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Idiopathic Parkinson's DiseasePhase 3KW-6002NCT01968031

A 12-week Randomized Study to Evaluate Oral Istradefylline in Subjects With Moderate to Severe Parkinson's Disease

A Phase 3 study testing Istradefylline 40 mg and Istradefylline 20 mg in people with Idiopathic Parkinson's Disease, run by Kyowa Kirin Co., Ltd. at 89 sites in 8 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 study to assess the efficacy and safety of oral Istradefylline (KW-6002) in patients with moderate to severe Parkinson's Disease. While on this study, participants will continue to take their usual, prescribed, stable regimen of Levodopa/Carbidopa or Levodopa/Benserazide therapy plus adjunct Parkinson's… Read more about this study

Who is it for?
Ages 30 years and older
Conditions the study is for
Idiopathic Parkinson's Disease
What is being tested?
Istradefylline 40 mg and Istradefylline 20 mg
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
613 participants
Where
89 sitesin 8 countries
Study dates
Oct 2013to Oct 2016
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

  • 30 years of age or older.
  • UK Parkinson's Disease Society (UKPDS) brain bank criteria (Step 1 and 2) for PD
  • PD Stages 2-4 in the ON state for Modified Hoehn and Yahr Scale.
  • On levodopa therapy for at least 1 year with beneficial clinical response at the baseline visit
  • Taking at least 400mg levodopa combination daily and on stable regimen of any other anti-Parkinsonian drugs (MAO-B, COMT, DA) for at least 2 weeks prior to randomization
  • Stable dopaminergic regimen for at least 4 weeks immediately prior to randomization
  • Documented end-of-dose wearing-off and levodopa-induced dyskinesia
  • Have an average of two hours of OFF time per day

Who cannot join

  • Subjects on apomorphine and/or dopamine receptor antagonists or direct gastrointestinal levodopa infusion.
  • Subject who have had neurosurgical operation for PD
  • Subjects taking A2a antagonist, potent CYP3A4 inhibitors, potent CYP34A inducers
  • Subjects who smoke > 5 cigarettes/day

Trial locations and contacts

89 sites in 8 countries.

