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Safety and Efficacy of AQW051 in L-dopa Induced Dyskinesias in Patients With Parkinson's Disease

Primary Purpose

Dyskinesias, Drug-induced

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
AQW051
AQW051
Placebo
Sponsored by
Novartis Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Dyskinesias focused on measuring Parkinson's disease, Dyskinesia, Movement disorders, L-dopa

Eligibility Criteria

30 Years - 85 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patients with Parkinson's disease
  • Patients with dyskinesias for at least 3 months
  • Patients with moderate to severe dyskinesias
  • Patients on L-dopa treatment for at least 3 years

Exclusion Criteria:

  • Patients with atypical Parkinson's disease
  • Patients who have had prior surgery for Parkinson's disease
  • Patients who are cognitively impaired, have psychosis, have confusional states or hallucinate
  • Patients who received neuroleptics or anti-psychotics within 2 months
  • Women of child-bearing potential

Other protocol-defined inclusion/exclusion criteria may apply.

Sites / Locations

  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

AQW051 High Dose

AQW051 Low Dose

Placebo

Arm Description

AQW051 high dose daily given orally for 28 days.

AQW051 low dose daily given orally for 28 days.

Placebo daily given orally for 28 days.

Outcomes

Primary Outcome Measures

Change in Modified Abnormal Involuntary Movement Scale (mAIMS)score
Dyskinesia with a maximal score of 24.
Change in Unified Parkinson's Disease Rating Scale (UPDRS) - Part III score
Anti-parkinsonian effect in PD patients.
Safety and tolerability
Safety and tolerability of AQW051 as measured by the number of participants with adverse events, any clinically significant abnormalities in safety labs or electrocardiograms (ECGs), and relevant orthostatic changes in blood pressure

Secondary Outcome Measures

Lang-Fahn Activities of Daily Living Dyskinesia Scale (LFADLDS)
Assesses the degree to which dyskinesia interferes with five activities of daily living, with a higher score indicating more severe impairment.
Unified Parkinson's Disease Rating Scale (UPDRS) - Part IV, #32-33
Dyskinesias as a percentage of the day, and disability due to dyskinesia during the previous week.
Track-PD
Objective measures of motor function.
CogState
Cognitive function, including simple and choice reaction time, episodic visual and verbal memory, working memory, planning and strategy, and executive function.
Area under the curve (AUC[0-24hr]) of AQW051

Full Information

First Posted
October 5, 2011
Last Updated
December 16, 2020
Sponsor
Novartis Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT01474421
Brief Title
Safety and Efficacy of AQW051 in L-dopa Induced Dyskinesias in Patients With Parkinson's Disease
Official Title
A Multi-centre, Randomized, Double-blind, Placebo-controlled, Parallel-group, Multiple Oral Dose Study to Assess the Efficacy, Safety and Tolerability of AQW051 in Reducing L-dopa Induced Dyskinesias in Parkinson's Patients With Moderate to Severe L-dopa Induced Dyskinesias
Study Type
Interventional

2. Study Status

Record Verification Date
May 2017
Overall Recruitment Status
Completed
Study Start Date
September 15, 2011 (Actual)
Primary Completion Date
February 21, 2013 (Actual)
Study Completion Date
February 21, 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Novartis Pharmaceuticals

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
This study will assess the safety, tolerability and efficacy of AQW051 in treating moderate to severe L-dopa induced dyskinesias (movement disorders) in patients with Parkinson's disease.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Dyskinesias, Drug-induced
Keywords
Parkinson's disease, Dyskinesia, Movement disorders, L-dopa

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
AQW051 High Dose
Arm Type
Experimental
Arm Description
AQW051 high dose daily given orally for 28 days.
Arm Title
AQW051 Low Dose
Arm Type
Experimental
Arm Description
AQW051 low dose daily given orally for 28 days.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo daily given orally for 28 days.
Intervention Type
Drug
Intervention Name(s)
AQW051
Intervention Description
Patients will receive AQW051 in a high dose once daily orally for 28 days.
Intervention Type
Drug
Intervention Name(s)
AQW051
Intervention Description
Patients will receive AQW051 in a low dose once daily orally for 28 days.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Patients will receive placebo once daily orally for 28 days.
Primary Outcome Measure Information:
Title
Change in Modified Abnormal Involuntary Movement Scale (mAIMS)score
Description
Dyskinesia with a maximal score of 24.
Time Frame
Baseline, Day 28
Title
Change in Unified Parkinson's Disease Rating Scale (UPDRS) - Part III score
Description
Anti-parkinsonian effect in PD patients.
Time Frame
Baseline, Day 28
Title
Safety and tolerability
Description
Safety and tolerability of AQW051 as measured by the number of participants with adverse events, any clinically significant abnormalities in safety labs or electrocardiograms (ECGs), and relevant orthostatic changes in blood pressure
Time Frame
Up to Day 42
Secondary Outcome Measure Information:
Title
Lang-Fahn Activities of Daily Living Dyskinesia Scale (LFADLDS)
Description
Assesses the degree to which dyskinesia interferes with five activities of daily living, with a higher score indicating more severe impairment.
Time Frame
Up to Day 42
Title
Unified Parkinson's Disease Rating Scale (UPDRS) - Part IV, #32-33
Description
Dyskinesias as a percentage of the day, and disability due to dyskinesia during the previous week.
Time Frame
Up to Day 42
Title
Track-PD
Description
Objective measures of motor function.
Time Frame
Up to Day 42
Title
CogState
Description
Cognitive function, including simple and choice reaction time, episodic visual and verbal memory, working memory, planning and strategy, and executive function.
Time Frame
Up to Day 28
Title
Area under the curve (AUC[0-24hr]) of AQW051
Time Frame
Day 28

