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Restless Legs SyndromePhase 3NCT01537042

A Sleep Laboratory Study to Investigate the Safety and Efficacy of the Rotigotine Skin Patch in Subjects With Restless Legs Syndrome and End-Stage Renal Disease Requiring Hemodialysis

A Phase 3 study testing Rotigotine in people with Restless Legs Syndrome and End-Stage Renal Disease, run by UCB BIOSCIENCES GmbH at 15 sites in 6 countries.

Completed

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

Official record
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Trial summary

This is a sleep laboratory study to evaluate the efficacy and safety of Rotigotine in subjects with Restless Legs Syndrome and End-Stage Renal Disease requiring hemodialysis. The objectives are to demonstrate superiority of Rotigotine against Placebo as well as to investigate the effect of Rotigotine on quality of… Read more about this study

Who is it for?
Ages 18 to 85 years
What is being tested?
Rotigotine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
30 participants
Where
15 sitesin 6 countries
Study dates
Apr 2012to Oct 2013
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 18 to 85 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • End-Stage Renal Disease (ESRD) requiring hemodialysis and regular dialysis schedule
  • Fulfillment of pre-defined criteria of hematology parameters
  • Diagnosis of Restless Legs (RLS) based on the 4 cardinal diagnostic clinical features according to the International Restless Legs Syndrome Study Group
  • Initial response to previous dopaminergic treatment for RLS, or has had no previous dopaminergic treatment (ie, de novo)
  • Score of ≥ 15 points on the IRLS (indicating moderate to severe RLS) at Baseline
  • Score of ≥ 11 points on the RLS-DI (Diagnostic Index) at Baseline
  • Score of ≥ 4 points on the Clinical Global Impressions (CGI) Item 1 assessment (indicating moderately ill) at Baseline
  • Scores ≥ 15 Periodic Limb Movements (PLMs) per hour on the Periodic Limb Movement Index (PLMI) based on Polysomnography (PSG) (recorded during the second night) as assessed by the investigator at Baseline

Who cannot join

  • Clinically relevant Polyneuropathy or Varicosis which cannot be clearly differentiated from RLS symptoms in the opinion of the investigator
  • Clinically relevant concomitant diseases, such as Attention Deficit Hyperactivity Disorder, Painful Legs, and Moving Toes
  • Other central nervous system diseases
  • Evidence of an impulse control disorder according to the modified Minnesota Impulsive Disorders Interview (mMIDI)
  • Lifetime history of suicide attempt (including an active attempt, interrupted attempt, or aborted attempt), or has suicidal ideation in the past 6 months as indicated by a positive response ('yes') to either Question 4 or Question 5 of the Columbia-Suicidality Severity Rating Scale (C-SSRS) at Screening (Visit 1) or Baseline (Visit 2)
  • Prior history of psychotic episodes
Show all 16Show fewer
  • History of symptomatic (not asymptomatic) Orthostatic Hypotension
  • Clinically relevant Cardiovascular Disease
  • Clinically relevant Venous or Arterial Peripheral Vascular Disease
  • Malignant Neoplastic Disease requiring therapy within 12 months prior to Screening (Visit 1)
  • Treatment with any of the following drug classes: neuroleptics, norepinephrine and dopamine reuptake inhibitors (bupropion), gabapentin, budipine, dopamine antagonist antiemetics (except domperidone), opioids, monoamine oxidase (MAO) inhibitors, catechol-O-methyltransferase (COMT) inhibitors, or psychostimulants (eg, amphetamines)
  • Subject is pregnant, nursing, or is a woman of childbearing potential who is not surgically sterile, 2 years postmenopausal, or does not consistently use 2 combined effective methods of contraception (including at least 1 barrier method), unless sexually abstinent
  • Previous treatment with dopamine agonists within a period of 14 days prior to Baseline (Visit 2), or L-dopa within 7 days prior to Baseline (Visit 2)
  • Medical history indicating intolerability to dopaminergic therapy (if pretreated) or has experienced Augmentation (Garcia-Borreguero and Williams, 2010) when previously treated with any dopaminergic agent
  • Subject has received previous treatment with Rotigotine
  • Known hypersensitivity to any of the components of the study medication, such as a history of significant Skin Hypersensitivity to adhesives, known Hypersensitivity to other transdermal medications, or unresolved Contact Dermatitis

Trial locations and contacts

15 sites in 6 countries.