89 sites in 8 countries

United States41 sites
  • Kyowa PD Site

    Albany, New York, 12208

  • Kyowa PD Site

    Asheville, North Carolina, 28806

  • Kyowa PD Site

    Atlanta, Georgia, 30329

  • Kyowa PD Site

    Augusta, Georgia, 29841

  • Kyowa PD Site

    Baltimore, Maryland, 21201

  • Kyowa PD Site

    Boca Raton, Florida, 33486

  • Kyowa PD Site

    Boston, Massachusetts, 02215

  • Kyowa PD Site

    Charleston, South Carolina, 29401

  • Kyowa PD Site

    Chicago, Illinois, 60611

  • Kyowa PD Site

    Chicago, Illinois, 60612

  • Kyowa PD Site

    Cincinnati, Ohio, 45219

  • Kyowa PD Site

    Cleveland, Ohio, 44195

  • Kyowa PD Site

    Dallas, Texas, 75390-9036

  • Kyowa PD Site

    Danbury, Connecticut, 06810

  • Kyowa PD Site

    Des Moines, Iowa, 50309

  • Kyowa PD Site

    Durham, North Carolina, 27705

  • Kyowa PD Site

    Englewood, Colorado, 80113

  • Kyowa PD Site

    Fountain Valley, California, 92708

  • Kyowa PD Site

    Houston, Texas, 77030

  • Kyowa PD Site

    Irvine, California, 92697

  • Kyowa PD Site

    Jacksonville, Florida, 32209

  • Kyowa PD Site

    Kansas City, Kansas, 66160

  • Kyowa PD Site

    Los Angeles, California, 90048

  • Kyowa PD Site

    Minneapolis, Minnesota, 55414

  • Kyowa PD Site

    New York, New York, 10016

  • Kyowa PD Site

    New York, New York, 10032

  • Kyowa PD Site

    Oxnard, California, 93030

  • Kyowa PD Site

    Panama City, Florida, 32405

  • Kyowa PD Site

    Pasadena, California, 91105

  • Kyowa PD Site

    Philadelphia, Pennsylvania, 19107

  • Kyowa PD Site

    Phoenix, Arizona, 85004

  • Kyowa PD Site

    Port Charlotte, Florida, 33980

  • Kyowa PD Site

    Reseda, California, 91335

  • Kyowa PD Site

    St Louis, Missouri, 63110

  • Kyowa PD Site

    Sun City, Arizona, 85351

  • Kyowa PD Site

    Sunnyvale, California, 94085

  • Kyowa PD Site

    Tampa, Florida, 33647

  • Kyowa PD Site

    Toledo, Ohio, 43614

  • Kyowa PD Site

    Torrance, California, 90505

  • Kyowa PD Site

    Tucson, Arizona, 85724

  • Kyowa PD Site

    West Bloomfield, Michigan, 48322

Other trials in United States

Germany12 sites
  • Kyowa PD Site

    Beelitz-Heilstätten, 14547

  • Kyowa PD Site

    Berlin, 12203

  • Kyowa PD Site

    Berlin, 13088

  • Kyowa PD Site

    Bremerhaven, 27574

  • Kyowa PD Site

    Dresden, 01307

  • Kyowa PD Site

    Göttingen, 37075

  • Kyowa PD Site

    Haag, 83527

  • Kyowa PD Site

    Kassel, 34128

  • Kyowa PD Site

    Marburg, 35043

  • Kyowa PD Site

    Munich, 80804

  • Kyowa PD Site

    Tübingen, 72076

  • Kyowa PD Site

    Ulm, 89081

Other trials in Germany

Italy9 sites
  • Kyowa PD Site

    Cassino, 03043

  • Kyowa PD Site

    Chieti, 66013

  • Kyowa PD Site

    Grosseto, 58100

  • Kyowa PD Site

    Pavia, 27100

  • Kyowa PD Site

    Pisa, 56126

  • Kyowa PD Site

    Rome, 00133

  • Kyowa PD Site

    Rome, 00163

  • Kyowa PD Site

    Venezia, 30126

  • Kyowa PD Site

    Vicenza, 36057

Other trials in Italy

Poland7 sites
  • Kyowa PD Site

    Bydgoszcz, 85-796

  • Kyowa PD Site

    Kielce, 25-103

  • Kyowa PD Site

    Krakow, 31-505

  • Kyowa PD Site

    Lublin, 20-093

  • Kyowa PD Site

    Poznan, 61-853

  • Kyowa PD Site

    Warsaw, 01-697

  • Kyowa PD Site

    Warsaw, 04-364

Other trials in Poland

Czechia6 sites
  • Kyowa PD Site

    Brno, 656 91

  • Kyowa PD Site

    Litomyšl, 570 01

  • Kyowa PD Site

    Olomouc, 775 20

  • Kyowa PD Site

    Prague, 12 000

  • Kyowa PD Site

    Prague, 140 00

  • Kyowa PD Site

    Prague, 150 06

Other trials in Czechia

Canada5 sites
  • Kyowa PD Site

    Calgary, Alberta, AB T2N

  • Kyowa PD Site

    Gatineau, Quebec, J9J 0A5

  • Kyowa PD Site

