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Evaluation of the Efficacy of Rasagiline in Apathy in Drug-naïve Patients With Parkinson's Disease by a Multi-center Study

9. januar 2013 opdateret af: University Hospital, Clermont-Ferrand

Evaluation of the Efficacy of Rasagiline in Apathy in Drug-naïve Patients With Parkinson's Disease by a Multi-center, Randomized, Double-blind, Parallel-group, Placebo-controlled Study.

Among the psychiatric symptoms observed in the premotor phase of Parkinson's disease (PD) and/or in "de novo" patients, apathy is relatively frequent (estimated to 23%). However, the neuropathological bases of apathy are still unknown. However, recent data suggests that apathy could be linked to a more specific dopaminergic denervation in the ventral striatum.

Rasagiline increases the bioavailability of striatal endogenous dopamine by blocking the MAO-B. Some recent data suggest rasagiline could be effective to improve apathy in Parkinson's disease.

The primary outcome is to demonstrate a significant reduction of apathy using the Lille apathy rating scale (LARS) in drug naive patients with early diagnosed Parkinson's disease, using a treatment by rasagiline.

Studieoversigt

Status

Ukendt

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

Study design :

Randomized, double-blind, rasagiline (1 mg) vs placebo study. Parallel group (randomization 1/1). Duration 3 months 16 recruiting centers in France

Population :

50 drug-naïve patients with Parkinson's disease, with apathy. 2 groups : 25 patients with placebo and 25 patients with rasagiline.

3 visits

  • Visit 1 : inclusion / randomisation/ first study medication dispensation
  • Visit 2 (1.5 month after V1) : first evaluation and second study medication dispensation.
  • Visit 3 (3 months after V1, final visit) : second evaluation

Undersøgelsestype

Interventionel

Tilmelding (Forventet)

50

Fase

  • Fase 4

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Frankrig
      • Clermont-Ferrand, Frankrig, 63003
        • Chu Clermont-Ferrand

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

30 år til 70 år (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

- Drug-naïve patients with Parkinson's disease (UKPDBB criteria)

  • No dementia (Mattis dementia rating scale > 130; Mini Mental Sate Examination ≥26)
  • No depression (MADRS < 15)
  • Criteria of apathy from Robert et al (2009)
  • At least mild apathy (≥-21 to Lille Apathy Rating Scale)
  • Age : 35-70 y
  • Affiliation to social security
  • Agreement of patients

Exclusion Criteria:

  • - Any antiparkinsonian treatment (L.dopa, dopamine agonists, MAO-B-I, amantadine, anticholinergics). Patients treated by dopamine agonists but who have stopped it more than 3 months before their inclusion can be included.
  • Ongoing severe psychiatric or somatic diseases
  • Others treatments :
  • antipsychotics
  • antidepressants and anxiolytics (exclusion if the treatment is not stable the month before inclusion)
  • psychostimulants (methylphenidate, adrafinil, modafinil, deanol, vitamin C, sulbutiamine, glutamic acid, aspartic acid)
  • any contra-indication according to SmPC
  • patients under guardianship
  • Women without efficient contraception
  • Person who participate to an other study

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Dobbelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: rasagiline
Randomized, double-blind, rasagiline (1 mg) vs placebo study. Parallel group (randomization 1/1). Duration 3 months 16 recruiting centers in France
Medicin: AZILECT®
Placebo komparator: placebo
Randomized, double-blind, rasagiline (1 mg) vs placebo study. Parallel group (randomization 1/1). Duration 3 months 16 recruiting centers in France
Medicin: Placebo

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Tidsramme
Lille Apathy Rating Scale (LARS) score
Tidsramme: at the visit 3 (after 3 months of treatment)
at the visit 3 (after 3 months of treatment)

Sekundære resultatmål

Resultatmål
Tidsramme
Motor assessment : Unified Parkinson's Disease Rating Scale
Tidsramme: at the visit 3 (after 3 months of treatment)
at the visit 3 (after 3 months of treatment)
Depressive and anxiety symptoms : MADRS + Hamilton anxiety scale
Tidsramme: at the visit 3 (after 3 months of treatment)
at the visit 3 (after 3 months of treatment)
Self assessment of apathy : Starkstein
Tidsramme: at the visit 3 (after 3 months of treatment)
at the visit 3 (after 3 months of treatment)
Quality of life : PDQ 39
Tidsramme: at the visit 3 (after 3 months of treatment)
at the visit 3 (after 3 months of treatment)
Cognitive assessment: MATTIS dementia rating scale, MMSE, executive functions battery
Tidsramme: at the visit 3 (after 3 months of treatment)
at the visit 3 (after 3 months of treatment)
Hyperdopaminergic symptoms : Parkinson's disease behavioral scale
Tidsramme: at the visit 3 (after 3 months of treatment)
at the visit 3 (after 3 months of treatment)
Fatigue assessment : Parkinson Fatigue Scale
Tidsramme: at the visit 3 (after 3 months of treatment)
at the visit 3 (after 3 months of treatment)

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

University Hospital, Clermont-Ferrand

Samarbejdspartnere

University Hospital, Rouen
Centre Hospitalier Universitaire de Saint Etienne
H. Lundbeck A/S
Centre Hospitalier Universitaire, Amiens
Poitiers University Hospital
Centre Hospitalier de la côte Basque
University Hospital, Caen
Centre Hospitalier Universitaire de Nīmes
University Hospital, Lille
Fondation Rothschild Paris
Hôpital Haut-Lévêque
Centre Hospitalier du Pays d'Aix
Hôpital de la Timone (MARSEILLE)
Hôpital Dupuytren
CHU Purpan (Toulouse)
CHU de Rennes (Rennes)

Efterforskere

  • Ledende efterforsker: Denis PEZET, University Hospital, Clermont-Ferrand

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart

1. juni 2013

Primær færdiggørelse (Forventet)

1. december 2014

Studieafslutning (Forventet)

1. marts 2015

Datoer for studieregistrering

Først indsendt

8. januar 2013

Først indsendt, der opfyldte QC-kriterier

9. januar 2013

Først opslået (Skøn)

10. januar 2013

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Skøn)

10. januar 2013

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

9. januar 2013

Sidst verificeret

1. januar 2013

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • CHU-0138
  • 2007-002800-16

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

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