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A Relative Efficacy and Safety Study of OC Oral Solution for Sialorrhoea in Patients With Parkinson's Disease

Primary Purpose

Sialorrhoea

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
oxybutynin and clonidine oral solution treatment A
oxybutynin and clonidine oral solution treatment B
oxybutynin and clonidine oral solution treatment C
oxybutynin and clonidine oral solution treatment D
Sponsored by
Orient Pharma Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Sialorrhoea focused on measuring oxybutynin, clonidine, OC Oral Solution, sialorrhoea, Parkinson's disease

Eligibility Criteria

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

Inclusion Criteria:

  • Diagnosis of Parkinson's Disease for at least 2 years
  • Patients with a score of ≥2 on the salivation section of UPDRS, item 6
  • Patients Hoehn and Yahr stage must be ≤4
  • under stable anti-Parkinson therapy throughout the study
  • Able and willing to comply with the study procedures
  • Able to provide and provision of a written informed consent

Exclusion Criteria:

  • Female who is pregnant/lactating or planning to be pregnant
  • Must not have a form of drug-induced or atypical parkinsonism or parkinsonism with swallow problems due to other etiology
  • Have current uncontrolled hypertension, symptomatic postural hypotension, active Raynaud's disease or other peripheral vascular occlusive disease
  • Have a history or presence of hyperthyroidism, congestive heart failure, coronary heart disease, cardiac arrhythmias, tachycardia or severe bradycardia resulting from either sick sinus syndrome or AV block of 2nd or 3rd degree
  • Have a history of narrow angle glaucoma or shallow anterior chamber
  • Have a history or presence of gastrointestinal obstruction, including paralytic ileus and intestinal atony or gastrointestinal motility disorders, toxic megacolon or severe ulcerative colitis
  • Have a history or presence of bladder outflow obstruction or urinary retention
  • Patients with hepatic or renal impairment
  • Male with QTc > 430 ms or female with QTc > 450 ms ECG results at screening
  • Concomitant use of α2-agonist, anticholinergic medication or other medications that affect ACh levels
  • Have a history of alcohol or substance abuse
  • Any condition, including the presence of laboratory abnormalities, which places the patient at unacceptable risk to participate in the study or confounds the ability to interpret data from the study
  • Have a history of hypersensitivity to the investigational medicinal product or any of the excipients or to medicinal products with similar chemical structures
  • Have received treatment with any other investigational medicinal product in the last 6 weeks before administration of the first dose in this clinical study
  • Have received treatment with any medicinal product known to have a well-defined potential for toxicity to a major organ in the previous 3 months
  • Have a positive result of the human immunodeficiency virus (HIV) 1 and 2 test
  • Have problems to understand the protocol requirements, instructions and study related restrictions, the nature, scope and possible consequences of the clinical study
  • Are unlikely to comply with the protocol requirements, instructions and study related restrictions
  • Patient is the Investigator or any sub-investigator, research assistant, pharmacist, study coordinator, other staff or relative thereof directly involved in the conduct of the clinical study
  • Vulnerable subjects
  • Have any concurrent disease or condition that, in the opinion of the Investigator, would make the patient unsuitable for participation in the clinical study
  • Donation of 500 ml or more of blood within the last 8 weeks before start of the study and for at least 4 weeks after study completion
  • Have previously been enrolled in this clinical study
  • Vulnerable subjects

Sites / Locations

  • QUEST Research Institute

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Placebo Comparator

Experimental

Experimental

Experimental

Arm Label

oxybutynin and clonidine oral solution treatment D

oxybutynin and clonidine oral solution treatment C

oxybutynin and clonidine oral solution treatment A

oxybutynin and clonidine oral solution treatment B

Arm Description

Placebo

High dose oxybutynin and clonidine

Low dose oxybutynin and clonidine

Intermediate dose oxybutynin and clonidine

Outcomes

Primary Outcome Measures

Saliva Secreted Rate
Change from baseline, negative mean reduce secret rate from baseline, positive mean not reduce secretion.

