AzTrials
AzTrials

Restless Legs SyndromePhase 4NCT00472199

Long-term Efficacy, Safety and Tolerability of Pramipexole in Patients With Idiopathic Moderate to Severe Restless Legs Syndrome (RLS)

A Phase 4 study testing Pramipexole in people with Restless Legs Syndrome, run by Boehringer Ingelheim at 42 sites in 9 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

The primary objective of the current study will be the evaluation of long-term efficacy of a 26-weeks treatment with pramipexole in patients with idiopathic moderate to severe Restless Legs Syndrome (RLS) in comparison to placebo. Read more about this study

Who is it for?
Ages 18 to 85 years
Conditions the study is for
Restless Legs Syndrome
What is being tested?
Pramipexole
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
331 participants
Where
42 sitesin 9 countries
Study dates
May 2007to Jul 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 18 to 85 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Written informed consent consistent with International Conference on Harmonization - Good Clinical Practice (ICH-GCP) and local Institutional Review Board/Independent Ethics Committee (IRB/IEC) requirements obtained prior to any study procedures being performed and the ability and willingness to comply with study treatment regimen and to attend study assessments
  • Male or female out-patients aged 18-85 years
  • Diagnosis of idiopathic RLS according to the clinical RLS criteria of the International Restless Legs Syndrome Study Group (IRLSSG) [P03-03355]. All four criteria must be present to fulfil the diagnosis of RLS.
  • RLS symptoms present at least 2 to 3 days per week during the last 3 months prior to baseline (Visit 2)
  • IRLS total score >15 at baseline (Visit 2)

Who cannot join

  • Women of child-bearing potential (i.e. premenopausal women, or postmenopausal women less than 6 months after last menses) who do not use during the clinical trial an adequate method of contraception such as: double barrier protection (e.g. diaphragm or condom and spermicide), intrauterine device, hormonal therapy (oral, injectable, or subcutaneous), or partner's surgical sterilization
  • Any woman of child-bearing potential not having a negative pregnancy test at screening
  • Breastfeeding women
  • Patients with known hypersensitivity to pramipexole or any other component of the investigational product or placebo tablets
  • Diagnosis of augmentation under previous pharmacological RLS treatment
  • Concomitant or previous pharmacologic therapy as follows: Any intake of dopamine agonists within 14 days prior to baseline (Visit 2); Any intake of levodopa within 14 days prior to baseline (Visit 2); Unsuccessful prior treatment with non-ergot dopamine agonists (e.g. pramipexole, ropinirole);

Trial locations and contacts

42 sites in 9 countries.

42 sites in 9 countries

Germany9 sites
  • 248.629.4902 Boehringer Ingelheim Investigational Site

    Berlin

  • 248.629.4908 Boehringer Ingelheim Investigational Site

    Bochum

  • 248.629.4901 Boehringer Ingelheim Investigational Site

    Ellwangen

  • 248.629.4904 Boehringer Ingelheim Investigational Site

    Hellersdorf

  • 248.629.4906 Boehringer Ingelheim Investigational Site

    Herborn

  • 248.629.4905 Boehringer Ingelheim Investigational Site

    Leipzig

  • 248.629.4909 Boehringer Ingelheim Investigational Site

    Schwerin

  • 248.629.4903 Boehringer Ingelheim Investigational Site

    Steglitz

  • 248.629.4907 Boehringer Ingelheim Investigational Site

    Würzburg

Other trials in Germany

Netherlands6 sites
  • 248.629.31001 Boehringer Ingelheim Investigational Site

    Bennebroek

  • 248.629.31005 Boehringer Ingelheim Investigational Site

    Hoogwoud

  • 248.629.31006 Boehringer Ingelheim Investigational Site

    Musselkanaal

  • 248.629.31002 Boehringer Ingelheim Investigational Site

    Oude Pekela

  • 248.629.31003 Boehringer Ingelheim Investigational Site

    Oude Pekela

  • 248.629.31004 Boehringer Ingelheim Investigational Site

    Rijswijk

Other trials in Netherlands

United Kingdom6 sites
  • 248.629.44003 Boehringer Ingelheim Investigational Site

