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Assess Efficacy and Safety of the Dopamine Agonist Pramipexole Versus Levodopa / Benserazide (Madopar® DR) in Patients With Restless Legs Syndrome

Primary Purpose

Restless Legs Syndrome

Status
Completed
Phase
Phase 3
Locations
Switzerland
Study Type
Interventional
Intervention
pramipexole
levodopa in combination with benserazide
Sponsored by
Boehringer Ingelheim
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Restless Legs Syndrome

Eligibility Criteria

25 Years - 85 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion criteria: Patients diagnosed with idiopathic restless legs syndrome fulfilling the International Diagnostic Criteria 1 . Male or female patients, aged 25 to 85 years. Patients presenting RLS symptoms almost every day, as judged by the investigator and with more than 5 PLM/h during bedtime in each of three screening actigraphy nights. Patients must have given written informed consent in accordance with ICH-GCP and local legislation prior to participation in the study. Exclusion criteria: Patients with significant diseases other than restless legs syndrome will be excluded. A significant disease is defined as a disease that, which in the opinion of the investigator may put the patient at a risk because of the participation in the study, that may influence the result of the study or the patient's ability to participate or that is expected to relevantly reduce life expectancy. Patients with known hypersensitivity or contraindications to pramipexole, levodopa or benserazide or any other substances present in the study medications. Patients with iron-deficiency Patients with disabilities or other incapacities that preclude regular attendance at clinic for the study visits, and patients on a shift-work-schedule or who are otherwise unable to follow a regular sleep-wake cycle. Patients who have been previously treated with pramipexole or levodopa. Pregnant or nursing women or women of childbearing age who are at risk of pregnancy and are not willing to use adequate contraceptive methods (hormonal contraception or intrauterine devices) during the study period.

Sites / Locations

  • Boehringer Ingelheim Investigational Site
  • Boehringer Ingelheim Investigational Site
  • Boehringer Ingelheim Investigational Site
  • Boehringer Ingelheim Investigational Site
  • Boehringer Ingelheim Investigational Site
  • Boehringer Ingelheim Investigational Site

Outcomes

Primary Outcome Measures

Frequency of periodic limb movements while in bed (PLM-I)

Secondary Outcome Measures

Changes in RLS-score
Changes in sleep quality as assessed in a sleep diary
Changes in Quality of Life (SF-36)
Mood changes measured by Hospital Anxiety and Depression Scale (HAD)
Overall impression assessed by Clinical Global Impression (CGI)
Changes in daytime sleepiness as assessed by the Epworth Sleepiness Scale (ESS)
Incidence and Intensity of Adverse events
Changes in safety laboratory values

Full Information

First Posted
September 2, 2005
Last Updated
October 31, 2013
Sponsor
Boehringer Ingelheim
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1. Study Identification

Unique Protocol Identification Number
NCT00144209
Brief Title
Assess Efficacy and Safety of the Dopamine Agonist Pramipexole Versus Levodopa / Benserazide (Madopar® DR) in Patients With Restless Legs Syndrome
Official Title
Swiss Restless Legs Syndrome Trial (SRLS) A Double-blind, Randomised, Crossover Trial Investigating the Efficacy and Safety of the Dopamine Agonist Pramipexole (Sifrol®, 0.25-0.75 mg Per Day) Versus Levodopa / Benserazide (Madopar® DR, 125-375 mg Per Day) in Patients With Restless Legs Syndrome
Study Type
Interventional

2. Study Status

Record Verification Date
October 2013
Overall Recruitment Status
Completed
Study Start Date
February 2003 (undefined)
Primary Completion Date
February 2005 (Actual)
Study Completion Date
February 2005 (undefined)

3. Sponsor/Collaborators

Name of the Sponsor
Boehringer Ingelheim

4. Oversight

5. Study Description

Brief Summary
The primary objective of this study is to determine that pramipexole (Sifrol) 0.25 mg to 0.75 mg daily is not inferior to levodopa 100 mg to 300 mg (in combination with benserazide 25mg to 75mg = Madopar DR) daily in the treatment of patients with idiopathic restless legs syndrome fulfilling the International Diagnostic Criteria. The efficacy parameters include an objective measure of the leg movements during the time spent in bed, and a quantitative clinical assessment of the severity of RLS, in the form of the RLS-score. In addition, the efficacy evaluations aim at comparing the impact of pramipexole and levodopa on outcome measures such as quality of life and sleep.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Restless Legs Syndrome