Secondary Outcome Measures

Numeric Rating Scale (NRS) Measurements of Subjective Judgment of Excessive Saliva Production
Evaluation of change from baseline the subjective assessment of saliva production after administration of a single dose of different combinations of oxybutynin and clonidine (OC Oral solution) in patients suffering from Parkinson's disease with excessive salivation. Compare with baseline the number of rate scale was more production with baseline or reduce from baseline. The min and max of the score is 0 and 10, the total range is 0~10, and higher value is represented more worse outcome.
Evaluation of the Safety and Tolerability of Different Combinations of Oxybutynin and Clonidine (OC Oral Solution) in Patients Suffering From Parkinson's Disease With Excessive Salivation
Evaluation of the safety and tolerability of different combinations of oxybutynin and clonidine (OC Oral solution) in patients suffering from Parkinson's disease with excessive salivation. Calculate the treatment Emergent Adverse Events number during the study treatment period and follow up period up to at least 23 days excluding the screening period.

Full Information

First Posted
June 8, 2011
Last Updated
March 15, 2023
Sponsor
Orient Pharma Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT01370811
Brief Title
A Relative Efficacy and Safety Study of OC Oral Solution for Sialorrhoea in Patients With Parkinson's Disease
Official Title
A Phase II, Double-blind, Randomized, Placebo-controlled 4-way Crossover Study to Evaluate the Relative Efficacy and Safety of OC Oral Solution (Oxybutynin and Clonidine) for Sialorrhoea in Patients With Parkinson's Disease
Study Type
Interventional

2. Study Status

Record Verification Date
March 2023
Overall Recruitment Status
Completed
Study Start Date
August 2011 (undefined)
Primary Completion Date
September 2012 (Actual)
Study Completion Date
September 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Orient Pharma Co., Ltd.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to determine whether OC (oxybutynin and clonidine) oral solution is effective in reducing saliva secretion in patients suffering from Parkinson's Disease with excessive salivation.
Detailed Description
Sialorrhea is excessive flow of saliva associated with its unintentional loss from the mouth, commonly known as drooling. Sialorrhea may result from any combination of hypersecretion, problems swallowing or sensorimotor problems containing saliva in the mouth. It is commonly found in people with neurological dysfunction such as Parkinson's Disease, leading to social isolation and embarrassment. In general, treatment options are limited because of the underlying chronic disease. The objective of the proposed low-dose, new combination drug, OC Oral solution is to develop a new treatment option that can be used to titrate saliva secretion rates to a level that is low enough to prevent unintentional loss (i.e. drooling) but not so low as to cause an uncomfortably dry mouth.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Sialorrhoea
Keywords
oxybutynin, clonidine, OC Oral Solution, sialorrhoea, Parkinson's disease

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Crossover Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
24 (Actual)

8. Arms, Groups, and Interventions

Arm Title
oxybutynin and clonidine oral solution treatment D
Arm Type
Placebo Comparator
Arm Description
Placebo
Arm Title
oxybutynin and clonidine oral solution treatment C
Arm Type
Experimental
Arm Description
High dose oxybutynin and clonidine
Arm Title
oxybutynin and clonidine oral solution treatment A
Arm Type
Experimental
Arm Description
Low dose oxybutynin and clonidine
Arm Title
oxybutynin and clonidine oral solution treatment B
Arm Type
Experimental
Arm Description
Intermediate dose oxybutynin and clonidine
Intervention Type
Drug
Intervention Name(s)
oxybutynin and clonidine oral solution treatment A
Other Intervention Name(s)
OP-014
Intervention Type
Drug
Intervention Name(s)
oxybutynin and clonidine oral solution treatment B
Other Intervention Name(s)
OP-014
Intervention Type
Drug
Intervention Name(s)
oxybutynin and clonidine oral solution treatment C
Other Intervention Name(s)
OP-014
Intervention Type
Drug
Intervention Name(s)
oxybutynin and clonidine oral solution treatment D
Other Intervention Name(s)
Placebo
Intervention Description
Placebo
Primary Outcome Measure Information:
Title
Saliva Secreted Rate
Description
Change from baseline, negative mean reduce secret rate from baseline, positive mean not reduce secretion.
Time Frame
8 hours post-dose
Secondary Outcome Measure Information:
Title
Numeric Rating Scale (NRS) Measurements of Subjective Judgment of Excessive Saliva Production
Description
Evaluation of change from baseline the subjective assessment of saliva production after administration of a single dose of different combinations of oxybutynin and clonidine (OC Oral solution) in patients suffering from Parkinson's disease with excessive salivation. Compare with baseline the number of rate scale was more production with baseline or reduce from baseline. The min and max of the score is 0 and 10, the total range is 0~10, and higher value is represented more worse outcome.
Time Frame
8 hours post-dose
Title
Evaluation of the Safety and Tolerability of Different Combinations of Oxybutynin and Clonidine (OC Oral Solution) in Patients Suffering From Parkinson's Disease With Excessive Salivation
Description
Evaluation of the safety and tolerability of different combinations of oxybutynin and clonidine (OC Oral solution) in patients suffering from Parkinson's disease with excessive salivation. Calculate the treatment Emergent Adverse Events number during the study treatment period and follow up period up to at least 23 days excluding the screening period.
Time Frame
during the study treatment period and follow up period at least 23 days excluding the screening period.