    Kingston, Ontario, K7L 2V7

  • Kyowa PD Site

    Québec, Quebec, G1S 2L6

  • Kyowa PD Site

    Toronto, Ontario, M5T 2S8

Other trials in Canada

Israel5 sites
  • Kyowa PD Site

    Haifa, 39106

  • Kyowa PD Site

    Jerusalem, 91120

  • Kyowa PD Site

    Petach Tiqva, 49372

  • Kyowa PD Site

    Ramat Gan, 52621

  • Kyowa PD Site

    Tel Aviv, 64239

Other trials in Israel

Serbia4 sites
  • Kyowa PD Site 1

    Belgrade, 11000

  • Kyowa PD Site 2

    Belgrade, 11000

  • Kyowa PD Site 4

    Belgrade, 11000

  • Kyowa PD Site

    Novi Sad, 21000

Other trials in Serbia

About this study

Official title: A Phase 3, 12-week, Double-Blind, Placebo-Controlled, Randomized, Multicenter Study to Evaluate the Efficacy of Oral Istradefylline 20 and 40 mg/Day as Treatment for Subjects With Moderate to Severe Parkinson's Disease

This is a study to assess the efficacy and safety of oral Istradefylline (KW-6002) in patients with moderate to severe Parkinson's Disease. While on this study, participants will continue to take their usual, prescribed, stable regimen of Levodopa/Carbidopa or Levodopa/Benserazide therapy plus adjunct Parkinson's medications. Patients will be randomized 1:1:1 to receive either Istradefylline 20 mg per day, or Istradefylline 40 mg per day or an equivalent placebo. Patients will be treated for a 12 week period to demonstrate the effectiveness of Istradefylline in improving Parkinson's disease symptoms (referred to as improvement in patient OFF time) and that Istradefylline has an acceptable safety profile in this group.

Being tested
Istradefylline 40 mg, Istradefylline 20 mg, Placebo
Keywords
Parkinson's disease, Moderate to Severe 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.

  • Istradefylline 40 mgDrug

    Also called KW-6002

    Istradefylline 40 mg and placebo

  • Istradefylline 20 mgDrug

    Also called KW-6002

    Istradefylline 20 mg and placebo

  • PlaceboDrug

    Placebo

Study groups in NCT01968031
Study groupRoleWhat they receive
Istradefylline 20 mg/dayExperimentalIstradefylline 20 mg and placebo to match istradefylline 40 mg: A daily, oral, double-blind treatment dose of both tablets will be taken in the morning for 12 weeks.
Receives: Drug: Istradefylline 20 mg; Drug: Placebo
Istradefylline 40 mg/dayExperimentalIstradefylline 40 mg and placebo to match istradefylline 20 mg: A daily, oral, double-blind treatment dose of both tablets will be taken in the morning for 12 weeks.
Receives: Drug: Istradefylline 40 mg; Drug: Placebo
PlaceboPlacebo comparatorPlacebo to match istradefylline 20 mg and placebo to match istradefylline 40 mg: A daily, oral, double-blind treatment dose of both tablets will be taken in the morning for 12 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 the Total Hours of Awake Time/Day Spent in the OFF State at Week 12

    Based on the 24-hour ON/OFF patient diary data.

    Measured: Baseline, Week 2, Week 6, Week 10 and Week 12.

Secondary outcomes (11)
  1. Total Hours of ON Time Per Day Without Troublesome Dyskinesia

    Based on Patient's ON/OFF Diary

    Measured: Baseline, Week 2, Week 6, Week 10 and Week 12.

  2. Unified Parkinson's Disease Rating Scale (UPDRS) Motor Examination Score (Part III);

    The Unified Parkinson's Disease Rating Scale (UPDRS) evaluates various aspects of Parkinson's disease including non-motor and motor experiences of daily living and motor complications. Part III assesses the motor signs of Parkinson's Disease with a rating from 0 to 4, where 0 = normal, 1 = slight, 2 = mild, 3 = moderate, and 4 = severe. The possible score range of Part III is 0 to 68. The lower the score, the more favorable the response.

    Measured: Baseline, Week 2, Week 6, Week 10 and Week 12.

