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A randomized, double-blind, placebo controlled, multicentre study to evaluate the effect of safinamide on freezing of gait (FOG) in mid- to late-stage fluctuating PD patients

A randomized, double-blind, placebo controlled, multicentre study to evaluate the effect of safinamide on freezing of gait (FOG) in mid- to late-stage fluctuating PD patients - SteP-on

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2018-004892-11-IT
Enrollment
128
Registered
2020-10-07
Start date
2021-04-22
Completion date
Unknown
Last updated
2025-02-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

• Subjects of both genders over 18 years of age, with a clinical diagnosis of idiopathic PD • A Modified Hoehn and Yahr stage of = 4 in the “off” state

Interventions

Trade Name: XADAGO - 100 MG- COMPRESSA RIVESTITA CON FILM- USO ORALE- BLISTER (PVC/PVDC/ALLUMINIO)- 30 COMPRESSE Product Name: Xadago Product Code: [043906039] Pharmaceutical Form: Tablet INN or Propo

Sponsors

OSPEDALE SANTA MARIA DELLA MISERICORDIA
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: • Subjects of both genders over 18 years of age, with a clinical diagnosis of idiopathic PD according to UK Brain Bank diagnostic criteria; • A Modified Hoehn and Yahr stage of = 4 in the “off” state; • A stable (4 weeks since last modification) anti-parkinsonian therapy, always including levodopa (L- dopa)/dopa-decarboxylase inhibitor (DDI); • 1 month wash out is needed if patient received other MAO-B inhibitors; • The presence of FOG (defined as the persistence of gait hesitation and failure in starting the gait or the reported sensation of having the legs “frozen” or “glued to the ground”) even on an optimized dopaminergic treatment (patients with FOG item 3 score >0) Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 70 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 58

Exclusion criteria

Exclusion criteria: Subjects with other severe neurological or systemic concomitant conditions, sensory deficits, clear signs of peripheral neuropathy or orthopaedic comorbidities which may interfere with gait; • Patients for whom Safinamide is contraindicated according to the current SmPC. Female subjects with ongoing or lactating or fertile pregnancy who do not adopt or intend to use adequate methods of contraception for the duration of the study. Individuals who agree to use a reliable contraceptive method during the study will be admitted (for example: more prophylactic oral contraceptive, intrauterine device (DIU or IUD) more prophylactic, diaphragm with more prophylactic spermicide). Subjects with sterile partners (eg vasectomy) and menopausal subjects for at least 1 year or surgically sterile may be included in the study.

Design outcomes

Primary

MeasureTime frame
Main Objective: To evaluate the effectiveness of safinamide, added to standard treatment, on FOG in fluctuating PD patients;Secondary Objective: To verify the impact of safinamide on Quality of life (QoL) and Motor scores in fluctuating PD patients;Primary end point(s): Change from baseline in the FOG-scale (= 3 points);Timepoint(s) of evaluation of this end point: 14 weeks

Secondary

MeasureTime frame
Secondary end point(s): Change from baseline in UPDRS, FES-I, TUG and PDQ-39;Timepoint(s) of evaluation of this end point: 14 weeks

Countries

Italy

Contacts

Public ContactS.C. Clinica Neurologica

Azienda Ospedaliera di Perugia

clinica.neurologica@unipg.it0755784229

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026