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Namenda (Memantine) for Non-motor Symptoms in Parkinson's Disease

Primary Purpose

Parkinson's Disease

Status

Completed

Phase

Phase 4

Locations

United States

Study Type

Interventional

Intervention

Memantine

placebo

About this trial

This is an interventional treatment trial for Parkinson's Disease focused on measuring Parkinson's disease, non-motor symptoms

Eligibility Criteria

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

Inclusion Criteria:

Subjects must be between the ages of 18 and 80 inclusive.
Each subject must meet standard criteria for PD.
All patients on dopaminergic therapy must report benefit. -No other abnormal neurological signs. -No direct or indirect trauma to the nervous system within 3 months preceding the onset of PD. -No convincing evidence of sudden onset or evidence of stepwise deterioration.
Subjects must be in generally good health as evidenced by previous medical history and clinical examination.
Subjects will be allowed to take any PD medication with the exception of amantadine. They will also be allowed to take medications approved for the use of Alzheimer's disease.
Subjects will be required to be on a stable dose of all medications for at least two weeks prior to entry into the study and may not alter these medications throughout the study.
If subjects are on an anti-depressant medications, a stable dose of these will be required for at least six weeks prior to entry into the study.
Subjects must be accessible by telephone.
If the subject is a female of childbearing age, she must have had: a hysterectomy, or tubal ligation, or otherwise be incapable or pregnancy, or have practiced one of the following methods of contraception for at least one month prior to study entry: hormonal contraceptives, spermicide and barrier, intrauterine device, partner sterility.
Female of childbearing age must have had a negative urine pregnancy test within one week of study entry. 11. Prior to participation in this study, each subject must sign an informed consent.

Exclusion Criteria:

Subjects who do not meet inclusion criteria.
Subjects who are not able to abstain from alcohol for 24 hours prior to each evaluation.
Subjects who can not maintain an identical dose of any medicine that may affect PD symptoms or signs during their entire study involvement.
Subjects who have exhibited meaningful psychiatric disease not thought to be related to PD. (Depression and psychosis typical for PD will not be excluded). 5. Subjects who have previously taken memantine.

6. Subjects currently taking Amantadine. 7. Subjects with greater than moderate dementia (MMSE<24). 8. Subjects with co-morbid disease that in the investigators decision could interfere with treatment with memantine.

Sites / Locations

PDCMDC 6550 Fannin, Suite 1801

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

1-Active study drug

2-placebo comparator

Arm Description

memantine 10 mg bid

2 tabs bid

Outcomes

Primary Outcome Measures

Unified Parkinson Disease Rating Scale (UPDRS).

Assess the overall change from baseline in ON state motor United Parkinson Disease Rating scale (UPDRS) scores as assessed in the scale. The minimum score is 0 and the maximum score 199. The maximum score of 199 means the worst possible disability from Parkinson's Disease.

Secondary Outcome Measures

Analyses Will be Computed for the Categorical Dependent Variable (DV): Global Tremor Assessment by Examiner

Change from baseline to end of study in the following assessment: global tremor assessment by examiner. The maximum total score is 48 and would indicate a high prevalence of tremor. The minimum total score is 0 and would indicate no tremor.

Full Information

NCT ID

NCT00646204

First Posted

December 28, 2007

Last Updated

November 18, 2022

Sponsor

Baylor College of Medicine

Collaborators

Forest Laboratories

1. Study Identification

Unique Protocol Identification Number

NCT00646204

Brief Title

Namenda (Memantine) for Non-motor Symptoms in Parkinson's Disease

Official Title

A 16 Week, Investigator-initiated, Single-center, Double Blind, Randomized, Placebo-controlled Trial of Namenda® (Memantine Hcl) for Non-motor Symptoms in Parkinson's Disease

Study Type

Interventional

2. Study Status

Record Verification Date

November 2022

Overall Recruitment Status

Completed

Study Start Date

April 2006 (undefined)

Primary Completion Date

February 2009 (Actual)

Study Completion Date

March 2009 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title

Principal Investigator

Name of the Sponsor

Baylor College of Medicine

Collaborators

Forest Laboratories

4. Oversight

Data Monitoring Committee

5. Study Description

Brief Summary

To evaluate the effects of Memantine on non-motor symptoms in patients with Parkinson's disease. Parkinson's disease (PD) affects about one million people in the United States. It is a common neurological condition that is clinically defined by rigidity (muscle stiffness), bradykinesia (slowness of movement) and tremor. Parkinson's Disease , however, reveals numerous non-motor symptoms that have been underemphasized. Problematic symptoms include varying degrees of dementia, psychosis, diminished assertiveness and confidence, general fatigue, excessive daytime sleepiness, problems with blood pressure, sweating, and bladder, and a common yet difficult to define sense of "not feeling well".

