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Parkinson DiseasePhase 3NCT00577460

Long-term Safety Study of Open-label Pramipexole ER in Patients With Advanced PD

A Phase 3 study testing Pramipexole in people with Parkinson Disease, run by Boehringer Ingelheim at 70 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 study is to obtain long-term safety and tolerability data on pramipexole extended release (ER), in daily doses from 0.375mg to 4.5mg once daily (qd), in patients who have previously completed a pramipexole double-blind study in advanced Parkinson's disease (PD) (248.525 trial). 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?
Pramipexole
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
391 participants
Where
70 sitesin 14 countries
Study dates
Dec 2007to Jun 2010
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

  • Completion of the double-blind trial 248.525
  • Male or female patient with advanced idiopathic Parkinson's disease (PD), with a Modified Hoehn and Yahr stage of 2 to 4 at on-time, and a concomitant treatment with standard or controlled release L-Dopa+, or a combination of L-Dopa+ and entacapone.
  • Patient willing and able to comply with scheduled visits, treatment plan, laboratory tests and other study procedures. In particular the patient should be able to recognise the off-time and on-time periods during waking hours and the patient (or a family member or a guardian) should be 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 of Harmonization - Good Clinical Practice (ICH-GCP) guidelines and local legislation).

Who cannot join

  • Patients prematurely withdrawn from the double-blind trial 248.525
  • Atypical parkinsonian syndromes due to drugs, metabolic disorders, encephalitis or degenerative diseases
  • Any psychiatric disorder according to Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV 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 ECG abnormalities at baseline
Show all 19Show fewer
  • Clinically significant hypotension and/or symptomatic orthostatic hypotension at baseline
  • 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
  • Serum levels of aspartate transaminase (AST) (serum glutamic oxaloacetic transaminase (SGOT)), alanine aminotransferase (ALT) (serum glutamic pyruvic transaminase) (SGPT)), alkaline phosphatase (AP) or bilirubin > 2 upper limit normal (ULN) at baseline
  • Patients with a creatinine clearance < 50 mL/min at baseline
  • 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
  • Known hypersensitivity to pramipexole or its excipients
  • Drug abuse, according to investigators judgement, within 2 years prior to baseline
  • Participation in investigational drug studies other than the trial 248.525, 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

Trial locations and contacts

70 sites in 14 countries.

