NCT02202551

Brief Summary

This is a 105-week open-label study to evaluate the safety and tolerability of ADS-5102 oral capsules, an extended release formulation of amantadine, in Parkinson's Disease (PD) patients with Levodopa Induced Dyskinesia (LID).

Trial Health

93
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
223

participants targeted

Target at P25-P50 for phase_3

Timeline
Completed

Started Jul 2014

Typical duration for phase_3

Geographic Reach
6 countries

87 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

July 1, 2014

Completed
24 days until next milestone

First Submitted

Initial submission to the registry

July 25, 2014

Completed
4 days until next milestone

First Posted

Study publicly available on registry

July 29, 2014

Completed
3.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 1, 2018

Completed
2.6 years until next milestone

Results Posted

Study results publicly available

September 16, 2020

Completed
Last Updated

October 6, 2020

Status Verified

August 1, 2020

Enrollment Period

3.6 years

First QC Date

July 25, 2014

Results QC Date

July 8, 2020

Last Update Submit

September 15, 2020

Conditions

Keywords

Levodopa Induced DyskinesiaLIDParkinsonismParkinson's Disease

Outcome Measures

Primary Outcomes (1)

  • Number of Participants With Reported AEs and Safety-Related Study Drug Discontinuations

    The primary objective of the study was to evaluate the safety and tolerability of ADS-5102 oral capsules, an extended release (ER) formulation of amantadine, administered at a dose of 340 mg once daily at bedtime for the treatment of levodopa-induced dyskinesia (LID) in subjects with Parkinson's disease (PD).

    Up to 101 weeks

Secondary Outcomes (2)

  • Change From Baseline in Movement Disorder's Society - Unified Parkinson's Disease Rating Scale (MDS-UPDRS) (Parts I-III Combined Scores)

    Up to 101 weeks. MDS-UPDRS was performed at the following visits: Screening, Week 8, Week 16, Week 28, Week 40, Week 52, Week 64, Week 76, Week 88, Week 100 (or ET).

  • Change From Baseline in Movement Disorder's Society - Unified Parkinson's Disease Rating Scale MDS-UPDRS (Part IV - Motor Complications)

    100 Weeks. MDS-UPDRS was performed at the following visits: Screening, Week 8, Week 16, Week 28, Week 40, Week 52, Week 64, Week 76, Week 88, Week 100 (or ET).

Study Arms (1)

ADS-5102

EXPERIMENTAL

amantadine HCl extended release

Drug: ADS-5102

Interventions

Also known as: amantadine HCl extended release
ADS-5102

Eligibility Criteria

Age30 Years - 85 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Signed a current IRB/REB/IEC-approved informed consent form
  • Completed all study visits in previous Adamas efficacy study or were ineligible for participation in previous Adamas studies due to having undergone prior deep brain stimulation.
  • Parkinson's disease, per UK Parkinson's Disease Society (UKPDS) Brain Bank Clinical Diagnostic Criteria
  • On a stable regimen of antiparkinson's medications at least 30 days prior to screening, including a levodopa preparation administered not less than three times daily.
  • History of peak dose dyskinesia that might benefit from specific dyskinesia treatment in the judgment of the subject and clinical investigator

You may not qualify if:

  • Discontinued ADS-5102 in previous Adamas efficacy study due to intolerable or unacceptable AEs considered to be related to ADS-5102
  • History of neurosurgical intervention related to Parkinson's disease, with the exception of deep brain stimulation
  • History of seizures since completion of participation in previous Adamas studies or within 2 years
  • History of stroke or TIA since completion of participation in previous Adamas studies or within 2 years
  • History of cancer since completion of participation in previous Adamas studies or within 2 years, with the following exceptions: adequately treated non-melanomatous skin cancers, localized bladder cancer, non-metastatic prostate cancer or in situ cervical cancer
  • Presence of cognitive impairment, as evidenced by a Mini-Mental Status Examination (MMSE) score of less than 24 during screening
  • If female is pregnant or lactating
  • If a sexually active female, is not surgically sterile or at least 2 years post-menopausal, or does not agree to utilize an effective method of contraception from screening through at least 4 weeks after the completion of study treatment.
  • Treatment with an investigational drug (other than ADS-5102) or device within 30 days prior to screening
  • Treatment with an investigational biologic within 6 months prior to screening
  • Current or planned participation in another interventional clinical trial