Detailed Description

Patients were enrolled over 11 months from the Parkinson Disease Center and Movement Disorder Clinic at Baylor College of Medicine. PD was diagnosed using standard criteria. Specific inclusion criteria were intentionally broad and included both fluctuating and non-fluctuating patients with a UPDRS "motivation" (#4) score of greater or equal to 2. Patients with dementia (MMSE<24) or taking amantadine were excluded. The patients signed an informed consent approved by the Baylor College of Medicine Institutional Review Board and the study was registered on Clinical Trials.gov #NCT00646204. The study was funded by a grant from the Forest Research Institute. After baseline assessments, patients (N=40) were randomized equally to drug (N=20) and placebo (N=20) groups. This was done by a computerized random number generator by a coordinator not otherwise involved in the study. Patients completed medical and medication histories, a Unified Parkinson's Disease Rating Scale (UPDRS), a battery of neuropsychiatric assessments (see Table 2), global impressions, and adverse events. Patients were not allowed to change other PD medications. The drug/placebo dosing began at 5 mg/day and increased to 5 mg 2x/day, 10 mg / 5 mg, and finally 10 mg 2x/day, in weekly increments. After a safety call (2 weeks after initiation) they returned for identical assessments at week 8. Drug accountability was documented at each visit. An 8-week open label extension was started if desired using the same protocol and assessments. Tabulations and univariate statistics on difference scores between visits were run using Intercooled Stata V8.0 for windows (Stata Corporation, College Station, Texas 77845), and included Student's t-test with equal variances and contingency table analysis using Pearson's Chi-square test. Statistics were done using LOCF. Corrections for multiple comparisons were not done.

6. Conditions and Keywords

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

Parkinson's Disease

Keywords

Parkinson's disease, non-motor symptoms

7. Study Design

Primary Purpose

Treatment

Study Phase

Phase 4

Interventional Study Model

Parallel Assignment

Masking

ParticipantCare ProviderInvestigatorOutcomes Assessor

Allocation

Randomized

Enrollment

40 (Actual)

8. Arms, Groups, and Interventions

Arm Title

1-Active study drug

Arm Type

Experimental

Arm Description

memantine 10 mg bid

Arm Title

2-placebo comparator

Arm Type

Placebo Comparator

Arm Description

2 tabs bid

Intervention Type

Drug

Intervention Name(s)

Memantine

Other Intervention Name(s)

Namenda

Intervention Description

10 mg bid

Intervention Type

Drug

Intervention Name(s)

placebo

Intervention Description

2 tabs bid

Primary Outcome Measure Information:

Title

Unified Parkinson Disease Rating Scale (UPDRS).

Description

Time Frame

Baseline and 16 weeks

Secondary Outcome Measure Information:

Title

Analyses Will be Computed for the Categorical Dependent Variable (DV): Global Tremor Assessment by Examiner

Description

Time Frame

Baseline and 16 weeks

10. Eligibility

Sex

All

Minimum Age & Unit of Time

18 Years

Maximum Age & Unit of Time

80 Years

Accepts Healthy Volunteers

Eligibility Criteria

Inclusion Criteria: Subjects must be between the ages of 18 and 80 inclusive. Each subject must meet standard criteria for PD. All patients on dopaminergic therapy must report benefit. -No other abnormal neurological signs. -No direct or indirect trauma to the nervous system within 3 months preceding the onset of PD. -No convincing evidence of sudden onset or evidence of stepwise deterioration. Subjects must be in generally good health as evidenced by previous medical history and clinical examination. Subjects will be allowed to take any PD medication with the exception of amantadine. They will also be allowed to take medications approved for the use of Alzheimer's disease. Subjects will be required to be on a stable dose of all medications for at least two weeks prior to entry into the study and may not alter these medications throughout the study. If subjects are on an anti-depressant medications, a stable dose of these will be required for at least six weeks prior to entry into the study. Subjects must be accessible by telephone. If the subject is a female of childbearing age, she must have had: a hysterectomy, or tubal ligation, or otherwise be incapable or pregnancy, or have practiced one of the following methods of contraception for at least one month prior to study entry: hormonal contraceptives, spermicide and barrier, intrauterine device, partner sterility. Female of childbearing age must have had a negative urine pregnancy test within one week of study entry. 11. Prior to participation in this study, each subject must sign an informed consent. Exclusion Criteria: Subjects who do not meet inclusion criteria. Subjects who are not able to abstain from alcohol for 24 hours prior to each evaluation. Subjects who can not maintain an identical dose of any medicine that may affect PD symptoms or signs during their entire study involvement. Subjects who have exhibited meaningful psychiatric disease not thought to be related to PD. (Depression and psychosis typical for PD will not be excluded). 5. Subjects who have previously taken memantine. 6. Subjects currently taking Amantadine. 7. Subjects with greater than moderate dementia (MMSE<24). 8. Subjects with co-morbid disease that in the investigators decision could interfere with treatment with memantine.

Overall Study Officials:

First Name & Middle Initial & Last Name & Degree

William G Ondo, MD

Organizational Affiliation

Baylor College of Medicine

Official's Role

Principal Investigator

Facility Information:

Facility Name

PDCMDC 6550 Fannin, Suite 1801

City

Houston

State/Province

Texas

ZIP/Postal Code

77030

Country

United States

12. IPD Sharing Statement

Plan to Share IPD

IPD Sharing Plan Description

No individual data available

Citations:

PubMed Identifier

21193343

Citation

Ondo WG, Shinawi L, Davidson A, Lai D. Memantine for non-motor features of Parkinson's disease: a double-blind placebo controlled exploratory pilot trial. Parkinsonism Relat Disord. 2011 Mar;17(3):156-9. doi: 10.1016/j.parkreldis.2010.12.003. Epub 2010 Dec 30.

Results Reference

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Namenda (Memantine) for Non-motor Symptoms in Parkinson's Disease

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