Parkinson's DiseasePhase 3NCT00286897
The Efficacy, Safety and Tolerability of E2007 in Levodopa Treated Parkinson's Disease Patients With Motor Fluctuations
A Phase 3 study testing E2007 in people with Parkinson's Disease, run by Eisai Limited at 118 sites in 17 countries.
Trial summary
Patients will be randomised to receive either placebo or the study drug for a period of 30 weeks, in addition to their standard Parkinsonian medications. During the first 8 weeks, the patient's levodopa doses may be adjusted if necessary by the investigator. Read more about this study
- Who is it for?
- Ages 30 years and older
- Conditions the study is for
- Parkinson's Disease
- What is being tested?
- E2007
- How many people
- 702 participants
- Where
- 118 sitesin 17 countries
- Study dates
- Feb 2006to Aug 2007
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 30 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male or female patients with idiopathic PD fulfilling the (UK) Parkinson's disease Society Brain Bank diagnostic criteria, with a good response to levodopa.
- Patients must have been diagnosed with idiopathic PD at >= 30 years of age.
- Patients must have predictable motor fluctuations of the wearing OFF type with the presence of at least 2 hours of OFF time during the waking day (excluding the morning OFF time) as evidenced by diary cards completed at screening and confirmed by diary data collected at the baseline visit.
- Before patients are randomised they must be able to show that they are able to accurately complete the diary cards. During the diary-training period at the initial screening visit there must be diary evidence of at least one transition of OFF to ON or from ON to OFF and patients must show 75% concordance with Investigator's completion of the diary card.
- Patients must rate between II-IV on the Hoehn \& Yahr scale when in an OFF state.
- Patients must be taking optimised levodopa therapy (according to investigator's opinion) at least 3 times during the waking day (not including bedtime/night time dose) up to a maximum of 8 doses daily (includes bedtime/night time dose).
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- Patients who are treated with dopamine agonists, COMT inhibitors or MAOB inhibitors and other anti-PD drugs must be on optimised and stable doses for at least 4 weeks prior to initial screening visit and must remain stable throughout the study. Only levodopa dosage can be adjusted downwards in the first 8 weeks of the double-blind treatment phase.
- In the Investigator's opinion patients must be able to distinguish their own motor states and the absence or presence of troublesome or non-troublesome dyskinesias.
- In the Investigator's opinion patients are able to complete the study including the completion of the home diary cards and capable of giving full written informed consent.
Who cannot join
- Pregnant or lactating women.
- Women of child bearing potential unless infertile (including surgically sterile) or practicing effective contraception (e.g., abstinence, IUD or barrier method plus hormonal method). These patients must have a negative serum B-HCG test at the initial screening visit (Visit 1), and a negative urine pregnancy test at the Baseline visit (Visit 3). These patients must also be willing to remain on their current form of contraception for the duration of the study. Postmenopausal women may be recruited but must be amenorrhoeic for at least 1 year to be considered of non-child bearing potential as determined by the investigator.
- Fertile men not willing to use reliable contraception and fertile men with partners not willing to use reliable contraception.
- Patients with a past or present history of drug or alcohol abuse as per DSM IV criteria.
- Patients with a past (within one year) or present history of psychotic symptoms requiring antipsychotic treatment. Patients may be taking anti-depressant medication, however the dose must be stable for 4 weeks prior to the baseline visit. Use of anti-psychotic medication including clozapine and quetiapine is prohibited even if the indication is for movement disorders.
- Patients with a past (within one year) or present history of suicidal ideation or suicide attempts.
Show all 16Show fewer
- Patients with unstable abnormalities of the hepatic, renal, cardiovascular, respiratory, gastro-intestinal, haematological, endocrine or metabolic systems which might complicate assessment of the tolerability of the study medication.
- Patients with significantly elevated liver enzymes (abnormal bilirubin or serum transaminase levels of more than 1.5 times the upper normal limit).
- Patients with current or prior treatment (within 4 weeks prior to the baseline visit) with medication known to induce the enzyme cytochrome P450 3A4.
- Current or prior treatment (within 4 weeks prior to the baseline visit) with tolcapone, methyldopa, budipine, reserpine, seroquel or intermittent use of either liquid forms of levodopa or subcutaneous apomorphine.
- Patients with previous stereotactic surgery (eg pallidotomy) for Parkinson's disease or with planned stereotactic surgery during the study period.
- Patients receiving or with planned (next 6 months) deep brain stimulation.
- Patients who have received an investigational product within 4 weeks prior to the screening visit or patients that have participated in a previous study with E2007.
