AzTrials
AzTrials

Parkinson DiseasePhase 3NCT01155466

A Placebo- and Active Controlled Study of Preladenant in Subjects With Moderate to Severe Parkinson's Disease (P04938)

A Phase 3 study testing Preladenant 2 mg tablet, Preladenant 5 mg tablet and Preladenant 10 mg tablet in people with Parkinson Disease, run by Merck Sharp & Dohme LLC.

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

When a patient with Parkinson's disease (PD) is initially treated with L-dopa or dopamine agonists, the symptoms of PD improve or disappear. After several years of taking L dopa or dopamine agonists, patients notice that their PD medications wear off sooner than when they first started taking them. Read more about this study

Who is it for?
Ages 30 to 85 years
Conditions the study is for
Parkinson Disease
What is being tested?
Preladenant 2 mg tablet, Preladenant 5 mg tablet and Preladenant 10 mg tablet
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
778 participants
Where
No sites listed yet
Study dates
14 Jul 2010to 20 Dec 2012
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 to 85 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Must have a diagnosis of moderate to severe idiopathic Parkinson's disease.
  • Must have received prior therapy with L dopa for approximately 1 or more years immediately before Screening and must continue to have a beneficial clinical response to L dopa
  • Must have been on a stable dopaminergic treatment regimen for at least the 5 weeks immediately before Randomization. Participants receiving other adjunctive treatments (eg, dopamine agonists, anticholinergics, entacapone) or taking only L dopa are permitted, provided the treatment regimen has been taken for at least 5 weeks prior to randomization
  • Must be experiencing motor fluctuations with or without dyskinesias within the 4 weeks immediately before Screening, must be experiencing a minimum of 2 hours/day of "off" time, and have a Hoehn \& Yahr stage between 2.5 and 4 when in the "on" state
  • Must be capable of maintaining an accurate and complete symptom diary and to adhere to dose and visit schedules with or without the help of a caregiver
  • Must have results of a physical examination and screening clinical laboratory tests clinically acceptable to the investigator
  • If sexually active or plan to be sexually active agree to use a highly effective method of birth control while in the study and for 2 weeks after the last dose of study drug. Males must also not donate sperm during the trial within 2 weeks after the last dose of study drug

Who cannot join

  • Must not have a form of drug induced or atypical parkinsonism, a cognitive impairment, bipolar disorder, untreated major depressive disorder, schizophrenia, or other psychotic disorder; history of exposure to a known neurotoxin, or any neurological features not consistent with the diagnosis of PD as assessed by the investigator
  • Must not have a history of repeated strokes or head injuries, or a stroke within 6 months of Screening
  • Must not have poorly-controlled diabetes or abnormal renal function
  • Must not have had surgery for their PD
  • Must not be at imminent risk of self-harm or harm to others
  • Must not have sleep attacks or compulsive behavior that would interfere with the integrity of the trial or would pose a risk to the subject in participating in the trial
Show all 17Show fewer
  • Must not have a systolic blood pressure (BP) ≥150 mm Hg OR diastolic BP ≥95 mm Hg at Screening
  • Must not have had any clinically significant cardiovascular event or procedure for 6 months prior to study start, including, but not limited to, myocardial infarction, angioplasty, unstable angina, or heart failure; and must not have heart failure staged New York Heart Association Class III or IV
  • Must not have an alanine aminotransferase (ALT) or aspartate amino transferase (AST) ≥3 x the upper limit of normal (ULN) or total bilirubin (T-BIL) ≥1.5 x ULN
  • Must not have a history of serologically confirmed hepatic dysfunction (defined as viral infection [Hepatitis B or C; Epstein Barr virus (EBV); cytomegalovirus (CMV)]) or a history of diagnosis of drug or alcohol induced hepatic toxicity or frank hepatitis
  • Must not have a history within the past 5 years of a primary or recurrent malignant disease with the exception of adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, or in situ prostate cancer with a normal prostate-specific antigen (PSA) post resection
  • Must not have received certain prespecified medications or ingested high tyramine-containing aged cheeses (eg, Stilton) for a prespecified time window before the trial, during the trial, and for 2 weeks after the trial
  • Must not have an average daily consumption of more than three 4 ounce glasses (118 mL) of wine or the equivalent
  • Must not have a severe or ongoing unstable medical condition (eg, any form of clinically significant cardiac disease, symptomatic orthostatic hypotension, seizures, or alcohol/drug dependence)
  • Must not have allergy/sensitivity to investigational product(s) or its/their excipients
  • A female subject must not be breast-feeding, considering breast-feeding, pregnant, or intending to become pregnant
  • Must not have used preladenant ever, or any investigational drugs within 90 days immediately before Screening