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (87)

Unknown Facility

Birmingham, Alabama, 35233, United States

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Phoenix, Arizona, 85013, United States

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Scottsdale, Arizona, 85259, United States

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Sun City, Arizona, 85351, United States

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Fountain Valley, California, 92708, United States

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Pasadena, California, 91105, United States

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Reseda, California, 91335, United States

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Sacramento, California, 95817, United States

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Sunnyvale, California, 94085, United States

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Torrance, California, 90505, United States

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Ventura, California, 93003, United States

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Aurora, Colorado, 80045, United States

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Manchester, Connecticut, 06040, United States

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Boca Raton, Florida, 33486, United States

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Gainesville, Florida, 32607, United States

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Jacksonville, Florida, 32209, United States

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Naples, Florida, 34102, United States

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Port Charlotte, Florida, 33980, United States

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Sunrise, Florida, 33351, United States

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Tampa, Florida, 33612, United States

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Tampa, Florida, 33613, United States

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Weston, Florida, 33331, United States

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Atlanta, Georgia, 30329, United States

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Chicago, Illinois, 60611, United States

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Chicago, Illinois, 60612, United States

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Des Moines, Iowa, 45219, United States

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Kansas City, Kansas, 66160, United States

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Baltimore, Maryland, 21287, United States

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Elkridge, Maryland, 21075, United States

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Boston, Massachusetts, 02114, United States

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Bingham Farms, Michigan, 48025, United States

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West Bloomfield, Michigan, 48322, United States

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Golden Valley, Minnesota, 55427, United States

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St Louis, Missouri, 63110, United States

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Albany, New York, 12208, United States

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Commack, New York, 11725, United States

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New York, New York, 10003, United States

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New York, New York, 10016, United States

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New York, New York, 10029, United States

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Greensboro, North Carolina, 27405, United States

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Raleigh, North Carolina, 27607, United States

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Cincinnati, Ohio, 45219, United States

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Cleveland, Ohio, 44195, United States

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Toledo, Ohio, 43614, United States

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Tulsa, Oklahoma, 74136, United States

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Hershey, Pennsylvania, 17033, United States

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Philadelphia, Pennsylvania, 19107, United States

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Dallas, Texas, 75390, United States

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Houston, Texas, 77030-1, United States

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Houston, Texas, 77030-2, United States

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Roanoke, Virginia, 24018, United States

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Kirkland, Washington, 98034, United States

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Morgantown, West Virginia, 26506, United States

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Milwaukee, Wisconsin, 53233, United States

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Innsbruck, 6020, Austria

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Vienna, 1080, Austria

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Vienna, 1220, Austria

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Edmonton, Alberta, T6G 2B7, Canada

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Toronto, Ontario, M5T 2S8, Canada

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Regina, Saskatchewan, S4T 1A5, Canada

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Bordeaux, 33076, France

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Bron, 69677, France

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Clermont-Ferrand, 63003, France

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Lille, 59037, France

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Marseille, 13385, France

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Montpellier, 34295, France

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Poitiers, 86021, France

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Rennes, 35033, France

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Rouen, 76031, France

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Strasbourg, 67098, France

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Toulouse, 31059, France

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MĂ¼nchen, Bavaria, 80804, Germany

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MĂ¼nchen, Bavaria, 81675, Germany

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Beelitz-Heilstätten, Brandenburg, 14547, Germany

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Göttingen, Lower Saxony, 37075, Germany

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Leipzig, Saxony, 04103, Germany

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Gera, Thuringia, 07751, Germany

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Stadtroda, Thuringia, 07646, Germany

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Berlin, 12163, Germany

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Berlin, 13353, Germany

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Hamburg, 22291, Germany

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Kassel, 34128, Germany

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Marburg, 35043, Germany

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Barcelona, 08028, Spain

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Barcelona, 08035, Spain

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Barcelona, 08036, Spain

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Barcelona, 08041, Spain

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Related Publications (30)

  • Aoki FY, Sitar DS. Clinical pharmacokinetics of amantadine hydrochloride. Clin Pharmacokinet. 1988 Jan;14(1):35-51. doi: 10.2165/00003088-198814010-00003.

