A Study of Efficacy and Safety of Eltoprazine HCl for Treating Levodopa-induced Dyskinesia in Parkinson's Disease Patients
Phase 2, Multicenter, Randomized, Double-blind, Placebo-controlled, 4-way Crossover, Dose-finding Study, of Eltoprazine Safety, Tolerability and Efficacy in the Treatment of Levodopa-induced Dyskinesia in Patients With Parkinson's Disease
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
Florida
-
Boca Raton, Florida, United States, 33486
- Parkinson's Disease and Movement Disorders Center, Boca Raton
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- outpatient with idiopathic PD
- stable dose of anti-parkinsonian medication for at least four weeks before the Screening Visit
- daily levodopa dose ≥300 mg per day divided into at least three doses
- treated with levodopa for at least three years prior to study entry
- moderate to severely disabling levodopa-induced dyskinesia for at least three months prior to study entry
- dyskinesia for, on average, >25% of the waking day
Exclusion Criteria:
- inability to use the motion sensors or electronic diaries correctly
- surgical treatment for PD, e.g. Deep Brain Stimulation, within the last six months or planned during the study
- unstable co-existing psychiatric disease including psychosis, depression or cognitive impairment
- Mini Mental State Examination score of <24
- moderate or severe renal, or severe hepatic, impairment
- treatment with selective serotonin re-uptake inhibitors (SSRI) or any combined serotonin-norepinephrine re-uptake inhibitors (SNRI), such as tryptizol, citalopram, escitalopram, sertraline, mianserin, mirtazapin, paroxetin, venlafaxine and St John's Wort, within four weeks prior to the Screening Visit
- treatment with medications with the potential for drug-interactions (MAO-A inhibitors, apomorphine, aripiprazol, carbamazepine, clozapine, phenytoin, tramadol, quetiapine, varfaine, valproic acid). Patients taking amantadine will comprise no more than 25% of the study population
- current history of a clinically significant and uncontrolled medical condition that may affect the safety of the patient or preclude adequate participation in the study
- pregnant or breast-feeding
- received any other investigational medicinal product within 30 days of Screening
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Eltoprazine HCl 2.5 mg
Eltoprazine HCl 2.5 mg capsules to be taken orally b.i.d.
(ie, 5 mg/day) for 3 weeks
|
2.5 mg b.i.d.
orally for 3 weeks
5.0 mg b.i.d.
orally for 3 weeks
7.5 mg b.i.d.
orally for 3 weeks
|
|
Experimental: Eltoprazine HCl 5.0 mg
Eltoprazine HCl 5.0 mg capsules to be taken orally b.i.d.
(ie, 10 mg/day) for 3 weeks
|
2.5 mg b.i.d.
orally for 3 weeks
5.0 mg b.i.d.
orally for 3 weeks
7.5 mg b.i.d.
orally for 3 weeks
|
|
Experimental: Eltoprazine HCl 7.5 mg
Eltoprazine HCl 7.5 mg capsules to be taken orally b.i.d.
(ie, 15 mg/day) for 3 weeks
|
2.5 mg b.i.d.
orally for 3 weeks
5.0 mg b.i.d.
orally for 3 weeks
7.5 mg b.i.d.
orally for 3 weeks
|
|
Placebo Comparator: Placebo
Placebo capsules to be taken orally b.i.d. for 3 weeks
|
b.i.d. orally for 3 weeks
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Clinical impact of dyskinesia measured by total UDysRS (Unified Dyskinesia Rating Scale) score
Time Frame: 84 days
|
Clinical impact on dyskinesia measured by total UDysRS (Unified Dyskinesia Rating Scale) score at the end of each Treatment Period on Days 21, 42, 63 and 84
|
84 days
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
• PD motor symptoms assessed by MDS-UPDRS, diaries and physiological measurement with motion sensor system
Time Frame: 84 days
|
• PD motor symptoms assessed by MDS-UPDRS, diaries and physiological measurement with motion sensor system
|
84 days
|
|
Dyskinesia severity using physiological motion sensor system
Time Frame: 84 days
|
Dyskinesia severity using physiological motion sensor system
|
84 days
|
|
Patient function using MDS-UPDRS and UDysRS questionnaires quantify dyskinesia and Parkinsonian motor symptoms.
Time Frame: 84 days
|
Patient function using MDS-UPDRS and UDysRS questionnaires
|
84 days
|
|
Safety and tolerability: adverse events, physical and neurological exams, safety laboratory values, vital signs and ECG
Time Frame: 94 days
|
Safety and tolerability: adverse events, physical and neurological exams, safety laboratory values, vital signs and ECG
|
94 days
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Charlotte Keywood, MBBS,MRCP,, Amarantus BioScience Holdings, Inc.
Publications and helpful links
General Publications
- McFarthing K, Prakash N, Simuni T. CLINICAL TRIAL HIGHLIGHTS - DYSKINESIA. J Parkinsons Dis. 2019;9(3):449-465. doi: 10.3233/JPD-199002. No abstract available.
- Svenningsson P, Rosenblad C, Af Edholm Arvidsson K, Wictorin K, Keywood C, Shankar B, Lowe DA, Bjorklund A, Widner H. Eltoprazine counteracts l-DOPA-induced dyskinesias in Parkinson's disease: a dose-finding study. Brain. 2015 Apr;138(Pt 4):963-73. doi: 10.1093/brain/awu409. Epub 2015 Feb 10.
Helpful Links
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
- Neurologic Manifestations
- Parkinsonian Disorders
- Basal Ganglia Diseases
- Movement Disorders
- Synucleinopathies
- Neurodegenerative Diseases
- Parkinson Disease
- Dyskinesias
- Physiological Effects of Drugs
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Serotonin Agents
- Serotonin Receptor Agonists
- Eltoprazine
Other Study ID Numbers
Other Study ID Numbers
- AMBS-ELTO-201
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