Melperone (an Anti-Psychotic) in Patients With Psychosis Associated With Parkinson's Disease
Safety and Efficacy of Melperone in the Treatment of Patients With Psychosis Associated With Parkinson's Disease
2 other identifiers
interventional
90
3 countries
21
Brief Summary
The purpose of this study is to evaluate the safety and efficacy of three target doses of melperone compared to placebo in the treatment of psychosis associated with Parkinson's disease. Subjects will be enrolled at approximately 20 investigational sites in the United States (U.S.) and 15 Ex-US sites. The maximum study duration will be 10 weeks. Subjects will have the option of continuing in an open-label extension study.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Jul 2005
Typical duration for phase_2
21 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2005
CompletedFirst Submitted
Initial submission to the registry
July 27, 2005
CompletedFirst Posted
Study publicly available on registry
July 29, 2005
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2008
CompletedResults Posted
Study results publicly available
June 17, 2011
CompletedJune 17, 2011
May 1, 2011
2.7 years
July 27, 2005
April 11, 2011
May 17, 2011
Conditions
Outcome Measures
Primary Outcomes (1)
Patient Evaluation of Symptoms of Psychosis.
The change in the Scale for Assessment of Positive Symptoms (SAPS) total score. The SAPS total score ranges from 0 to 170, with higher scores indicating more severe psychosis.
6 weeks (from Baseline to end of Maintenance Period)
Secondary Outcomes (1)
Investigator/Caregiver Evaluations of Motor Function
6 weeks (from Baseline to end of Maintenance Period)
Study Arms (4)
Melperone HCl - 20 mg
EXPERIMENTALMelperone HCl - 40 mg
EXPERIMENTALMelperone HCl - 60 mg
EXPERIMENTALPlacebo
PLACEBO COMPARATORInterventions
Eligibility Criteria
You may qualify if:
- The subject or subject's legally authorized representative (LAR) must sign and date the IRB/IEC approved Informed Consent Form and HIPAA Authorization (applicable to US sites only) prior to study participation.
- Male or female subjects. If female:
- Subject is either not of childbearing potential, defined as postmenopausal for at least 1 year or surgically sterile (bilateral tubal ligation, bilateral oophorectomy or hysterectomy), or if of childbearing potential, must comply with a method of birth control acceptable to the investigator during the study, for at least one month prior to randomization and for one month following completion of the study.
- Subject is not breastfeeding
- Subjects of childbearing potential must have a negative serum pregnancy test at the screening visit and on Day 1.
- Subjects with a clinical diagnosis of idiopathic Parkinson's Disease, defined as the presence of at least three of the following cardinal features, in the absence of alternative explanations or atypical features:
- Rest tremor
- Rigidity
- Bradykinesia and/or akinesia
- Postural and gait abnormalities
- Subjects with psychosis:
- Presence of visual and/or auditory hallucinations, with or without delusions, occurring during the four weeks prior to the screening visit.
- Symptoms severe enough to clinically warrant treatment with an antipsychotic agent.
- A Hallucinations or Delusions total item score (frequency x severity) of \> 4 on the Neuropsychiatric Inventory (NPI).
- Subjects currently being treated with an antipsychotic agent who have not had visual and/or auditory hallucinations, with or without delusions, during the four weeks prior to screening, and/or have a Hallucinations or Delusions total item score \<4 on the NPI at the screening visit may be washed out (for 7 days or 5 half-lives, whichever is longer) and return for a repeat screening visit. The NPI Hallucinations or Delusions total item score must be ≥4 at the repeat visit to be considered for study entry.
- +2 more criteria
You may not qualify if:
- Subject has any systemic factor contributing to the psychosis such as urinary infection, liver disease, renal failure, anemia, infection or cancer.
- Subject has a history of significant psychotic disorders prior to the diagnosis of Parkinson's Disease, including but not limited to schizophrenia or bipolar disorder.
- Subject has Dementia with Lewy-bodies (DLB).
