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Safety, Tolerability and Efficacy of Two Doses of Once Daily P2B001 in Subjects With Early Parkinson's Disease

Primary Purpose

Parkinson's Disease

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
P2B001 once daily (pramipexole 0.6 mg / rasagiline 0.75 mg),
Placebo
P2B001 once daily (pramipexole 0.3 mg / rasagiline 0.75 mg),
Sponsored by
Pharma Two B Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Parkinson's Disease focused on measuring Parkinson's Disease, Rasagiline, Pramipexole

Eligibility Criteria

35 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Subject is male or female ≥35 years of age to ≤75 years of age at the time of enrollment.
  • Subject has idiopathic Parkinson's disease consistent with the UK Brain Bank Criteria; must have bradykinesia with sequence effect and rest tremor or prominent motor asymmetry.
  • Subject with disease duration no longer than 3 years and 0 months.
  • Subject has a Hoehn & Yahr (H&Y) stage score of < 3.
  • Subject has a MMSE score ≥ 26

Exclusion Criteria:

  • Subject has an atypical parkinsonian syndrome or secondary parkinsonism (e.g., due to drugs, metabolic neurogenetic disorders, encephalitis, cerebrovascular disease or degenerative disease).
  • Subject has a history of psychosis or hallucinations within the previous 12 months.
  • Subject who is taking anticholinergic drugs.
  • Subject has previous exposure to levodopa or a dopamine agonist for longer than 4 weeks; if previous exposure was less than 4 weeks then it must not be within 2 months prior to the baseline visit.
  • Subject has previous exposure to a MAO-B inhibitor for longer than 4 weeks; if previous exposure was less than 4 weeks then it must not be within 3 months prior to the baseline visit.
  • Subject who is taking MAO inhibitors, potent CYP1A2 inhibitors, e,g, Ciprofloxacin, Dextromethorphan or antitussive agent, analgesic agents such as tramadol, meperidine, methadone and propoxyphene, strong 3A4 inducers, e.g., St. John's Wort or cyclobenzaprine (tricyclic muscle relaxant), dopamine antagonists, such as the neuroleptics (phenothiazines, butyrophenones, thioxanthenes) or metoclopramide. Probenecid, cimetidine, ranitidine, diltiazem, verapamil and quinidine.

Sites / Locations

  • P2B001 Site Birmingham
  • P2B001 Site Los Angeles
  • P2B001 Site Aurora
  • P2B001 Manchester
  • P2B001 Site New Haven
  • P2B001 Site Boca Raton
  • P2B001 Site Port Charlotte
  • P2B001 Site Tampa
  • P2B001 Site Augusta
  • P2B001 site Chicago
  • P2B001 Site Kansas City
  • P2B001 Site Boston
  • P2B001 Site west Bloomfield
  • P2B001 Site Golden Valley
  • P2B001 Site Camden
  • P2B001 Site New Brunswick
  • P2B001 site Commack
  • P2B001 Site New York
  • P2B001 Site Durham
  • P2B001 Site Cincinnati
  • P2B001 Site Toledo
  • P2B001 Site Tulsa
  • P2B001 Site Houston
  • P2B001 Site Roanoke
  • P2B001 Site Rambam Israel
  • P2B001 Site Belinson
  • P2B001 Site Sheba Medical Center
  • P2B001 Site Asaf Harofe
  • P2B001 Site Sourasky Medical Center

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

P2B001 once daily (pramipexole 0.6 mg / rasagiline 0.75 mg),

P2B001 once daily (pramipexole 0.3 mg / rasagiline 0.75 mg),

Placebo

Arm Description

Fixed Dose Combination of pramipexole 0.6 mg and rasagiline 0.75 mg once daily.

Fixed Dose Combination of pramipexole 0.3 mg and rasagiline 0.75 mg once daily

Placebo once daily for 12 weeks.

Outcomes

Primary Outcome Measures

Total UPDRS I, II, III Scores
Change from baseline to final visit (week 12) in total UPDRS score (defined as sum of parts I, II and III, scores (0-176). UPDRS- Unified Parkinson's Disease Rating Scale, minimum value is 0 points and maximum value is 176. High score mean worse outcome.

Secondary Outcome Measures

UPDRS ADL (Part II)
Change from baseline in individual UPDRS ADL (part II). Activity of daily Life UPDRS part II minimum is 0 point and max is 52 point (worse outcome)
CGI-S
Change from baseline in individual Clinical Global Impression - Severity. Severity scale (CGI-S) is a 7-point scale that requires the clinician to rate the severity of the patient's illness (Parkinson's Disease) at the time of assessment relative to the clinician's past experience with patients who have the same diagnosis as one of the following:. 1 is normal and 7 is the most extremely ill patients. A subject defined as a treatment responder when the improvement from baseline to the Week12 / Last Observed Value (LOV) was of at least 1 point or more.
UPDRS Motor (Part III)
Change from baseline in individual UPDRS motor (part III). UPDRS- Unified Parkinson's Disease Rating Scale, part III motor . min is 0 and Max is 108 (Worse outcome)
PDQ39
Change from baseline in individual Parkinson's Disease Questionnaire - 39. Score 0-100 where 0 is indicative of no problem at all and 100 is the maximum level of problem.

