Parkinson's DiseasePhase 3NCT00368108
Efficacy, Safety, and Tolerability of E2007 in Levodopa Treated Parkinson's Disease Patients With Motor Fluctuations
A Phase 3 study testing 2 mg perampanel and 4 mg perampanel in people with Parkinson's Disease, run by Eisai Inc. at 114 sites in 2 countries.
Trial summary
This is a multi-center, randomized, double-blind, placebo-controlled, parallel-group study of E2007 in levodopa treated Parkinson's disease patients with motor fluctuations. 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?
- 2 mg perampanel and 4 mg perampanel
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 752 participants
- Where
- 114 sitesin 2 countries
- Study dates
- Aug 2006to Jan 2008
- Phase
- Phase 3
- 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male or female patients with idiopathic Parkinson's Disease fulfilling the United Kingdom (UK) Parkinson's disease Society Brain Bank diagnostic criteria 7, 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.
- Patients must rate between II-IV on the Hoehn \& Yahr scale when in an "OFF" state.
- Patients must be taking optimized levodopa therapy.
Who cannot join
- Pregnant or lactating women.
- Women of child bearing potential unless infertile (including surgically sterile) or practicing effective contraception (eg, abstinence, intrauterine device or barrier method plus hormonal method). These patients must have a negative serum beta-human chorionic gonadotrophin (B-HCG) test at the Screening visit, and a negative urine pregnancy test at the Baseline visit (Day 0). 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 amenorrheic for at least one year to be considered of non-child bearing potential as determined by the Investigator.
- Patients with a past or present history of drug or alcohol abuse as per Diagnostic and Statistical Manual - 4th edition (DSM IV) criteria.
- Patients with a past (within one year) or present history of suicidal ideation or suicide attempts.
- Patients with unstable abnormalities of the hepatic, renal, cardiovascular, respiratory, gastro-intestinal, hematological, endocrine or metabolic systems which might complicate assessment of the tolerability of the study medication.
Trial locations and contacts
114 sites in 2 countries.
114 sites in 2 countries
United States99 sites
Albany Medical College
Albany, New York, 12205
Lehigh Valley Hospital
Allentown, Pennsylvania, 18103
Asheville Neurology Specialists. PA
Asheville, North Carolina, 28806
Asheville Neurology Specialists
Asheville, North Carolina, 28806
Emory University
Atlanta, Georgia, 30329
Medical College of Georgia
Augusta, Georgia, 30912
University of Maryland Medical Center
Baltimore, Maryland, 21201
Quest Research Institute
Bingham Farms, Michigan, 48025
University of Alabama at Birmingham
Birmingham, Alabama, 35233
Parkinson's Disease and Movement Disorder Center of Boca Raton
Boca Raton, Florida, 33486
Boston University Medical Center
Boston, Massachusetts, 02118
Harvard Vanguard Medical Associates
Boston, Massachusetts, 02215
Fletcher Allen Health Care
Burlington, Vermont, 05401
Capitol Neurology
Charleston, West Virginia, 25301
Northwestern University Medical School
Chicago, Illinois, 60611
Rush University Medical Center
Chicago, Illinois, 60612
Ohio State University Medical Center
Columbus, Ohio, 43210
Parkinson's Disease and Movement Disorder Center of Long Island
Commack, New York, 11725
Radiant Research - Dallas North
Dallas, Texas, 75231
Associated Neurologists, PC - Danbury
Danbury, Connecticut, 06810
Neurology Specialists, Inc.
