A Randomized, Double-Blind, Placebo-Controlled, Dose-Ranging Study of the Safety, Tolerability and Efficacy of E2007 in Parkinson's Disease Patients With "Wearing Off" Motor Fluctuations and "On" Period Dyskinesias
1 other identifier
interventional
2
6 countries
33
Brief Summary
The purpose of this study is to investigate the safety, tolerability and efficacy of E2007 in Parkinson's Disease patients who have "wearing off" motor fluctuations and "on" period dyskenisias.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_2
33 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
May 1, 2004
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2005
CompletedFirst Submitted
Initial submission to the registry
July 26, 2010
CompletedFirst Posted
Study publicly available on registry
July 29, 2010
CompletedAugust 22, 2014
August 1, 2014
9 months
July 26, 2010
August 21, 2014
Conditions
Outcome Measures
Primary Outcomes (1)
Efficacy assessments: Parkinsonian symptomology will be recorded on an out-patient basis using patient diary cards (indicating "on" and "off" periods, sleep and dyskinesias).
12 Weeks
Study Arms (4)
Experimental 1
EXPERIMENTALExperimental 2
EXPERIMENTALExperimental 3
EXPERIMENTALPlacebo Comparator
PLACEBO COMPARATORInterventions
Eligibility Criteria
You may qualify if:
- Male or female patients with idiopathic PD fulfilling the Queen Square Brain Bank diagnostic criteria, with good response to levodopa.
- Patients must be aged 30-75 inclusive. Patients aged between 76-80 (inclusive) may be enrolled with the prior agreement of the Study Medical Monitor.
- Patients must have motor fluctuations of the wearing "off" type with the presence of at least two and half hours of "off" time during the waking day and at least 90 minutes of "off" time during the eight hour period following the morning dose of levodopa each per day as evidenced by history at Screening and confirmed by diary data collected between Screening and Baseline.
- Patients must have clinically relevant dyskinesias during the "on" period following each morning dose of his/her current medication.
- Patients must rate between II-IV on the Hoehn and Yahr scale when in an "off" state.
- Patients must be taking levodopa at least three times daily.
- Patients must have been on a fixed dose of any treatments for PD for at least 4 weeks prior to the Baseline Visit.
- In the Investigator's opinion patients must be able to distinguish their own motor states and the absence or presence of dyskinesias.
- Patients must be capable of giving full written informed consent.
- In the Investigator's opinion patients must be of capable of completing patient diary cards according to instructions.
- In the Investigator's opinion patients who are good candidates and able to complete the study.
You may not qualify if:
- Pregnant or lactating women.
- Women of child-bearing potential unless infertile (including surgically sterile) or practicing effective contraception (e.g., abstinence, IUD or barrier method plus hormonal method). These patients must have a negative serum B-HCG test at the Initial Screening Visit and a negative urine pregnancy test at the Baseline Visit. These patients must also be willing to remain on their current form of contraception for the duration of the study. Postmenopausal women may be recruited but must be amenorrhoeic for at least 1 year to be considered of non-child bearing potential.
- Fertile men not willing to use reliable contraception and fertile men with partners not willing to use reliable contraception.
- Patients with a past or present history of drug or alcohol abuse.
- Patients with a past (within one year) or present history of psychotic symptoms requiring antipsychotic treatment. Patients may be taking anti-depressant medication, however, the dose must be stable for 8 weeks prior to the Baseline Visit.
- Patients with unstable abnormalities of the hepatic, renal, cardiovascular, respiratory, gastrointestinal, haematological, endocrine or metabolic systems which might complicate assessment of the tolerability of the study medication.
- Patients with significantly elevated liver enzymes (abnormal bilirubin or seum transaminase levels of more than 1.5 times the upper normal limit).
- Patients currently receiving treatment with medication that could significantly interfere with gastric absorption.
- Patients with current or prior treatment (within 4 weeks prior to the Baseline Visit) with medication known to induce the enzyme cytochrome P450 3A4 including but not limited to: carbamazepine; dexamethasone; ethosuximide; phenobarbital; phenytoin; primidone; rifabutin; rifampacin; and St. John's Wort.
