Restless Legs SyndromePhase 3NCT00355641
Long-Term Safety Of Ropinirole XR In Patients With Restless Legs Syndrome
A Phase 3 study testing Ropinirole Extended Release (XR) in people with Restless Legs Syndrome, run by GlaxoSmithKline at 65 sites in 2 countries.
Trial summary
The primary objective of this study is to assess the safety and tolerability of ropinirole XR in the long-term treatment (up to 52 weeks)of adults with RLS. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Restless Legs Syndrome
- What is being tested?
- Ropinirole Extended Release (XR)
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 450 participants
- Where
- 65 sitesin 2 countries
- Study dates
- Oct 2005to Oct 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 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- A subject will be eligible for inclusion in this study only if all of the following criteria apply:
- Subjects in North America ≥18 years of age who
- Have successfully completed one of the following parent studies: 101468/205, ROX104805; OR
- Have a diagnosis of primary RLS using the International RLS Study Group (IRSSG) Diagnostic Criteria (Appendix 10), experience RLS symptoms during both the evening (before 8 PM) and night-time, and have a total score ≥15 on the IRLS Rating Scale at Baseline. Subjects must have a history of a minimum of 20 evenings/nights of RLS episodes per month (e.g., any combination of evenings and/or nights for ≥ 20 days). During Screening/Washout, RLS symptoms must be present for at least 4 of 7 evenings/nights immediately prior to the Baseline Visit (e.g., any combination of evenings and/or nights for ≥ 4 days).
- Subjects must give written informed consent prior to any specific study procedures.
Who cannot join
- Subjects who have any medical conditions which, in the opinion of the investigator, could affect efficacy assessments or clinically significant or unstable medical conditions that present a safety concern. These may include, but are not limited to the following disorders: diabetes, peripheral neuropathy, rheumatoid arthritis, fibromyalgia syndrome, symptomatic orthostatic hypotension, severe cardiovascular disease, hepatic or renal failure, pleuro-pulmonary fibrosis.
- Subjects having clinically significant abnormal laboratory or ECG findings not resolved at time of baseline examinations. Abnormal 12-lead ECG findings include, but are not limited to the following: myocardial ischemia, clinically significant conduction abnormalities, or clinically significant arrhythmias.
- Subjects with a diastolic blood pressure ≥ 110mmHg or ≤ 50mmHg or systolic blood pressure ≥ 180mmHg or ≤ 90mmHg at the Screening or Baseline visit.
- Subjects with a history of augmentation and/or end-of-dose rebound symptoms.
- Augmentation is defined as RLS symptoms that occurred while on treatment and occur ≥ 2 hours earlier than they did before, symptoms which are more severe than when not treated, symptoms which start after less time at rest than they did before treatment, or symptoms which involve other parts of the body, such as the arms or trunk.
- End-of-dose rebound is defined as a re-emergence of RLS symptoms in the early morning the day after taking the dose of RLS medication.
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- Subjects who have exhibited intolerance to ropinirole.
- For subjects entering Study 206, certain medications must be discontinued prior to entering the study. The following medications are prohibited for the duration of the study period which is up to and including the Follow-up visit:
- ·dopamine agonists (including ropinirole immediate release formulation), dopamine antagonists (e.g., typical neuroleptics, metoclopramide), levodopa/carbidopa The minimum discontinuation period is generally 5 half-lives or 7 consecutive evening/nights medication-free, prior to baseline, whichever is the longer period. If the subject will require longer than 2 weeks following the Follow-up visit of the parent study to complete the washout, GSK must be consulted for further instructions.
- Other medications, including those with partial dopaminergic activity (e.g., atypical antipsychotics, certain antidepressants such as bupropion, tricyclic antidepressants and monoamine oxidase inhibitors) may have additive activity with ropinirole and should be used with caution in patients taking ropinirole. For patients on stable doses, these agents may be permitted; however, it is recommended that the dose of the medication remain stable throughout the duration of the study.
