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- Ensayo clínico NCT01765257
Evaluation of the Efficacy of Rasagiline in Apathy in Drug-naïve Patients With Parkinson's Disease by a Multi-center Study
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.
Descripción general del estudio
Estado
Condiciones
Intervención / Tratamiento
Descripción detallada
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
Tipo de estudio
Inscripción (Anticipado)
Fase
- Fase 4
Contactos y Ubicaciones
Ubicaciones de estudio
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Clermont-Ferrand, Francia, 63003
- CHU Clermont-Ferrand
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Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
Acepta Voluntarios Saludables
Géneros elegibles para el estudio
Descripción
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
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Doble
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
---|---|
Experimental: rasagiline
Randomized, double-blind, rasagiline (1 mg) vs placebo study.
Parallel group (randomization 1/1).
Duration 3 months 16 recruiting centers in France
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Comparador de placebos: placebo
Randomized, double-blind, rasagiline (1 mg) vs placebo study.
Parallel group (randomization 1/1).
Duration 3 months 16 recruiting centers in France
|
¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Periodo de tiempo |
---|---|
Lille Apathy Rating Scale (LARS) score
Periodo de tiempo: at the visit 3 (after 3 months of treatment)
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at the visit 3 (after 3 months of treatment)
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Medidas de resultado secundarias
Medida de resultado |
Periodo de tiempo |
---|---|
Motor assessment : Unified Parkinson's Disease Rating Scale
Periodo de tiempo: at the visit 3 (after 3 months of treatment)
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at the visit 3 (after 3 months of treatment)
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Depressive and anxiety symptoms : MADRS + Hamilton anxiety scale
Periodo de tiempo: at the visit 3 (after 3 months of treatment)
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at the visit 3 (after 3 months of treatment)
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Self assessment of apathy : Starkstein
Periodo de tiempo: at the visit 3 (after 3 months of treatment)
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at the visit 3 (after 3 months of treatment)
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Quality of life : PDQ 39
Periodo de tiempo: at the visit 3 (after 3 months of treatment)
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at the visit 3 (after 3 months of treatment)
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Cognitive assessment: MATTIS dementia rating scale, MMSE, executive functions battery
Periodo de tiempo: at the visit 3 (after 3 months of treatment)
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at the visit 3 (after 3 months of treatment)
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Hyperdopaminergic symptoms : Parkinson's disease behavioral scale
Periodo de tiempo: at the visit 3 (after 3 months of treatment)
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at the visit 3 (after 3 months of treatment)
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Fatigue assessment : Parkinson Fatigue Scale
Periodo de tiempo: at the visit 3 (after 3 months of treatment)
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at the visit 3 (after 3 months of treatment)
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Colaboradores e Investigadores
Patrocinador
Colaboradores
Investigadores
- Investigador principal: Denis PEZET, University Hospital, Clermont-Ferrand
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio
Finalización primaria (Anticipado)
Finalización del estudio (Anticipado)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Estimar)
Actualizaciones de registros de estudio
Última actualización publicada (Estimar)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
- Enfermedades Cerebrales
- Enfermedades del Sistema Nervioso Central
- Enfermedades del Sistema Nervioso
- Trastornos Parkinsonianos
- Enfermedades de los ganglios basales
- Trastornos del movimiento
- Sinucleinopatías
- Enfermedades neurodegenerativas
- Enfermedad de Parkinson
- Efectos fisiológicos de las drogas
- Mecanismos moleculares de acción farmacológica
- Inhibidores de enzimas
- Agentes neuroprotectores
- Agentes Protectores
- Inhibidores de la monoaminooxidasa
- Rasagilina
Otros números de identificación del estudio
- CHU-0138
- 2007-002800-16
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