A Phase II, Randomised, Placebo-Controlled, Double-Blind, Replicated Crossover, Pilot Study on the Effect of Fipamezole on Neurogenic Orthostatic Hypotension in Patients With Multiple System Atrophy or Parkinson's Disease
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Primary Completion
May 2009
Estimated (date passed)
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Study Completion
May 2009
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Brief Summary
The purpose of this study is to determine whether Fipamezole is effective in the treatment of orthostatic hypotension and related symptoms in multiple system atrophy and Parkinson's disease.
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
unknown
Estimated enrollment
24 participants
Study completion date
May 2009
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Listed locations
2 countries · 4 sites
Trial Relationships
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Related Scientific Literature
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Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
Study Start
September 2008
Date type not reported
This date has not been verified as actual or estimated.
First Submitted
September 24, 2008
Actual (reported)
First Posted
September 25, 2008
Actual (reported)
Primary Completion
May 2009
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Study Completion
May 2009
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
To compare the efficacy of fipamezole with that of placebo on orthostatic hypotension as assessed by blood pressure response to orthostatism.
28 days
Secondary Outcomes (4)
To compare the efficacy of fipamezole with that of placebo on heart rate (HR) response to orthostatism.
28 days
To compare the efficacy of fipamezole with that of placebo on clinical symptoms.
28 days
Study Arms (2)
1
PLACEBO COMPARATOR
Drug: Placebo
2
ACTIVE COMPARATOR
Drug: Fipamezole
Interventions
PlaceboDrug
One placebo tablet administered tid for 12 days in each of the three crossover treatment blocks, each block separated by 2-days placebo washout
1
FipamezoleDrug
One 30-mg tablet of Fipamezole tid from day 1 to 3; one 60-mg tablet of Fipamezole tid from Day 4 to 6; and one 90-mg tablet of Fipamezole tid from Day 7 to 12 in each of the three crossover treatment blocks, each block separated by 2-days placebo washout
Eligibility Criteria
Age30 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
You may qualify if:
Male or female patients ≥ 30 and \< 80 years of age with an intact oral mucosa at screening
To explore the relationship between plasma levels of fipamezole and measures of efficacy and safety (pharmacokinetics).
28 days
To assess safety and tolerability of fipamezole.
28 days
2
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Hoehn and Yahr stages 1 to 4 during 'Off' period
NOH: reproducible fall in SBP ≥20 mmHg and/or a fall in DBP ≥10 mmHg between 15 min of supine rest and 3 min of standing (or until symptomatic from hypotension after \<3 min of standing)
For patient taking antiparkinsonian medication: stable daily dosing for at least 1 month
For patient taking fludrocortisone: stable dose for at least 2 months
Demonstrated ability to comprehend, give informed consent and comply with study procedures (BP self-monitoring, completion of patient diary and self-assessment rating scales)
You may not qualify if:
Other clinically significant conditions apart from those typically associated with MSA or PD
SBP ≥200 mmHg or DBP ≥120 mmHg after 15 min supine rest in quiet environment
Clinically significant abnormalities of ECG
Mini-Mental State Examination (MMSE) score \< 24
Intake of prohibited concomitant medication such as midodrine, intake of medication associated with vasodilatation or induction of liver enzymes; neuroleptics; certain drugs known to be substantially metabolized through the following cytochrome P450 isoenzymes: 1A2, 2B6, 2C19, 2C9, 2D6 and 2E1; or any other drug for the treatment of orthostatic hypotension (including off-label use), such as non-steroidal anti-inflammatory drugs, beta blockers, somatostatin
Intake of an investigational drug within 30 days prior to screening
Congenital, Hereditary, and Neonatal Diseases and Abnormalities
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Study Completion
May 2009
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Last Updated
October 1, 2008
Record last verified: 2008-09
Source record
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Source: ClinicalTrials.gov.
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