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Parkinson DiseasePhase 4TANDEM-662NCT01485172

A Fixed Dose, Dose Response Study for Ropinirole Prolonged Release in Patients With Early Stage Parkinson's Disease

A Phase 4 study testing ropinirole monotherapy in people with Parkinson Disease, run by GlaxoSmithKline at 34 sites in 5 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

This study is a fixed dose, dose response study to characterize the dose response for ropinirole PR in early stage PD patients (Hoehn \& Yahr stages I-III). After screening and baseline assessments, subjects will be randomized to one of six final target treatment groups (placebo, 2, 4, 8, 12 or 24mg/day ropinirole… Read more about this study

Who is it for?
Ages 30 years and older
Conditions the study is for
Parkinson Disease
What is being tested?
ropinirole monotherapy
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
186 participants
Where
34 sitesin 5 countries
Study dates
31 Jan 2012to 30 Apr 2014
Phase
Phase 4
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

  • Diagnosis of idiopathic Parkinson's disease (according to modified Hoehn \& Yahr criteria Stages I-III.)
  • Subjects aged 30 years or greater at screening. Women of child-bearing potential must be practicing a clinically accepted method of contraception during the study and for at least one month prior to randomization and one month following completion of the study. Acceptable contraceptive methods include abstinence, oral contraception, injectable progestogen, implants of levonorgestrel, estrogenic vaginal ring, percutaneous contraceptive patches, surgical sterilisation, male partner sterilization, intrauterine device [IUD], or double barrier method: condom or occlusive cap (diaphragm or cervical/vault caps) plus spermicidal agent (foam/gel/film/cream/suppository.
  • A baseline UPDRS motor score of at least 10.
  • Limited prior exposure to low or moderate doses of L-DOPA (up to 3 months in total) or dopamine agonists including ropinirole (up to 6 months in total) is allowed provided treatment is discontinued for a minimum of 4 weeks prior to screening.
  • Provide written informed consent for this study.
  • Be willing and able to comply with study procedures.

Who cannot join

  • Subjects with Parkinson's disease in whom dopaminergic therapy is not warranted at the time of screening.
  • Subjects with severe, clinically significant condition(s) other than Parkinson's disease which, in the opinion of the investigator, render the subject unsuitable for the study (e.g., psychiatric, haematological, renal, hepatic, endocrinology, neurological [other than Parkinson's disease], cardiovascular, or active malignancy [other than basal cell carcinoma]).
  • Subjects with crippling degenerative arthritis or other physical or mental conditions precluding accurate assessment of efficacy or safety.
  • Subjects with prior or current major psychosis (e.g., schizophrenia or psychotic depression) e.g. scoring 3 or 4 on UPDRS item 2 [thought disorder] or item 3 [depression].
  • Subjects with severe clinical dementia e.g. scoring 3 or 4 on UPDRS item 1 [mentation].
  • Subjects with severe dizziness or fainting due to postural hypotension on standing.
Show all 16Show fewer
  • Subjects with a personal history of melanoma.
  • Subjects with clinically significant abnormalities in laboratory or ECG tests at Screening. If findings are outside the normal range and the subject is included, it must be documented by the investigator that the findings are not of clinical significance.
  • Subjects diagnosed with an impulse control disorder. The modified MIDI will be conducted at screening. Subjects who score positive for this screen must be referred to a specialist for diagnostic evaluation prior to enrolling (screening) in the study.
  • Subjects with an active suicidal plan/intent or have had active suicidal thoughts in the past 6 months. Subjects with a history of suicide attempt in the last 2 years or more than 1 lifetime suicide attempt.
  • Current alcohol or drug dependence.
  • Definite or suspected personal or family history of clinically significant adverse reactions or hypersensitivity to ropinirole (or to drugs with a similar chemical structure) that would preclude long-term dosing with ropinirole.
  • Withdrawal, introduction, or change in dose of hormone replacement therapy and/or any drug known to substantially inhibit CYP1A2 (e.g. ciprofloxacine, fluvoxamine, cimetidine, ethinyloestradiol) or induce CYP1A2 (e.g. tobacco, omeprazole) within 7 days prior to baseline (randomization).
  • Subjects on chronic therapy with any of these agents may be enrolled but doses must have remained stable from 7 days prior to baseline (randomization) through the end of the treatment period. Smokers should maintain normal smoking habit.
  • Women who are pregnant or breast-feeding.
  • Use of an investigational drug from 30 days or 5 half-lives (which ever is longer) prior to baseline (randomization) to the end of the treatment period.

