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Parkinson DiseasePhase 4NCT00297778

Pramipexole Versus Placebo in Parkinson's Disease (PD) Patients With Depressive Symptoms

A Phase 4 study testing Pramipexole in people with Parkinson Disease and Depression, run by Boehringer Ingelheim at 77 sites in 13 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Parkinsons Disease (PD) is caused by a decrease of dopamine in a particular part of the brain. Dopamine is a messenger substance (neurotransmitter) that is used by the cells of the brain (nerve cells) to control and harmonize muscle movements. Read more about this study

Who is it for?
Ages 30 to 80 years
Conditions the study is for
Parkinson Disease, Depression
What is being tested?
Pramipexole
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
296 participants
Where
77 sitesin 13 countries
Study dates
Mar 2006to May 2008
Phase
Phase 4
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 15-item Geriatric Depression Scale (GDS) > or = 5
  • Unified Parkinson's Disease Rating Scale (UPDRS) Part I Score on Question #3 > or = 2
  • Folsteins Mini-Mental State Examination (MMSE) score > 24
  • Male or female patient with PD (UK PD Brain Bank criteria).
  • Patients diagnosed with idiopathic PD, Stage I-III by the Modified Hoehn and Yahr Scale and optimally controlled PD symptoms .
  • Male or female patients aged 30 - 80 years.
Show all 10Show fewer
  • Ability to provide written informed consent.
  • Women of childbearing potential must have a negative serum beta-humanchoriongonadotropin (Beta-HCG) pregnancy test at the Screening visit unless surgically sterile or last menstruation >or = 12 months prior to signing informed consent.
  • Women of childbearing potential must be using an accepted contraceptive.
  • Patients who are willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures.

Who cannot join

  • Previous history of allergic response, lack of efficacy or complications with pramipexole or its excipients.
  • History of suicidal attempts in the last twelve months; presence of suicidal tendencies/potential.
  • Atypical PD syndromes due to drugs, metabolic disorders, encephalitis or degenerative diseases.
  • History of PD stereotactic brain surgery.
  • Surgery within 180 days of randomization that would negatively impact the patients participation in the study.
  • History of active epilepsy within the past year.
Show all 16Show fewer
  • Current psychotherapy or behavior therapy while participating the trial
  • Symptomatic orthostatic hypotension prior to randomization.
  • Malignant melanoma or history of previously treated malignant melanoma.
  • Patients who have received typical neuroleptics, metoclopramide, alpha methyldopa, methylphenidate, reserpine, selegiline or amphetamine derivatives within the past 3 months.
  • Patients who have received dopamine agonists within the past 30 days
  • Electroconvulsive therapy during the 90 days preceding the screening visit (Visit 1).
  • Patients who are currently lactating.
  • Participation in other investigational drug studies or use of other investigational drugs within the previous 30 days prior to randomization.
  • Any other laboratory assay abnormality, which could interfere with patient participation or interpretation of results, or could increase the risk for the patient
  • Any other clinically significant medical/psychiatric condition, which could interfere with patient participation or interpretation of results, or could increase the risk for the patient

Trial locations and contacts

77 sites in 13 countries.