70 sites in 14 countries

Italy8 sites
  • 248.634.39001 Boehringer Ingelheim Investigational Site

    Catania

  • 248.634.39010 Boehringer Ingelheim Investigational Site

    Catanzaro

  • 248.634.39009 Boehringer Ingelheim Investigational Site

    Chieti

  • 248.634.39007 Boehringer Ingelheim Investigational Site

    Grosseto

  • 248.634.39002 Boehringer Ingelheim Investigational Site

    Napolii

  • 248.634.39008 Boehringer Ingelheim Investigational Site

    Pisa

  • 248.634.39005 Boehringer Ingelheim Investigational Site

    Roma

  • 248.634.39011 Boehringer Ingelheim Investigational Site

    Roma

Other trials in Italy

Philippines8 sites
  • 248.634.63202 Boehringer Ingelheim Investigational Site

    Cruz, Manila

  • 248.634.63207 Boehringer Ingelheim Investigational Site

    Ermita, Manila

  • 248.634.63210 Boehringer Ingelheim Investigational Site

    Makati City

  • 248.634.63205 Boehringer Ingelheim Investigational Site

    Manila

  • 248.634.63206 Boehringer Ingelheim Investigational Site

    Manila

  • 248.634.63201 Boehringer Ingelheim Investigational Site

    Pasig

  • 248.634.63208 Boehringer Ingelheim Investigational Site

    Quezon

  • 248.634.63204 Boehringer Ingelheim Investigational Site

    Quezon City

Other trials in Philippines

South Korea8 sites
  • 248.634.82001 Boehringer Ingelheim Investigational Site

    Gyeonggi-do

  • 248.634.82008 Boehringer Ingelheim Investigational Site

    Kyeonggi-do

  • 248.634.82007 Boehringer Ingelheim Investigational Site

    Pusan

  • 248.634.82002 Boehringer Ingelheim Investigational Site

    Seoul

  • 248.634.82003 Boehringer Ingelheim Investigational Site

    Seoul

  • 248.634.82004 Boehringer Ingelheim Investigational Site

    Seoul

  • 248.634.82005 Boehringer Ingelheim Investigational Site

    Seoul

  • 248.634.82006 Boehringer Ingelheim Investigational Site

    Seoul

Other trials in South Korea

India6 sites
  • 248.634.91002 Boehringer Ingelheim Investigational Site

    Chennai

  • 248.634.91001 Boehringer Ingelheim Investigational Site

    Delhi

  • 248.634.91003 Boehringer Ingelheim Investigational Site

    Hyderabad

  • 248.634.91007 Boehringer Ingelheim Investigational Site

    Indore

  • 248.634.91005 Boehringer Ingelheim Investigational Site

    Karnataka

  • 248.634.91006 Boehringer Ingelheim Investigational Site

    Pune

Other trials in India

Russia6 sites
  • 248.634.07001 Boehringer Ingelheim Investigational Site

    Moscow

  • 248.634.07002 Boehringer Ingelheim Investigational Site

    Moscow

  • 248.634.07003 Boehringer Ingelheim Investigational Site

    Moscow

  • 248.634.07004 Boehringer Ingelheim Investigational Site

    Moscow

  • 248.634.07007 Boehringer Ingelheim Investigational Site

    Moscow

  • 248.634.07006 Boehringer Ingelheim Investigational Site

    Saint Petersburg

Other trials in Russia

Spain6 sites
  • 248.634.34001 Boehringer Ingelheim Investigational Site

    Alcorcon (Madrid)

  • 248.634.34003 Boehringer Ingelheim Investigational Site

    Barcelona

  • 248.634.34004 Boehringer Ingelheim Investigational Site

    Barcelona

  • 248.634.34005 Boehringer Ingelheim Investigational Site

    Madrid

  • 248.634.34002 Boehringer Ingelheim Investigational Site

    San Cugat Del Valles (Barcelona)

  • 248.634.34008 Boehringer Ingelheim Investigational Site

    Tarrasa (Barcelona)

Other trials in Spain

Ukraine6 sites
  • 248.634.38003 Boehringer Ingelheim Investigational Site

    Dnipropetrovsk

  • 248.634.38006 Boehringer Ingelheim Investigational Site

    Kharkiv

  • 248.634.38002 Boehringer Ingelheim Investigational Site

    Kiev

  • 248.634.38004 Boehringer Ingelheim Investigational Site

    Kiev

  • 248.634.38001 Boehringer Ingelheim Investigational Site

    Zaporizhzhya

  • 248.634.38005 Boehringer Ingelheim Investigational Site

    Zaporizhzhya

Other trials in Ukraine

Czechia5 sites
  • 248.634.42003 Boehringer Ingelheim Investigational Site

    Pardubice

  • 248.634.42001 Boehringer Ingelheim Investigational Site

    Prague

  • 248.634.42005 Boehringer Ingelheim Investigational Site

    Rakovník

  • 248.634.42002 Boehringer Ingelheim Investigational Site

    Rychnov nad Kněžnou

  • 248.634.42004 Boehringer Ingelheim Investigational Site

    Valašské Meziříčí

Other trials in Czechia

Hungary4 sites
  • 248.634.36005 Boehringer Ingelheim Investigational Site

    Győr

  • 248.634.36003 Boehringer Ingelheim Investigational Site

    Kecskemét

  • 248.634.36006 Boehringer Ingelheim Investigational Site

    Szeged

  • 248.634.36004 Boehringer Ingelheim Investigational Site

    Veszprém

Other trials in Hungary

Slovakia4 sites
  • 248.634.42104 Boehringer Ingelheim Investigational Site

    Bratislava

  • 248.634.42105 Boehringer Ingelheim Investigational Site

    Bratislava

  • 248.634.42103 Boehringer Ingelheim Investigational Site

    Dubnica nad Váhom

  • 248.634.42101 Boehringer Ingelheim Investigational Site

    Trnava

Other trials in Slovakia

Poland3 sites
  • 248.634.48001 Boehringer Ingelheim Investigational Site

    Gdansk

  • 248.634.48003 Boehringer Ingelheim Investigational Site

    Krakow

  • 248.634.48002 Boehringer Ingelheim Investigational Site

    Warsaw

Other trials in Poland

Sweden3 sites
  • 248.634.46005 Boehringer Ingelheim Investigational Site

    Malmö

  • 248.634.46002 Boehringer Ingelheim Investigational Site

    Nyköping

  • 248.634.46001 Boehringer Ingelheim Investigational Site

    Stockholm

Other trials in Sweden

United Kingdom2 sites
  • 248.634.44007 Boehringer Ingelheim Investigational Site