    PMID: 3280212BACKGROUND
  • Colosimo C, Martinez-Martin P, Fabbrini G, Hauser RA, Merello M, Miyasaki J, Poewe W, Sampaio C, Rascol O, Stebbins GT, Schrag A, Goetz CG. Task force report on scales to assess dyskinesia in Parkinson's disease: critique and recommendations. Mov Disord. 2010 Jul 15;25(9):1131-42. doi: 10.1002/mds.23072.

    PMID: 20310033BACKGROUND
  • da Silva-Junior FP, Braga-Neto P, Sueli Monte F, de Bruin VM. Amantadine reduces the duration of levodopa-induced dyskinesia: a randomized, double-blind, placebo-controlled study. Parkinsonism Relat Disord. 2005 Nov;11(7):449-52. doi: 10.1016/j.parkreldis.2005.05.008. Epub 2005 Sep 9.

    PMID: 16154788BACKGROUND
  • Dallos V, Heathfield K, Stone P, Allen FA. Use of amantadine in Parkinson's disease. Results of a double-blind trial. Br Med J. 1970 Oct 3;4(5726):24-6. doi: 10.1136/bmj.4.5726.24.

    PMID: 4919119BACKGROUND
  • Del Sorbo F, Albanese A. Levodopa-induced dyskinesias and their management. J Neurol. 2008 Aug;255 Suppl 4:32-41. doi: 10.1007/s00415-008-4006-5.

    PMID: 18821084BACKGROUND
  • Encarnacion EV, Hauser RA. Levodopa-induced dyskinesias in Parkinson's disease: etiology, impact on quality of life, and treatments. Eur Neurol. 2008;60(2):57-66. doi: 10.1159/000131893. Epub 2008 May 15.

    PMID: 18480609BACKGROUND
  • Factor SA, Molho ES. Transient benefit of amantadine in Parkinson's disease: the facts about the myth. Mov Disord. 1999 May;14(3):515-7. doi: 10.1002/1531-8257(199905)14:33.0.co;2-z. No abstract available.

    PMID: 10348482BACKGROUND
  • Goetz CG, Nutt JG, Stebbins GT. The Unified Dyskinesia Rating Scale: presentation and clinimetric profile. Mov Disord. 2008 Dec 15;23(16):2398-403. doi: 10.1002/mds.22341.

    PMID: 19025759BACKGROUND
  • Goetz CG, Tilley BC, Shaftman SR, Stebbins GT, Fahn S, Martinez-Martin P, Poewe W, Sampaio C, Stern MB, Dodel R, Dubois B, Holloway R, Jankovic J, Kulisevsky J, Lang AE, Lees A, Leurgans S, LeWitt PA, Nyenhuis D, Olanow CW, Rascol O, Schrag A, Teresi JA, van Hilten JJ, LaPelle N; Movement Disorder Society UPDRS Revision Task Force. Movement Disorder Society-sponsored revision of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS): scale presentation and clinimetric testing results. Mov Disord. 2008 Nov 15;23(15):2129-70. doi: 10.1002/mds.22340.

    PMID: 19025984BACKGROUND
  • Goetz CG, Stebbins GT, Chung KA, Hauser RA, Miyasaki JM, Nicholas AP, Poewe W, Seppi K, Rascol O, Stacy MA, Nutt JG, Tanner CM, Urkowitz A, Jaglin JA, Ge S. Which dyskinesia scale best detects treatment response? Mov Disord. 2013 Mar;28(3):341-6. doi: 10.1002/mds.25321. Epub 2013 Feb 6.