- Patients with clinically significant cognitive impairment (MMSE <24 and /or fulfilling DSM IV criteria for dementia due to Parkinson's disease).
- Patients with conditions affecting the peripheral or central sensory system unless related to Parkinson's disease (such as mild sensory or pain syndromes limited to OFF periods) that could interfere with the evaluation of any such symptoms caused by the study drug.
- Patients with any condition that would make the patient, in the opinion of the Investigator, unsuitable for the study.
Trial locations and contacts
118 sites in 17 countries.
118 sites in 17 countries
Germany16 sites
Kliniken Beelitz GmbH
Beelitz-Heilstätten
Uni-klinikum Charite, Campus Virchow-klinikum
Berlin, 13353
Study site
Bochum
Universitaetsklinikum Carl Gustav Carus
Dresden, 01307
Neurologische Universitatsklinik
Göttingen
Universitatkrankenhaus Hamburg Eppendorf
Hamburg, D 20246
Study site
Hanau
Study site
Hanover
Paracelsus-Elena-Klinik
Kassel, 34128
Gertrudis-Klinik, Parkinson Klinik
Leun-Biskirchen
Universitatsklinik Lubeck Klinik fur Neurologie Ratzeburger Allee 160 D-23538 Lubeck
Lübeck, 23538
Klinik fuer Neurologie
Marburg, 35033
Technische Universitaet Muenchen
München, 81675
LMU Munchen, Neurologische Universitatsklinik
München
Study site
Tübingen
Study site
Wiesbaden, 65191
Poland11 sites
Nzoz Kendrion
Bialystok, 15420
PSK Klinika Neurologii
Bialystok
Klinika Neurologii Doroslych AM
Gdansk, 80211
Centralny Szpital Kliniczny
Katowice, 40752
WSS im. Kardynala S. Wyszynskiego
Lublin, 20718
Study site
Lublin
Indywidualna Specjalistyczna Praktyka Lekarska, Gabinet Neur
Mosina k/Poznania, 62050
Specjalistyczna Przychodnia Lekarska
Płock, 09402
Centralny Szpital Kliniczny MSwia
Warsaw, 02507
Study site
Warsaw, 02507
Centrum Leczenia Chorob
Warsaw, 02777
Hungary10 sites
Clinexpert SMO, Budapest
Budapest, 1091
St. Imre Hospital
Budapest, 1115
Semmelweis University
Budapest, 1145
Uzsoki Street Hospital
Budapest, 1145
Jahn Ferenc Hospital
Budapest, 1204
B-A-Z County Hospital
Budapest, 3501
Study site
Budapest
A Petz Hospital
Győr, 9024
Nyiro Gyula Hospital
Győr
Jahn Ferenc Del-Pesti Hospital
Miscolc, 3501
Italy10 sites
Ospedal Villa Margherita
Arcugnano, 36057
Universita degli Studi di Genova
Genova, 16132
Ospedale della Misericordia
Grosseto, 58100
Policlinico Umberto I
Grosseto, 58100
Ospedale Versillia
Lido di Camaiore, 55043
Universita degli Studi Federico II
Naples, 80131
IRCSS Fondazione Casimiro Mondino
Pavia, 27100
Ospedale Civile di Pescara
Pescara, 65124
Ospedale San Giovanni Battista
Roma, 00148
Study site
Roma
South Africa10 sites
407 Medi Clinic
Bloemfontein, 9301
Rosepark Hospital
Bloemfontein
Groote Schuur Hospital
Cape Town, 7925
Christian Barnard Memorial Hospital
Cape Town, 8001
406 Claremont Hospital
Cape Town
Study site
Morningside, Johannesburg, 2196
Panorama Medi-Clinic
Parow, 7550
Wilgers Medical Centre
Pretoria, 0041
Sunninghill Hospital
Sunninghill, Johannesburg, 2052
Umhlanga Hospital
Umhlanga, 4321
France9 sites
Centre Hospitalier du Pays d'Aix
Aix-en-Provence, 13090
Service Neurologie
Bayonne, 64100
CHU Gabrief Montpied
Clermont-Ferrand, 69003
Contis, Patrick
Colomiers, 31770
Study site
Lille
Centre de Pharmacologie Clinique et Evaluation Therapeutique
Marseille, 13385
Study site
Nantes
Hopital de la Pitie Salpetriere
Paris, 75013
Centre d'Investigation Clinique, Hospital Purpan
Toulouse, 31059
Czechia8 sites
University Hospital
Olomouc, 77520
University Hospital
Ostrava, 70852
Pliklinika Modry Pavilon
Ostrava, 71000
Nemocnice Pardubice
Pardubice, 53203
FN Plzen
Pilsen, 30460
