Excessive Daytime Sleepiness, Parkinson Disease
Conditions
Brief summary
This phase 2b study is designed as multicentre, multinational, randomized, double blind, parallel group and placebo controlled with three doses of Bavisant (0.5, 1, and 3 mg/d) in subjects with excessive daytime sleepiness with Parkinson's disease.
Detailed description
Phase 2b study will be conducted with the aim of investigating the efficacy and safety of three fixed doses of Bavisant (0.5, 1 and 3 mg/d) compared to placebo for the treatment of excessive daytime sleepiness (EDS) in subjects with Parkinson's disease.
Interventions
Bavisant dihydrochloride monohydrate for oral use
Placebo
Sponsors
Study design
Eligibility
Inclusion criteria
* Subjects of either sex aged 50 to 80 years \*Subjects with previous diagnosis of Parkinson's disease (following the UK Parkinson's disease society brain bank clinical diagnostic criteria)\* * Subjects capable of understanding and complying with protocol requirements * Subjects with medical history of excessive daytime sleepiness
Exclusion criteria
* Subjects with excessive daytime sleepiness due to conditions other than Parkinson's disease (including narcolepsy) * Subjects with clinical evidence of depression with significant psychiatric comorbidities (Hamilton Rating Scale for Depression - HAM-D score greater than or equal to 17; with or without treatment) * Subjects with evidence of significant fatigue (Fatigue Severity Scale - FSS greater than or equal to 36 * Subjects with known history of abuse of alcohol or other addictive substances in the 6 months prior to inclusion. * Subjects with known allergies or hypersensitivity to Bavisant or any of its excipients. * Subjects who are pregnant or lactating.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Measurement of Sleepiness Using the Epworth Sleepiness Scale (ESS) at Baseline and Post Dose. | 6 weeks | Mean absolute change of Bavisant treatment groups in the Epworth Sleepiness Scale (ESS) from baseline to the end of the 6-week treatment period. The ESS score (sum of 8 item scores) ranges from 0 to 24 with higher score corresponding to higher average sleep propensity in daily life (higher daytime sleepiness). Eligibility determined based on ESS score of 13 and above. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Placebo Placebo comparator
Placebo: Placebo | 60 |
| BEN-2001, 0.5mg Experimental treatment
BEN-2001: Bavisant dihydrochloride monohydrate for oral use | 60 |
| BEN-2001, 1.0mg Experimental treatment
BEN-2001: Bavisant dihydrochloride monohydrate for oral use | 60 |
| BEN-2001, 3.0mg Experimental treatment
BEN-2001: Bavisant dihydrochloride monohydrate for oral use | 64 |
| Total | 244 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 |
|---|---|---|---|---|---|
| Overall Study | Adverse Event | 0 | 2 | 3 | 3 |
| Overall Study | Failure to meet randomisation criteria | 0 | 0 | 0 | 1 |
| Overall Study | Other | 0 | 1 | 1 | 0 |
Baseline characteristics
| Characteristic | Placebo | BEN-2001, 0.5mg | BEN-2001, 1.0mg | BEN-2001, 3.0mg | Total |
|---|---|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 42 Participants | 39 Participants | 42 Participants | 37 Participants | 160 Participants |
| Age, Categorical Between 18 and 65 years | 18 Participants | 21 Participants | 18 Participants | 27 Participants | 84 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 0 Participants | 2 Participants | 0 Participants | 0 Participants | 2 Participants |
| Race (NIH/OMB) Black or African American | 1 Participants | 1 Participants | 0 Participants | 0 Participants | 2 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 1 Participants |
| Race (NIH/OMB) White | 59 Participants | 57 Participants | 59 Participants | 64 Participants | 239 Participants |
| Region of Enrollment Europe | 47 participants | 48 participants | 49 participants | 53 participants | 197 participants |
| Region of Enrollment United States | 13 participants | 12 participants | 11 participants | 11 participants | 47 participants |
| Sex: Female, Male Female | 21 Participants | 23 Participants | 17 Participants | 20 Participants | 81 Participants |
| Sex: Female, Male Male | 39 Participants | 37 Participants | 43 Participants | 44 Participants | 163 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk |
|---|---|---|---|---|
| deaths Total, all-cause mortality | 0 / 60 | 0 / 60 | 0 / 60 | 0 / 64 |
| other Total, other adverse events | 11 / 60 | 16 / 60 | 27 / 60 | 26 / 64 |
| serious Total, serious adverse events | 1 / 60 | 0 / 60 | 0 / 60 | 2 / 64 |
Outcome results
Measurement of Sleepiness Using the Epworth Sleepiness Scale (ESS) at Baseline and Post Dose.
Mean absolute change of Bavisant treatment groups in the Epworth Sleepiness Scale (ESS) from baseline to the end of the 6-week treatment period. The ESS score (sum of 8 item scores) ranges from 0 to 24 with higher score corresponding to higher average sleep propensity in daily life (higher daytime sleepiness). Eligibility determined based on ESS score of 13 and above.
Time frame: 6 weeks
Population: ITT
| Arm | Measure | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|
| Placebo | Measurement of Sleepiness Using the Epworth Sleepiness Scale (ESS) at Baseline and Post Dose. | -4.34 units on a scale | Standard Error 0.5 |
| BEN-2001, 0.5mg | Measurement of Sleepiness Using the Epworth Sleepiness Scale (ESS) at Baseline and Post Dose. | -4.64 units on a scale | Standard Error 0.51 |
| BEN-2001, 1.0mg | Measurement of Sleepiness Using the Epworth Sleepiness Scale (ESS) at Baseline and Post Dose. | -3.46 units on a scale | Standard Error 0.51 |
| BEN-2001, 3.0mg | Measurement of Sleepiness Using the Epworth Sleepiness Scale (ESS) at Baseline and Post Dose. | -4.73 units on a scale | Standard Error 0.5 |