Full Information

First Posted
October 15, 2013
Last Updated
March 15, 2023
Sponsor
Pharma Two B Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT01968460
Brief Title
Safety, Tolerability and Efficacy of Two Doses of Once Daily P2B001 in Subjects With Early Parkinson's Disease
Official Title
A Phase 2B, Twelve-week Multi-Center, Randomized, Double-Blind, Placebo-Controlled, Parallel Group Study, To Determine the Safety, Tolerability and Efficacy of Two Doses of Once Daily P2B001 in Subjects With Early Parkinson's Disease
Study Type
Interventional

2. Study Status

Record Verification Date
February 2015
Overall Recruitment Status
Completed
Study Start Date
December 2013 (undefined)
Primary Completion Date
May 2015 (Actual)
Study Completion Date
June 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Pharma Two B Ltd.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study will evaluate an oral fixed-dose, once daily product that combines pramipexole and rasagiline for the treatment of early Parkinson's disease. Animal studies support the therapeutic advantage of combining low doses of rasagiline and pramipexole and suggest further improvement when both are administered in a sustained fashion. Both rasagiline and pramipexole are well known marketed drugs for Parkinson's disease with a good safety profile. combining the drugs in low doses and controlled release may provide better symptom management than the existing drugs alone or together.

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, Rasagiline, Pramipexole

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2, Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
149 (Actual)

