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Study of the Safety and Efficacy of Tropicamide Thin Films to Reduce Hypersalivation in Parkinson's Patients

Primary Purpose

Sialorrhea (Excessive Drooling)

Status
Completed
Phase
Phase 2
Locations
France
Study Type
Interventional
Intervention
NH004 tropicamide
NH004 Placebo
Sponsored by
NeuroHealing Pharmaceuticals Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Sialorrhea (Excessive Drooling) focused on measuring Parkinson's disease, Sialorrhea, Tropicamide, Non-motor symptoms, Thin strip delivery

Eligibility Criteria

30 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion criteria:

  • Patients with idiopathic Parkinson's disease, according to the UK Brain Bank criteria.
  • Patients complaining of drooling, with a score of at least 6 points in the SCS-PD scale.
  • Patients above 30 years old.
  • Patients with Hoehn & Yahr score between I-IV.
  • Male or non-pregnant female. Females of child-bearing potential will be required to have undergone a pregnancy test with negative results prior to entry to the study and agree to use contraceptive measures for the duration of the study.
  • Patients must have used the same antiparkinsonian medications and at the same dose for the last month. No changes in the medication for PD are expected during the study.

Exclusion criteria:

  • Pregnant women.
  • Patients with a secondary parkinsonian syndrome, parkinsonism-plus syndromes, heredodegenerative disorders or benign parkinsonism.
  • Patients with a diagnosis of major depression or psychosis according to the DSM-IV.
  • Patients with MMSE score equal to or lower than 24.
  • Patients with a current diagnosis of substance abuse (DSM-IV) or history of alcohol or drug abuse in the past 3 months.
  • Patients with hallucinations.
  • Patients with a current clinically significant gastrointestinal, renal, hepatic, endocrine, pulmonary or cardiovascular disease, including hypertension that is not well-controlled, asthma, chronic obstructive pulmonary disease (COPD) and Type I diabetes.
  • Patients with a second- or third-degree atrioventricular block or sick sinus syndrome, uncontrolled atrial fibrillation, severe or unstable angina, congestive heart failure, myocardial infarction within 3 months of the screening visit, or significant ECG abnormality, including QTc ≥ 450 msec (males) or ≥ 470 msec (females), where QTc is based on Bazett's correction method.
  • Patient with a neoplastic disorder, which is either currently active or has been in remission for less than one year.
  • Patients with a history or a current diagnosis of HIV, or tests positive for Hepatitis B or C antibodies, or Hepatitis B surface antigen
  • Patients who have participated in a previous clinical trial within 30 days of entry into the study (screening visit) or have received treatment with any investigational compound within 30 days.
  • Patients with hypersensitivity to atropine or other anticholinergic drugs.
  • Patients who have experienced adverse effects as a result of taking anticholinergic drugs.
  • Patients who are receiving any anticholinergic drug or an anticholinesterase agent.
  • Patients who started or changed the dose of any of the following medications in the previous week: tricyclic antidepressants, monoamine oxidase-A inhibitors, antipsychotics, benzodiazepines, opioids, antihistamines, carbamazepine, NSAIDs.
  • Patients with significant dental/oral pathology.
  • Patient with any abnormality that the investigator deems to be clinically relevant, either on medical history, physical examination, ECG or in a diagnostic laboratory test.
  • Patients with closed-angle Glaucoma or those at high risk of suffering it after treatment with anticholinergic agents.
  • Patients with Prostatic Adenoma.
  • In the judgment of the Clinical Investigator, the patient is likely to be non-compliant or uncooperative during the study.

Sites / Locations

  • Hôpital de la Salpêtrière
  • Hôpital Paul de Viguier
  • Hôpital Haut Lévêque

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

NH004 tropicamide

NH004 placebo

Arm Description

tropicamide 1 mg thin film, twice daily for 7 days

placebo thin film, twice daily for 7 days

Outcomes

Primary Outcome Measures

modified Teachers Drooling Scale (% responding)
The primary endpoint for this trial is the difference in responder rate between tropicamide and placebo. Responders will be defined as subjects whose mean sialorrhea score improved by at least 30% as compared to baseline in the 9-point modified Teachers Drooling Scale (mTDS).