Nemocnice Pisek
Plsek, 39723
Fakultni nemocnice Kralovske Vinohrady
Prague, 10034
VFN Praha
Prague, 12800
Spain8 sites
Hospital Clinic I Provincial
Barcelona, 08036
Hospital de sant Pau
Barcelona, 8025
Hospital Vall d'Hebron
Barcelona, 8035
Hospital del Mar, Servei de Neurologia
Barcelona
Hospital Ramon y Cajal
Madrid, 28034
Hospital Puerta de Hierro
Madrid, 28035
Clinica Universitaria de Navarra
Pamplona, 31008
Hospital Clinico Universitario de Santiago
Santiago de Compostela, 15706
Belgium7 sites
Cliniques Universitaires St-Luc
Brussels, 1200
C.H.U.de Charleroi
Charleroi, 6000
U.Z. Antwerpen
Edegem, 2650
U.Z. Gent
Ghent, 9000
C.H.R. de la Citadelle
Liège, 4000
Hopital St-Pierre
Ottignies, 1340
St-Andries Ziekenhuis
Tielt, 8700
United Kingdom7 sites
Bupa Flyde Coast Hospital
Blackpool, FY38BP
North Surrey Primary Care Trust
Chertsey, KT160QA
District General Hospital NHS Trust
Clwyd, LL185UJ
North Manchester General Hospital
Crumpsall, M85RB
Royal Free Hospital
London, NW32QG
University College Hospital
London, W1N8AA
Royal Hallamshire Hospital
Sheffield, S102FJ
Israel6 sites
Cham Sheba Medical Center
Haifa, 52621
Rabin MC
Petah Tikva, 49372
Ichilov Sourasky MC
Petah Tikva, 64239
Rambam Healthcare Center
Ramat Gan, 52621
Carmel Medical Center
Tel Aviv
Assaf Harofe Medical Center
Zerafin, 70300
Estonia3 sites
Parnu Hospital
Pärnu, 80010
West Tallinn Central Hospital
Tallinn, 10617
Tartu University Hospital
Tartu, 51014
Lithuania3 sites
Kaunas Medical University Hospital
Kaunas, LT5009
Vilnius University Emergency Hospital
Vilnius, 04130
Vilnius University Hospital, Santariskiu Clinic
Vilnius, 2600
Portugal3 sites
Servico de Neurologia
Coimbra, 3000-075
Hospital Santa Maria
Lisbon, 1649-035
Hospital Santo Antonio
Porto, 4099-001
Serbia3 sites
Clinic of Neurology and Psychiatry
Belgrade, Serbia and Montenegro
Clinic of Neurology
Belgrade, Serbia and Montenegro
Institute of Neurology
Belgrade, Serbia and Montenegro
Austria2 sites
University Clinic Innsbruck
Innsbruck, 6020
Department of Neurology
Vienna
Sweden2 sites
Praktiken Ankaret
Karlstad, 65224
St Gorans Sjukhus
Stockholm, 11281
About this study
Official title: A Multi-centre, Randomised, Double-blind, Placebo-controlled, Parallel Group Study of the Efficacy, Safety and Tolerability of E2007 in Levodopa Treated Parkinson's Disease Patients With Motor Fluctuations
Patients will be randomised to receive either placebo or the study drug for a period of 30 weeks, in addition to their standard Parkinsonian medications. During the first 8 weeks, the patient's levodopa doses may be adjusted if necessary by the investigator. For the remainder of the 22 weeks, all medications should be kept stable. Patients will be required to attend the clinic twice during the screening period and then a further 8 times during the treatment period. They will be required to complete home diaries where they will record their motor function. In addition, their doctor will assess their Parkinson's disease during the clinic visits. There will also be blood draws for safety and pharmacokinetic and pharmacogenomics evaluation. Following the treatment and assessment period, they will return to the clinic one month later for follow up.
- Conditions
- Parkinson's Disease
- Being tested
- E2007
- Medical subject headings
- Parkinson Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
E2007Drug
What is being measured
The primary outcome is the main question the study is designed to answer.
Patient diaries: Change from baseline to final efficacy visit in the mean total daily OFF time (hr).
