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A Study of MK0657 in Parkinson's Disease Patients (0657-006)

Primary Purpose

Parkinson's Disease

Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
MK0657
Comparator: Placebo (unspecified)
Comparator: levodopa
Comparator: carbidopa
Sponsored by
Merck Sharp & Dohme LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Parkinson's Disease

Eligibility Criteria

40 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Parkinson's Disease patients between the ages of 40 and 80 inclusive
  • Patient is in general good health based on screening assessments
  • Patient is willing to discontinue anti-parkinson's medications at least 8 hours prior to dosing
  • Patient is levodopa responsive with levodopa-induced peak-dose dyskinesias
  • Patient taking selective serotonin inhibitors (SSRIs), sleep medications and neuroleptics, have been on a stable dose for at least 30 days and has not experienced any CNS-related side effects
  • Patient is not a heavy smoker or drinker

Exclusion Criteria:

  • Patient has atypical Parkinson's syndrome due to drugs, identified metabolic and/or neurologic disorders, encephalitis, or other degenerative syndrome
  • Patient has known intolerance or hypersensitivity to levodopa or carbidopa
  • Patient has been on anticholinergics or memantine within 30 days prior to dosing
  • Patients have a history of the following: seizure disorder, stroke or head trauma, pronounced cognitive impairment, psychiatric disorder, cardiovascular disease, cancer, diabetes as defined by HbA1c of greater than 8%
  • Patient has a systolic BP or less than 80 mm Hg or greater than 150 mm Hg

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Other

    Other

    Arm Label

    1

    2

    Arm Description

    7mg MK0657 capsules + >/=1.0 mg/kg/hr dose of levodopa.

    7mg MK0657 Pbo capsules + >/=1.0 mg/kg/hr dose of levodopa.

    Outcomes

    Primary Outcome Measures

    Efficacy will be assessed for up to 8 hours by the Unified Parkinson's Disease Rating Scale-Motor Examination and a modified AIMS dyskinesia scale

    Secondary Outcome Measures

    Safety and Tolerability

    Full Information

    First Posted
    July 24, 2007
    Last Updated
    January 28, 2015
    Sponsor
    Merck Sharp & Dohme LLC
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00505843
    Brief Title
    A Study of MK0657 in Parkinson's Disease Patients (0657-006)
    Official Title
    A Randomized, Double-Blind, Placebo-Controlled, 2-Period Crossover Study to Evaluate Effectiveness of Single-Dose MK0657 in Combination With Levodopa on Motor Symptoms and Dyskinesias in Patients With Parkinson's Disease
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    January 2015
    Overall Recruitment Status
    Completed
    Study Start Date
    May 2007 (undefined)
    Primary Completion Date
    February 2008 (Actual)
    Study Completion Date
    February 2008 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Merck Sharp & Dohme LLC

    4. Oversight

    5. Study Description

    Brief Summary
    In this clinical trial, the safety of MK0657 when given with levodopa will be assessed in patients with Parkinson's Disease. This study will also measure the effectiveness of MK0657, when given in combination with levodopa, to improve motor symptoms and ameliorate dyskinesias (uncontrolled movements of a part of the body) as compared to placebo.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Parkinson's Disease

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1
    Interventional Study Model
    Crossover Assignment
    Masking
    ParticipantInvestigator
    Allocation
    Randomized
    Enrollment
    18 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    1
    Arm Type
    Other
    Arm Description
    7mg MK0657 capsules + >/=1.0 mg/kg/hr dose of levodopa.
    Arm Title
    2
    Arm Type
    Other
    Arm Description
    7mg MK0657 Pbo capsules + >/=1.0 mg/kg/hr dose of levodopa.
    Intervention Type
    Drug
    Intervention Name(s)
    MK0657
    Intervention Description
    7mg MK0657 capsules
    Intervention Type
    Drug
    Intervention Name(s)
    Comparator: Placebo (unspecified)
    Intervention Description
    7mg MK0657 Pbo capsules
    Intervention Type
    Drug
    Intervention Name(s)
    Comparator: levodopa
    Intervention Description
    levodopa >/=1.0 mg/kg/hr dose of levodopa. levodopa infusions will occur over a 2 hour period
    Intervention Type
    Drug
    Intervention Name(s)
    Comparator: carbidopa
    Intervention Description
    carbidopa 25mg administered 3 times: at 1 hour before levodopa infusion and at 1 and 3 hours after the start of levodopa infusion.
    Primary Outcome Measure Information:
    Title
    Efficacy will be assessed for up to 8 hours by the Unified Parkinson's Disease Rating Scale-Motor Examination and a modified AIMS dyskinesia scale
    Time Frame
    45 Days
    Secondary Outcome Measure Information:
    Title
    Safety and Tolerability
    Time Frame
    45 Days

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    40 Years
    Maximum Age & Unit of Time
    80 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Parkinson's Disease patients between the ages of 40 and 80 inclusive Patient is in general good health based on screening assessments Patient is willing to discontinue anti-parkinson's medications at least 8 hours prior to dosing Patient is levodopa responsive with levodopa-induced peak-dose dyskinesias Patient taking selective serotonin inhibitors (SSRIs), sleep medications and neuroleptics, have been on a stable dose for at least 30 days and has not experienced any CNS-related side effects Patient is not a heavy smoker or drinker Exclusion Criteria: Patient has atypical Parkinson's syndrome due to drugs, identified metabolic and/or neurologic disorders, encephalitis, or other degenerative syndrome Patient has known intolerance or hypersensitivity to levodopa or carbidopa Patient has been on anticholinergics or memantine within 30 days prior to dosing Patients have a history of the following: seizure disorder, stroke or head trauma, pronounced cognitive impairment, psychiatric disorder, cardiovascular disease, cancer, diabetes as defined by HbA1c of greater than 8% Patient has a systolic BP or less than 80 mm Hg or greater than 150 mm Hg
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Medical Monitor
    Organizational Affiliation
    Merck Sharp & Dohme LLC
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    19491335
    Citation
    Addy C, Assaid C, Hreniuk D, Stroh M, Xu Y, Herring WJ, Ellenbogen A, Jinnah HA, Kirby L, Leibowitz MT, Stewart RM, Tarsy D, Tetrud J, Stoch SA, Gottesdiener K, Wagner J. Single-dose administration of MK-0657, an NR2B-selective NMDA antagonist, does not result in clinically meaningful improvement in motor function in patients with moderate Parkinson's disease. J Clin Pharmacol. 2009 Jul;49(7):856-64. doi: 10.1177/0091270009336735. Epub 2009 Jun 2.
    Results Reference
    result
    PubMed Identifier
    29059133
    Citation
    Herring WJ, Assaid C, Budd K, Vargo R, Mazenko RS, Lines C, Ellenbogen A, Verhagen Metman L. A Phase Ib Randomized Controlled Study to Evaluate the Effectiveness of a Single-Dose of the NR2B Selective N-Methyl-D-Aspartate Antagonist MK-0657 on Levodopa-Induced Dyskinesias and Motor Symptoms in Patients With Parkinson Disease. Clin Neuropharmacol. 2017 Nov/Dec;40(6):255-260. doi: 10.1097/WNF.0000000000000241.
    Results Reference
    derived

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    A Study of MK0657 in Parkinson's Disease Patients (0657-006)

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