Secondary Outcome Measures

modified Teachers Drooling Scale (mean)
Difference in the mean sialorrhea scores between placebo and tropicamide in the 9-point modified Teachers Drooling Scale (mTDS).
Sialorrhea Clinical Scale for Parkinson's Disease (mean)
- Difference in the mean sialorrhea scores between placebo and tropicamide in the Sialorrhea Clinical Scale for Parkinson's Disease (SCS-PD).
UPDRS Part II sialorrhea item (mean)
Difference in the mean sialorrhea scores between placebo and tropicamide in the UPDRS Part II sialorrhea item (#6).
Visual Analg Scale
Saliva buccal content as measured by a Visual Analog Scale (VAS) score, evaluated before and during 3 hours after treatments administration.

Full Information

First Posted
April 29, 2013
Last Updated
December 8, 2015
Sponsor
NeuroHealing Pharmaceuticals Inc.
Collaborators
Michael J. Fox Foundation for Parkinson's Research
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1. Study Identification

Unique Protocol Identification Number
NCT01844648
Brief Title
Study of the Safety and Efficacy of Tropicamide Thin Films to Reduce Hypersalivation in Parkinson's Patients
Official Title
A Randomized, Double-blind, Placebo-controlled, Crossover Study of the Safety and Efficacy of Tropicamide 1 mg Intra-oral Slow Dissolving Muco-adhesive Thin Films to Reduce Hypersalivation in PD Patients Manifesting Sialorrhea Complaints
Study Type
Interventional

2. Study Status

Record Verification Date
April 2014
Overall Recruitment Status
Completed
Study Start Date
April 2013 (undefined)
Primary Completion Date
October 2015 (Actual)
Study Completion Date
December 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
NeuroHealing Pharmaceuticals Inc.
Collaborators
Michael J. Fox Foundation for Parkinson's Research

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
To study the safety and efficacy of tropicamide 1 mg intra-oral slow dissolving muco-adhesive thin films compared to placebo to reduce hypersalivation in PD patients manifesting sialorrhea complaints.
Detailed Description
This is a double-blind, placebo-controlled, randomized, crossover, multicentre study comparing intra-oral slow dissolving muco-adhesive thin films containing tropicamide 1 mg or Placebo. Patients will receive each treatment twice daily (1 h after breakfast and 1 h after lunch) for 1-week. Patients will be evaluated for eligibility during the 14-day screening period. Those patients meeting all entry criteria at baseline will be randomized (1:1) to receive first tropicamide followed by placebo films or vice versa. Patients will return for regularly scheduled visits at Weeks 1 and 3 or at early discontinuation.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Sialorrhea (Excessive Drooling)
Keywords
Parkinson's disease, Sialorrhea, Tropicamide, Non-motor symptoms, Thin strip delivery

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Crossover Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
30 (Actual)

8. Arms, Groups, and Interventions

Arm Title
NH004 tropicamide
Arm Type
Experimental
Arm Description
tropicamide 1 mg thin film, twice daily for 7 days
Arm Title
NH004 placebo
Arm Type
Placebo Comparator
Arm Description
placebo thin film, twice daily for 7 days
Intervention Type
Drug
Intervention Name(s)
NH004 tropicamide
Intervention Description
Intra-oral slow dissolving muco-adhesive thin film containing 1 mg tropicamide
Intervention Type
Drug
Intervention Name(s)
NH004 Placebo
Intervention Description
Intra-oral slow dissolving muco-adhesive thin film
Primary Outcome Measure Information:
Title
modified Teachers Drooling Scale (% responding)
Description
The primary endpoint for this trial is the difference in responder rate between tropicamide and placebo. Responders will be defined as subjects whose mean sialorrhea score improved by at least 30% as compared to baseline in the 9-point modified Teachers Drooling Scale (mTDS).
Time Frame
one week
Secondary Outcome Measure Information:
Title
modified Teachers Drooling Scale (mean)
Description
Difference in the mean sialorrhea scores between placebo and tropicamide in the 9-point modified Teachers Drooling Scale (mTDS).
Time Frame
one week
Title
Sialorrhea Clinical Scale for Parkinson's Disease (mean)
Description
- Difference in the mean sialorrhea scores between placebo and tropicamide in the Sialorrhea Clinical Scale for Parkinson's Disease (SCS-PD).
Time Frame
one week
Title
UPDRS Part II sialorrhea item (mean)
Description
Difference in the mean sialorrhea scores between placebo and tropicamide in the UPDRS Part II sialorrhea item (#6).
Time Frame
one week
Title
Visual Analg Scale
Description
Saliva buccal content as measured by a Visual Analog Scale (VAS) score, evaluated before and during 3 hours after treatments administration.
Time Frame
one week

