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Remission of ICD by Switching Dopamine Agonist to Levodopa/Carbidopa

The REmission of the Impulse Control Disorder and the Changes of the Neuropsychiatric Characteristics After Switching Into Levodopa/Carbidopa in Patients With Parkinson's Disease Who Have Developed Impulse Control Disorders Due to the Dopamine Replacement Therapy

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01683253
Acronym
REIN-PD
Enrollment
150
Registered
2012-09-11
Start date
2012-11-30
Completion date
2014-12-31
Last updated
2021-03-10

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

Conditions

Impulse Control Disorder

Brief summary

The purpose of this study is to see whether the ICDs(Impulse Control Disorder) are improved and neuropsychiatric traits related to ICD are changed or not when switching dopamine agonist to levodopa/carbidopa in patients with Parkinson's disease who have been treated with dopaminergic medications.

Detailed description

* PRIMARY OBJECTIVE To evaluate the improvement of mMIDI(modified version of Minnesota Impulsive Disorders Interview,Korean version) score from the baseline to 12 weeks or LOCF(Last Observation Carried Forward) * SECONDARY OBJECTIVE i) To evaluate the improvement of neuropsychiatric profiles from the baseline to 12 weeks or LOCF ii) To evaluate the improvement of UPDRS(Unified Parkinson's Disease Rating Scale)Score from the baseline to 12 weeks or LOCF

Interventions

DRUGLevodopa/Carbidopa(200mg/50mg)
DRUGDopaminergic Agonists

Treated for at least 6 months after diagnosis of Parkinson's Disease.

Sponsors

Sandoz
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
30 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

* Patient with a diagnosis of idiopathic PD according to United Kingdom Parkinson's Disease Brain Bank Criteria * mMIDI ≥ 3 score with ICD * Patients must be on an anti-parkinson treatment at least 6 months before screening. * for this protocol, dopamine agonists should be included in his/her anti-parkinson treatment. * 30years ≤ patients \< 80years of age, male or female * patients must give written informed consent before any assessment is performed

Exclusion criteria

* Requirement of treatment with serious cognitive disorder, behavioral disorder, or mental illness currently or in the future * for the patients ≤ 65years: K-MMSE(korean version of Mini-Mental State Exam) ≤24, or for the patients ≥ 66years: K-MMSE ≤ 20, or the patients have dementia(incl. early dementia) even though K-MMSE score is more than 20 * Requirement of treatment more than 6times per day due to the severe motor fluctuation. * Severe dyskinesia * DBS(Deep Brain Stimulation)or any other surgical treatment * History of melanoma or not-diagnostic skin trouble/skin lesions * narrow angle glaucoma * clinically serious surgical or medical condition * malignant tumor * use of other investigational drugs at the time of enrollment within 4weeks * pregnant, nursing or lactating women * women of child-bearing potential * history of hypersensitivity or allergy to levodopa/carbidopa * any serious disease according to the investigator's discretion

Design outcomes

Primary

MeasureTime frameDescription
mMIDI(modified Minnesota Impulsive Disorders Interview)12weeksTo evaluate the improvement of mMIDI(Korean version) score from the baseline to 12 weeks or LOCF(Last Observation Carried Forward)

Secondary

MeasureTime frameDescription
Neuropsychiatric profile12 weeksTo evaluate the improvement of neuropsychiatric profiles from the baseline to 12 weeks or LOCF \* Neuropsychological assessment * General cognitive status: K-Minimental status exam(K-MMSE) * Psychiatric profile: * Neuropsychiatric inventory (K-NPI) * Beck depression inventory (BDI) * Barratt impulsiveness scale (BIS) * Beck anxiety inventory (BAI) * State-trait anger expression inventory (STAXI) * Obsessive compulsive inventory (OCI) * Evaluation of global change: * Patient global impression of improvement (PGI-I) * Clinical global impression of improvement (CGI-I)

Countries

South Korea

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 23, 2026