    Chorley

  • 248.629.44006 Boehringer Ingelheim Investigational Site

    Edgbaston, Birmingham

  • 248.629.44004 Boehringer Ingelheim Investigational Site

    Glasgow

  • 248.629.44001 Boehringer Ingelheim Investigational Site

    Manchester

  • 248.629.44002 Boehringer Ingelheim Investigational Site

    Reading

  • 248.629.44005 Boehringer Ingelheim Investigational Site

    Waterloo, Liverpool

Other trials in United Kingdom

Finland5 sites
  • 248.629.35801 Boehringer Ingelheim Investigational Site

    Espoo

  • 248.629.35805 Boehringer Ingelheim Investigational Site

    Helsinki

  • 248.629.35804 Boehringer Ingelheim Investigational Site

    Joensuu

  • 248.629.35802 Boehringer Ingelheim Investigational Site

    Oulu

  • 248.629.35806 Boehringer Ingelheim Investigational Site

    Tampere

Other trials in Finland

Slovakia5 sites
  • 248.629.4204 Boehringer Ingelheim Investigational Site

    Bratislava

  • 248.629.4205 Boehringer Ingelheim Investigational Site

    Bratislava

  • 248.629.4202 Boehringer Ingelheim Investigational Site

    Brezno

  • 248.629.4201 Boehringer Ingelheim Investigational Site

    Košice

  • 248.629.4203 Boehringer Ingelheim Investigational Site

    Martin

Other trials in Slovakia

Spain5 sites
  • 248.629.3402 Boehringer Ingelheim Investigational Site

    Barcelona

  • 248.629.3405 Boehringer Ingelheim Investigational Site

    Granada

  • 248.629.3401 Boehringer Ingelheim Investigational Site

    Madrid

  • 248.629.3403 Boehringer Ingelheim Investigational Site

    San Sebastián

  • 248.629.3406 Hospital Arnau de Vilanova

    Valencia

Other trials in Spain

Ireland3 sites
  • 248.629.35301 Boehringer Ingelheim Investigational Site

    Carrigtohill

  • 248.629.35302 Boehringer Ingelheim Investigational Site

    Co. Kildare

  • 248.629.35303 Boehringer Ingelheim Investigational Site

    Co. Tipperary

Other trials in Ireland

Austria2 sites
  • 248.629.4302 Boehringer Ingelheim Investigational Site

    Innsbruck

  • 248.629.4304 Boehringer Ingelheim Investigational Site

    Linz

Other trials in Austria

Belgium1 site
  • 248.629.3201 Boehringer Ingelheim Investigational Site

    Edegem

Other trials in Belgium

About this study

Official title: A Phase IV Randomised, Double-blind, Placebo-controlled, Dose Titration Trial With Pramipexole (Sifrol, Mirapexin) 0.125-0.75 mg/Day Per os to Investigate the Long-term Efficacy, Safety and Tolerability in Patients With Idiopathic Moderate to Severe Restless Legs Syndrome for 26 Weeks Followed by a 26 Week Open-label Extension Treatment Period

The primary objective of the current study will be the evaluation of long-term efficacy of a 26-weeks treatment with pramipexole in patients with idiopathic moderate to severe Restless Legs Syndrome (RLS) in comparison to placebo.

The key secondary objectives are to assess the effects on clinical global impressions - global improvement (CGI-I) (based on CGI-I responder rate) and on RLS (based on IRLS responder rate) for 26 weeks under pramipexole in comparison to placebo. Further secondary objectives are to investigate the incidence and severity of augmentation and rebound and to assess the effects on patient global impression (PGI) (based on PGI responder rate), on RLS symptoms (based on the RLS-6 scales), on associated mood disturbance (based on item 10 of the IRLS), on pain in limbs (based on a visual analogue scale (VAS)), on quality of life in RLS (based on Johns Hopkins RLS-QoL), on general quality of life Short Form 36 (SF-36) and on safety (based on adverse events (AE) profile) of pramipexole in comparison to placebo.

Being tested
Pramipexole, Placebo
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.