77 sites in 13 countries

France12 sites
  • 248.596.3302A Centre Hospitalier du Pays d'Aix

    Aix-en-Provence

  • 248.596.3302B Centre Hospitalier du Pays d'Aix

    Aix-en-Provence

  • 248.596.3306A Hôpital Pierre Wertheimer

    Bron

  • 248.596.3308A Hôpital Gabriel Montpied

    Clermont-Ferrand

  • 248.596.3309A Cabinet Médical

    Évreux

  • 248.596.3307A Hôpital Roger Salengro

    Lille

  • 248.596.3307B Hôpital Roger Salengro

    Lille

  • 248.596.3307C Hôpital Roger Salengro

    Lille

  • 248.596.3303A Hôpital La Timone

    Marseille

  • 248.596.3305A Hôpital du Haut Levêque

    Pessac Cédex

  • 248.596.3305B Hôpital du Haut Levêque

    Pessac Cédex

  • 248.596.3301A Hôpital Guillaume et René Laennec

    Saint-Herblain

Other trials in France

Germany11 sites
  • 248.596.49002 Boehringer Ingelheim Investigational Site

    Berlin

  • 248.596.49013 Boehringer Ingelheim Investigational Site

    Berlin

  • 248.596.49015 Boehringer Ingelheim Investigational Site

    Berlin

  • 248.596.49003 Boehringer Ingelheim Investigational Site

    Bremerhaven

  • 248.596.49016 Boehringer Ingelheim Investigational Site

    Cologne

  • 248.596.49004 Boehringer Ingelheim Investigational Site

    Gera

  • 248.596.49001 Boehringer Ingelheim Investigational Site

    Karlsruhe

  • 248.596.49005 Boehringer Ingelheim Investigational Site

    Marburg

  • 248.596.49014 Boehringer Ingelheim Investigational Site

    Mittweida

  • 248.596.49008 Boehringer Ingelheim Investigational Site

    München

  • 248.596.49012 Boehringer Ingelheim Investigational Site

    Steglitz

Other trials in Germany

Italy8 sites
  • 248.596.39008 Clinica Neurologica I Policlinico di Catania

    Catania

  • 248.596.39004 Neurologia Ospedale della Misericordia

    Grosseto

  • 248.596.39005 Clinica Neurologica Policlinico G. Martino

    Messina

  • 248.596.39009 Istituti Clinici di Perfezionamento

    Milan

  • 248.596.39003 Università degli studi di Napoli "Federico II"

    Naples

  • 248.596.39001 Ospedale Civile S. Spirito, Università "G. D'Annunzio"

    Pescara

  • 248.596.39007 Clinica Neurologica Policlinico Tor Vergata

    Roma

  • 248.596.39006 Neurologia Ospedale Evangelico Valdese

    Torino

Other trials in Italy

Netherlands6 sites
  • 248.596.31003 Jeroen Bosch Ziekenhuis, locatie WA

    's-Hertogenbosch

  • 248.596.31007 Afdeling neurologie

    Amsterdam

  • 248.596.31005 Ziekenhuis Gooi-Noord

    Blaricum

  • 248.596.31004 Amphia ziekenhuis, Locatie Molengracht

    Breda

  • 248.596.31002 Canisius-Wilhelmina Ziekenhuis

    Nijmegen

  • 248.596.31001 Maasland Ziekenhuis

    Sittard

Other trials in Netherlands

Romania6 sites
  • 248.596.40003 Boehringer Ingelheim Investigational Site

    Bucharest

  • 248.596.40004 Boehringer Ingelheim Investigational Site

    Bucharest

  • 248.596.40005 Boehringer Ingelheim Investigational Site

    Bucharest

  • 248.596.40001 Boehringer Ingelheim Investigational Site

    Cluj-Napoca

  • 248.596.40002 Boehringer Ingelheim Investigational Site

    Iași

  • 248.596.40006 Country Clinical Emergency Hospital

    Târgu Mureş

Other trials in Romania

South Africa6 sites
  • 248.596.27001 Boehringer Ingelheim Investigational Site

    Cape Town

  • 248.596.27003 Boehringer Ingelheim Investigational Site

    Cape Town

  • 248.596.27007 Boehringer Ingelheim Investigational Site

    Cape Town

  • 248.596.27008 Boehringer Ingelheim Investigational Site

    Johannesburg

  • 248.596.27004 Boehringer Ingelheim Investigational Site

    Pretoria

  • 248.596.27006 Boehringer Ingelheim Investigational Site

    Richards Bay

Other trials in South Africa

Spain6 sites
  • 248.596.34003 Hospital de Alcorcón. Departamento de Neurología

    Alcorcon (Madrid)

  • 248.596.34001 Hospital Sta Creu i Sant Pau. Departamento de Neurología

    Barcelona

  • 248.596.34002 Hospital Clinic i Provincial. Departamento de Neurología

    Barcelona

  • 248.596.34005 Hosp. Univ. Vall d'Hebron. Departamento de Neurología

    Barcelona

  • 248.596.34007 Hosp Gral Univ Gregorio Marañón. Departamento de Neurología

    Madrid

  • 248.596.34004 Hospital General de Catalunya. Departamento de Neurología

    San Cugat Del Valles (Barcelona)