Trial locations and contacts

34 sites in 5 countries.

34 sites in 5 countries

Russia12 sites
  • GSK Investigational Site

    Chelyabinsk, 454136

  • GSK Investigational Site

    Kazan', 420012

  • GSK Investigational Site

    Krasnoyarsk, 660022

  • GSK Investigational Site

    Kursk, 305007

  • GSK Investigational Site

    Novosibirsk, 630091

  • GSK Investigational Site

    Omsk, 644033

  • GSK Investigational Site

    Perm, 614990

  • GSK Investigational Site

    Saint Petersburg, 194044

  • GSK Investigational Site

    Saratov, 410012

  • GSK Investigational Site

    Smolensk, 214019

  • GSK Investigational Site

    Ufa, 450000

  • GSK Investigational Site

    Yekaterinburg, 620102

Other trials in Russia

United States11 sites
  • GSK Investigational Site

    Augusta, Georgia, 30912

  • GSK Investigational Site

    Boca Raton, Florida, 33486

  • GSK Investigational Site

    Cincinnati, Ohio, 45227

  • GSK Investigational Site

    Forest Hills, New York, 11375

  • GSK Investigational Site

    Fountain Valley, California, 92708

  • GSK Investigational Site

    Pasadena, California, 91105

  • GSK Investigational Site

    Reseda, California, 91355

  • GSK Investigational Site

    Richmond, Virginia, 23249

  • GSK Investigational Site

    Tampa, Florida, 33612

  • GSK Investigational Site

    Torrance, California, 90505

  • GSK Investigational Site

    Ventura, California, 93003

Other trials in United States

South Korea5 sites
  • GSK Investigational Site

    Busan, 602-715

  • GSK Investigational Site

    Donggu Gwangju, 501757

  • GSK Investigational Site

    Seoul, 138-736

  • GSK Investigational Site

    Seoul, 152-703

  • GSK Investigational Site

    Sungnam -Gyeonggi-do, 463707

Other trials in South Korea

Estonia3 sites
  • GSK Investigational Site

    Tallinn, 10138

  • GSK Investigational Site

    Tallinn, 13419

  • GSK Investigational Site

    Tartu, 51014

Other trials in Estonia

Slovakia3 sites
  • GSK Investigational Site

    Banská Bystrica, 974 04

  • GSK Investigational Site

    Bratislava, 813 69

  • GSK Investigational Site

    Bratislava, 831 03

Other trials in Slovakia

About this study

Official title: A Fixed Dose, Dose Response Study for Ropinirole Prolonged Release (PR) in Patients With Early Stage Parkinson's Disease

This study is a fixed dose, dose response study to characterize the dose response for ropinirole PR in early stage PD patients (Hoehn \& Yahr stages I-III). After screening and baseline assessments, subjects will be randomized to one of six final target treatment groups (placebo, 2, 4, 8, 12 or 24mg/day ropinirole PR). The study will consist of a screening period, an up-titration period, a maintenance period, a down titration period and a follow up period. This study utilizes change from baseline in the UPDRS motor score as the primary endpoint, in line with that used in the ropinirole PR monotherapy pivotal study (SK\&F101468/168). Clinical review of the primary and secondary endpoints will be performed in order to establish the lowest maximally effective therapeutic dose.