Dayton, Ohio, 45408
Dekalb Neurology Associates, LLC/DNA Research
Decatur, Georgia, 30033
Brain Matters Research
Delray Beach, Florida, 33445
Mile High Research Center
Denver, Colorado, 80218
University Of Colorado
Denver, Colorado, 80262
Duke University
Durham, North Carolina, 27705
Parkinson's and Movement Disorders Center of Maryland
Elkridge, Maryland, 21075
Colorado Neurology
Englewood, Colorado, 80113
New York University Medical Center
Forest Hills, New York, 11375
Fort Wayne Neurological Center
Fort Wayne, Indiana, 46805
The Parkinson's and Movement Disorder Institute
Fountain Valley, California, 92708
Margolin Brain Institute
Fresno, California, 93720
University of Florida
Gainesville, Florida, 32610
Struthers Parkinson's Center
Golden Valley, Minnesota, 55427
Hartford Hospital
Hartford, Connecticut, 06106
Sunrise Clinical Research
Hollywood, Florida, 33021
Baylor College of Medicine
Houston, Texas, 77030
North Alabama Neuroscience Research Associates
Huntsville, Alabama, 35801
Indiana University
Indianapolis, Indiana, 46202
University Of Iowa
Iowa City, Iowa, 52242
University of California Medical Center - Irvine
Irvine, California, 92697
University of Florida - Department of Neurology
Jacksonville, Florida, 32209
Mayo Clinic Jacksonville
Jacksonville, Florida, 32224
University of Kansas
Kansas City, Kansas, 66160
Coastal Neurological Group
La Jolla, California, 92037
Scripps Clinic
La Jolla, California, 92037
University of California at San Diego - Department of Neurology
La Jolla, California, 92161
University of Nevada School of Medicine
Las Vegas, Nevada, 89102
Dartmouth-Hitchcock Medical Center
Lebanon, New Hampshire, 03756
University Of Kentucky
Lexington, Kentucky, 40536-0284
Clinical Trials Inc.
Little Rock, Arkansas, 72205
UAMS Department of Neurology
Little Rock, Arkansas, 72205
Loma Linda University
Loma Linda, California, 92354
University of Southern California
Los Angeles, California, 90033
Kentucky Neuroscience Research
Louisville, Kentucky, 40202
Agape' Medical Center, Inc.
Lubbock, Texas, 79410
Bhupesh Dihenia, MD, PA
Lubbock, Texas, 79410
North Shore Medical Center
Manhasset, New York, 11030
Semmes Murphey Neurology and Spine Institute
Memphis, Tennessee, 38103
University of Miami
Miami, Florida, 33136
Miami Research Associates
Miami, Florida, 33173
Medical College of Wisconsin
Milwaukee, Wisconsin, 53226
Wisconsin Institute for Neurologic and Sleep Disorders
Milwaukee, Wisconsin, 53233
University of Minnesota
Minneapolis, Minnesota, 55455
University of Medicine and Dentistry of New Jersey
New Brunswick, New Jersey, 08901
Molecular Neuroimaging, LLC
New Haven, Connecticut, 06511
The Mount Sinai Medical Center
New York, New York, 10029
Columbia University Medical Center
New York, New York, 10032
Columbia University
New York, New York, 10032
University of Oklahoma - Health Sciences Center
Oklahoma City, Oklahoma, 73104
Creighton University - Department of Neurology
Omaha, Nebraska, 68131
Pacific Neuroscience Medical Group, Inc.
Oxnard, California, 93030
Palm Beach Neurological Center
Palm Beach Gardens, Florida, 33418
Pivotal Research Centers
Peoria, Arizona, 85381
OSF Saint Francis Medical Center
Peoria, Illinois, 61637
Pennsylvania Hospital
Philadelphia, Pennsylvania, 19107
Thomas Jefferson University
Philadelphia, Pennsylvania, 19107
Gil, Ramon A.
Port Charlotte, Florida, 33952
Raleigh Neurology Associates, P.A.
Raleigh, North Carolina, 27607-6520
Hunter Holmes McGuire
Richmond, Virginia, 23249
University of Rochester - Neurology Clinic
Rochester, New York, 14618
Neurology Associates
San Antonio, Texas, 78258
University of California San Francisco Medical Center
San Francisco, California, 94143-1969
Mayo Clinic Arizona
Scottsdale, Arizona, 85259
LSUHSC-Shreveport
Shreveport, Louisiana, 71103
The Clinical Neurosciences Center
Southfield, Michigan, 48034
Southern Illinois University School of Medicine
Springfield, Illinois, 62702
Washington University
St Louis, Missouri, 63110
Suncoast Neuroscience Associates, Inc.