Other trials in Spain

Austria5 sites
  • 248.596.43003 Boehringer Ingelheim Investigational Site

    Graz

  • 248.596.43001 Boehringer Ingelheim Investigational Site

    Innsbruck

  • 248.596.43005 Boehringer Ingelheim Investigational Site

    Linz

  • 248.596.43004 Boehringer Ingelheim Investigational Site

    Sankt Pölten

  • 248.596.43002 Boehringer Ingelheim Investigational Site

    Vienna

Other trials in Austria

Russia5 sites
  • 248.596.70001 Boehringer Ingelheim Investigational Site

    Moscow

  • 248.596.70003 Boehringer Ingelheim Investigational Site

    Moscow

  • 248.596.70002 Boehringer Ingelheim Investigational Site

    Saint Petersburg

  • 248.596.70004 Boehringer Ingelheim Investigational Site

    Saint Petersburg

  • 248.596.70005 Boehringer Ingelheim Investigational Site

    Saint Petersburg

Other trials in Russia

Ukraine5 sites
  • 248.596.38004 Boehringer Ingelheim Investigational Site

    Donetsk

  • 248.596.38005 Boehringer Ingelheim Investigational Site

    Kharkiv

  • 248.596.38002 Boehringer Ingelheim Investigational Site

    Kiev

  • 248.596.38006 Boehringer Ingelheim Investigational Site

    Simferopol

  • 248.596.38003 Boehringer Ingelheim Investigational Site

    Vinnytzya

Other trials in Ukraine

Norway3 sites
  • 248.596.47002 Boehringer Ingelheim Investigational Site

    Arendal

  • 248.596.47004 Boehringer Ingelheim Investigational Site

    Lillehammer

  • 248.596.47003 Boehringer Ingelheim Investigational Site

    Sandvika

Other trials in Norway

Sweden3 sites
  • 248.596.46004 Boehringer Ingelheim Investigational Site

    Linköping

  • 248.596.46001 Boehringer Ingelheim Investigational Site

    Stockholm

  • 248.596.46002 Boehringer Ingelheim Investigational Site

    Stockholm

Other trials in Sweden

Finland1 site
  • 248.596.35801 Boehringer Ingelheim Investigational Site

    Oulu

Other trials in Finland

About this study

Official title: A Randomized, Double-blind, Placebo-controlled, Parallel Group Efficacy Study of Pramipexole and Placebo Administered Orally Over a 12 Week Treatment Phase in Parkinson's Disease Patients With Stable Motor Function and Depressive Symptoms

Parkinsons Disease (PD) is caused by a decrease of dopamine in a particular part of the brain. Dopamine is a messenger substance (neurotransmitter) that is used by the cells of the brain (nerve cells) to control and harmonize muscle movements. Consequently, the main manifestations of the disease affect movement and include tremor, muscular rigidity, slowness in performing movements and loss of balance.

However, the disease affects also other, non motor functions and may cause other disorders, such as depression. Depression may be a reaction to the disability caused by the disease, but many studies show that depression is more common in PD than in other chronic debilitating illnesses. Moreover, there is also a biological explanation for the phenomenon: dopamine is also used in brain circuits involved in the experience of pleasure, and loss of pleasure in daily physical or social activity is one of the key manifestations of depression.

Read more

The objective of the study is to assess whether pramipexole, at doses approved for the treatment of PD symptoms, is more effective than placebo in resolving depressive symptoms in PD patients.

Also data on the safety of the product in the disease will be collected.

Being tested
Pramipexole, Placebo
Medical subject headings
Parkinson Disease, Depression

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PramipexoleDrug

    Dopamine agonist

  • PlaceboOther

Study groups in NCT00297778
Study groupRoleWhat they receive
pramipexoleExperimentalA daily dose of pramipexole 0.125 mg t.i.d.; titration-to-response up to 1.0 mg t.i.d.
Receives: Drug: Pramipexole
placeboPlacebo comparatorPlacebo (matching) tablets
Receives: Other: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline in the Beck Depression Inventory-Version 1A (BDI-IA) Total Score at Week 12

    The BDI measures symptoms of depression on an ordinal scale ranging from 0 (no symptoms) to 63 (worst symptoms)

    Measured: Baseline and Week 12

Secondary outcomes (14)
  1. Change in BDI-IA Clinical Response (at Least 50% Reduction in Symptoms) at Week 12

    BDI clinical response was defined as a reduction of ≥50% from baseline

    Measured: Week 12

  2. Change From Baseline in the Geriatric Depression Scale-Short Form (GDS-SF) (15-item Version) Total Score at Week 12

    The GDS measures symptoms of depression on an ordinal scale ranging from 0 (no symptoms) to 15 (worst symptoms)

    Measured: Baseline and Week 12

  3. Change From Baseline in Snaith-Hamilton Pleasure Scale (SHAPS) Total Score at Week 12

    The SHAPS measures anhedonia (inability to experience pleasure) on an ordinal scale ranging from 0 (no anhedonia) to 14 (worst anhedonia)

    Measured: Baseline and Week 12

  4. Change From Baseline in the Unified Parkinson's Disease Rating Scale (UPDRS) Part I Depression Score at Week 12

    The UPDRS part I depression score measures depression on an ordinal scale ranging from 0 (none) to 4 (sustained depression/suicidal thoughts)