About this study

Official title: A Phase 3, 12-Week, Double-Blind, Double-Dummy, Placebo- and Active-Controlled Efficacy and Safety Study of Preladenant in Subjects With Moderate to Severe Parkinson's Disease (Phase 3;Protocol No. P04938)

When a patient with Parkinson's disease (PD) is initially treated with L-dopa or dopamine agonists, the symptoms of PD improve or disappear. After several years of taking L dopa or dopamine agonists, patients notice that their PD medications wear off sooner than when they first started taking them. This "wearing off" is characterized by the return of symptoms (i.e., tremor, slowness, and rigidity) and may occur over the course of a few minutes to an hour. When a patient's PD symptoms have returned, the patient is said to be in the "off" state. When the patient takes another dose of medication, and his/her PD symptoms improve or resolve, the patient is said to be in the "on" state. Antagonism of adenosine Type 2a receptors (A2a) may provide relief of PD symptoms. This trial will test the hypothesis that A2a receptor antagonism can lead to improvement in the function of PD participants taking a stable dose of L-dopa, as measured by a reduction in "off" time.

Being tested
Preladenant 2 mg tablet, Preladenant 5 mg tablet, Preladenant 10 mg tablet, Placebo to Preladenant Tablet, Rasagiline 1 mg capsule
Keywords
Idiopathic Parkinson Disease, Idiopathic Parkinson's Disease
Medical subject headings
Parkinson Disease

What participants receive

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

  • Preladenant 2 mg tabletDrug

    Also called SCH 420814

    one 2 mg tablet orally twice daily

  • Preladenant 5 mg tabletDrug

    Also called SCH 420814

    one 5 mg tablet orally twice daily

  • Preladenant 10 mg tabletDrug

    Also called SCH 420814

    one 10 mg tablet orally twice daily

  • Placebo to Preladenant TabletDrug

    one tablet orally twice daily

  • Rasagiline 1 mg capsuleDrug

    Also called Azilect

    one 1 mg capsule orally in AM

  • Placebo to Rasagiline capsuleDrug

    one capsule orally in AM

Study groups in NCT01155466
Study groupRoleWhat they receive
Preladenant 2 mgExperimentalPreladenant 2 mg tablet + placebo to rasagiline capsule in AM and preladenant 2 mg tablet in PM for 12 weeks
Receives: Drug: Preladenant 2 mg tablet; Drug: Placebo to Rasagiline capsule
Preladenant 5 mgExperimentalPreladenant 5 mg tablet + placebo to rasagiline capsule in AM and preladenant 5 mg tablet in PM for 12 weeks
Receives: Drug: Preladenant 5 mg tablet; Drug: Placebo to Rasagiline capsule
Preladenant 10 mgExperimentalPreladenant 10 mg tablet + placebo to rasagiline capsule in AM and preladenant 10 mg tablet in PM for 12 weeks
Receives: Drug: Preladenant 10 mg tablet; Drug: Placebo to Rasagiline capsule
PlaceboPlacebo comparatorPlacebo to preladenant tablet + placebo to rasagiline capsule in AM and placebo to preladenant tablet in PM for 12 weeks
Receives: Drug: Placebo to Preladenant Tablet; Drug: Placebo to Rasagiline capsule
Rasagiline 1 mgActive comparatorRasagiline 1 mg capsule + placebo to preladenant tablet in AM and placebo to preladenant tablet in PM for 12 weeks
Receives: Drug: Placebo to Preladenant Tablet; Drug: Rasagiline 1 mg capsule

What is being measured

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

  1. Change From Baseline in Mean "Off" Time

    The "on" state is defined as the period of time during which a patient's symptoms of PD improve or disappear following treatment with L-dopa or dopamine agonists. The "off" state is defined as the period of time characterized by the return of symptoms (i..e. tremor, slowness, and rigidity) following treatment with L-dopa or dopamine agonists. Study participants reported their symptoms at half-hour intervals as "off", "on", or "asleep" on their daily diary for 3 days before randomization (baseline) and for the 3 days immediately before their Week-12 visit. The mean change from baseline in "off" time was based on a constrained longitudinal data analysis with treatment, time, and treatment-by-time interaction as fixed effects and subject as random effect.

    Measured: Baseline and Week 12

  2. Numberof Participants With Systolic Blood Pressure >=180 mm Hg

    The number of participants with Systolic Blood Pressure >=180 mm Hg was reported.

    Measured: Up to Week 14

  3. Number of Participants With Diastolic Blood Pressure >=105 mm Hg

    The number of participants with Diastolic Blood Pressure >=105 mm Hg was reported.