St. Petersburg, Florida, 33701
The Parkinson's Institute
Sunnyvale, California, 94089
Neurology and Neurosurgery Associates of Tacoma, PLLC
Tacoma, Washington, 98405
University Of South Florida Movement Disorders Clinic
Tampa, Florida, 33606
The University of Toledo College of Medicine
Toledo, Ohio, 43614
Northern Michigan Neurology
Traverse City, Michigan, 49684
Northwest NeuroSpecialists, PLLC
Tucson, Arizona, 85741-3537
Crozer Medical Center
Upland, Pennsylvania, 19013
Georgetown University Hospital
Washington D.C., District of Columbia, 20007-2197
Cleveland Clinic Florida - Weston
Weston, Florida, 33331
Lankenau Hospital
Wynnewood, Pennsylvania, 19096-3425
Canada15 sites
University of Calgary
Calgary, Alberta, T2N 4N1
University of Alberta
Edmonton, Alberta, T5G 0B7
Clinique Neuro Rive-Sud
Greenfield Park, Quebec, J4V 2J2
David King, MD
Halifax, Nova Scotia, B3J 3T1
Centre For Movement Disorders
Markham, Ontario, L6B 1C9
CHUM- Hotel-Dieu
Montreal, Quebec, H2W 1T8
Montreal General Hospital
Montreal, Quebec, H3G 1A4
SMBD Jewish General Hospital
Montreal, Quebec, H3T 1E2
Parkinson's and Neurodegenerative Disorders Clinic
Ottawa, Ontario, K1G 4G3
The Ottawa Hospital - Civic Campus
Ottawa, Ontario, K1Y 4E9
Quebec Memory and Motor Skills Disorders Clinic
Québec, Quebec, G1R 3X5
Saint John Regional Hospital, 5DN
Saint John, New Brunswick, E2L 4L2
Royal University Hospital
Saskatoon, Saskatchewan, S7N 0W8
Torotnto Western Hospital-University Health Network
Toronto, Ontario, M5T 2S8
Pacific Parkinson Research Centre
Vancouver, British Columbia, V6T 2B5
About this study
Official title: A Multi-Center, Randomized, 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
This is a multi-center, randomized, double-blind, placebo-controlled, parallel-group study of E2007 in levodopa treated Parkinson's disease patients with motor fluctuations.
- Conditions
- Parkinson's Disease
- Being tested
- 2 mg perampanel, 4 mg perampanel, placebo comparator
- Medical subject headings
- Parkinson Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
2 mg perampanelDrug
2 mg perampanel
4 mg perampanelDrug
4 mg perampanel
placebo comparatorDrug
placebo comparator
| Study group | Role | What they receive |
|---|---|---|
| 2 mg perampanel | Experimental | The Perampanel 2mg dosage was fixed for the entire double-blind study. Subjects taking perampanel 2mg were to take the dose orally once every day in the evening. Receives: Drug: 2 mg perampanel |
| 4 mg perampanel | Experimental | The Perampanel 4mg group first were subjected to a 4 week titration period, followed by a maintenance period for the remaining weeks. Subjects taking perampanel 4mg had a titration period of 4 weeks, starting at 2mg per day adding 1mg of perampel every two weeks up to 4mg. The dosages were to be taken orally once every day in the evening. Receives: Drug: 4 mg perampanel |
| placebo | Placebo comparator | The placebo dosage was a fixed dosage for the entire double-blind study. Subjects receiving the placebo were to take one dose orally once every day in the evening. Receives: Drug: placebo comparator |
What is being measured
The primary outcome is the main question the study is designed to answer.
