Parkinson's Disease
Conditions
Brief summary
An open, non-randomised, multinational, multicentre direct switch study in levodopa-treated Parkinson's disease patients suffering from early wearing-off in Parkinson's disease. The study will consist of 2 consecutive periods: screening period and study treatment period. Duration of the study will be up to 8 weeks for each subject. The study treatment dosage will be determined by the subject's current, separately administered standard levodopa/DDCI treatment (3-4 doses per day, maximum of total daily dose of 600 mg levodopa) which will be switched to an equivalent dose of Stalevo® without changing the number of doses per day. The levodopa daily dose during Stalevo® treatment may be adjusted according to the study subject's clinical response.
Detailed description
See 'Brief summary'.
Interventions
Oral 3-4 daily doses for 6 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* Subjects with idiopathic Parkinson's disease and early wearing-off symptoms treated with standard levodopa/DDCI treatment * Age \>35 - years * Hoehn and Yahr stage 1-3 performed during the 'ON'-stage * At least 1 symptom identified by WOQ-9 * Dosing frequency of 3-4 doses of standard-release levodopa/DDCI (maximum total daily dose of 600 mg of levodopa)
Exclusion criteria
* Atypical or symptomatic Parkinson's disease * Unpredictable OFF-periods * Any peak-dose dyskinesia. 'OFF'-state dystonia is allowed * Use of any rescue medications to treat symptoms of 'OFF'-state. 1 dose of soluble levodopa/DDCI is allowed. * Concomitant treatment with non-selective monoamine oxidase (MAO) inhibitor or simultaneous use of higher than recommended doses of MAO-A and MAO-B inhibitors (selegiline 10 mg or rasagiline 1 mg allowed) or use of apomorphine.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Clinical Global Impression of Change (Patient) | 6 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Clinical Global Impression of Change (Investigator); United Parkinson's Disease Rating Scale (II, III); Quality of Life Visual Analogue Scale; Wearing-off Questionnaire with 9 symptoms | 6 weeks |
Countries
Germany, Sweden, United Kingdom