    Measured: Up to Week 14

  4. Number of Participants With Alanine Aminotransferase >=3 Times the Upper Limit of Normal

    The number of participants with alanine aminotransferase >=3 times the upper limit of normal and a >=10% increase was reported.

    Measured: Up to Week 14

  5. Number of Participants With Aspartate Aminotransferase >=3 Times the Upper Limit of Normal

    The number of participants with aspartate aminotransferase >=3 times the upper limit of normal and a >=10% increase was reported.

    Measured: Up to Week 14

  6. Percentage of Participants With Suicidality

    The percentage of participants with suicidality using the Columbia - Suicide Severity Rating Scale (C-SSRS) was reported. The C-SSR was used in this study only for the purpose of safety monitoring by measuring the incidence of different types of suicidality categories during treatment. The assessment was done by the nature of the responses, not by a numbered scale. Participants who reported at least one occurrence of suicidal behavior or suicidal ideation were counted as having experienced suicidality. Suicidal behavior included suicide attempt, aborted attempt, interrupted attempt, or preparatory behavior. Suicidal ideation included a wish to die or active suicidal thought with or without method, intent or plan.

    Measured: Up to Week 12

  7. Change From Baseline at Week 12 in Epworth Sleepiness Scale (ESS)

    The ESS is a self-administered questionnaire providing a measure of a person's general level of daytime sleepiness, or their average sleep propensity in daily life. The scale consists of 8 situations in which the participant rates their tendency to become sleepy on a scale of 0=no chance of dozing to 3=high chance of dozing. The overall score is the sum of the scores for the 8 situations for a minimum of 0 and a maximum of 24.

    Measured: Baseline and Week 12

Secondary outcomes (2)
  1. Percentage of Participants With >30% Change (Reduction) From Baseline at Week 12 in Mean "Off" Time

    The "on" state is defined as the period of time during which a patient's symptoms of PD improve or disappear following treatment with L-dopa or dopamine agonists. The "off" state is defined as the period of time characterized by the return of symptoms (i..e. tremor, slowness, and rigidity) following treatment with L-dopa or dopamine agonists. Study participants reported their symptoms at half-hour intervals as "off", "on", or "asleep" on their daily diary for 3 days before randomization and for the 3 days immediately before their Week-12 visit.

    Measured: Baseline and Week 12

  2. Change From Baseline at Week 12 in Mean "On" Time Without Troublesome Dyskinesia

    When a participant is "on" without dyskinesias, parkinsonian symptoms have dissipated and the participant is experiencing no uncontrollable extraneous movements. Study participants reported their parkinsonian symptoms at half-hour intervals as "off", "on without dyskinesia", "on with non-troublesome dyskinesia", "on with troublesome dyskinesia", or "asleep" on their daily diary for 3 days before randomization and for the 3 days immediately before their Week-12 visit. The mean change from baseline in "on without troublesome dyskinesia" time was based on a constrained longitudinal data analysis with treatment, time, and treatment-by-time interaction as fixed effects and subject as random effect.

    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 Jul 2010 (estimated)
  2. Study start14 Jul 2010
  3. Primary completion20 Dec 2012
  4. Study completion20 Dec 2012

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
778 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01155466
Sponsor's protocol ID
P04938
Other IDs
2009-015161-31, CTRI/2011/07/001896, MK-3814-015, 2009
Status last verified
Oct 2018
First submitted
30 Jun 2010
Last updated
6 Nov 2018
Data monitoring committee
Yes
Individual data sharing
Yes: https://www.merck.com/clinical-trials/pdf/ProcedureAccessClinicalTrialData.pdf

Publications

  • Hauser RA, Stocchi F, Rascol O, Huyck SB, Capece R, Ho TW, Sklar P, Lines C, Michelson D, Hewitt D. Preladenant as an Adjunctive Therapy With Levodopa in Parkinson Disease: Two Randomized Clinical Trials and Lessons Learned. JAMA Neurol. 2015 Dec;72(12):1491-500. doi: 10.1001/jamaneurol.2015.2268.

    PubMed 26523919

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Preladenant 2 mg tablet, Preladenant 5 mg tablet and Preladenant 10 mg tablet in people with Parkinson Disease, run by Merck Sharp & Dohme LLC.

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 7 inclusion and 17 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 6 Nov 2018. Status can change between updates, so confirm with the study contact before making plans.

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 11 Feb 2016). 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 Mean "Off" Time (time frame: Baseline and Week 12). The study lists 7 primary outcomes in all. 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 NCT01155466, 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 6 Nov 2018.

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