10. Eligibility

Sex
All
Minimum Age & Unit of Time
30 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria: Patients with idiopathic Parkinson's disease, according to the UK Brain Bank criteria. Patients complaining of drooling, with a score of at least 6 points in the SCS-PD scale. Patients above 30 years old. Patients with Hoehn & Yahr score between I-IV. Male or non-pregnant female. Females of child-bearing potential will be required to have undergone a pregnancy test with negative results prior to entry to the study and agree to use contraceptive measures for the duration of the study. Patients must have used the same antiparkinsonian medications and at the same dose for the last month. No changes in the medication for PD are expected during the study. Exclusion criteria: Pregnant women. Patients with a secondary parkinsonian syndrome, parkinsonism-plus syndromes, heredodegenerative disorders or benign parkinsonism. Patients with a diagnosis of major depression or psychosis according to the DSM-IV. Patients with MMSE score equal to or lower than 24. Patients with a current diagnosis of substance abuse (DSM-IV) or history of alcohol or drug abuse in the past 3 months. Patients with hallucinations. Patients with a current clinically significant gastrointestinal, renal, hepatic, endocrine, pulmonary or cardiovascular disease, including hypertension that is not well-controlled, asthma, chronic obstructive pulmonary disease (COPD) and Type I diabetes. Patients with a second- or third-degree atrioventricular block or sick sinus syndrome, uncontrolled atrial fibrillation, severe or unstable angina, congestive heart failure, myocardial infarction within 3 months of the screening visit, or significant ECG abnormality, including QTc ≥ 450 msec (males) or ≥ 470 msec (females), where QTc is based on Bazett's correction method. Patient with a neoplastic disorder, which is either currently active or has been in remission for less than one year. Patients with a history or a current diagnosis of HIV, or tests positive for Hepatitis B or C antibodies, or Hepatitis B surface antigen Patients who have participated in a previous clinical trial within 30 days of entry into the study (screening visit) or have received treatment with any investigational compound within 30 days. Patients with hypersensitivity to atropine or other anticholinergic drugs. Patients who have experienced adverse effects as a result of taking anticholinergic drugs. Patients who are receiving any anticholinergic drug or an anticholinesterase agent. Patients who started or changed the dose of any of the following medications in the previous week: tricyclic antidepressants, monoamine oxidase-A inhibitors, antipsychotics, benzodiazepines, opioids, antihistamines, carbamazepine, NSAIDs. Patients with significant dental/oral pathology. Patient with any abnormality that the investigator deems to be clinically relevant, either on medical history, physical examination, ECG or in a diagnostic laboratory test. Patients with closed-angle Glaucoma or those at high risk of suffering it after treatment with anticholinergic agents. Patients with Prostatic Adenoma. In the judgment of the Clinical Investigator, the patient is likely to be non-compliant or uncooperative during the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Elkan R Gamzu, PhD
Organizational Affiliation
NeuroHealing Pharmaceuticals Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Hôpital de la Salpêtrière
City
Paris
State/Province
Cedrex 13
ZIP/Postal Code
75651
Country
France
Facility Name
Hôpital Paul de Viguier
City
Toulouse
State/Province
Cedrex 9
ZIP/Postal Code
31059
Country
France
Facility Name
Hôpital Haut Lévêque
City
Bordeaux
State/Province
Pessac
ZIP/Postal Code
33604
Country
France

12. IPD Sharing Statement

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Study of the Safety and Efficacy of Tropicamide Thin Films to Reduce Hypersalivation in Parkinson's Patients

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