8. Arms, Groups, and Interventions

Arm Title
P2B001 once daily (pramipexole 0.6 mg / rasagiline 0.75 mg),
Arm Type
Experimental
Arm Description
Fixed Dose Combination of pramipexole 0.6 mg and rasagiline 0.75 mg once daily.
Arm Title
P2B001 once daily (pramipexole 0.3 mg / rasagiline 0.75 mg),
Arm Type
Experimental
Arm Description
Fixed Dose Combination of pramipexole 0.3 mg and rasagiline 0.75 mg once daily
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo once daily for 12 weeks.
Intervention Type
Drug
Intervention Name(s)
P2B001 once daily (pramipexole 0.6 mg / rasagiline 0.75 mg),
Intervention Description
Fixed Dose Combination of pramipexole 0.6 mg and rasagiline 0.75 mg once daily
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
placebo
Intervention Type
Drug
Intervention Name(s)
P2B001 once daily (pramipexole 0.3 mg / rasagiline 0.75 mg),
Intervention Description
Fixed Dose Combination of pramipexole 0.3 mg and rasagiline 0.75 mg once daily
Primary Outcome Measure Information:
Title
Total UPDRS I, II, III Scores
Description
Change from baseline to final visit (week 12) in total UPDRS score (defined as sum of parts I, II and III, scores (0-176). UPDRS- Unified Parkinson's Disease Rating Scale, minimum value is 0 points and maximum value is 176. High score mean worse outcome.
Time Frame
Week 12
Secondary Outcome Measure Information:
Title
UPDRS ADL (Part II)
Description
Change from baseline in individual UPDRS ADL (part II). Activity of daily Life UPDRS part II minimum is 0 point and max is 52 point (worse outcome)
Time Frame
Week 12
Title
CGI-S
Description
Change from baseline in individual Clinical Global Impression - Severity. Severity scale (CGI-S) is a 7-point scale that requires the clinician to rate the severity of the patient's illness (Parkinson's Disease) at the time of assessment relative to the clinician's past experience with patients who have the same diagnosis as one of the following:. 1 is normal and 7 is the most extremely ill patients. A subject defined as a treatment responder when the improvement from baseline to the Week12 / Last Observed Value (LOV) was of at least 1 point or more.
Time Frame
12 weeks
Title
UPDRS Motor (Part III)
Description
Change from baseline in individual UPDRS motor (part III). UPDRS- Unified Parkinson's Disease Rating Scale, part III motor . min is 0 and Max is 108 (Worse outcome)
Time Frame
12 weeks
Title
PDQ39
Description
Change from baseline in individual Parkinson's Disease Questionnaire - 39. Score 0-100 where 0 is indicative of no problem at all and 100 is the maximum level of problem.
Time Frame
12 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
35 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject is male or female ≥35 years of age to ≤75 years of age at the time of enrollment. Subject has idiopathic Parkinson's disease consistent with the UK Brain Bank Criteria; must have bradykinesia with sequence effect and rest tremor or prominent motor asymmetry. Subject with disease duration no longer than 3 years and 0 months. Subject has a Hoehn & Yahr (H&Y) stage score of < 3. Subject has a MMSE score ≥ 26 Exclusion Criteria: Subject has an atypical parkinsonian syndrome or secondary parkinsonism (e.g., due to drugs, metabolic neurogenetic disorders, encephalitis, cerebrovascular disease or degenerative disease). Subject has a history of psychosis or hallucinations within the previous 12 months. Subject who is taking anticholinergic drugs. Subject has previous exposure to levodopa or a dopamine agonist for longer than 4 weeks; if previous exposure was less than 4 weeks then it must not be within 2 months prior to the baseline visit. Subject has previous exposure to a MAO-B inhibitor for longer than 4 weeks; if previous exposure was less than 4 weeks then it must not be within 3 months prior to the baseline visit. Subject who is taking MAO inhibitors, potent CYP1A2 inhibitors, e,g, Ciprofloxacin, Dextromethorphan or antitussive agent, analgesic agents such as tramadol, meperidine, methadone and propoxyphene, strong 3A4 inducers, e.g., St. John's Wort or cyclobenzaprine (tricyclic muscle relaxant), dopamine antagonists, such as the neuroleptics (phenothiazines, butyrophenones, thioxanthenes) or metoclopramide. Probenecid, cimetidine, ranitidine, diltiazem, verapamil and quinidine.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
pninit litman, Ph.D
Organizational Affiliation
Pharma Two B Ltd.
Official's Role
Study Director
Facility Information:
Facility Name
P2B001 Site Birmingham
City
Birmingham
State/Province
Alabama
Country
United States
Facility Name
P2B001 Site Los Angeles
City
Los Angeles
State/Province
California
Country
United States
Facility Name
P2B001 Site Aurora
City
Aurora
State/Province
Colorado
Country
United States
Facility Name
P2B001 Manchester
City
Manchester
State/Province
Connecticut
Country
United States
Facility Name
P2B001 Site New Haven
City
New Haven
State/Province
Connecticut
Country
United States
Facility Name
P2B001 Site Boca Raton
City
Boca Raton
State/Province
Florida
Country
United States
Facility Name
P2B001 Site Port Charlotte
City
Port Charlotte
State/Province
Florida
Country
United States
Facility Name
P2B001 Site Tampa
City
Tampa
State/Province
Florida
Country
United States
Facility Name
P2B001 Site Augusta
City
Augusta
State/Province
Georgia
Country
United States
Facility Name
P2B001 site Chicago
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60612
Country
United States
Facility Name
P2B001 Site Kansas City
City
Kansas City
State/Province
Kansas
Country
United States
Facility Name
P2B001 Site Boston
City
Boston
State/Province
Massachusetts
Country
United States
Facility Name
P2B001 Site west Bloomfield
City
West Bloomfield
State/Province
Michigan
Country
United States
Facility Name
P2B001 Site Golden Valley
City
Golden Valley
State/Province
Minnesota
Country
United States
Facility Name
P2B001 Site Camden
City
Camden
State/Province
New Jersey
Country
United States
Facility Name
P2B001 Site New Brunswick
City
New Brunswick
State/Province
New Jersey
Country
United States
Facility Name
P2B001 site Commack
City
Commack
State/Province
New York
Country
United States
Facility Name
P2B001 Site New York
City
New York
State/Province
New York
Country
United States
Facility Name
P2B001 Site Durham
City
Durham
State/Province
North Carolina
Country
United States
Facility Name
P2B001 Site Cincinnati
City
Cincinnati
State/Province
Ohio
Country
United States
Facility Name
P2B001 Site Toledo
City
Toledo
State/Province
Ohio
Country
United States
Facility Name
P2B001 Site Tulsa
City
Tulsa
State/Province
Oklahoma
Country
United States
Facility Name
P2B001 Site Houston
City
Houston
State/Province
Texas
Country
United States
Facility Name
P2B001 Site Roanoke
City
Roanoke
State/Province
Virginia
Country
United States
Facility Name
P2B001 Site Rambam Israel
City
Haifa
Country
Israel
Facility Name
P2B001 Site Belinson
City
Pethch Tikva
Country
Israel
Facility Name
P2B001 Site Sheba Medical Center
City
Ramat Gan
Country
Israel
Facility Name
P2B001 Site Asaf Harofe
City
Rishon LeZion
Country
Israel
Facility Name
P2B001 Site Sourasky Medical Center
City
Tel Aviv
Country
Israel

12. IPD Sharing Statement

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Safety, Tolerability and Efficacy of Two Doses of Once Daily P2B001 in Subjects With Early Parkinson's Disease

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