Safety and Efficacy of ADS-5102 in Patients With Multiple Sclerosis and Walking Impairment
Primary Purpose
Walking Impairment, Multiple Sclerosis
Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
ADS-5102
Placebo
Sponsored by

About this trial
This is an interventional treatment trial for Walking Impairment
Eligibility Criteria
Inclusion Criteria:
- Signed a current IRB-approved informed consent form;
- Male or female subjects between 18 and 70 years of age, inclusive;
- Confirmed diagnosis of Multiple Sclerosis according to the 2010 Revised McDonald criteria;
- On a stable regimen of medications taken specifically to treat MS for at least 30 days prior to screening, and willing to continue the same doses and regimens for the duration of study participation;
- Stable physical activity level for at least 30 days prior to screening and willing to continue without change for the duration of study participation;
- Maximum EDSS score during screening of 6.5;
- Sufficient ambulatory ability to complete two trials of the Timed 25 Foot Walk (T25FW) at the screening visit;
- A score on each completed screening T25FW test between 8 and 45 seconds, inclusive;
- Any other current and allowed prescription/non-prescription medications and/or nutritional supplements taken regularly must have been at a stable dose and regimen for at least 30 days prior to screening, and subject must be willing to continue the same doses and regimens during study participation;
- If taking an antidepressant, must be on a stable dose for at least 60 days prior to screening.
Exclusion Criteria:
- History of seizures within 2 years prior to screening;
- Clinically significant MS relapse with onset less than 30 days prior to screening;
- Presence of vertigo or other vestibular dysfunction that might compromise ability to safely perform the T25FW;
- Received physical therapy within 30 days prior to screening;
- Received systemic steroids within 30 days prior to screening;
- Received dalfampridine, methylphenidate, modafinil, armodafinil, amantadine, and/or any product containing amphetamines, or any treatment specifically for fatigue or to improve walking within 30 days prior to screening;
- Received any botulinum toxin containing product used as antispasmodic agent within 3 months prior to screening;
- History of clinically significant hallucinations due to an MS medication or other/unknown cause, within 2 years prior to screening;
- History of Bipolar Disorder or Psychosis, regardless of treatment;
- Presence of cognitive impairment sufficient, in the opinion of the investigator, to affect the subject's ability to complete study assessments, or which would not be in the subject's best interest to participate in the study;
- History of stroke or TIA within 2 years prior to screening;
- History of cancer within 5 years;
- Presence of untreated angle closure glaucoma;
- If female, is pregnant or lactating;
- If a sexually active female, is not surgically sterile or at least 2 years post-menopausal, or does not agree to utilize a highly effective hormonal method of contraception (an IUD, or vasectomized male partner is also acceptable), in combination with a barrier method, from screening through at least 4 weeks after the completion of study treatment;
- Treatment with an investigational drug or device within 30 days prior to screening;
- Treatment with an investigational biologic within 6 months prior to screening;
- Current participation in another clinical trial;
- Planned elective surgery during study participation.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
ADS-5102 (amantadine HCl extended release)
Placebo
Arm Description
Outcomes
Primary Outcome Measures
Safety of ADS-5102 assessed by adverse events, safety-related study drug discontinuations, vital signs, and safety laboratory test
Secondary Outcome Measures
Timed 25 Foot Walk
Timed Up and go
2 Minute Walk Test
MS Walking Scale-12
Full Information
NCT ID
NCT02471222
First Posted
June 11, 2015
Last Updated
August 1, 2017
Sponsor
Adamas Pharmaceuticals, Inc.
1. Study Identification
Unique Protocol Identification Number
NCT02471222
Brief Title
Safety and Efficacy of ADS-5102 in Patients With Multiple Sclerosis and Walking Impairment
Official Title
Safety and Efficacy of ADS-5102 (Amantadine HCl) Extended Release Capsules in Patients With Multiple Sclerosis and Walking Impairment
Study Type
Interventional
2. Study Status
Record Verification Date
August 2017
Overall Recruitment Status
Completed
Study Start Date
May 2015 (undefined)
Primary Completion Date
June 2016 (Actual)
Study Completion Date
June 2016 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Adamas Pharmaceuticals, Inc.
