Continued Efficacy of Apomorphine After Previous Exposure of at Least Three Months
A Prospective, Randomized, Placebo-Controlled, Crossover Study of the Safety and Effectiveness of Subcutaneous Injections of Apomorphine in the Treatment of "Off" Episodes in Patients With "On/Off" or "Wearing Off" Effects Associated With Late Stage Parkinson's Disease
1 other identifier
interventional
16
1 country
2
Brief Summary
The objective of this study was to measure the continued efficacy of apomorphine after previous exposure of at least three months duration.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_2 parkinson-disease
Started Sep 1999
Shorter than P25 for phase_2 parkinson-disease
2 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
September 1, 1999
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 1999
CompletedFirst Submitted
Initial submission to the registry
September 13, 2005
CompletedFirst Posted
Study publicly available on registry
September 20, 2005
CompletedDecember 16, 2005
March 1, 2000
September 13, 2005
December 15, 2005
Conditions
Outcome Measures
Primary Outcomes (1)
UPDRS Motor Score 20 minutes after dosing
Secondary Outcomes (4)
Dyskinesia Rating Scale 10, 20 and 60 minutes after dosing
Time to onset of perceived relief
AUC for UPDRS Motor Scores at predose, 10, 20 and 60 minutes
Change in UPDRS Motor Scores at 10 and 60 minutes after dosing
Interventions
Eligibility Criteria
You may qualify if:
- Patients diagnosed with idiopathic Parkinson's Disease and classified as stage II-IV of the Hoehn and Yahr scale for staging the severity of Parkinson's Disease
- Patients must have been on an optimally maximized oral therapy regimen including levodopa/decarboxylase inhibitors in either immediate or delayed release forms, plus at least one direct acting oral dopamine agonist for at least 30 days prior to randomization
- Patients must have been receiving apomorphine subcutaneous injections for rescue therapy for "Off" events for at least three months with an average dosing requirement of at least 2 doses per day over the week prior to enrollment with a dose of less than 11 mg
You may not qualify if:
- Patients under medical therapy for clinically significant psychoses or dementia not related to ingestion of antiparkinson medications. (Patients with hallucinations or other central adverse reactions associated solely with antiparkinson medications were not excluded.)
- Patients with a history of drug or alcohol dependency within one year prior to study enrollment
- Patients with unstable and clinically significant disease of cardiovascular (including orthostatic hypotension), hematologic (including Coombs' positive hemolytic anemia), hepatic, renal, metabolic, respiratory, gastrointestinal or endocrinological systems or neoplasm within the threemonths before the start of the study.
- Patients with a history of allergy or intolerance to morphine or its derivatives, sulfur, sulfur containing medication, sulfites, domperidone, trimethobenzamide or other anticholinergics.
- Patients treated with experimental agents (other than apomorphine intermittent subcutaneous injections) within 3 months before study entry, experimental agents were defined on the basis of the regulatory status in the country of patient observation, or with other disallowed medications
- Patients whose apomorphine regimen was characterized by continuous infusion or by administration methods other than intermittent subcutaneous injection.
- Patients who could not or would not sign an informed consent form.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Walton Centre for Neurology and Neurosurgery
Liverpool, United Kingdom
The Morriston Hospital
Swansea, United Kingdom
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Will Sullivan
Mylan Bertek Pharmaceuticals
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Purpose
- TREATMENT
- Intervention Model
- CROSSOVER
- Sponsor Type
- INDUSTRY
Study Record Dates
First Submitted
September 13, 2005
First Posted
September 20, 2005
Study Start
September 1, 1999
Study Completion
November 1, 1999
Last Updated
December 16, 2005
Record last verified: 2000-03