Mean Change From Baseline in Total Daily OFF Time (Hours) to Week 20 (Including Last Observation Carried Forward [LOCF] Data)
Patients described themselves in home diaries as "OFF", "ON" without dyskinesias, "ON" with non troublesome dyskinesias, "ON" with troublesome dyskinesias, or Asleep, every 30 minutes during waking hours for 3 consecutive days prior to Baseline, Weeks 8, 10, 18, and 20. OFF state is when medication has worn off and is no longer providing benefits with regard to stiffness, slowness, and tremor.
Measured: Baseline and Week 20
Secondary outcomes (3)
Mean Change From Baseline in Scale UPDRS Part II (ADL) Score in Total Daily OFF Time to Week 20 (Including LOCF Data)
Patients described themselves in home diaries every 30 minutes during waking hours for 3 consecutive days prior to Baseline, Weeks 8, 12, 16, and 20. Unified Parkinson's Disease (PD) Rating Scale (UPDRS) is a standardized assessment of the symptoms and signs of PD. Part II assesses Activities of Daily Living (ADL) based on 13 items, such as speech, hygiene, and falling. Participants receive a score of 0-4 points per item, with a higher score indicating more severe symptoms. Range of possible total scores, 0 to 52. ON state is when medication is providing benefits to mobility, slowness, and stiffness. OFF state is when medication has worn off and is no longer providing benefits with regard to stiffness, slowness, and tremor.
Measured: Baseline and Week 20
Mean Change From Baseline in UPDRS Part III (Motor) Score in ON State (Hours) to Week 20 (Including LOCF Data)
Patients described themselves in home diaries every 30 minutes during waking hours for 3 days prior to Baseline, Weeks 8, 12, 16, and 20. UPDRS is a standardized assessment of the symptoms and signs of PD. Part III assesses motor activity, based on 14 items, such as gait, facial expression, and rigidity. Participants receive a score of 0-4 points per item, with a higher score indicating more severe symptoms. ON state is when medication is providing benefits to stiffness, slowness, and tremor.
Measured: Baseline and Week 20
Mean Change From Baseline in Total Daily ON Time (Without Dyskinesias or With Non-troublesome Dyskinesias) (Hours) to Week 20 (Including LOCF Data)
Patients described themselves in home diaries every 30 minutes during waking hours for 3 days prior to Baseline, Weeks 8, 12, 16, and 20. ON state is when medication is providing benefits to stiffness, slowness, and tremor.
Measured: Baseline and Week 20
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Aug 2006 (estimated)
- Study startAug 2006
- Primary completionJan 2008
- Study completionJan 2008
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Parkinson's DiseaseStudies of the same condition, open and under way.
- More trials run by Eisai Inc.The 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
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 752 participants (actual)
Sponsor and investigators
- Lead sponsor
- Eisai Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- David Squillacote, M.D., Study director, Eisai Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00368108
- Sponsor's protocol ID
- E2007-A001-302
- Status last verified
- Jan 2013
- First submitted
- 22 Aug 2006
- Last updated
- 20 May 2013
- Results posted
- Yes, on ClinicalTrials.gov
Study at a glance
From the registry record, last updated by the sponsor on 20 May 2013. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multi-Center, Randomized, 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
- NCT00368108
- Acronym / sponsor ID
- E2007-A001-302
- Conditions
- Parkinson's Disease
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 752 participants (actual)
- Lead sponsor
- Eisai Inc.Industry (pharma, biotech, devices)
- Study start
- Aug 2006
- Primary completion
- Jan 2008 (actual)
- Study completion
- Jan 2008 (actual)
- First posted
- 24 Aug 2006 (estimated)
- Results
- Posted 5 Feb 2013
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a multi-center, randomized, double-blind, placebo-controlled, parallel-group study of E2007 in levodopa treated Parkinson's disease patients with motor fluctuations.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| 2 mg perampanel | Experimental | Drug: 2 mg perampanelThe Perampanel 2mg dosage was fixed for the entire double-blind study. Subjects taking perampanel 2mg were to take the dose orally once every day in the evening. |
| 4 mg perampanel | Experimental | Drug: 4 mg perampanelThe Perampanel 4mg group first were subjected to a 4 week titration period, followed by a maintenance period for the remaining weeks. Subjects taking perampanel 4mg had a titration period of 4 weeks, starting at 2mg per day adding 1mg of perampel every two weeks up to 4mg. The dosages were to be taken orally once every day in the evening. |
| placebo | Placebo comparator | Drug: placebo comparatorThe placebo dosage was a fixed dosage for the entire double-blind study. Subjects receiving the placebo were to take one dose orally once every day in the evening. |
Who may qualify
- Ages
- 30 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Male or female patients with idiopathic Parkinson's Disease fulfilling the United Kingdom (UK) Parkinson's disease Society Brain Bank diagnostic criteria 7, 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.
