Continuous Application of Lisuride in Parkinson's Disease by Subcutaneous Infusion

March 6, 2012 updated by: Axxonis Pharma AG

Double-blind, Placebo-controlled, Randomized, Multicentre Phase II/III Study to Evaluate the Efficacy and Safety of Lisuride, Applied Subcutaneously by Means of a Minipump in Patients With Advanced Parkinson's Disease Refractory to Conventional Oral Therapy

The aim of the study is to evaluate the long-term efficacy, local tolerability and safety of Lisuride applied as subcutaneous infusion compared to placebo in patients with advanced Parkinson's disease with motor fluctuations and "OFF" periods refractory to conventional treatment.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

The current CALIPSO study investigates the efficacy of a continuous lisuride infusion against the optimized previous oral therapy in patients experiencing motor fluctuations with OFF periods and/or strenuous dyskinesias of more than four hours per day.

The controlled core study is scheduled to last six weeks. Within the study the previous oral therapy will either be continued in a capsule/blinded design (while a placebo infusion is going on concurrently) or the oral therapy is substituted by lisuride infusion (while placebo capsules are administered at the same time).

After the controlled core study all patients whose condition has not worsened during the study (meaning those patients of the placebo infusion group as well, who were treated during the core study just as they were before), will be given the chance to continue with the infusion therapy with lisuride in an open extension phase.

Study Type

Interventional

Enrollment (Anticipated)

60

Phase

  • Phase 3

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Germany
      • Nuremberg, Germany
        • IMEREM GmbH

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 75 years (ADULT, OLDER_ADULT)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Idiopathic Parkinson's disease for at least 3 years (diagnosis based on the UK Brain Bank Criteria)
  • Presence of motor fluctuations (wearing-off or other "OFF" periods) and / or presence of troublesome dyskinesia, with a total daily minimum of at least 4 hours, despite optimized oral anti-parkinsonian therapy
  • Stable levodopa intake, i.e. at least four doses of levodopa per day
  • Stable dosing of all other anti-parkinsonian drugs, such as dopamine agonists, COMT- and MAO-B inhibitors, amantadine, or anticholin-ergics for a minimum of four weeks prior to inclusion.
  • The following oral dopamine agonist drugs are allowed in this trial: pramipexol up to a total daily dose of 3,15mg, ropinirol up to a total daily dose of 24mg, cabergoline up to a total daily dose of 6mg or combinations Concomitant diseases are stable and well controlled Willingness and ability to comply with all trial requirements Written informed consent

Exclusion Criteria:

  • Non-idiopathic Parkinson's disease (e.g. drug-induced or other forms of secondary or atypical parkinsonism such as MSA)
  • Significant neurological symptoms not accounted for by Parkinson's disease
  • History or presence of dementia demonstrated by the Mini-mental status examination (MMSE < 24)
  • Presence of major depression according to DSM IV criteria (≥ 6 months)
  • History or presence of epilepsy
  • Presence of dopaminergic psychosis
  • Unstable severe concomitant diseases (e.g. liver diseases, kidney diseases or clinically relevant cardiac or coronary dysfunction)
  • Presence of heart valvular fibrosis or indication of significant valvular stenosis / insufficiency on echocardiogram
  • History of syncope and/or severe or otherwise symptomatic orthostatic hypotension
  • Present treatment with neuroleptics, including atypical neuroleptics
  • Treatment with other CNS active drug therapy (e.g. sedatives, hypnotics, anti-depressants, anxiolytics) unless the dose has been stable for at least four weeks prior to the baseline visit
  • Participation in another trial of an investigational drug within the last 28 days or current participation in another trial of an investigational drug
  • Clinically significant laboratory abnormalities
  • Previous neurosurgery for Parkinson's disease
  • Alcohol or drug abuse in the past three years

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: TREATMENT
  • Allocation: RANDOMIZED
  • Interventional Model: PARALLEL
  • Masking: DOUBLE

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Change from baseline B0 to T6 in total daily "OFF-time and ON-time with troublesome dyskinesia

Secondary Outcome Measures

Outcome Measure
Secondary objectives are to evaluate quality of life, quality of sleep, UPDRS Score
clinical global impression, safety and tolerability.
After the double-blind period, long-term efficacy of lisuride will be assessed for further 2 years in an open-label extension of the study

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Axxonis Pharma AG

Investigators

  • Principal Investigator: J. Winkler, Professor, Klinik und Poliklinik für Neurologie der Universität Regensburg

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

July 1, 2006

Study Registration Dates

First Submitted

December 5, 2006

First Submitted That Met QC Criteria

December 6, 2006

First Posted (ESTIMATE)

December 7, 2006

Study Record Updates

Last Update Posted (ESTIMATE)

March 7, 2012

Last Update Submitted That Met QC Criteria

March 6, 2012

Last Verified

March 1, 2012

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • CALIPSO
  • EudraCT Number:
  • 2005-001006-12

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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