COmedication Study Assessing Mono- and cOmbination Therapy With Levodopa-carbidopa inteStinal Gel
COSMOS
COSMOS - COmedication Study Assessing Mono- and cOmbination Therapy With Levodopa-carbidopa inteStinal Gel
1 other identifier
observational
412
11 countries
30
Brief Summary
The purpose of this study is to evaluate treatment of advanced Parkinson's Disease (PD) patients on levodopa-carbidopa intestinal gel (LCIG) monotherapy in a routine clinical setting.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Dec 2017
Shorter than P25 for all trials
30 active sites
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
First Submitted
Initial submission to the registry
November 30, 2017
CompletedFirst Posted
Study publicly available on registry
December 5, 2017
CompletedStudy Start
First participant enrolled
December 14, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 17, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
December 17, 2018
CompletedResults Posted
Study results publicly available
January 6, 2020
CompletedJanuary 6, 2020
December 1, 2019
1 year
November 30, 2017
December 17, 2019
December 17, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Percentage of Participants on Levodopa-Carbidopa Intestinal Gel (LCIG) Monotherapy From LCIG Initiation to 12 Months
The percentage of participants on LCIG monotherapy from immediately following LCIG initiation to 12 months. LCIG monotherapy means that the participant is not on any add-on Parkinson's (PD) medication/PD therapy at the respective time point (monotherapy 1) or that the participant is allowed to take an add-on PD medication/PD therapy at the respective time point but only in the evening after the LCIG infusion is completed (monotherapy 2).
12 months
Secondary Outcomes (12)
Percentage of Participants Starting Add-On PD Medication Within 12 Months of LCIG Monotherapy Initiation
12 months
Total Daily Dose (in Milliliters) of LCIG Infusion at 12 Months After LCIG Initiation
12 months
Healthcare Resource Utilization (HCRU): Primary Occupation by Number of Participants
12 months
HCRU: Caregiver Support by Number of Participants
12 months
Percentage of Physicians With Overall Preference for LCIG Monotherapy
12 months
- +7 more secondary outcomes
Study Arms (1)
Participants with advanced Parkinson's disease
Participants with advanced Parkinson's disease on current treatment with levodopa-carbidopa intestinal gel (LCIG) for at least 12 months.
Eligibility Criteria
Participants diagnosed with advanced Parkinson's disease (APD), on current treatment with levodopa-carbidopa intestinal gel (LCIG), and treated with LCIG for at least 12 months prior to enrollment.
You may qualify if:
- Participants diagnosed with APD and on LCIG treatment for at least 12 months
- Participant must have been on continuous LCIG treatment for at least 80% of days in the preceding year
- Participants must be treated by the same physician (principal investigator or co-investigator) since the initiation of LCIG treatment
You may not qualify if:
- Participation in a concurrent or a previous interventional clinical trial during which the participant was on LCIG therapy
- Lack of motivation or insufficient language skills to complete the study questionnaires
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- AbbVielead
Study Sites (30)
Gailtal Klinik /ID# 202505
Hermagor-Pressegger See, Carinthia, 9620, Austria
Medizinische Universität Graz /ID# 202559
Graz, Styria, 8010, Austria
University of Calgary /ID# 206550
Calgary, Alberta, T2N 4Z6, Canada
Ottawa Hospital /ID# 169448
Ottawa, Ontario, K1Y 4E9, Canada
Toronto Western Hospital /ID# 169038
Toronto, Ontario, M5T 2S8, Canada
Clinique Neuro Levis /ID# 206549
Lévis, Quebec, G6W 0M5, Canada
Clinical Hosp Center Zagreb /ID# 203553
Zagreb, 10000, Croatia
Fakultni nemocnice u sv. Anny v Brne /ID# 209774
Brno, Brno-mesto, 602 00, Czechia
Fakultni Nemocnice Olomouc /ID# 209776
Olomouc, Olomoucký kraj, 779 00, Czechia
Vseobecna Fakultni Nemocnice /ID# 209775
Prague, 128 08, Czechia
Aiginiteio University Hospital /ID# 203476
Athens, Attica, 11528, Greece
HYGEIA Hospital /ID# 203474
Athens, 15123, Greece
Mediterraneo Hospital /ID# 203472
Glyfada, 16675, Greece
University Hospital of Ioannin /ID# 203471
Ioannina, 45500, Greece
Pecsi Tudomanyegyetem /ID# 170026
Pécs, Pecs, 7624, Hungary
Semmelweis Egyetem /ID# 170025
Budapest, 1083, Hungary
Borsod-Abauj-Zemplen Megyei /ID# 170027
Miskolc, 3526, Hungary
Szegedi Tudomanyegyetem /ID# 170028
Szeged, 6720, Hungary
Bon Secours Hospital /ID# 168424
Cork, T12 DV56, Ireland
University Hospital Galway /ID# 170754
Galway, H91 YR71, Ireland
Tel Aviv Sourasky Medical Ctr /ID# 167542
Tel Aviv, Tel Aviv, 6423906, Israel
Sheba Medical Center /ID# 167543
Ramat Gan, 5262100, Israel
Clinic Fundeni Institute /ID# 169265
Bucharest, București, 022328, Romania
Colentina Clinical Hospital /ID# 169263
Bucharest, 20125, Romania
Emergency Clinical County Hosp /ID# 169269
Târgu Mureş, 540042, Romania
Timisoara County /ID# 169266
Timișoara, 300736, Romania
Timisoara County /ID# 169268
Timișoara, 300736, Romania
AbbVie Farmaceutica SLU /ID# 164364
Madrid, Spain
Centrum for neurologi /ID# 171391
Stockholm, 113 65, Sweden
Neurologmottagningen /ID# 171390
Stockholm, 171 76, Sweden
Related Publications (2)
Fasano A, Garcia-Ramos R, Gurevich T, Jech R, Bergmann L, Sanchez-Solino O, Parra JC, Simu M. Levodopa-carbidopa intestinal gel in advanced Parkinson's disease: long-term results from COSMOS. J Neurol. 2023 May;270(5):2765-2775. doi: 10.1007/s00415-023-11615-3. Epub 2023 Feb 18.
PMID: 36802031DERIVEDKovacs N, Szasz J, Vela-Desojo L, Svenningsson P, Femia S, Parra JC, Sanchez-Solino O, Bergmann L, Gurevich T, Fasano A. Motor and nonmotor symptoms in patients treated with 24-hour daily levodopa-carbidopa intestinal gel infusion: Analysis of the COmedication Study assessing Mono- and cOmbination therapy with levodopa-carbidopa inteStinal gel (COSMOS). Parkinsonism Relat Disord. 2022 Dec;105:139-144. doi: 10.1016/j.parkreldis.2022.08.002. Epub 2022 Aug 17.
PMID: 36008198DERIVED
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Global Medical Services
- Organization
- AbbVie
Study Officials
- STUDY DIRECTOR
AbbVie Inc.
AbbVie
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- CROSS SECTIONAL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 30, 2017
First Posted
December 5, 2017
Study Start
December 14, 2017
Primary Completion
December 17, 2018
Study Completion
December 17, 2018
Last Updated
January 6, 2020
Results First Posted
January 6, 2020
Record last verified: 2019-12