Study to Observe the Effect of Mirapex ER® Once-daily (QD) Versus Twice-daily (BID)
An Open-label, Randomized, Multi-center, Crossover Study to Observe the Effect of Once-daily Mirapex ER® and Twice-daily Mirapex ER® in Patients With Parkinson Disease
- In order to observe the benefit, side effects, and patient preference of Mirapex ER when used in once-daily (QD) or twice-daily (BID) dosing
- In order to estimate the conversion rate of dopamine agonists into Mirapex ER
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
- Study subjects : Parkinson disease who are on Requip or Mirapex and are considering to change into Mirapex ER
Cross over study design:
- Group 1: Once daily dose for 2 month then into BID in divided dose for 2 months
- Group 2: BID in divided dose for 2 months then into QD dose for 2 months
- Dose adjustment may be done in the first 4 weeks.
- Compare the benefit, side effects, and patient preference between the QD vs BID dosing
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Contact
Study Contact
- Name: Ji Young Yun, MD
- Phone Number: 82-2-2072-0359
- Email: dream-yoon@hanmail.net
Study Locations
-
-
-
Seoul, Korea, Republic of, 110-744
- Recruiting
- Seoul National University Hospital
-
Contact:
- Beom S. Jeon, MD, PhD
- Phone Number: 82-2-2072-2876
- Email: brain@snu.ac.kr
-
Contact:
- Ji Y Yun, MD
- Phone Number: 82-2-2072-0359
- Email: dream-yoon@hanmail.net
-
Principal Investigator:
- Beom S. Jeon, MD, PhD
-
Sub-Investigator:
- Han-Joon Kim, MD
-
Sub-Investigator:
- Ji Y Yun, MD
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age: 30-80
- Parkinson disease
- On dopamine agonists (Requip or Mirapex) and are considering to change into Mirapex ER
- On stable antiparkinsonian medication for at least 4 weeks
- Who signed consent to the study
Exclusion Criteria:
- Who are on less than 2 mg of Requip or 0.375 mg of Mirapex
- Who have dementia, psychosis, major depression and other serious neurological or medical problems
- Who are allergic to the similar medications
- Who has history of heavy metal poisoning
- Who were on othe clinical trials of other medications within the last 4 weeks
- Who are pregnant or lactating
- Who are considered not eligible by the investigator
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: NON_RANDOMIZED
- Interventional Model: CROSSOVER
- Masking: NONE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
ACTIVE_COMPARATOR: Group 1
Give QD dose first then BID dosing
|
Change Requip or Mirapex to Mirapex ER
|
|
ACTIVE_COMPARATOR: Group 2
Give BID dosing and then QD dosing
|
Change Requip or Mirapex to Mirapex ER
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Patient preference
Time Frame: 4 months
|
Overall preference in QD versus BID
|
4 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Motor complications
Time Frame: 2 months at each arm
|
Visual rating scale for off severity, dyskinesia severity Duration - off duration, dyskinesia duration
|
2 months at each arm
|
|
Sleep problems
Time Frame: 2 months at each arm
|
Parkinson's disease sleep scale (PDSS) Excessive daytime sleepiness scale(ESS)
|
2 months at each arm
|
|
Motor UPDRS and HY stage
Time Frame: 2months at each arm
|
2months at each arm
|
|
|
Side effects
Time Frame: 2 months at each arm
|
Rating scale (0~10): Nausea, Dizziness, Somnolence, Headache, Constipation, Dyspepsia, Fatigue, Hallucination, Edema, Dry mouth,Others
|
2 months at each arm
|
|
Patient global impression for improvement
Time Frame: 2 months at each arm
|
2 months at each arm
|
|
|
Preference in each factor
Time Frame: 4 months
|
Preference of QD versus BID in each factor: off duration, off severity, dyskinesia duration, dyskinesia severity, on quality, adverse events, sleep quality, convenience
|
4 months
|
|
Patient choice
Time Frame: 4 months
|
Patient choice in QD or BID Reason for the choice
|
4 months
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Jenner P, Konen-Bergmann M, Schepers C, Haertter S. Pharmacokinetics of a once-daily extended-release formulation of pramipexole in healthy male volunteers: three studies. Clin Ther. 2009 Nov;31(11):2698-711. doi: 10.1016/j.clinthera.2009.10.018.
- Rascol O, Barone P, Hauser RA, Mizuno Y, Poewe W, Schapira AH, Salin L, Sohr M, Debieuvre C; Pramipexole Switch Study Group. Efficacy, safety, and tolerability of overnight switching from immediate- to once daily extended-release pramipexole in early Parkinson's disease. Mov Disord. 2010 Oct 30;25(14):2326-32. doi: 10.1002/mds.23262.
- Yun JY, Kim YE, Yang HJ, Kim HJ, Jeon B. Twice-Daily versus Once-Daily Pramipexole Extended Release Dosage Regimens in Parkinson's Disease. Parkinsons Dis. 2017;2017:8518929. doi: 10.1155/2017/8518929. Epub 2017 Feb 7.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (ANTICIPATED)
Primary Completion
Study Completion (ANTICIPATED)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
First Posted
Study Record Updates
Last Update Posted (ESTIMATE)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Parkinsonian Disorders
- Basal Ganglia Diseases
- Movement Disorders
- Synucleinopathies
- Neurodegenerative Diseases
- Parkinson Disease
- Physiological Effects of Drugs
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Protective Agents
- Dopamine Agonists
- Dopamine Agents
- Antioxidants
- Antiparkinson Agents
- Anti-Dyskinesia Agents
- Pramipexole
Other Study ID Numbers
Other Study ID Numbers
- H-1104-062-358
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