Dopamine Agonist for Hemispatial Neglect and Motor Deficit Post Stroke
A Multi-centre Exploratory Study to Evaluate the Efficacy of the Dopamine Receptor Agonist Rotigotine in the Treatment of Hemispatial Neglect and Motor Deficits Following Stroke
2 other identifiers
interventional
20
1 country
3
Brief Summary
The aim of this study is to assess the effect of the drug rotigotine on the syndrome of hemispatial neglect and motor deficits following strokes affecting the right hemisphere of the brain.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_2
Started Jan 2010
Shorter than P25 for phase_2
3 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
First Submitted
Initial submission to the registry
April 21, 2008
CompletedFirst Posted
Study publicly available on registry
April 22, 2008
CompletedStudy Start
First participant enrolled
January 1, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2010
CompletedFebruary 21, 2011
January 1, 2010
5 months
April 21, 2008
February 18, 2011
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Performance on tests of hemispatial neglect and its cognitive components (spatial working memory and sustained attention).
38 days
Tests of motor control.
38 days
Study Arms (1)
A
EXPERIMENTALAll patients receive placebo or rotigotine at some stage in the trial but the exact point is randomized.
Interventions
Rotigotine 9.0mg patch (equivalent to 4mg/24hr transdermal absorption) once daily during the treatment phase.
Eligibility Criteria
You may qualify if:
- Confirmed clinical diagnosis of right-hemisphere stroke.
- Able to give informed consent.
- Presence of motor deficits: all patients will have suffered from first-ever clinically defined stroke resulting in weakness of at least wrist and finger extensors, and hand interossei (to \</= 4+ on the Medical Research Council scale), at the time of recruitment.
- Age over 18 years.
- More than 9 days since stroke-onset (Note that on our protocol patches do not commence until a minimum of 6 days after the study begins. Thus patients will not receive drug / placebo until a minimum of 15 days post-stroke).
- Able and willing to use patches of drug/placebo and assessments at regular intervals as defined by the protocol.
- Able to comply with study requirements.
- If female and of child-bearing potential, subject has a negative serum pregnancy test within two days of enrollment.
You may not qualify if:
- Pre-existing neurological conditions that would confound cognitive and motor assessments, e.g. dementia, Parkinson's disease, Multiple Sclerosis.
- Presence of acute concomitant illness, e.g. infection, unstable angina, myocardial infarction or heart, respiratory, renal or liver failure which, based on clinical judgment, would be considered to confound interpretation of results.
- Systolic blood pressure less than 120 mmHg and / or diastolic less than 70 mmHg.
- Exposure to any other investigational drug within 30 days of enrollment in the study.
- History (obtained from patient and medical records) of clinically significant drug or alcohol abuse within 6 months prior to enrollment into the study.
- Pregnancy (because the effects of rotigotine on the fetus and mother in pregnancy are not known). If female and of child-bearing potential, a serum pregnancy test will be performed within two days of enrollment.
- Mothers who are breast feeding (because the effects of rotigotine on the newborn have not been established)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University College, Londonlead
- Medical Research Councilcollaborator
Study Sites (3)
Homerton University Hospital
London, E9 6SR, United Kingdom
Charing Cross Hospital
London, W68RF, United Kingdom
The National Hospital for Neurology & Neurosurgery
London, WC1N 3BG, United Kingdom
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
April 21, 2008
First Posted
April 22, 2008
Study Start
January 1, 2010
Primary Completion
June 1, 2010
Study Completion
July 1, 2010
Last Updated
February 21, 2011
Record last verified: 2010-01