  • PramipexoleDrug

  • PlaceboDrug

Study groups in NCT00472199
Study groupRoleWhat they receive
PramipexoleExperimental4 weeks of flexible dose-titration (to optimise efficacy and tolerability), starting at 0.125 mg once daily with the potential to increase or decrease the dose in steps to 0.25 mg, 0.5 mg and 0.75 mg, with the final dose level subsequently fixed for 22 weeks.
Receives: Drug: Pramipexole
PlaceboPlacebo comparator4 weeks of flexible dose-titration as for the investigational product; with the dose subsequently fixed for 22 weeks.
Receives: Drug: Placebo

What is being measured

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

  1. Change From Baseline in International Restless Legs Syndrome Study Group Rating Scale (IRLS) Total Score After 26 Weeks

    IRLS total score ranging from 0 (no RLS symptoms) to 40 (very severe RLS symptoms)

    Measured: Baseline and 26 weeks

Secondary outcomes (30)
  1. Clinical Global Impression - Global Improvement (CGI-I) Responder Rate

    CGI-I scores ranging from '1' (very much improved) to '7' (very much worse), CGI-I responder have scoring 1 or 2 (at least much improved)

    Measured: after 26 weeks of treatment

  2. International Restless Legs Syndrome (IRLS) Study Group Rating Scale Responder Rate

    IRLS response was defined as at least 50% reduction in IRLS total score from baseline. IRLS total score ranging from 0 (no RLS symptoms) to 40 (very severe symptoms)

    Measured: after 26 weeks of treatment

  3. Patient Global Impression (PGI) Responder Rate

    PGI scores ranging from '1' (very much better) to '7' (very much worse), PGI responder have scoring 1 or 2 (at least much better)

    Measured: after 26 weeks of treatment

  4. Change From Baseline in Restless Legs Syndrome-6 (RLS-6) Score "Satisfaction With Sleep" After 26 Weeks

    The score is an 11-point Likert scale, ranging from "none/not at all" (0) to "very severe" (10), to reflect the patient's condition during the previous week

    Measured: baseline and 26 weeks of treatment

  5. Change From Baseline in RLS-6 Score "Severity Falling Asleep" After 26 Weeks

    The score is an 11-point Likert scale, ranging from "none/not at all" (0) to "very severe" (10), to reflect the patient's condition during the previous week

    Measured: Baseline and 26 weeks of treatment

  6. Change From Baseline in RLS-6 Score "Severity During the Night" After 26 Weeks

    The question was rated on an 11-point Likert scale, ranging from "none/not at all" (0) to "very severe" (10), to reflect the patient's condition during the previous week

    Measured: baseline and 26 weeks of treatment

  7. Change From Baseline in RLS-6 Score "Severity During the Day When at Rest" After 26 Weeks

    The score is an 11-point Likert scale, ranging from "none/not at all" (0) to "very severe" (10), to reflect the patient's condition during the previous week

    Measured: Baseline and 26 weeks of treatment

  8. Change From Baseline RLS-6 Score "Severity During the Day Engaged in Activities" After 26 Weeks

    The score is an 11-point Likert scale, ranging from "none/not at all" (0) to "very severe" (10), to reflect the patient's condition during the previous week

    Measured: Baseline and 26 weeks of treatment

  9. Change From Baseline in RLS-6 Score "Tired or Sleepy During the Day" After 26 Weeks

    The score is an 11-point Likert scale, ranging from "none/not at all" (0) to "very severe" (10), to reflect the patient's condition during the previous week

    Measured: Baseline and 26 weeks of treatment

  10. Change From Baseline in IRLS Mood Disturbance Score (Item 10) After 26 Weeks

    Mood disturbance associated with RLS symptoms ranging from 0 (none) to 4 (very severe)

    Measured: Baseline and 26 weeks of treatment

  11. Change From Baseline in Visual Analogue Scale (VAS) Score for Pain in Limbs After 26 Weeks

    The scale measures pain on a continuous 100 mm axis ranging from no pain (0 mm) to unbearable pain (100 mm)

    Measured: Baseline and 26 weeks of treatment

  12. Change From Baseline in Quality of Life in RLS (RLS QoL) Score After 26 Weeks

    RLS QoL total score ranging from 0 to 100 with higher values indicating better quality of life