    PMID: 23390076BACKGROUND
  • Hayden FG, Gwaltney JM Jr, Van de Castle RL, Adams KF, Giordani B. Comparative toxicity of amantadine hydrochloride and rimantadine hydrochloride in healthy adults. Antimicrob Agents Chemother. 1981 Feb;19(2):226-33. doi: 10.1128/AAC.19.2.226.

    PMID: 7347558BACKGROUND
  • Jackson G, Stanley E, Lee Muldoon R. Chemoprophylaxis of viral respiratory diseases. Bulletin Pan Am Health Org. 1967; 147: 595-603.

    BACKGROUND
  • Luginger E, Wenning GK, Bosch S, Poewe W. Beneficial effects of amantadine on L-dopa-induced dyskinesias in Parkinson's disease. Mov Disord. 2000 Sep;15(5):873-8. doi: 10.1002/1531-8257(200009)15:53.0.co;2-i.

    PMID: 11009193BACKGROUND
  • Ory-Magne F, Corvol JC, Azulay JP, Bonnet AM, Brefel-Courbon C, Damier P, Dellapina E, Destee A, Durif F, Galitzky M, Lebouvier T, Meissner W, Thalamas C, Tison F, Salis A, Sommet A, Viallet F, Vidailhet M, Rascol O; NS-Park CIC Network. Withdrawing amantadine in dyskinetic patients with Parkinson disease: the AMANDYSK trial. Neurology. 2014 Jan 28;82(4):300-7. doi: 10.1212/WNL.0000000000000050. Epub 2013 Dec 26.

    PMID: 24371304BACKGROUND
  • Paci C, Thomas A, Onofrj M. Amantadine for dyskinesia in patients affected by severe Parkinson's disease. Neurol Sci. 2001 Feb;22(1):75-6. doi: 10.1007/s100720170054.

    PMID: 11487209BACKGROUND
  • Parkes JD, Zilkha KJ, Marsden P, Baxter RC, Knill-Jones RP. Amantadine dosage in treatment of Parkinson's disease. Lancet. 1970 May 30;1(7657):1130-3. doi: 10.1016/s0140-6736(70)91211-0. No abstract available.

    PMID: 4192093BACKGROUND
  • Sawada H, Oeda T, Kuno S, Nomoto M, Yamamoto K, Yamamoto M, Hisanaga K, Kawamura T; Amantadine Study Group. Amantadine for dyskinesias in Parkinson's disease: a randomized controlled trial. PLoS One. 2010 Dec 31;5(12):e15298. doi: 10.1371/journal.pone.0015298.

    PMID: 21217832BACKGROUND
  • Schrag A, Quinn N. Dyskinesias and motor fluctuations in Parkinson's disease. A community-based study. Brain. 2000 Nov;123 ( Pt 11):2297-305. doi: 10.1093/brain/123.11.2297.

    PMID: 11050029BACKGROUND
  • Schwab RS, Poskanzer DC, England AC Jr, Young RR. Amantadine in Parkinson's disease. Review of more than two years' experience. JAMA. 1972 Nov 13;222(7):792-5. doi: 10.1001/jama.222.7.792. No abstract available.

    PMID: 4677928BACKGROUND
  • Snow BJ, Macdonald L, Mcauley D, Wallis W. The effect of amantadine on levodopa-induced dyskinesias in Parkinson's disease: a double-blind, placebo-controlled study. Clin Neuropharmacol. 2000 Mar-Apr;23(2):82-5. doi: 10.1097/00002826-200003000-00004.

    PMID: 10803797BACKGROUND
  • Spencer TJ, Biederman J, Ciccone PE, Madras BK, Dougherty DD, Bonab AA, Livni E, Parasrampuria DA, Fischman AJ. PET study examining pharmacokinetics, detection and likeability, and dopamine transporter receptor occupancy of short- and long-acting oral methylphenidate. Am J Psychiatry. 2006 Mar;163(3):387-95. doi: 10.1176/appi.ajp.163.3.387.