- Night workers or any others whose sleeping habits are incompatible with the study design, or who would be required to make significant changes to their bedtime during the course of the study.
- Women who have a positive pregnancy test.
- Women of child-bearing potential who are not practicing a clinically accepted method of contraception such as oral contraception, surgical sterilization, IUD, diaphragm in conjunction with spermicidal foam and condom on the male partner, or systemic contraception (e.g. Norplant).
- The following exclusion criteria must be assessed at Study 206 Screen/Baseline for subjects who are not rolling in following completion of Study 101468/205 or ROX104805:
- Subjects who suffer from a primary sleep disorder other than RLS that may significantly affect the symptoms of RLS (e.g., narcolepsy, sleep terror disorder, sleepwalking disorder, breathing related sleep disorder).
- Subjects diagnosed with movement disorders (e.g., Parkinson's disease, dyskinesias, and dystonias).
- Signs of secondary RLS (e.g., end stage renal disease, iron deficient anemia or pregnancy at Baseline Visit)
- Subjects requiring treatment of daytime RLS symptoms (daytime defined as 7:00 AM until 5:00 PM).
- Subjects with a history of alcohol or substance abuse within the past year.
- Subjects who, in the opinion of the investigator, would be non-compliant with the visit schedule or other study procedures
- Participation in any clinical drug or device trial (other than Study 101468/205 or ROX104805) in the one month prior to the Baseline Visit
Trial locations and contacts
65 sites in 2 countries.
65 sites in 2 countries
United States59 sites
GSK Investigational Site
Alabaster, Alabama, 35007
GSK Investigational Site
Alexandria, Virginia, 22311
GSK Investigational Site
Atlanta, Georgia, 30338
GSK Investigational Site
Atlanta, Georgia, 30342
GSK Investigational Site
Austell, Georgia, 30106
GSK Investigational Site
Baton Rouge, Louisiana, 70808
GSK Investigational Site
Bingham Farms, Michigan, 48025
GSK Investigational Site
Boca Raton, Florida, 33486
GSK Investigational Site
Charlottesville, Virginia, 22911
GSK Investigational Site
Cherry Hill, New Jersey, 08003
GSK Investigational Site
Cleveland, Ohio, 44130
GSK Investigational Site
Colorado Springs, Colorado, 80909
GSK Investigational Site
Columbia, South Carolina, 29201
GSK Investigational Site
Columbus, Ohio, 43232
GSK Investigational Site
Dallas, Texas, 75231
GSK Investigational Site
Dawsonville, Georgia, 30534
GSK Investigational Site
Denver, Colorado, 80212
GSK Investigational Site
Endwell, New York, 13760
GSK Investigational Site
Greenville, North Carolina, 27834
GSK Investigational Site
Jackson, Tennessee, 38305
GSK Investigational Site
Jasper, Alabama, 35501
GSK Investigational Site
Laguna Hills, California, 82653
GSK Investigational Site
Largo, Florida, 33773
GSK Investigational Site
Las Vegas, Nevada, 89119
GSK Investigational Site
Lenexa, Kansas, 66214
GSK Investigational Site
Macon, Georgia, 31201
GSK Investigational Site
Medford, Oregon, 97504-8456
GSK Investigational Site
Mesa, Arizona, 85201
GSK Investigational Site
Mt. Pleasant, South Carolina, 29464
GSK Investigational Site
New York, New York, 10021
GSK Investigational Site
Northridge, California, 91325
GSK Investigational Site
Oak Brook, Illinois, 60523
GSK Investigational Site
Oklahoma City, Oklahoma, 73112
GSK Investigational Site
Oxnard, California, 93030
GSK Investigational Site
Pasadena, California, 91106
GSK Investigational Site
Phoenix, Arizona, 85050
GSK Investigational Site
Portland, Oregon, 97210