15 sites in 6 countries

United States6 sites
  • 601

    Austin, Texas

  • 606

    Brandon, Florida

  • 607

    Dublin, Ohio

  • 604

    Newton, Massachusetts

  • 605

    West Chester, Pennsylvania

  • 603

    West Seneca, New York

Other trials in United States

Germany3 sites
  • 404

    Berlin

  • 401

    Marburg

  • 402

    Schwerin

Other trials in Germany

Finland2 sites
  • 201

    Helsinki

  • 203

    Tampere

Other trials in Finland

France2 sites
  • 302

    Bordeaux

  • 301

    Montpellier Cédex 5

Other trials in France

Austria1 site
  • 101

    Innsbruck

Other trials in Austria

Italy1 site
  • 502

    Pisa

Other trials in Italy

About this study

Official title: A Multi-center, Randomized, Double-blind, Placebo-controlled, Parallel-group, Polysomnography Study to Investigate Safety and Efficacy of the Rotigotine Transdermal Patch in Subjects With Restless Legs Syndrome and End-Stage Renal Disease Requiring Hemodialysis

This is a sleep laboratory study to evaluate the efficacy and safety of Rotigotine in subjects with Restless Legs Syndrome and End-Stage Renal Disease requiring hemodialysis.

The objectives are to demonstrate superiority of Rotigotine against Placebo as well as to investigate the effect of Rotigotine on quality of life and sleep.

Being tested
Rotigotine, Placebo
Keywords
Rotigotine, Neupro, Restless Legs Syndrome, RLS, End-Stage Renal Disease
Medical subject headings
Restless Legs Syndrome, Kidney Failure, Chronic

What participants receive

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

  • RotigotineDrug

    Also called Neupro

    Transdermal patch; Dose: 1 mg/24 h, 2 mg/24 h or 3 mg/24 h once daily depending on optimal dose; maximal dose is 3 mg/24 h.

    Subjects start with a Rotigotine dose of 1 mg/24 h for 1 week. The dose can be increased weekly during Up-Titration Period until either the optimal or the maximal dose of 3 mg/24 h has been reached. Subjects will maintain the optimal/maximal dose during the 2-week Maintenance Period. Following the Maintenance Period, subjects will be de-escalated from their optimal dose by decreasing the dose by 1 mg/24 h every other day during Taper Period until complete withdrawal.

  • PlaceboDrug

    Transdermal patch; Patches matching to active treatment patches in size and appearance.

    Up to 3 weeks of Titration,

    2 weeks of Maintenance,

    Up to 4 days of Taper Period.

Study groups in NCT01537042
Study groupRoleWhat they receive
RotigotineExperimentalRotigotine Transdermal Patch 1 mg/24 h, 2 mg/24 h or 3 mg/24 h once daily depending on optimal dose; maximal dose is 3 mg/24 h.
Receives: Drug: Rotigotine
PlaceboPlacebo comparatorTransdermal patch matched according to patch size and appearance.
Receives: Drug: Placebo

What is being measured

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

  1. Ratio From Baseline to the End of the 2-week Maintenance Period in Periodic Limb Movement Index (PLMI)

    The PLMI is defined as Periodic Limb Movements (PLMs)/ total time in bed in hours. PLMs are measured by Polysomnography (PSG).

    The reduction of the PLMI is reflected in terms of the ratio from Baseline to the end of the Maintenance Period and was calculated as [PLMI at end of Maintenance Period (MP)] / [PLMI at Baseline].

    A PLMI Ratio <1 indicates an improvement from Baseline to the end of the 2-week MP.

    Measured: From Baseline over the Up-Titration Period (up to 3 Weeks) to the end of the 2-Week Maintenance Period

Secondary outcomes (14)
  1. Change From Baseline in the Periodic Limb Movements Index (PLMI) to the End of the Maintenance Period

    The PLMI is defined as Periodic Limb Movements (PLMs)/ total time in bed in hours. PLMs are measured by Polysomnography (PSG). A negative value in change from Baseline indicates an improvement from Baseline to the end of the Maintenance Period.

    Measured: From Baseline over the Up-Titration Period (up to 3 Weeks) to the end of the 2-Week Maintenance Period

  2. Change From Baseline in the International Restless Legs Syndrome Study Group Rating Scale (IRLS) Sum Score to the End of the Maintenance Period

    The IRLS is a subject based scale that consists of 10 items to evaluate the severity of major RLS symptoms and the impact of the disease on subjects' functioning in daytime activities. Each of the 10 items is measured on a scale that ranges from 0 (not present) to 4 (severe). A sum score between 0 (no RLS symptoms present at all) and 40 (maximum severity in all symptoms) across all 10 items will be calculated.