Being tested
ropinirole monotherapy, placebo monotherapy
Medical subject headings
Parkinson Disease

What participants receive

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

  • ropinirole monotherapyDrug

    ropinirole as monotherapy in Parkinson's disease

  • placebo monotherapyDrug

    placebo as monotherapy in Parkinson's disease

Study groups in NCT01485172
Study groupRoleWhat they receive
ropiniroleExperimentalropinirole 2, 4, 8, 12, or 24 mg/day
Receives: Drug: ropinirole monotherapy
placeboPlacebo comparatorplacebo comparator 2, 4, 8, 12, or 24 mg/day
Receives: Drug: ropinirole monotherapy; Drug: placebo monotherapy

What is being measured

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

  1. Change From Baseline (BL) in Unified Parkinson Disease (PD) Rating Scale (UPDRS) Motor Score

    The UPDRS is a clinician based rating scale used to measure motor impairments and disability. The UPDRS assesses six features of PD impairment. These are evaluated using a combination of data collected by interview and examination of the participant. One of the six features include the Part III - Motor Examination where scores can range 0-108 where the maximum score indicates the worse condition. BL is defined as the last non-missing assessment measured on or before the first dose date. The change from BL was calculated by subtracting the BL values from the individual post-randomization values. The least squares(LS) means were estimated using the mixed model repeated measures(MMRM) adjusting for BL UPDRS motor score and race(white versus other) or by using the non-parametric rank analysis of covariance(ANCOVA).

    Measured: Baseline and Week 4 of the Maintenance Period (Study Week 17)

Secondary outcomes (10)
  1. Number of Participants With a >=5 Points Reduction From Baseline in UPDRS Motor Score

    The UPDRS motor scores can range from 0-108 where the maximum score indicates the worse condition. Baseline is defined as the last non-missing assessment measured on or before the first dose date. The change from Baseline will be calculated by subtracting the Baseline values from the individual post-randomization values.

    Measured: Baseline and Week 4 of the Maintenance Period (Study Week 17)

  2. Number of Participants With a >=10 Points Reduction From Baseline in UPDRS Motor Score

    The UPDRS motor scores can range from 0-108 where the maximum score indicates the worse condition. Baseline is defined as the last non-missing assessment measured on or before the first dose date. The change from Baseline will be calculated by subtracting the Baseline values from the individual post-randomization values.

    Measured: Baseline and Week 4 of the Maintenance Period (Study Week 17)

  3. Number of Participants With a >=10 Points Reduction From Baseline in UPDRS Parts II and III Combined

    The UPDRS Part II is the Activities of Daily Living (ADL) score and can range from 0-52 as determined by the physician. The UPDRS Part III is the Motor Examination (Total Motor Score [TMS]) and is defined as the total score, ranging from 0-108 as determined by the physician, of the tests given in the motor examination section. The combined scores of Parts II and III can range from 0-160 with the higher score indicating the worse condition. Tests were performed when the participant is in the "on" state of Parkinson's. Baseline is defined as the last non-missing assessment measured on or before the first dose date.

    Measured: Baseline and Week 4 of the Maintenance Period (Study Week 17)

  4. Responder Rate Defined as Participants With a >=30% Reduction in Baseline UPDRS Motor Score

    The responder rate is defined as the percentage of participants with a greater than or equal to (>=)30% reduction in their individual Baseline UPDRS motor score at Week 4 of the Maintenance Period (Study Week 17). Baseline is defined as the last non-missing assessment measured on or before the first dose date. The change from Baseline will be calculated by subtracting the Baseline values from the individual post-randomization values.

    Measured: Baseline and Week 4 of the Maintenance Period (Study Week 17)

  5. Change From Baseline in UPDRS Parts II and III Combined

    The UPDRS Part II is the Activities of Daily Living (ADL) score and can range from 0-52 as determined by the physician. The UPDRS Part III is the Motor Examination (Total Motor Score [TMS]) and is defined as the total score, ranging from 0-108 as determined by the physician, of the tests given in the motor examination section. The combined scores of Parts II and III can range from 0-160 with the higher score indicating the worse condition. Tests were performed when the participant is in the "on" state of Parkinson's. Baseline is defined as the last non-missing assessment measured on or before the first dose date. The change from Baseline will be calculated by subtracting the Baseline values from the individual post-randomization values.