10. Eligibility

Sex
All
Minimum Age & Unit of Time
30 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients with Parkinson's disease Patients with dyskinesias for at least 3 months Patients with moderate to severe dyskinesias Patients on L-dopa treatment for at least 3 years Exclusion Criteria: Patients with atypical Parkinson's disease Patients who have had prior surgery for Parkinson's disease Patients who are cognitively impaired, have psychosis, have confusional states or hallucinate Patients who received neuroleptics or anti-psychotics within 2 months Women of child-bearing potential Other protocol-defined inclusion/exclusion criteria may apply.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Novartis Pharmaceuticals
Organizational Affiliation
Novartis Pharmaceuticals
Official's Role
Study Director
Facility Information:
Facility Name
Novartis Investigative Site
City
Sacramento
State/Province
California
ZIP/Postal Code
95817
Country
United States
Facility Name
Novartis Investigative Site
City
Manhasset
State/Province
New York
ZIP/Postal Code
11030
Country
United States
Facility Name
Novartis Investigative Site
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45219
Country
United States
Facility Name
Novartis Investigative Site
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44195
Country
United States
Facility Name
Novartis Investigative Site
City
Bron
ZIP/Postal Code
69677
Country
France
Facility Name
Novartis Investigative Site
City
Clermont Fd
ZIP/Postal Code
63003
Country
France
Facility Name
Novartis Investigative Site
City
Lille Cedex
ZIP/Postal Code
59037
Country
France
Facility Name
Novartis Investigative Site
City
Marseille cedex 05
ZIP/Postal Code
13385
Country
France
Facility Name
Novartis Investigative Site
City
Montpellier cedex 5
ZIP/Postal Code
34295
Country
France
Facility Name
Novartis Investigative Site
City
Nantes Cedex 1
ZIP/Postal Code
44093
Country
France
Facility Name
Novartis Investigative Site
City
Paris
ZIP/Postal Code
75013
Country
France
Facility Name
Novartis Investigative Site
City
Pessac
ZIP/Postal Code
33604
Country
France
Facility Name
Novartis Investigative Site
City
Poitiers
ZIP/Postal Code
86021
Country
France
Facility Name
Novartis Investigative Site
City
Strasbourg
ZIP/Postal Code
67098
Country
France
Facility Name
Novartis Investigative Site
City
Toulouse cedex 9
ZIP/Postal Code
31059
Country
France
Facility Name
Novartis Investigative Site
City
Berlin
ZIP/Postal Code
10178
Country
Germany
Facility Name
Novartis Investigative Site
City
Dresden
ZIP/Postal Code
01307
Country
Germany
Facility Name
Novartis Investigative Site
City
Gera
ZIP/Postal Code
07551
Country
Germany
Facility Name
Novartis Investigative Site
City
Haag
ZIP/Postal Code
83527
Country
Germany
Facility Name
Novartis Investigative Site
City
Kassel
ZIP/Postal Code
34128
Country
Germany
Facility Name
Novartis Investigative Site
City
Marburg
ZIP/Postal Code
35039
Country
Germany
Facility Name
Novartis Investigative Site
City
Muenchen
ZIP/Postal Code
80804
Country
Germany
Facility Name
Novartis Investigative Site
City
Tübingen
ZIP/Postal Code
72076
Country
Germany
Facility Name
Novartis Investigative Site
City
Roma
State/Province
RM
ZIP/Postal Code
00163
Country
Italy

12. IPD Sharing Statement

Citations:
PubMed Identifier
26990766
Citation
Trenkwalder C, Berg D, Rascol O, Eggert K, Ceballos-Baumann A, Corvol JC, Storch A, Zhang L, Azulay JP, Broussolle E, Defebvre L, Geny C, Gostkowski M, Stocchi F, Tranchant C, Derkinderen P, Durif F, Espay AJ, Feigin A, Houeto JL, Schwarz J, Di Paolo T, Feuerbach D, Hockey HU, Jaeger J, Jakab A, Johns D, Linazasoro G, Maruff P, Rozenberg I, Sovago J, Weiss M, Gomez-Mancilla B. A Placebo-Controlled Trial of AQW051 in Patients With Moderate to Severe Levodopa-Induced Dyskinesia. Mov Disord. 2016 Jul;31(7):1049-54. doi: 10.1002/mds.26569. Epub 2016 Mar 15.
Results Reference
result
Links:
URL
https://www.novctrd.com/ctrdweb/trialresult/trialresults/pdf?trialResultId=10163
Description
Results for CAQW051A2209 from the Novartis Clinical Trials Website

Learn more about this trial

Safety and Efficacy of AQW051 in L-dopa Induced Dyskinesias in Patients With Parkinson's Disease

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