    Measured: Baseline and Week 12

  5. Change From Baseline in the UPDRS Part II Total Score at Week 12

    Unified Parkinson's Disease Rating Scale part II total score on FAS The UPDRS part II total score measures the impact of PD on activities of daily living on an ordinal scale ranging from 0 (normal) to 52 (worst symptoms)

    Measured: Baseline and Week 12

  6. Change From Baseline in the UPDRS Part III Total Score at Week 12

    The UPDRS part III total score measures the impact of PD on motor skills on an ordinal scale ranging from 0 (normal) to 108 (worst symptoms)

    Measured: Baseline and Week 12

  7. Change From Baseline in the UPDRS Part II+III Total Score at Week 12

    The UPDRS part II+III total score measures the impact of PD on activities of daily living and motor skills on an ordinal scale ranging from 0 (normal) to 160 (worst symptoms)

    Measured: Baseline and Week 12

  8. Clinical Global Impressions of Global Improvement (CGI-I) at Week 12

    The CGI-I measures the overall improvement in the participants condition from baseline on an ordinal scale ranging from 1 (very much improved) to 7 (very much worse)

    Measured: Week 12

  9. Change From Baseline in the Parkinson's Disease Questionnaire-39 (PDQ-39) Overall Index Score at Week 12

    The PDQ-39 measures aspects of health in PD participants, the overall index score is the mean of the eight individual domain scores measured on a continuous scale ranging from 0 (no problem at all) to 100 (maximum level of the problem)

    Measured: Baseline and Week 12

  10. Change From Baseline in the European Quality of Life Scale (EUROQOL (EQ)-5D) Overall Index Score at Week 12

    This is a 5-item patient reported measure of health status developed for use in evaluating health and healthcare. It produces a numeric score for health status on which full health has a value of 1 and death has a value of 0. Euro-QOL describes health status in terms of 5 dimensions: mobility, self-care, usual activity, pain/discomfort, and anxiety/depression. The EQ-5D measures health status on a continuous scale ranging from 0 (dead) to 1 (full health)

    Measured: Baseline and Week 12

  11. Change From Baseline to End of Maintenance Phase in European Quality of Life Visual Analogue Scale (EUROQOL (EQ) VAS) Pain Score at Week 12

    The VAS is a method used for the measurement of pain. The patient is asked to place a mark on an uncalibrated (usually 0 - 10 cm) line representing the patient's degree of general pain. The two extremities of the line were taken to represent 'no pain' and 'unbearable pain', respectively. VAS pain scores could range from 0 (no pain) to 100 (unbearable pain).

    Measured: Baseline and Week 12

  12. Change From Baseline in the UPDRS Part I Total Score at Week 12

    The UPDRS part I total score measures depression on an ordinal scale ranging from 0 to 16. UPDRS Part I total scores could range from 0 to 16; where higher scores were indicative of worse symptoms.

    Measured: Baseline and Week 12

  13. Change From Baseline in the UPDRS Part IV Total Score at Week 12

    The UPDRS Part IV measures motor complications (dyskinesia) and the total score could range from 0 to 23; where higher scores were indicative of worse symptoms.

    Measured: Baseline and Week 12

  14. Abnormal Findings: Clinical Laboratory Evaluations (Biochemistry and Haematology)and Vital Signs

    Measured: Baseline and Week 12

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Mar 2006 (estimated)
  2. Study startMar 2006
  3. Primary completionMay 2008

Resources

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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
296 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00297778
Sponsor's protocol ID
248.596
Other IDs
Eudract 2005-003788-22
Status last verified
Apr 2014
First submitted
28 Feb 2006
Last updated
9 Jun 2014

Publications

  • Barone P, Poewe W, Albrecht S, Debieuvre C, Massey D, Rascol O, Tolosa E, Weintraub D. Pramipexole for the treatment of depressive symptoms in patients with Parkinson's disease: a randomised, double-blind, placebo-controlled trial. Lancet Neurol. 2010 Jun;9(6):573-80. doi: 10.1016/S1474-4422(10)70106-X. Epub 2010 May 7.

    PubMed 20452823

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Pramipexole in people with Parkinson Disease and Depression, run by Boehringer Ingelheim at 77 sites in 13 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 10 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 9 Jun 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 77 sites in France, Germany, Italy, Netherlands, Romania and 8 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. Some participants in this study may receive a placebo. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 24 Sep 2009). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Change From Baseline in the Beck Depression Inventory-Version 1A (BDI-IA) Total Score at Week 12 (time frame: Baseline and Week 12). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00297778, which also lists 1 linked publication.

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 9 Jun 2014.

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