Secondary outcomes (1)
Change from baseline on average OFF time over total treatment period; UPDRS Part II: OFF state; UPDRS Part III: ON state; change from baseline to final efficacy visit in mean total daily ON time w/o dyskinesias or with no troublesome dyskinesias.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Feb 2006 (estimated)
- Study startFeb 2006
- Primary completionJun 2007
- Study completionAug 2007
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Parkinson's DiseaseStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 702 participants (actual)
Sponsor and investigators
- Lead sponsor
- Eisai Limited
- Sponsor type
- Industry (pharma, biotech, devices)
- Investigators
- Alessia Nicotra, MD, PhD, DIC, Study director, Eisai Limited
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00286897
- Sponsor's protocol ID
- E2007-E044-301
- Other IDs
- 2005-004314-33, 2005
- Status last verified
- Nov 2015
- First submitted
- 3 Feb 2006
- Last updated
- 3 Nov 2015
- Results posted
- No
Study at a glance
From the registry record, last updated by the sponsor on 3 Nov 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multi-centre, Randomised, Double-blind, Placebo-controlled, Parallel Group Study of the Efficacy, Safety and Tolerability of E2007 in Levodopa Treated Parkinson's Disease Patients With Motor Fluctuations
- ClinicalTrials.gov ID
- NCT00286897
- Acronym / sponsor ID
- E2007-E044-301
- Conditions
- Parkinson's Disease
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 702 participants (actual)
- Lead sponsor
- Eisai LimitedIndustry (pharma, biotech, devices)
- Study start
- Feb 2006
- Primary completion
- Jun 2007 (actual)
- Study completion
- Aug 2007 (actual)
- First posted
- 6 Feb 2006 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Patients will be randomised to receive either placebo or the study drug for a period of 30 weeks, in addition to their standard Parkinsonian medications. During the first 8 weeks, the patient's levodopa doses may be adjusted if necessary by the investigator. For the remainder of the 22 weeks, all medications should be kept stable. Patients will be required to attend the clinic twice during the screening period and then a further 8 times during the treatment period. They will be required to complete home diaries where they will record their motor function. In addition, their doctor will assess their Parkinson's disease during the clinic visits. There will also be blood draws for safety and pharmacokinetic and pharmacogenomics evaluation. Following the treatment and assessment period, they will return to the clinic one month later for follow up.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
Who may qualify
- Ages
- 30 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Male or female patients with idiopathic PD fulfilling the (UK) Parkinson's disease Society Brain Bank diagnostic criteria, with a good response to levodopa.
- Patients must have been diagnosed with idiopathic PD at >= 30 years of age.
- Patients must have predictable motor fluctuations of the wearing OFF type with the presence of at least 2 hours of OFF time during the waking day (excluding the morning OFF time) as evidenced by diary cards completed at screening and confirmed by diary data collected at the baseline visit.
- Before patients are randomised they must be able to show that they are able to accurately complete the diary cards. During the diary-training period at the initial screening visit there must be diary evidence of at least one transition of OFF to ON or from ON to OFF and patients must show 75% concordance with Investigator's completion of the diary card.
- Patients must rate between II-IV on the Hoehn \& Yahr scale when in an OFF state.
Key exclusion criteria (16 listed)
- Pregnant or lactating women.
- Women of child bearing potential unless infertile (including surgically sterile) or practicing effective contraception (e.g., abstinence, IUD or barrier method plus hormonal method). These patients must have a negative serum B-HCG test at the initial screening visit (Visit 1), and a negative urine pregnancy test at the Baseline visit (Visit 3). These patients must also be willing to remain on their current form of contraception for the duration of the study. Postmenopausal women may be recruited but must be amenorrhoeic for at least 1 year to be considered of non-child bearing potential as determined by the investigator.
- Fertile men not willing to use reliable contraception and fertile men with partners not willing to use reliable contraception.
- Patients with a past or present history of drug or alcohol abuse as per DSM IV criteria.
- Patients with a past (within one year) or present history of psychotic symptoms requiring antipsychotic treatment. Patients may be taking anti-depressant medication, however the dose must be stable for 4 weeks prior to the baseline visit. Use of anti-psychotic medication including clozapine and quetiapine is prohibited even if the indication is for movement disorders.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| E2007 | Drug | – |
Primary outcome
Patient diaries: Change from baseline to final efficacy visit in the mean total daily OFF time (hr).
1 secondary outcome
Change from baseline on average OFF time over total treatment period; UPDRS Part II: OFF state; UPDRS Part III: ON state; change from baseline to final efficacy visit in mean total daily ON time w/o dyskinesias or with no troublesome dyskinesias.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Nov 2015.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Alessia Nicotra, MD, PhD, DIC study director
Eisai Limited
118 sites in 17 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing E2007 in people with Parkinson's Disease, run by Eisai Limited at 118 sites in 17 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 9 inclusion and 16 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 3 Nov 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 118 sites in Germany, Poland, Hungary, Italy, South Africa and 12 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Patient diaries: Change from baseline to final efficacy visit in the mean total daily OFF time (hr).. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Nov 2015.