GSK Investigational Site
Raleigh, North Carolina, 27607
GSK Investigational Site
Redondo Beach, California, 90277
GSK Investigational Site
Reseda, California, 91355
GSK Investigational Site
Salt Lake City, Utah, 84107
GSK Investigational Site
Salt Lake City, Utah, 84121
GSK Investigational Site
San Antonio, Texas, 78229
GSK Investigational Site
San Diego, California, 92103
GSK Investigational Site
Santa Monica, California, 90404
GSK Investigational Site
Schenectady, New York, 12308
GSK Investigational Site
Spokane, Washington, 99204
GSK Investigational Site
Springfield, Massachusetts, 01104
GSK Investigational Site
St. Petersburg, Florida, 33701
GSK Investigational Site
Stuart, Florida, 34996
GSK Investigational Site
Sun City, Arizona, 85351
GSK Investigational Site
Tacoma, Washington, 98405
GSK Investigational Site
Tampa, Florida, 33609
GSK Investigational Site
Toms River, New Jersey, 08755
GSK Investigational Site
Topeka, Kansas, 66606
GSK Investigational Site
Walla Walla, Washington, 99362
GSK Investigational Site
Wenatchee, Washington, 98801
GSK Investigational Site
Wheat Ridge, Colorado, 80033
GSK Investigational Site
Woodstock, Georgia, 30189
Canada6 sites
GSK Investigational Site
Ajax, Ontario, L1S 2J5
GSK Investigational Site
Coquitlam, British Columbia, V3K 3P4
GSK Investigational Site
Langley, British Columbia, V3A 4H9
GSK Investigational Site
Montreal, Quebec, H2T 2N6
GSK Investigational Site
Regina, Saskatchewan, S4P 0W5
GSK Investigational Site
Sherbrooke, Quebec, J1H 1Z1
About this study
Official title: A 52-Week, Open-Label Study to Assess the Long-Term Safety of Ropinirole Extended Release (XR) in Patients With Restless Legs Syndrome (RLS)
The primary objective of this study is to assess the safety and tolerability of ropinirole XR in the long-term treatment (up to 52 weeks)of adults with RLS.
- Conditions
- Restless Legs Syndrome
- Being tested
- Ropinirole Extended Release (XR)
- Keywords
- Ropinirole, Restless Legs Syndrome, RLS
- Medical subject headings
- Restless Legs Syndrome
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Ropinirole Extended Release (XR)Drug
Dose range of Ropinirole XR of 0.5mg to 6.0mg daily
| Study group | Role | What they receive |
|---|---|---|
| Open Label | Experimental | All subjects will receive ropinirole XR in this study. The total daily dose range of ropinirole XR will be 0.5mg to 6.0mg daily Receives: Drug: Ropinirole Extended Release (XR) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Incidence/severity of adverse events Changes in vital signs Labs ECG Assessment of augmentation and rebound (worsening of RLS symptoms).
Measured: Up to 52 Weeks
Secondary outcomes (16)
Change from baseline in IRLS Rating Scale total score CGI Scale scores Medical Outcomes Study Sleep Scale scores Other subject-reported health outcomes.
Measured: Up to 52 Weeks
Incidence and severity of adverse events.
Measured: Up to 52 Weeks
Changes in vital signs (blood pressure and pulse) and weight.
Measured: Up to 52 Weeks
Changes in laboratory assessments (hematology and clinical chemistry).
Measured: Up to 52 Weeks
Changes in electrocardiogram (ECG) parameters.
Measured: Up to 52 Weeks
Assessment of augmentation.
Measured: Up to 52 Weeks
Assessment of rebound.
Measured: Up to 52 Weeks
Change from baseline in the IRLS Rating Scale total score at Week 52 LOCF (last observation carried forward).
Measured: Up to 52 Weeks
Proportion of subjects with a score of much improved (2) or very much improved (1) on CGI-I at Week 52 LOCF.
Measured: Up to 52 Weeks
CGI Severity of Illness (CGI-S) at Week 52 LOCF.