    A negative value in Change from Baseline indicates an improvement from Baseline in IRLS.

    Measured: From Baseline over the Up-Titration Period (up to 3 Weeks) to the end of the 2-Week Maintenance Period

  3. Change From Baseline in Clinical Global Impressions (CGI) Item 1 Score

    The CGI Item 1 score measures the severity of illness on a scale that ranges from 0 (Not assessed) to 7 (Among the most extremely ill).

    Measured: Visit 2 (Baseline); Visit 6 (End of Maintence Period)

  4. Change From Baseline in the Restless Legs-6 (RLS-6) Rating Scale 1 to the End of the Maintenance Period

    The RLS-6 consists of six scales of which four scales are designed to assess severity of RLS and two scales cover sleep and daytime tiredness.

    Scale 1 measures satisfaction with sleep during the last seven nights on an 11-point scale that ranges between 0 (completely satisfied) to 10 (completely dissatisfied). The ratings are given by the subjects.

    A negative value in Change from Baseline indicates an improvement from Baseline.

    Measured: From Baseline over the Up-Titration Period (up to 3 Weeks) to the end of the 2-Week Maintenance Period

  5. Change From Baseline in the Restless Legs-6 (RLS-6) Rating Scale 2 to the End of the Maintenance Period

    The RLS-6 consists of six scales of which four scales are designed to assess severity of RLS and two scales cover sleep and daytime tiredness.

    Scale 2 measures the severity of RLS symptoms during the last 7 nights in the situation of falling asleep. This is measured on an 11-point scale that ranges between 0 (none) to 10 (very severe). The ratings are given by the subjects.

    A negative value in Change from Baseline indicates an improvement from Baseline.

    Measured: From Baseline over the Up-Titration Period (up to 3 Weeks) to the end of the 2-Week Maintenance Period

  6. Change From Baseline in the Restless Legs-6 (RLS-6) Rating Scale 3 to the End of the Maintenance Period

    The RLS-6 consists of six scales of which four scales are designed to assess severity of RLS and two scales cover sleep and daytime tiredness.

    Scale 3 measures the severity of RLS symptoms during the last seven nights on an 11-point scale that ranges between 0 (none) to 10 (very severe). The ratings are given by the subjects.

    A negative value in Change from Baseline indicates an improvement from Baseline.

    Measured: From Baseline over the Up-Titration Period (up to 3 Weeks) to the end of the 2-Week Maintenance Period

  7. Change From Baseline in the Restless Legs-6 (RLS-6) Rating Scale 4 to the End of the Maintenance Period

    The RLS-6 consists of six scales of which four scales are designed to assess severity of RLS and two scales cover sleep and daytime tiredness.

    Scale 4 measures the severity of RLS symptoms during the last seven days at rest on an 11-point scale that ranges between 0 (none) to 10 (very severe). The ratings are given by the subjects.

    A negative value in Change from Baseline indicates an improvement from Baseline.

    Measured: From Baseline over the Up-Titration Period (up to 3 Weeks) to the end of the 2-Week Maintenance Period

  8. Change From Baseline in the Restless Legs-6 (RLS-6) Rating Scale 5 to the End of the Maintenance Period

    The RLS-6 consists of six scales of which four scales are designed to assess severity of RLS and two scales cover sleep and daytime tiredness.

    Scale 5 measures the severity of RLS symptoms during the last seven days engaged in activities on an 11-point scale that ranges between 0 (none) to 10 (very severe). The ratings are given by the subjects.

    A negative value in Change from Baseline indicates an improvement from Baseline.

    Measured: From Baseline over the Up-Titration Period (up to 3 Weeks) to the end of the 2-Week Maintenance Period

  9. Change From Baseline in the Restless Legs-6 (RLS-6) Rating Scale 6 to the End of the Maintenance Period

    The RLS-6 consists of six scales of which four scales are designed to assess severity of RLS and two scales cover sleep and daytime tiredness.

    Scale 6 measures the severity of daytime tiredness/ sleepiness on an 11-point scale that ranges between 0 (not at all) to 10 (very severe). The ratings are given by the subjects.

    A negative value in Change from Baseline indicates an improvement from Baseline.