    Measured: Baseline and 26 weeks of treatment

  13. Change From Baseline in Short Form-36 (SF-36) Dimension Bodily Pain After 26 Weeks

    Score ranging from 0 to 100 with higher scores indicating less bodily pain

    Measured: Baseline and 26 weeks

  14. Change From Baseline in SF-36 Dimension General Health After 26 Weeks

    Score ranging from 0 to 100 with higher scores indicating better health status

    Measured: Baseline and 26 weeks

  15. Change From Baseline in SF-36 Dimension Mental Health After 26 Weeks

    Score ranging from 0 to 100 with higher scores indicating better mental health

    Measured: Baseline and 26 weeks

  16. Change From Baseline in SF-36 Dimension Physical Functioning After 26 Weeks

    Score ranging from 0 to 100 with higher scores indicating better physical functioning

    Measured: Baseline and 26 weeks

  17. Change From Baseline in SF-36 Dimension Role Limitations Due to Emotional Problems After 26 Weeks

    Score ranging from 0 to 100 with higher scores indicating less limitations due to emotional problems

    Measured: Baseline and 26 weeks

  18. Change From Baseline in SF-36 Dimension Role Limitations Due to Physical Problems After 26 Weeks

    Score ranging from 0 to 100 with higher scores indicating less limitations due to physical problems

    Measured: Baseline and 26 weeks

  19. Change From Baseline in SF-36 Dimension Social Functioning After 26 Weeks

    Score ranging from 0 to 100 with higher scores indicating better social functioning

    Measured: Baseline and 26 weeks

  20. Change From Baseline in SF-36 Dimension Vitality After 26 Weeks

    Score ranging from 0 to 100 with higher scores indicating better vitality

    Measured: Baseline and 26 weeks

  21. Change From Baseline in SF-36 Dimension Mental Component Summary After 26 Weeks

    Score ranging from 0 to 100 with higher scores indicating better health

    Measured: Baseline and 26 weeks

  22. Change From Baseline in SF-36 Dimension Physical Component Summary After 26 Weeks

    Score ranging from 0 to 100 with higher scores indicating better health

    Measured: Baseline and 26 weeks

  23. Diagnosis of Classified Augmentation According to Independent Expert Panel

    Augmentation is a worsening of RLS symptoms and may manifest as increased severity and the involvement of other extremities or as a shift of RLS symptoms to a time period that is 2 or more hours earlier than was typical of the time of symptom onset during the initial course of beneficial stable treatment or the state before recently starting treatment.

    Measured: after at least 4 weeks of treatment

  24. Worsening of RLS Symptoms (by at Least 4 Points in the IRLS Total Score Compared to Baseline) After Treatment Discontinuation

    Worsening of RLS symptoms, in comparison to baseline, following abrupt treatment discontinuation (for patients with no added RLS therapy after study drug discontinuation).

    Assessment of worsening of RLS was based on the IRLS total score assessed 7 ± 1 days after treatment discontinuation (the end of the study or premature discontinuation) compared with that at baseline. Analysis considered the number of patients experiencing a clinically relevant deterioration of ≥4 points in total IRLS score 7 ± 1 days after discontinuation of trial medication compared with baseline.

    Measured: after at least 1 week of treatment discontinuation

  25. Baseline, Week 26 Mean Supine Systolic Blood Pressure

    Measured: Baseline, Week 26

  26. Baseline, Week 26 Mean Standing Systolic Blood Pressure

    Measured: Baseline, Week 26

  27. Baseline, Week 26 Mean Supine Diastolic Blood Pressure

    Measured: Baseline, Week 26

  28. Baseline, Week 26 Mean Standing Diastolic Blood Pressure

    Measured: Baseline, Week 26

  29. Baseline, Week 26 Mean Supine Pulse Rate

    Measured: Baseline, Week 26

  30. Baseline, Week 26 Mean Standing Pulse Rate

    Measured: Baseline, Week 26

Timeline

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

  1. First posted11 May 2007 (estimated)
  2. Study startMay 2007
  3. Primary completionJul 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
331 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00472199
Sponsor's protocol ID
248.629
Other IDs
EUDRACT2006-006431-42
Status last verified
May 2012
First submitted
10 May 2007
Last updated
27 Jun 2014

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Pramipexole in people with Restless Legs Syndrome, run by Boehringer Ingelheim at 42 sites in 9 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 6 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 27 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 42 sites in Germany, Netherlands, United Kingdom, Finland, Slovakia and 4 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 17 Nov 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 International Restless Legs Syndrome Study Group Rating Scale (IRLS) Total Score After 26 Weeks (time frame: Baseline and 26 weeks). 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 27 Jun 2014.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in