    Blackburn

  • 248.634.44003 Boehringer Ingelheim Investigational Site

    Salford

Other trials in United Kingdom

Austria1 site
  • 248.634.43005 Boehringer Ingelheim Investigational Site

    Linz

Other trials in Austria

About this study

Official title: Long-term Safety Study of Open-label Pramipexole Extended Release (ER) in Patients With Advanced Parkinson's Disease (PD)

The general aim of this study is to obtain long-term safety and tolerability data on pramipexole extended release (ER), in daily doses from 0.375mg to 4.5mg once daily (qd), in patients who have previously completed a pramipexole double-blind study in advanced Parkinson's disease (PD) (248.525 trial).

Being tested
Pramipexole, 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.

  • PramipexoleDrug

    Pramipexole ER 0.375 -4.5 mg

  • PlaceboDrug

    Placebo tablets identical to Pramipexole ER tablets

Study groups in NCT00577460
Study groupRoleWhat they receive
PramipexoleActive comparatorPatients to receive Pramipexole ER 0.375 - 4.5 mg in tablet form daily
Receives: Drug: Pramipexole
PlaceboPlacebo comparatorPatients to receive placebo tablets identical to Pramipexole ER tablets only during transfer phase
Receives: Drug: Placebo

What is being measured

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

  1. Percentage of Patients With Adverse Events, Adverse Drug Reactions, Serious Adverse Events

    The aim of this study was to obtain long-term safety and tolerability data on pramipexole ER, in patients who have previously completed a pramipexole double blind study in advanced Parkinson's Disease (PD) (248.525 (NCT00466167)). Therefore these items were considered as a safety evaluation.

    Measured: 80 weeks

Secondary outcomes (31)
  1. Patients Successfully Switched From Pramipexole (PPX) IR or ER to ER Assessed on UPDRS II+III

    Unified Parkinson's Disease Rating Scale (UPDRS) Successfully switched means: UPDRS II+III baseline score >20 without a relative worsening of UPDRS II+III score > 15% from baseline or UPDRS II+III baseline score <=20 without an absolute worsening of UPDRS II+III score > 3 from 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: One week

  2. UPDRS II+III Change From Open Label (OL) 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: OL Baseline and week 80

  3. Number of Participants With UPDRS II+III Response

    A response means an improvement of >=20% in UPDRS II+III from OL 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: Week 80

  4. Number of Patients Successfully Switched From PPX IR or ER to ER Assessed on Off-time

    A patient was considered as successfully switched if he/she has converted to ER without a worsening of off time by more than 12.5% from baseline. Off-time is based on patient diary data and describes a period when the patient experiences increased parkinsonian symptoms (e.g. immobility or inability to move with ease).

    Measured: One week

  5. Percentage Off Time During Waking Hours Total Score: Change From Baseline

    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).

    A negative change implies improvement

    Measured: Baseline and week 80

  6. Number of Participants With Response in Percentage Off Time During Waking Hours

    Response means >=20% improvement relative to OL baseline in the % off-time during waking hours

    Measured: 80 weeks

  7. Percentage on Time Without Dyskinesia During Waking Hours: Change From Baseline After 80 Weeks

    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. A positive change implies improvement.

    Measured: Baseline and week 80

  8. Percentage on Time With Non Troublesome Dyskinesia During Waking Hours: Change From Baseline After 80 Weeks

    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. A positive change implies improvement

    Measured: Baseline and week 80

  9. Percentage on Time Without Dyskinesia or With Non Troublesome Dyskinesia During Waking Hours: Change From Baseline After 80 Weeks

    Percentage on-time without dyskinesia or 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. A positive change implies improvement

    Measured: Baseline and week 80

  10. Percentage on Time With Troublesome Dyskinesia During Waking Hours: Change From Baseline After 80 Weeks

    Percentage on-time with 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. A positive change implies improvement

    Measured: Baseline and week 80

  11. Number of Participants With Response in CGI-I

    Clinical Global Impression of Improvement (CGI-I), CGI-I scores ranging from '1' (very much improved) to '7' (very much worse). For patients previously treated with Placebo, all patients with at least "much improved" were considered as responders. For patients previously treated with PPX ER or IR, all patients with no change to very much improved were considered as responders