    Measured: From Baseline over the Up-Titration Period (up to 3 Weeks) to the end of the 2-Week Maintenance Period

  10. Change From Baseline in the Periodic Limb Movement During Sleep Arousal Index (PLMSAI) to the End of the Maintenance Period

    The Periodic Limb Movement during Sleep Arousal Index (PLMSAI) reflects the influence of the PLM on subject's sleep. Arousal is defined as sudden change in the Electroencephalogram (EEG) activity and the index illustrates to what degree the PLMs contribute to arousal from sleep.

    A negative value in Change from Baseline indicates an improvement from Baseline.

    Measured: From Baseline over the Up-Titration Period (up to 3 Weeks) to the end of the 2-Week Maintenance Period

  11. Change From Baseline in Sleep Efficiency to the End of the Maintenance Period

    Sleep stages and time spent in each sleep stage are determined from Electroencephalogram (EEG) readings. Sleep stage data will be used to calculate sleep efficiency. Sleep efficiency will be presented as percentages. Sleep efficiency is the percentage of time in bed spent asleep.

    A postive value in Change from Baseline indicates an improvement from Baseline.

    Measured: From Baseline over the Up-Titration Period (up to 3 Weeks) to the end of the 2-Week Maintenance Period

  12. Change From Baseline in the Restless Legs-Quality of Life (RLS-QoL) Total Score to the End of the Maintenance Period

    The RLS-QoL is a disease-specific questionnaire to evaluate quality of life. It consists of 12 items. A total score will be calculated from all of the 12 items. The overall sum score can be from 0 (highest QoL) to 60 (lowest QoL).

    A negative value in Change from Baseline indicates an improvement from Baseline.

    Measured: From Baseline over the Up-Titration Period (up to 3 Weeks) to the end of the 2-Week Maintenance Period

  13. Change From Baseline in the Short-Form-36 (SF-36) Item Questionnaire Mental Component Summary (MCS) to the End of the Maintenance Period

    The SF-36 is a 36 item generic human research quality of life instrument that uses a recall period of 4 weeks. Items are grouped into 8 domains as follows: Physical Functioning (10 items), Role Physical (4 items), Bodily Pain (2 items), General Health (5 items), Vitality (4 items), Social Functioning (2 items), Role Emotional (3 items), Mental Health (5 items), and a further unscaled single item (question 2) for perceived stability or change in health (Health Transition) during the last year. The norm based scores (based on the US general population) were used for analysis. For the MCS, the lowest and highest possible scores are -9 and 82 (rounded).

    The SF-36 domains (subscores) are scored so that a higher score indicates a better health state.

    Measured: From Baseline over the Up-Titration Period (up to 3 Weeks) to the end of the 2-Week Maintenance Period

  14. Change From Baseline in the Short-Form-36 (SF-36) Item Questionnaire Physical Component Summary (PCS) to the End of the Maintenance Period

    The SF-36 is a 36 item generic human research quality of life instrument that uses a recall period of 4 weeks. Items are grouped into 8 domains as follows: Physical Functioning (10 items), Role Physical (4 items), Bodily Pain (2 items), General Health (5 items), Vitality (4 items), Social Functioning (2 items), Role Emotional (3 items), Mental Health (5 items), and a further unscaled single item (question 2) for perceived stability or change in health (Health Transition) during the last year. The norm-based scores (based on the US general population) were used for analysis. For the PCS, the lowest and highest possible scores are 1 and 81 (rounded).

    The SF-36 domains (subscores) are scored so that a higher score indicates a better health state.

    Measured: From Baseline over the Up-Titration Period (up to 3 Weeks) to the end of the 2-Week Maintenance Period

Timeline

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

  1. First posted22 Feb 2012 (estimated)
  2. Study startApr 2012
  3. Primary completionOct 2013
  4. Study completionOct 2013

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
30 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01537042
Sponsor's protocol ID
SP0934
Other IDs
2011-003486-15
Status last verified
Oct 2014
First submitted
16 Feb 2012
Last updated
3 Nov 2014
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Rotigotine in people with Restless Legs Syndrome and End-Stage Renal Disease, run by UCB BIOSCIENCES GmbH at 15 sites in 6 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 8 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 3 Nov 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 15 sites in United States, Germany, Finland, France, Austria and 1 more country. 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 3 Nov 2014). 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?

Ratio From Baseline to the End of the 2-week Maintenance Period in Periodic Limb Movement Index (PLMI) (time frame: From Baseline over the Up-Titration Period (up to 3 Weeks) to the end of the 2-Week Maintenance Period). 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 3 Nov 2014.

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