- Patients must rate between II-IV on the Hoehn \& Yahr scale when in an "OFF" state.
- Patients must be taking optimized levodopa therapy.
Key exclusion criteria (5 listed)
- Pregnant or lactating women.
- Women of child bearing potential unless infertile (including surgically sterile) or practicing effective contraception (eg, abstinence, intrauterine device or barrier method plus hormonal method). These patients must have a negative serum beta-human chorionic gonadotrophin (B-HCG) test at the Screening visit, and a negative urine pregnancy test at the Baseline visit (Day 0). 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 amenorrheic for at least one year to be considered of non-child bearing potential as determined by the Investigator.
- Patients with a past or present history of drug or alcohol abuse as per Diagnostic and Statistical Manual - 4th edition (DSM IV) criteria.
- Patients with a past (within one year) or present history of suicidal ideation or suicide attempts.
- Patients with unstable abnormalities of the hepatic, renal, cardiovascular, respiratory, gastro-intestinal, hematological, endocrine or metabolic systems which might complicate assessment of the tolerability of the study medication.
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 |
|---|---|---|
| 2 mg perampanel2 mg perampanel | Drug | 2 mg perampanel |
| 4 mg perampanel4 mg perampanel | Drug | 4 mg perampanel |
| placebo comparatorplacebo comparator | Drug | placebo |
Primary outcome
Mean Change From Baseline in Total Daily OFF Time (Hours) to Week 20 (Including Last Observation Carried Forward [LOCF] Data)
Time frame: Baseline and Week 20
Patients described themselves in home diaries as "OFF", "ON" without dyskinesias, "ON" with non troublesome dyskinesias, "ON" with troublesome dyskinesias, or Asleep, every 30 minutes during waking hours for 3 consecutive days prior to Baseline, Weeks 8, 10, 18, and 20. OFF state is when medication has worn off and is no longer providing benefits with regard to stiffness, slowness, and tremor.
3 secondary outcomes
Mean Change From Baseline in Scale UPDRS Part II (ADL) Score in Total Daily OFF Time to Week 20 (Including LOCF Data)
Time frame: Baseline and Week 20
Mean Change From Baseline in UPDRS Part III (Motor) Score in ON State (Hours) to Week 20 (Including LOCF Data)
Time frame: Baseline and Week 20
Mean Change From Baseline in Total Daily ON Time (Without Dyskinesias or With Non-troublesome Dyskinesias) (Hours) to Week 20 (Including LOCF Data)
Time frame: Baseline and Week 20
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 May 2013.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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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.
David Squillacote, M.D. study director
Eisai Inc.
114 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 2 mg perampanel and 4 mg perampanel in people with Parkinson's Disease, run by Eisai Inc. at 114 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 5 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 20 May 2013. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 114 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. 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 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?
Yes. Results are posted in the registry (first posted 5 Feb 2013). 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?
Mean Change From Baseline in Total Daily OFF Time (Hours) to Week 20 (Including Last Observation Carried Forward [LOCF] Data) (time frame: Baseline and Week 20). 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 20 May 2013; AzTrials last refreshed its copy on 8 Nov 2026.