    Measured: 32 weeks

  12. Number of Participants With Response in PGI-I

    Patient Global Impression of Improvement (PGI-I), PGI-I scores ranging from '1' (very much better) to '7' (very much worse). For patients previously treated with Placebo, all patients with at least "much better" were considered as responders. For patients previously treated with PPX ER or IR, all patients with no change to very much better were considered as responders

    Measured: 32 weeks

  13. Number of Participants With Response in PGI-I for Early Morning Off Symptoms

    Patient Global Impression of Improvement (PGI-I) for early morning off symptoms, PGI-I scores ranging from '1' (very much better) to '7' (very much worse). For patients previously treated with Placebo, all patients with at least "much better" were considered as responders. For patients previously treated with PPX ER or IR, all patients with no change to very much better were considered as responders

    Measured: 32 weeks

  14. UPDRS I Total Score and Change From OL Baseline at Week 80

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

    Measured: OL baseline and week 80

  15. UPDRS II Total Score and Change From OL Baseline at Week 80

    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: OL baseline and week 80

  16. UPDRS III Total Score and Change From OL Baseline at Week 80

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

    Measured: OL baseline and week 80

  17. UPDRS IV Total Score and Change From OL Baseline at Week 80

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

    Measured: OL baseline and week 80

  18. Parkinson Fatigue Scale (PFS-16) Score and Change From OL Baseline at Week 80

    PFS-16 (Parkinson fatigue scale) ranging from 16 (better perceived health status) to 80 (severe symptoms of the disease) measuring aspects of fatigue that are relevant to patients with PD

    Measured: OL baseline and week 80

  19. Number of Participants With L-dopa Daily Dose Change: Change From OL Baseline at Week 80

    Measured: OL baseline and week 80

  20. Number of Participants With Changes in Pramipexole Doses After 80 Weeks Compared to Pramipexole Dose at OL Baseline

    Measured: OL baseline and week 80

  21. Number of Participants With Serious Adverse Events

    Measured: 80 weeks

  22. Supine Diastolic Blood Pressure, Baseline and Week 80, Vital Signs Treated Set

    Measured: OL Baseline and Week 80

  23. Standing Diastolic Blood Pressure, Baseline and Week 80, Vital Signs Treated Set

    Measured: OL Baseline and Week 80

  24. Supine Systolic Blood Pressure, Baseline and Week 80, Vital Signs Treated Set

    Measured: OL Baseline and Week 80

  25. Standing Systolic Blood Pressure, Baseline and Week 80, Vital Signs Treated Set

    Measured: OL Baseline and Week 80

  26. Supine Pulse Rate, Baseline and Week 80, Vital Signs Treated Set

    Measured: OL Baseline and Week 80

  27. Standing Pulse Rate, Baseline and Week 80, Vital Signs Treated Set

    Measured: OL Baseline and Week 80

  28. Body Weight of Female Patients, Baseline and Week 80, Vital Signs Treated Set

    Measured: OL Baseline and Week 80

  29. Body Weight of Male Patients, Baseline and Week 80, Vital Signs Treated Set

    Measured: OL Baseline and Week 80

  30. Epworth Sleepiness Scale (ESS), Baseline and End of Open Label, Treated Set

    ESS Total score ranges from zero (best) to 24 (worst); scale has 8 items, each rated from zero (no chance of dozing) to 3 (high chance of dozing)

    Measured: OL Baseline and Week 80

  31. Modified Minnesota Impulsive Disorder Interview (mMIDI), Frequency of Patients With at Least One Abnormal Behavior, Treated Set

    The mMIDI is a semi-structured interview designed to assess impulsive control disorders. The scale was modified to focus behaviors of: pathological gambling, compulsive buying and compulsive sexual behavioral.

    Measured: Baseline, 80 weeks

Timeline

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

  1. First posted20 Dec 2007 (estimated)
  2. Study startDec 2007
  3. Primary completionJun 2010

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
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
391 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00577460
Sponsor's protocol ID
248.634
Other IDs
2007-004235-37
Status last verified
Apr 2014
First submitted
19 Dec 2007
Last updated
16 May 2014

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Pramipexole in people with Parkinson Disease, run by Boehringer Ingelheim at 70 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 4 inclusion and 19 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 16 May 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 70 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 14 Jul 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 Patients With Adverse Events, Adverse Drug Reactions, Serious Adverse Events (time frame: 80 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 16 May 2014; AzTrials last refreshed its copy on 7 Nov 2026.

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