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Crossover Assignment
Masking
Double
Allocation
Randomized
Enrollment
58 (Actual)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
pramipexole
Intervention Type
Drug
Intervention Name(s)
levodopa in combination with benserazide
Primary Outcome Measure Information:
Title
Frequency of periodic limb movements while in bed (PLM-I)
Time Frame
after 4 weeks
Secondary Outcome Measure Information:
Title
Changes in RLS-score
Time Frame
after 4 weeks
Title
Changes in sleep quality as assessed in a sleep diary
Time Frame
after 4 weeks
Title
Changes in Quality of Life (SF-36)
Time Frame
after 4 weeks
Title
Mood changes measured by Hospital Anxiety and Depression Scale (HAD)
Time Frame
after 4 weeks
Title
Overall impression assessed by Clinical Global Impression (CGI)
Time Frame
after 4 weeks
Title
Changes in daytime sleepiness as assessed by the Epworth Sleepiness Scale (ESS)
Time Frame
after 4 weeks
Title
Incidence and Intensity of Adverse events
Time Frame
up to 10 weeks
Title
Changes in safety laboratory values
Time Frame
up to 10 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
25 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria: Patients diagnosed with idiopathic restless legs syndrome fulfilling the International Diagnostic Criteria 1 . Male or female patients, aged 25 to 85 years. Patients presenting RLS symptoms almost every day, as judged by the investigator and with more than 5 PLM/h during bedtime in each of three screening actigraphy nights. Patients must have given written informed consent in accordance with ICH-GCP and local legislation prior to participation in the study. Exclusion criteria: Patients with significant diseases other than restless legs syndrome will be excluded. A significant disease is defined as a disease that, which in the opinion of the investigator may put the patient at a risk because of the participation in the study, that may influence the result of the study or the patient's ability to participate or that is expected to relevantly reduce life expectancy. Patients with known hypersensitivity or contraindications to pramipexole, levodopa or benserazide or any other substances present in the study medications. Patients with iron-deficiency Patients with disabilities or other incapacities that preclude regular attendance at clinic for the study visits, and patients on a shift-work-schedule or who are otherwise unable to follow a regular sleep-wake cycle. Patients who have been previously treated with pramipexole or levodopa. Pregnant or nursing women or women of childbearing age who are at risk of pregnancy and are not willing to use adequate contraceptive methods (hormonal contraception or intrauterine devices) during the study period.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Boehringer Ingelheim Study Coordinator
Organizational Affiliation
B.I. Schweiz GmbH.
Official's Role
Study Chair
Facility Information:
Facility Name
Boehringer Ingelheim Investigational Site
City
Basel
ZIP/Postal Code
4025
Country
Switzerland
Facility Name
Boehringer Ingelheim Investigational Site
City
Basel
ZIP/Postal Code
4031
Country
Switzerland
Facility Name
Boehringer Ingelheim Investigational Site
City
Bern
ZIP/Postal Code
3000
Country
Switzerland
Facility Name
Boehringer Ingelheim Investigational Site
City
Lugano
ZIP/Postal Code
CH-6900
Country
Switzerland
Facility Name
Boehringer Ingelheim Investigational Site
City
Zurich
ZIP/Postal Code
8091
Country
Switzerland
Facility Name
Boehringer Ingelheim Investigational Site
City
Zurzach
ZIP/Postal Code
5330
Country
Switzerland

12. IPD Sharing Statement

Citations:
PubMed Identifier
22101745
Citation
Bassetti CL, Bornatico F, Fuhr P, Schwander J, Kallweit U, Mathis J; Swiss RLS study group. Pramipexole versus dual release levodopa in restless legs syndrome: a double blind, randomised, cross-over trial. Swiss Med Wkly. 2011 Nov 21;141:w13274. doi: 10.4414/smw.2011.13274. eCollection 2011.
Results Reference
derived
PubMed Identifier
21060282
Citation
Kallweit U, Khatami R, Pizza F, Mathis J, Bassetti CL. Dopaminergic treatment in idiopathic restless legs syndrome: effects on subjective sleepiness. Clin Neuropharmacol. 2010 Nov-Dec;33(6):276-8. doi: 10.1097/WNF.0b013e3181fd82a1.
Results Reference
derived
Links:
URL
http://trials.boehringer-ingelheim.com/content/dam/internet/opu/clinicaltrial/com_EN/results/248/248.518_U08-2249.pdf
Description
Related Info
URL
http://trials.boehringer-ingelheim.com/content/dam/internet/opu/clinicaltrial/com_EN/results/248/248.518_literature.pdf
Description
Related Info

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Assess Efficacy and Safety of the Dopamine Agonist Pramipexole Versus Levodopa / Benserazide (Madopar® DR) in Patients With Restless Legs Syndrome

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