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
This is a multi-center, randomized, double-blind, placebo-controlled, 2-arm, parallel group study of ADS-5102 extended release (ER) capsules, an investigational formulation of amantadine, dosed once daily at bedtime for the treatment of walking impairment in MS. ADS-5102 is designed to be administered once daily at bed time, ADS-5102 achieves higher plasma amantadine concentrations in the early morning, sustained throughout the afternoon, and lower concentrations in the evening when patients are sleeping. ADS-5102 is designed to deliver its primary treatment effect during the day, and potentially reduce the adverse events of immediate-release amantadine when the patient is asleep.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Walking Impairment, Multiple Sclerosis
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
60 (Actual)
8. Arms, Groups, and Interventions
Arm Title
ADS-5102 (amantadine HCl extended release)
Arm Type
Experimental
Arm Title
Placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
ADS-5102
Other Intervention Name(s)
amantadine HCl extended release
Intervention Description
Oral capsules to be administered once daily at bedtime for 4 weeks
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Oral capsules to be administered once daily at bedtime for 4 weeks
Primary Outcome Measure Information:
Title
Safety of ADS-5102 assessed by adverse events, safety-related study drug discontinuations, vital signs, and safety laboratory test
Time Frame
Up to 4 weeks
Secondary Outcome Measure Information:
Title
Timed 25 Foot Walk
Time Frame
Up to 4 weeks
Title
Timed Up and go
Time Frame
Up to 4 weeks
Title
2 Minute Walk Test
Time Frame
Up to 4 weeks
Title
MS Walking Scale-12
Time Frame
Up to 4 weeks
Other Pre-specified Outcome Measures:
Title
Fatigue Scale for Motor and Cognitive Functions
Time Frame
Up to 4 weeks
Title
Beck's Depression Inventory-2
Time Frame
Up to 4 weeks
Title
Brief International Cognitive Assessment for MS
Time Frame
Up to 4 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Signed a current IRB-approved informed consent form;
Male or female subjects between 18 and 70 years of age, inclusive;
Confirmed diagnosis of Multiple Sclerosis according to the 2010 Revised McDonald criteria;
On a stable regimen of medications taken specifically to treat MS for at least 30 days prior to screening, and willing to continue the same doses and regimens for the duration of study participation;
Stable physical activity level for at least 30 days prior to screening and willing to continue without change for the duration of study participation;
Maximum EDSS score during screening of 6.5;
Sufficient ambulatory ability to complete two trials of the Timed 25 Foot Walk (T25FW) at the screening visit;
A score on each completed screening T25FW test between 8 and 45 seconds, inclusive;
Any other current and allowed prescription/non-prescription medications and/or nutritional supplements taken regularly must have been at a stable dose and regimen for at least 30 days prior to screening, and subject must be willing to continue the same doses and regimens during study participation;
If taking an antidepressant, must be on a stable dose for at least 60 days prior to screening.
Exclusion Criteria:
History of seizures within 2 years prior to screening;
Clinically significant MS relapse with onset less than 30 days prior to screening;
Presence of vertigo or other vestibular dysfunction that might compromise ability to safely perform the T25FW;
Received physical therapy within 30 days prior to screening;
Received systemic steroids within 30 days prior to screening;
Received dalfampridine, methylphenidate, modafinil, armodafinil, amantadine, and/or any product containing amphetamines, or any treatment specifically for fatigue or to improve walking within 30 days prior to screening;
Received any botulinum toxin containing product used as antispasmodic agent within 3 months prior to screening;
History of clinically significant hallucinations due to an MS medication or other/unknown cause, within 2 years prior to screening;
History of Bipolar Disorder or Psychosis, regardless of treatment;
Presence of cognitive impairment sufficient, in the opinion of the investigator, to affect the subject's ability to complete study assessments, or which would not be in the subject's best interest to participate in the study;
History of stroke or TIA within 2 years prior to screening;
History of cancer within 5 years;
Presence of untreated angle closure glaucoma;
If female, is pregnant or lactating;
If a sexually active female, is not surgically sterile or at least 2 years post-menopausal, or does not agree to utilize a highly effective hormonal method of contraception (an IUD, or vasectomized male partner is also acceptable), in combination with a barrier method, from screening through at least 4 weeks after the completion of study treatment;
Treatment with an investigational drug or device within 30 days prior to screening;
Treatment with an investigational biologic within 6 months prior to screening;
Current participation in another clinical trial;
Planned elective surgery during study participation.
Facility Information:
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85018
Country
United States
City
Aurora
State/Province
Colorado
ZIP/Postal Code
80045
Country
United States
City
Sarasota
State/Province
Florida
ZIP/Postal Code
34239
Country
United States
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30309
Country
United States
City
Northbrook
State/Province
Illinois
ZIP/Postal Code
60062
Country
United States
City
Rochester
State/Province
Minnesota
ZIP/Postal Code
55905
Country
United States
City
Lincoln
State/Province
Nebraska
ZIP/Postal Code
68506
Country
United States
City
Albuquerque
State/Province
New Mexico
ZIP/Postal Code
87131
Country
United States
City
Patchogue
State/Province
New York
ZIP/Postal Code
11772
Country
United States
City
Raleigh
State/Province
North Carolina
ZIP/Postal Code
27607
Country
United States
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44195
Country
United States
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73104
Country
United States
City
Franklin
State/Province
Tennessee
ZIP/Postal Code
37064
Country
United States
City
Dallas
State/Province
Texas
ZIP/Postal Code
75214
Country
United States
City
Kirkland
State/Province
Washington
ZIP/Postal Code
11772
Country
United States
12. IPD Sharing Statement
Learn more about this trial
Safety and Efficacy of ADS-5102 in Patients With Multiple Sclerosis and Walking Impairment
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