Advanced Stage Parkinson's Disease
Conditions
Keywords
Parkinson's disease
Brief summary
This is a multicenter, randomized, double blind, pramipexole-controlled parallel group study of pardoprunox as adjunctive treatment to levodopa.
Detailed description
Approximately 44 patients are to be randomized in a 3:1 ratio to two possible treatment groups, pardoprunox and pramipexole, respectively. The first part of the study will be blinded and consists of a minimum 1-week screening period, a 4-week switch and stabilization period and an 8-week maintenance period. The second part of the study will be open label pardoprunox treatment with a dose adjustment period of 4 weeks followed by long term maintenance treatment.
Interventions
1.5 to 12 mg/day
0.75-4.5 mg/day
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients who have signed informed consent * Diagnosis of idiopathic Parkinson's Disease * Stable treatment with L-dopa and dopamine agonist for at least 28 days prior to randomization * Presence of a recognizable ON and OFF state (motor fluctuations) * Minimum hours of OFF-time per day of 1.5 hours (during waking hours including early morning akinesia) as recorded per baseline diaries * Minimum hours of ON time with troublesome dyskinesia of 2 hours (during waking hours) as recorded per baseline diaries * Prevalent expression of severely disabling dyskinesias during the waking day, i.e. dyskinesias are present at least 25% of the waking hours (UPDRS Part 4 item 32 \>= 2) in combination with a degree of disability which is moderate or higher (UPDRS Part 4 item 33 \>=2)
Exclusion criteria
* Diagnosis is unclear or a suspicion of other parkinsonian syndromes * Patients who have undergone surgery for the treatment of PD
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change from baseline to endpoint in ON-time without dyskinesia | 16 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Change from baseline in ON-time with (troublesome) dyskinesia; OFF-time; UDysRS, UPDRS (part II + III during ON and OFF state) and Part 4 | 16 weeks |
Countries
Germany, Italy, Portugal