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: Diagnosis of Parkinson's Disease for at least 2 years Patients with a score of ≥2 on the salivation section of UPDRS, item 6 Patients Hoehn and Yahr stage must be ≤4 under stable anti-Parkinson therapy throughout the study Able and willing to comply with the study procedures Able to provide and provision of a written informed consent Exclusion Criteria: Female who is pregnant/lactating or planning to be pregnant Must not have a form of drug-induced or atypical parkinsonism or parkinsonism with swallow problems due to other etiology Have current uncontrolled hypertension, symptomatic postural hypotension, active Raynaud's disease or other peripheral vascular occlusive disease Have a history or presence of hyperthyroidism, congestive heart failure, coronary heart disease, cardiac arrhythmias, tachycardia or severe bradycardia resulting from either sick sinus syndrome or AV block of 2nd or 3rd degree Have a history of narrow angle glaucoma or shallow anterior chamber Have a history or presence of gastrointestinal obstruction, including paralytic ileus and intestinal atony or gastrointestinal motility disorders, toxic megacolon or severe ulcerative colitis Have a history or presence of bladder outflow obstruction or urinary retention Patients with hepatic or renal impairment Male with QTc > 430 ms or female with QTc > 450 ms ECG results at screening Concomitant use of α2-agonist, anticholinergic medication or other medications that affect ACh levels Have a history of alcohol or substance abuse Any condition, including the presence of laboratory abnormalities, which places the patient at unacceptable risk to participate in the study or confounds the ability to interpret data from the study Have a history of hypersensitivity to the investigational medicinal product or any of the excipients or to medicinal products with similar chemical structures Have received treatment with any other investigational medicinal product in the last 6 weeks before administration of the first dose in this clinical study Have received treatment with any medicinal product known to have a well-defined potential for toxicity to a major organ in the previous 3 months Have a positive result of the human immunodeficiency virus (HIV) 1 and 2 test Have problems to understand the protocol requirements, instructions and study related restrictions, the nature, scope and possible consequences of the clinical study Are unlikely to comply with the protocol requirements, instructions and study related restrictions Patient is the Investigator or any sub-investigator, research assistant, pharmacist, study coordinator, other staff or relative thereof directly involved in the conduct of the clinical study Vulnerable subjects Have any concurrent disease or condition that, in the opinion of the Investigator, would make the patient unsuitable for participation in the clinical study Donation of 500 ml or more of blood within the last 8 weeks before start of the study and for at least 4 weeks after study completion Have previously been enrolled in this clinical study Vulnerable subjects
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Aaron L Ellenbogen, DO, MPH
Organizational Affiliation
QUEST Research Institute
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Chi-Tai Chang, PhD
Organizational Affiliation
Orient Pharma Co., Ltd.
Official's Role
Study Director
Facility Information:
Facility Name
QUEST Research Institute
City
Bingham Farms
State/Province
Michigan
ZIP/Postal Code
48025
Country
United States

12. IPD Sharing Statement

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A Relative Efficacy and Safety Study of OC Oral Solution for Sialorrhoea in Patients With Parkinson's Disease

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