Measured: Up to 52 Weeks
Change from baseline in the domains of the Medical Outcomes Study (MOS-12) Sleep Scale at Week 52 LOCF.
Measured: Up to 52 Weeks
Change from baseline in the overall life impact score of the RLS Quality of Life Questionnaire at Week 52 LOCF.
Measured: Up to 52 Weeks
Change from baseline in the anxiety and depression domains of the Hospital Anxiety and Depression (HADS) Scale at Week 52 LOCF.
Measured: Up to 52 Weeks
Change from baseline in the total score and domains of the Profile of Mood States (POMS) Scale Short Form at Week 52 LOCF.
Measured: Up to 52 Weeks
Change from baseline in the parameters for the work Productivity and Activity Impairment - Specific Health Problem (WPAI-SHP) Questionnaire at Week 52 LOCF.
Measured: Up to 52 Weeks
Proportion of subjects satisfied with their treatment at Week 52 LOCF.
Measured: Up to 52 Weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Jul 2006 (estimated)
- Study startOct 2005
- Primary completionOct 2007
- Study completionOct 2007
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Restless Legs SyndromeStudies of the same condition, open and under way.
- More trials run by GlaxoSmithKlineThe sponsor's other registered studies.
- 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
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 450 participants (actual)
Sponsor and investigators
- Lead sponsor
- GlaxoSmithKline
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- GSK Clinical Trials, Study director, GlaxoSmithKline
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00355641
- Sponsor's protocol ID
- 101468/206
- Status last verified
- Oct 2016
- First submitted
- 20 Jul 2006
- Last updated
- 28 Oct 2016
- Results posted
- No
- Data monitoring committee
- No
- Individual data sharing
- Yes: Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.
Publications
C Hill-Zabala, R Bogan, D Lee, M Lomax. A 52-week open-label study to assess the long-term tolerability of Ropinirole CR Extended Release Tablets in subjects with Restless Legs Syndrome (RLS). 12th International Congress of Parkinson's Disease and Movement Disorders, Chicago, IL, June 22-26, 2008 (abstract 1112).
Study at a glance
From the registry record, last updated by the sponsor on 28 Oct 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A 52-Week, Open-Label Study to Assess the Long-Term Safety of Ropinirole Extended Release (XR) in Patients With Restless Legs Syndrome (RLS)
- ClinicalTrials.gov ID
- NCT00355641
- Acronym / sponsor ID
- 101468/206
- Conditions
- Restless Legs Syndrome
- Keywords
- Ropinirole, Restless Legs Syndrome, RLS
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 450 participants (actual)
- Lead sponsor
- GlaxoSmithKlineIndustry (pharma, biotech, devices)
- Study start
- Oct 2005
- Primary completion
- Oct 2007 (actual)
- Study completion
- Oct 2007 (actual)
- First posted
- 24 Jul 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.
The primary objective of this study is to assess the safety and tolerability of ropinirole XR in the long-term treatment (up to 52 weeks)of adults with RLS.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Open Label | Experimental | Drug: Ropinirole Extended Release (XR)All subjects will receive ropinirole XR in this study. The total daily dose range of ropinirole XR will be 0.5mg to 6.0mg daily |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- A subject will be eligible for inclusion in this study only if all of the following criteria apply:
- Subjects in North America ≥18 years of age who
- Subjects must give written informed consent prior to any specific study procedures.
Key exclusion criteria (21 listed)
- Subjects who have any medical conditions which, in the opinion of the investigator, could affect efficacy assessments or clinically significant or unstable medical conditions that present a safety concern. These may include, but are not limited to the following disorders: diabetes, peripheral neuropathy, rheumatoid arthritis, fibromyalgia syndrome, symptomatic orthostatic hypotension, severe cardiovascular disease, hepatic or renal failure, pleuro-pulmonary fibrosis.
- Subjects having clinically significant abnormal laboratory or ECG findings not resolved at time of baseline examinations. Abnormal 12-lead ECG findings include, but are not limited to the following: myocardial ischemia, clinically significant conduction abnormalities, or clinically significant arrhythmias.
