Drug-induced, Dyskinesias
Conditions
Keywords
Parkinson's disease, Dyskinesia, Movement disorders, L-dopa
Brief summary
This study will assess the safety, tolerability and efficacy of AQW051 in treating moderate to severe L-dopa induced dyskinesias (movement disorders) in patients with Parkinson's disease.
Interventions
Patients will receive placebo once daily orally for 28 days.
Patients will receive AQW051 in a high dose once daily orally for 28 days.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with Parkinson's disease * Patients with dyskinesias for at least 3 months * Patients with moderate to severe dyskinesias * Patients on L-dopa treatment for at least 3 years
Exclusion criteria
* Patients with atypical Parkinson's disease * Patients who have had prior surgery for Parkinson's disease * Patients who are cognitively impaired, have psychosis, have confusional states or hallucinate * Patients who received neuroleptics or anti-psychotics within 2 months * Women of child-bearing potential Other protocol-defined inclusion/
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Modified Abnormal Involuntary Movement Scale (mAIMS)score | Baseline, Day 28 | Dyskinesia with a maximal score of 24. |
| Change in Unified Parkinson's Disease Rating Scale (UPDRS) - Part III score | Baseline, Day 28 | Anti-parkinsonian effect in PD patients. |
| Safety and tolerability | Up to Day 42 | Safety and tolerability of AQW051 as measured by the number of participants with adverse events, any clinically significant abnormalities in safety labs or electrocardiograms (ECGs), and relevant orthostatic changes in blood pressure |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| CogState | Up to Day 28 | Cognitive function, including simple and choice reaction time, episodic visual and verbal memory, working memory, planning and strategy, and executive function. |
| Lang-Fahn Activities of Daily Living Dyskinesia Scale (LFADLDS) | Up to Day 42 | Assesses the degree to which dyskinesia interferes with five activities of daily living, with a higher score indicating more severe impairment. |
| Area under the curve (AUC[0-24hr]) of AQW051 | Day 28 | — |
| Unified Parkinson's Disease Rating Scale (UPDRS) - Part IV, #32-33 | Up to Day 42 | Dyskinesias as a percentage of the day, and disability due to dyskinesia during the previous week. |
| Track-PD | Up to Day 42 | Objective measures of motor function. |
Countries
France, Germany, Italy, United States