    PMID: 16513858BACKGROUND
  • Swanson JM, Volkow ND. Pharmacokinetic and pharmacodynamic properties of stimulants: implications for the design of new treatments for ADHD. Behav Brain Res. 2002 Mar 10;130(1-2):73-8. doi: 10.1016/s0166-4328(01)00433-8.

    PMID: 11864720BACKGROUND
  • Thomas A, Iacono D, Luciano AL, Armellino K, Di Iorio A, Onofrj M. Duration of amantadine benefit on dyskinesia of severe Parkinson's disease. J Neurol Neurosurg Psychiatry. 2004 Jan;75(1):141-3.

    PMID: 14707325BACKGROUND
  • Tyrrell DA, Bynoe ML, Hoorn B. Studies on the antiviral activity of 1-adamantanamine. Br J Exp Pathol. 1965 Aug;46(4):370-5. No abstract available.

    PMID: 5317962BACKGROUND
  • Verhagen Metman L, Del Dotto P, van den Munckhof P, Fang J, Mouradian MM, Chase TN. Amantadine as treatment for dyskinesias and motor fluctuations in Parkinson's disease. Neurology. 1998 May;50(5):1323-6. doi: 10.1212/wnl.50.5.1323.

    PMID: 9595981BACKGROUND
  • Metman LV, Del Dotto P, LePoole K, Konitsiotis S, Fang J, Chase TN. Amantadine for levodopa-induced dyskinesias: a 1-year follow-up study. Arch Neurol. 1999 Nov;56(11):1383-6. doi: 10.1001/archneur.56.11.1383.

    PMID: 10555659BACKGROUND
  • Volkow ND, Wang GJ, Fowler JS, Gatley SJ, Logan J, Ding YS, Hitzemann R, Pappas N. Dopamine transporter occupancies in the human brain induced by therapeutic doses of oral methylphenidate. Am J Psychiatry. 1998 Oct;155(10):1325-31. doi: 10.1176/ajp.155.10.1325.

    PMID: 9766762BACKGROUND
  • Wolf E, Seppi K, Katzenschlager R, Hochschorner G, Ransmayr G, Schwingenschuh P, Ott E, Kloiber I, Haubenberger D, Auff E, Poewe W. Long-term antidyskinetic efficacy of amantadine in Parkinson's disease. Mov Disord. 2010 Jul 30;25(10):1357-63. doi: 10.1002/mds.23034.

    PMID: 20198649BACKGROUND
  • Wright Willis A, Evanoff BA, Lian M, Criswell SR, Racette BA. Geographic and ethnic variation in Parkinson disease: a population-based study of US Medicare beneficiaries. Neuroepidemiology. 2010;34(3):143-51. doi: 10.1159/000275491. Epub 2010 Jan 15.

    PMID: 20090375BACKGROUND
  • Hauser RA, Pahwa R, Tanner CM, Oertel W, Isaacson SH, Johnson R, Felt L, Stempien MJ. ADS-5102 (Amantadine) Extended-Release Capsules for Levodopa-Induced Dyskinesia in Parkinson's Disease (EASE LID 2 Study): Interim Results of an Open-Label Safety Study. J Parkinsons Dis. 2017;7(3):511-522. doi: 10.3233/JPD-171134.

MeSH Terms

Conditions

DyskinesiasParkinson DiseaseParkinsonian Disorders

Condition Hierarchy (Ancestors)

Movement DisordersCentral Nervous System DiseasesNervous System DiseasesNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and SymptomsBasal Ganglia DiseasesBrain DiseasesSynucleinopathiesNeurodegenerative Diseases

Results Point of Contact

Title
Reed Johnson
Organization
Adamas Pharmaceuticals, Inc.

Study Officials

  • Clinical Trials Director

    Adamas Pharmaceuticals, Inc.

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 3
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 25, 2014

First Posted

July 29, 2014

Study Start

July 1, 2014

Primary Completion

February 1, 2018

Study Completion

February 1, 2018

Last Updated

October 6, 2020

Results First Posted

September 16, 2020

Record last verified: 2020-08

Locations