    Measured: Baseline and Week 4 of the Maintenance Period (Study Week 17)

  6. Change From Baseline in UPDRS Activities of Daily Living

    The UPDRS Part II is the Activities of Daily Living (ADL) score and can range from 0-52 as determined by the physician. The higher score indicates the worse condition. Tests were performed when the participant is in the "on" state of Parkinson's. Baseline is defined as the last non-missing assessment measured on or before the first dose date. The change from Baseline will be calculated by subtracting the Baseline values from the individual post-randomization values.

    Measured: Baseline and Week 4 of the Maintenance Period (Study Week 17)

  7. Change From Baseline in the Total UPDRS Score (Parts I-III)

    The total UPDRS score was calculated by the sum of the values for each component (Part I + Part II + Part III) as determined by the physician. The UPDRS Part I scores mentation, behavior and mood and scores can range from 0-16. The UPDRS Part II is the Activities of Daily Living (ADL) score and can range from 0-52. The UPDRS Part III is the Motor Examination (Total Motor Score [TMS]) and scores range from 0-108. The total UPDRS (Part I + II + III) scores can range from 0-176 with the higher score indicating the worse condition. Tests were performed when the participant is in the "on" state of Parkinson's. Baseline is defined as the last non-missing assessment measured on or before the first dose date. The change from Baseline will be calculated by subtracting the Baseline values from the individual post-randomization values.

    Measured: Baseline and Week 4 of the Maintenance Period (Study Week 17)

  8. Change From Baseline in the UPDRS Part I (Mentation)

    The UPDRS Part I scores mentation, behavior and mood as determined by a physician and participants were tested during the "on" phase of Parkinson's. This component of the UPDRS is the total score for 4 items (the items 1- 4 include intellectual impairment, thought disorder, motivation/initiative, and depression) and may have a value ranging from 0 to 16 as determined by a physician where 16 indicates the maximum score and the worse condition. All 4 items have to be present for a total score to be calculated. If one or more items are missing, the total score for the component will also be missing. Baseline is defined as the last non-missing assessment measured on or before the first dose date. The change from Baseline will be calculated by subtracting the Baseline values from the individual post-randomization values.

    Measured: Baseline and Week 4 of the Maintenance Period (Study Week 17)

  9. Responder Rate According to the Clinical Global Impression - Global Improvement (CGI-I) Scale

    The CGI-I scale allows the investigator to rate the participant's total improvement since the beginning of treatment (Baseline). Baseline is defined as the last non-missing assessment measured on or before the first dose date. The scale is rated from 1-7 where 1 = "very much improved", 2 = "much improved", 3 = "minimally improved", 4 = "no change", 5 = "minimally worse, 6 = "much worse", and 7 = "very much worse". The responder rate is defined as the percentage of participants with a score of 1 or 2.

    Measured: Week 4 of the Maintenance Period (Study Week 17)

  10. Percentage of Participants Withdrawn From the Study Due to Lack of Efficacy

    The percentage of participants who withdrew from the study due to lack of efficacy as defined by either the participant or the investigator is presented here.

    Measured: Up to Week 4 of the Maintenance Period (Study Week 17)

Timeline

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

  1. First posted5 Dec 2011 (estimated)
  2. Study start31 Jan 2012
  3. Primary completion30 Apr 2014
  4. Study completion30 Apr 2014

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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Single group
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
186 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01485172
Sponsor's protocol ID
111662
Acronym
TANDEM-662
Status last verified
Jun 2018
First submitted
1 Dec 2011
Last updated
20 Jun 2018
Data monitoring committee
No
Individual data sharing
Yes: Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing ropinirole monotherapy in people with Parkinson Disease, run by GlaxoSmithKline at 34 sites in 5 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 6 inclusion and 16 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 20 Jun 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 34 sites in Russia, United States, South Korea, Estonia, Slovakia. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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 2 Feb 2015). 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 (BL) in Unified Parkinson Disease (PD) Rating Scale (UPDRS) Motor Score (time frame: Baseline and Week 4 of the Maintenance Period (Study Week 17)). 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 20 Jun 2018.

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TANDEM-662 Clinical Trial NCT01485172 | AzTrials