- Current or prior treatment (within 4 weeks prior to Baseline Visit) with methyldopa, budipine, reserpine or intermittent use of liquid forms of levodopa or apomorphine.
- Patients with previous stereotactic surgery (e.g., pallidotomy) for Parkinson's disease.
- Patients receiving deep brain stimulation.
- Patients who have received an investigational product within 12 weeks prior to Baseline Visit or patients that have participated in a previous study with E2007.
- Patients with clinically significant cognitive impairment (MMSE ; 24 and/or fulfilling DSM IV criteria for dementia due to Parkinson's disease).
- Patients with conditions affecting the peripheral or central sensory system unless related to Parkinson's disease (mild sensory or pain syndromes limited to off periods) that could interfere with the evaluation of any such symptoms caused by the study drug.
- +1 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Eisai Limitedlead
Study Sites (33)
Clinic of Neurology, Faculty Hospital Olomouc
Olomouc, 775 20, Czechia
Private Neurology Practise
Ostrava, 702 00, Czechia
Department of Neurology, Regional Hospital Pardubice
Pardubice, 532 03, Czechia
First Faculty of Medicine Charles University
Prague, 120 00, Czechia
Dept. of Neurology - Second Faculty of Medicine Charles University
Prague, 84 - 150 06, Czechia
Centre D'Investigation Clinique Pavillon Riser - Hopital Purpan
Toulouse, 31059, France
Parkinson's Competence Network Germany Dept. of Neurology - Philipps-University Marburg
Marburg, Hesse, 35039, Germany
Humboldt Universit?t Charite Neurologische Klinik
Berlin, D-13353, Germany
Klinikum der Friedrich-Wilhelms- Univerit?t Bonn
Bonn, D-53105, Germany
Zentralkrankenhaus Reinkenheide Neurologische Klinik
Bremerhaven, D-27574, Germany
Klinikum der Heinrich-Heine- Universit?t
D?sseldorf, D-40225, Germany
Praxis
Erbach im Odenwald, D-64711, Germany
Klinikum der Georg-August- Universit?t
G?ttingen, D-37099, Germany
Universit?tskrankenh aus Hamburg Eppendorf
Hamburg, D-20246, Germany
Krankenhaus Hanau
Hanau, D-63450, Germany
Medizinische Hochschule Hannover
Hanover, D-30623, Germany
Universit?tsklinikum Heidelberg
Heidelberg, D-69120, Germany
Universit?tsklinikum
Homburg/Saar, D-66421, Germany
Paracelsus-Elena-Kli nik
Kassel, D-34126, Germany
Hopital Roger Salengro
Lille, 59037, Germany
Universit?tsklinikum Rostock Klinik f?r Neurologie
Rostock, D-18147, Germany
Reparto di Neurologia - Ospedale Misericordia
Grosseto, 171 - 58100, Italy
Universit? di Napoli Federico II
Napoli, 5 - 80131, Italy
Unit? Operativa Parkinson e Disordini del Movimento
Pavia, 6 - 27100, Italy
Istituto Neuromed SRL Neurologia
Pozzilli, 18 - 86077, Italy
III Clinica Neurologica
Roma, 30 - 00185, Italy
Militzary Medical Academy
Belgrade, 11000, Serbia
Clinic of Neurology
Belgrade, Serbia
Institute of Neurology
Belrade, Serbia
Hospital Vall d'Hebron
Barcelona, 119 - 08035, Spain
Hospital del Mar
Barcelona, 25-29 08003, Spain
Hospital Clinic I Provincial de Barcelona
Barcelona, 8036, Spain
Hospital Mutua de Terrassa
Terrassa, 25-27 - 08221, Spain
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Jonathan Webster
Eisai Limited
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
Study Record Dates
First Submitted
July 26, 2010
First Posted
July 29, 2010
Study Start
May 1, 2004
Primary Completion
February 1, 2005
Last Updated
August 22, 2014
Record last verified: 2014-08