatment

  2. Change From Baseline in Percentage Off-time

    Percentage off-time during waking hours in the last two days 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 after 12 weeks treatment

  3. Change From Baseline in Percentage On-time Without Dyskinesia

    Percentage on-time without dyskinesia during waking hours in the last two days 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 after 12 weeks treatment

  4. Change From Baseline in Percentage On-time With Non-troublesome Dyskinesia

    Percentage on-time with non-troublesome dyskinesia during waking hours in the last two days 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 after 12 weeks treatment

  5. Change From Baseline in Percentage On-time Without Dyskinesia or With Non-troublesome Dyskinesia

    Percentage on-time without dyskinesia or non-troublesome dyskinesia during waking hours in the last two days 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 after 12 weeks treatment

  6. Change From Baseline in Percentage On-time With Troublesome Dyskinesia

    Percentage on-time with troublesome dyskinesia during waking hours in the last two days 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 after 12 weeks treatment

  7. Responder Rate For Clinical Global Impression of Improvement (CGI-I)

    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: baseline and after 12 weeks treatment

  8. Responder Rate For Patient Global Impression of Improvement (PGI-I)

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

    Measured: baseline and after 12 weeks treatment

  9. Change From Baseline in UPDRS Part I Score

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

    Measured: baseline and after 12 weeks treatment

  10. Change From Baseline in UPDRS Part II Score

    UPDRS Part 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 after 12 weeks treatment

  11. Change From Baseline in UPDRS Part III Score

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

    Measured: baseline and after 12 weeks treatment

  12. Change From Baseline in UPDRS Part IV Score

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

    Measured: baseline and after 12 weeks treatment

  13. UPDRS Parts II+III Total Score Responder Rate (at Least 20% Improvement)

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

    Measured: baseline and after 12 weeks treatment

  14. Change From Baseline in L-dopa Daily Dose

    The L-dopa daily dose was recorded in the electronic case report form (eCRF) at each trial visit.

    Measured: baseline and after 12 weeks treatment

  15. Trough Plasma Concentration at Steady State

    Geometric mean (gMean) was calculated for trough plasma concentrations of pramipexole at steady state after administration of pramipexole IR 4.5mg and pramipexole ER 4.5mg.

    Measured: at Visit 8 after pramipexole ER 4.5mg and IR 4.5mg treatment

  16. Dose Proportionality of Trough Plasma Concentration at Steady State After Pramipexole ER Treatment

    Dose proportionality of trough plasma concentrations at steady state is explored by using the power model that described the functional relationship between the dose and plasma concentration

    Measured: from Visit 1 to Visit 8 after pramipexole ER

  17. Change From End of Double-Blind Period in UPDRS (Unified Parkinson's Disease Rating Scale) Parts II+III Total Score (Open-label: Dose Adjustment Phase)

    UPDRS II+III ranging from 0 point(normal) to 160 point (severe). UPDRS part II measures activities of daily living, part III measures motor symptoms. Least square means and standard errors presented are from ANCOVA with factors treatment and covariate baseline.

    Measured: Week 12 to Week 16

  18. Percentage of Patients With no Worsening of UPDRS Parts II+III Total Score by More Than 15% From Week 12 to Week 16 (Open-label: Dose Adjustment Phase)

    Percentage of patients with no worsening of UPDRS Parts II+III Total Score by more than 15% from week 12 to week 16 (Open-label: Dose Adjustment Phase)

    Measured: Week 12 to Week 16

  19. Clinical Global Impression of Improvement (CGI-I) at Week 16 Compared to Patient's CGI-I Status at Week 12 (Open-label: Dose Adjustment Phase)

    Clinical Global Impression of Improvement (CGI-I) at week 16 compared to patient's CGI-I status at week 12. CGI-I scores ranging from '1' (very much improved) to '7' (very much worse)

    Measured: Week 12 to Week 16

  20. Patient Global Impression of Improvement (PGI-I) at Week 16 Compared to Patient's PGI-I Status at Week 12 (Open-label: Dose Adjustment Phase)

    Patient Global Impression of Improvement (PGI-I) at week 16 compared to patient's PGI-I status at week 12. PGI-I scores ranging from '1' (very much better) to '7' (very much worse).

    Measured: Week 12 to Week 16

  21. Change From Baseline in UPDRS (Unified Parkinson's Disease Rating Scale) Parts II+III Total Score (Open-label: Maintenance Phase)

    UPDRS II+III ranging from 0 point(normal) to 160 point (severe). UPDRS part II measures activities of daily living, part III measures motor symptoms

    Measured: Baseline and after 64 weeks treatment

  22. UPDRS Parts II+III Total Score Responder Rate (at Least 20% Improvement) (Open-label: Maintenance Phase)

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

    Measured: baseline and after 64 weeks treatment

  23. Change From Baseline in Percentage Off-time (Open-label: Maintenance Phase)

    Percentage off-time during waking hours in the last two days 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 after 64 weeks treatment

  24. Change From Baseline in Percentage On-time Without Dyskinesia (Open-label: Maintenance Phase)

    Percentage on-time without dyskinesia during waking hours in the last two days 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 after 64 weeks treatment

  25. Change From Baseline in Percentage On-time With Non-troublesome Dyskinesia (Open-label Maintenance Phase)

    Percentage on-time with non-troublesome dyskinesia during waking hours in the last two days 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 after 64 weeks treatment

  26. Change From Baseline in Percentage On-time Without Dyskinesia or With Non-troublesome Dyskinesia (Open-label Maintenance Phase)

    Percentage on-time without dyskinesia or non-troublesome dyskinesia during waking hours in the last two days 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 after 64 weeks treatment

  27. Change From Baseline in Percentage On-time With Troublesome Dyskinesia (Open-label Maintenance Phase)

    Percentage on-time with troublesome dyskinesia during waking hours in the last two days 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 after 64 weeks treatment

  28. Change From Baseline in L-dopa Daily Dose (Open-label Maintenance Phase)

    The L-dopa daily dose was recorded in the electronic case report form (eCRF) at each trial visit.

    Measured: baseline and after 64 weeks treatment

  29. Change From Baseline in UPDRS Part I Score (Open-label: Maintenance Phase)

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

    Measured: baseline and after 64 weeks treatment

  30. Change From Baseline in UPDRS Part II Score (Open-label: Maintenance Phase)

    UPDRS Part 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 after 64 weeks treatment

  31. Change From Baseline in UPDRS Part III Score (Open-label: Maintenance Phase)

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

    Measured: baseline and after 64 weeks treatment

  32. Change From Baseline in UPDRS Part IV Score (Open-label: Maintenance Phase)

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

    Measured: baseline and after 64 weeks treatment

Timeline

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

  1. First posted19 Nov 2007 (estimated)
  2. Study startNov 2007
  3. Primary completionNov 2009

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 2/3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
112 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00560508
Sponsor's protocol ID
248.610
Status last verified
Jul 2014
First submitted
16 Nov 2007
Last updated
31 Jul 2014

Questions about this trial

What is this clinical trial studying?

A Phase 2/3 study testing Pramipexole Immediate Release and Pramipexole Extended Release in people with Parkinson Disease, run by Boehringer Ingelheim at 19 sites in Japan.

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 10 inclusion and 12 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 31 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 19 sites in Japan. 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 10 Feb 2011). 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?

Percentage of Participants Who Experienced Adverse Events (time frame: 12 weeks). 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 31 Jul 2014.

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