- Subjects with a diastolic blood pressure ≥ 110mmHg or ≤ 50mmHg or systolic blood pressure ≥ 180mmHg or ≤ 90mmHg at the Screening or Baseline visit.
- Subjects with a history of augmentation and/or end-of-dose rebound symptoms.
- Subjects who have exhibited intolerance to ropinirole.
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 |
|---|---|---|
| Ropinirole Extended Release (XR)Dose range of Ropinirole XR of 0.5mg to 6.0mg daily | Drug | Open Label |
Primary outcome
Incidence/severity of adverse events Changes in vital signs Labs ECG Assessment of augmentation and rebound (worsening of RLS symptoms).
Time frame: Up to 52 Weeks
16 secondary outcomes
Change from baseline in IRLS Rating Scale total score CGI Scale scores Medical Outcomes Study Sleep Scale scores Other subject-reported health outcomes.
Time frame: Up to 52 Weeks
Incidence and severity of adverse events.
Time frame: Up to 52 Weeks
Changes in vital signs (blood pressure and pulse) and weight.
Time frame: Up to 52 Weeks
Changes in laboratory assessments (hematology and clinical chemistry).
Time frame: Up to 52 Weeks
Changes in electrocardiogram (ECG) parameters.
Time frame: Up to 52 Weeks
Assessment of augmentation.
Time frame: Up to 52 Weeks
Assessment of rebound.
Time frame: Up to 52 Weeks
Change from baseline in the IRLS Rating Scale total score at Week 52 LOCF (last observation carried forward).
Time frame: Up to 52 Weeks
Proportion of subjects with a score of much improved (2) or very much improved (1) on CGI-I at Week 52 LOCF.
Time frame: Up to 52 Weeks
CGI Severity of Illness (CGI-S) at Week 52 LOCF.
Time frame: Up to 52 Weeks
Change from baseline in the domains of the Medical Outcomes Study (MOS-12) Sleep Scale at Week 52 LOCF.
Time frame: Up to 52 Weeks
Change from baseline in the overall life impact score of the RLS Quality of Life Questionnaire at Week 52 LOCF.
Time frame: Up to 52 Weeks
Change from baseline in the anxiety and depression domains of the Hospital Anxiety and Depression (HADS) Scale at Week 52 LOCF.
Time frame: Up to 52 Weeks
Change from baseline in the total score and domains of the Profile of Mood States (POMS) Scale Short Form at Week 52 LOCF.
Time frame: Up to 52 Weeks
Change from baseline in the parameters for the work Productivity and Activity Impairment - Specific Health Problem (WPAI-SHP) Questionnaire at Week 52 LOCF.
Time frame: Up to 52 Weeks
Proportion of subjects satisfied with their treatment at Week 52 LOCF.
Time frame: Up to 52 Weeks
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 28 Oct 2016.
- BackgroundC Hill-Zabala, R Bogan, D Lee, M Lomax. A 52-week open-label study to assess the long-term tolerability of Ropinirole CR Extended Release Tablets in subjects with Restless Legs Syndrome (RLS). 12th International Congress of Parkinson's Disease and Movement Disorders, Chicago, IL, June 22-26, 2008 (abstract 1112).
- Researchers can use this site to request access to anonymised patient level data and/or supporting documents from clinical studies to conduct further research.Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.
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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.
GSK Clinical Trials study director
GlaxoSmithKline
65 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Ropinirole Extended Release (XR) in people with Restless Legs Syndrome, run by GlaxoSmithKline at 65 sites in 2 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 5 inclusion and 21 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 28 Oct 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 65 sites in United States, Canada. 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?
Incidence/severity of adverse events Changes in vital signs Labs ECG Assessment of augmentation and rebound (worsening of RLS symptoms). (time frame: Up to 52 Weeks). 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 NCT00355641, 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 28 Oct 2016.