- Subject has dementia or a major depressive disorder precluding accurate assessment on rating scales.
- Subject has an acute depressive episode at the time of the screening visit.
- A score on the Mini-Mental State Examination (MMSE) of \< 21.
- Subject has had a dose adjustment of their antidepressant medication within 30 days prior to the screening visit, or dose adjustments are planned during the duration of the trial.
- Subject has had dose adjustments of an anxiolytic, cognitive enhancer, or other psychotropic medication (excluding antipsychotics) within 30 days prior to screening or dose adjustments are planned during the duration of the trial.
- Subject has received depot antipsychotic agents within the past 3 months.
- Subject has previously failed treatment with clozaril for psychosis in Parkinson's disease. Subjects who discontinued clozaril due to intolerability may be enrolled.
- Subject has used any investigational product within 30 days or 5 half-lives, whichever is longer, prior to screening.
- Subject cannot tolerate a wash-out of antipsychotic medication prior to randomization.
- Subject has a history of a serious respiratory, gastrointestinal, renal, hematologic or other medical disorder.
- Subject has a history of a serious cardiovascular condition (including, but not limited to, Class IV angina or Class IV heart failure) and/or a history of risk factors for Torsade de pointes (Tdp) (including but not limited to current treatment for hypokalemia or family history of long QT syndrome).
- Subject had myocardial infarction within 6 months prior to screening.
- +15 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Lundbeck LLClead
Study Sites (21)
Northwest Neurospecialists, PLLC
Tucson, Arizona, 85741, United States
Bradenton Research Center, Inc
Bradenton, Florida, 34205, United States
University of South Florida
Tampa, Florida, 33606, United States
The University of Kansas Medical Center
Kansas City, Kansas, 66160, United States
Quest Research Institute
Bingham Farms, Michigan, 48025, United States
Struthers Parkinson's Center, Park Nicollet Health Services
Golden Valley, Minnesota, 55427, United States
Washington University School of Medicine
St Louis, Missouri, 63110, United States
Neurology Consultants of the Carolinas
Charlotte, North Carolina, 28204, United States
University of Cincinnati Medical Center
Cincinnati, Ohio, 45267, United States
Neurology Associates
San Antonio, Texas, 78217, United States
Department of Neurology, Rajendra Prasad Ward, King George Hospital, Visakhapatnam
Visakhapatnam, Andhra Pradesh, 530 002, India
Department of Neurology, Manipal Hospital
Bangalore, Karnataka, 560017, India
M. S. Ramasah Memorial Hospital
Bangalore, Karnataka, 560054, India
KLE Hospital, Belgaum
Belagavi, Karnataka, 590 010, India
Kasturra Medical College, Hospital, Attavar
Mangalore, Karnataka, 575 001, India
SCTIMST
Trivandrum, Kerla, 695 011, India
Jaslok Hospital and Research Center
Mumbai, Maharashtra, 400 026, India
Apollo Hospitals Educational and Research Foundation
Chennai, Tamil Nadu, 600 006, India
Fondazione Universita di Chieti C.E.S.I. Centro Studi sull'Invecchiamento
Chieti Scalo, Ambruzzo, 66013, Italy
U.O. Neurologia IRCCS San Raffaele Pisana
Rome, Lazio, 00163, Italy
IRCCS Centro Neurolesi "Bonino Pulejo"
Messina, Sicily, 98124, Italy
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- H. Lundbeck A/S
- Organization
- H. Lundbeck A/S
Study Officials
- STUDY DIRECTOR
Email contact via H. Lundbeck A/S
LundbeckClinicalTrials@lundbeck.com
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
Study Record Dates
First Submitted
July 27, 2005
First Posted
July 29, 2005
Study Start
July 1, 2005
Primary Completion
March 1, 2008
Study Completion
April 1, 2008
Last Updated
June 17, 2011
Results First Posted
June 17, 2011
Record last verified: 2011-05