- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01313819
The Effect of IV Amantadine on Freezing of Gait (FOG) Resistant to Dopaminergic Therapy
A Double Blind, Placebo-controlled Study for the Effect of IV Amantadine on Freezing of Gait (FOG) Resistant to Dopaminergic Therapy
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Freezing of gait (FOG) is one of the most disabling symptoms of Parkinson's disease.
We experienced that severe FOG was markedly improved by IV amantadine in the patients who had Parkinson's disease. But IV drug may have placebo effect. Therefore, We designed double blind, placebo controlled study to know whether IV amantadine is effective in the patient with dopaminergic-drug-resistant freezing of gait(FOG).
Cross over study design
- Compare the change of FOGQ(freezing of gait questionaire) score from the baseline to IV amantadine and placebo drug
- randomized assigned order of amantadine and placebo drug.
- investigator of FOG: blinded to the order of drugs
- each patient has IV drug for 2 days for each drug
Study Type
Enrollment (Anticipated)
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
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Seoul, Korea, Republic of
- Recruiting
- Seoul National University Hospital
-
Principal Investigator:
- Beom S Jeon, MD, PhD
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria
- age: 30-80 years
- idiopathic Parkinson's disease
- The patient must be taking optimised levodopa/DDI therapy (based on investigator's judgement) during OPD observation period, though the patient have FOG-Q score ≥ 10 points even though On-state.
Exclusion Criteria:
- "Off" freezing:The patient has improved FOG in "On" state
- clinically significant or unstable medical or surgical condition
- The patient has Parkinson plus like MSA, PSP, and PPFG, and secondary parkinsonism like NPH, vascular parkinsonism, postencephalitic parkinsonism, CO poisoning.
- history of seizure.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: CROSSOVER
- Masking: TRIPLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
ACTIVE_COMPARATOR: Group 1
Give IV amantadine first then IV placebo(normal saline) drug
|
IV amantadine at 200 mg in 500 cm3 of saline solution or normal saline 500 cm3 given over a 3-h period, twice a day for 2 days along with the pre-existing dopaminergic and non-dopaminergic medication
|
ACTIVE_COMPARATOR: Group 2
Give IV placebo drug first then IV amantadine
|
IV amantadine at 200 mg in 500 cm3 of saline solution or normal saline 500 cm3 given over a 3-h period, twice a day for 2 days along with the pre-existing dopaminergic and non-dopaminergic medication
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
change of FOGQ score
Time Frame: 2 days for each drug
|
2 days for each drug
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
UPDRS and HY stage
Time Frame: 2 days for each drug
|
2 days for each drug
|
side effect
Time Frame: 2 days, 2 weeks after discharge
|
2 days, 2 weeks after discharge
|
Patient global impression
Time Frame: 2 days, 2 weeks after discharge
|
2 days, 2 weeks after discharge
|
4*10m walk test
Time Frame: 2 days for each drug
|
2 days for each drug
|
Collaborators and Investigators
Publications and helpful links
General Publications
- Giladi N, Kao R, Fahn S. Freezing phenomenon in patients with parkinsonian syndromes. Mov Disord. 1997 May;12(3):302-5. doi: 10.1002/mds.870120307.
- Giladi N. Medical treatment of freezing of gait. Mov Disord. 2008;23 Suppl 2:S482-8. doi: 10.1002/mds.21914. Erratum In: Mov Disord. 2008 Aug 15;23(11):1639-40.
- Kim YE, Yun JY, Yang HJ, Kim HJ, Gu N, Yoon SH, Cho JY, Jeon BS. Intravenous amantadine for freezing of gait resistant to dopaminergic therapy: a randomized, double-blind, placebo-controlled, cross-over clinical trial. PLoS One. 2012;7(11):e48890. doi: 10.1371/journal.pone.0048890. Epub 2012 Nov 19.
Study record dates
Study Major Dates
Study Start
Primary Completion (ANTICIPATED)
Study Completion (ANTICIPATED)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
Study Record Updates
Last Update Posted (ESTIMATE)
Last Update Submitted That Met QC Criteria
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
- Anti-Infective Agents
- Peripheral Nervous System Agents
- Antiviral Agents
- Analgesics
- Sensory System Agents
- Analgesics, Non-Narcotic
- Dopamine Agents
- Antiparkinson Agents
- Anti-Dyskinesia Agents
- Amantadine
Other Study ID Numbers
- H-1012-044-344
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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