  3. Unified Parkinson's Disease Rating Scale (UPDRS) Activities of Daily Living (ADL) Score (Part II)

    The Unified Parkinson's Disease Rating Scale (UPDRS) evaluates various aspects of Parkinson's disease including non-motor and motor experiences of daily living and motor complications. Part II is a self-evaluation of the activities of daily life (ADL) including speech, swallowing, handwriting, dressing, hygiene, falling, salivating, turning in bed, walking, and cutting food with a rating from 0 to 4, where 0 = normal, 1 = slight, 2 = mild, 3 = moderate, and 4 = severe. The possible score range of Part II is 0 to 52. The lower the score, the more favorable the response.

    Measured: Baseline, Week 2, Week 6, Week 10 and Week 12.

  4. Unified Parkinson's Disease Rating Scale (UPDRS Mentation, Behaviour) and Mood (Part I)

    The Unified Parkinson's Disease Rating Scale (UPDRS) evaluates various aspects of Parkinson's disease including non-motor and motor experiences of daily living and motor complications. Part I is the evaluation of mentation, behavior, and mood with a rating from 0 to 4, where 0 = normal, 1 = slight, 2 = mild, 3 = moderate, and 4 = severe. The possible score range of Part I is 0 to 16. The lower the score, the more favorable the response.

    Measured: Baseline, Week 2, Week 6, Week 10 and Week 12.

  5. Total UPDRS (Parts I + II + III);

    The Unified Parkinson's Disease Rating Scale (UPDRS) evaluates various aspects of Parkinson's disease including non-motor and motor experiences of daily living and motor complications with a rating from 0 to 4, where 0 = normal, 1 = slight, 2 = mild, 3 = moderate, and 4 = severe. The total possible score range for all parts combined is 0 to 136. The lower the score, the more favorable the response.

    Measured: Baseline, Week 2, Week 6, Week 10 and Week 12.

  6. Patient Global Impression - Improvement (PGI-I) Scale

    The "key symptom" on the PGI-I was evaluated at baseline and subsequent post-baseline visits for the subject's overall condition and the symptoms of fatigue, sleep, motivation to get things done, and each subject's key symptom. Subjects rated each on a scale of 1 to 5 for change from baseline utilizing the following scale:

    • 1 = Moderate improvement (or greater)
    • 2 = Mild improvement
    • 3 = No change from baseline
    • 4 = Mild deterioration
    • 5 = Moderate deterioration (or greater)

    A lower number is a better outcome. Overall condition is presented below.

    Measured: Baseline, Week 2, Week 6, Week 10, Week 12 and 30-day FU visit

  7. Sleep Time in Hours Per Day Based Upon 24-hour Diaries.

    Measured: Baseline, Week 2, Week 6, Week 10 and Week 12.

  8. Percentage of Awake Time Per Day Spent in the OFF State

    Measured: Baseline, Week 2, Week 6, Week 10 and Week 12.

  9. Percentage of ON Time Per Day Without Troublesome Dyskinesia.

    Measured: Baseline, Week 2, Week 6, Week 10 and Week 12.

  10. Montreal Cognitive Assessment (MoCA)

    The Montreal Cognitive Assessment (MoCA) assesses different cognitive domains, broken down as follows:

    Visuospatial and executive functioning: 5 points Animal Naming: 3 points Attention: 6 points Language: 3 points Abstraction: 2 points Delayed recall (short-term memory): 5 points Orientation: 6 points

    Scores can range from 0 to 30. A score of 26 or above is considered normal.

    Measured: Baseline and Week 12.

  11. Beck Depression Inventory (BDI)

    The Beck Depression Inventory is a 21-question test that measures the severity of depression. Subjects rated each on a scale of 0 to 3 for change from baseline utilizing the following scale:

    • 0 = I do not feel sad
    • 1 = I feel sad
    • 2 = I am sad all the time and I can't snap out of it
    • 3 = I am so sad or unhappy that I can't stand it

    The test is scored for each question using the above scale to determine the severity of depression. Scoring is as shown below:

    • 0 to 9: minimal depression
    • 10 to 18: mild depression
    • 19 to 29: moderate depression
    • 30 to 63: severe depression

    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 posted23 Oct 2013 (estimated)
  2. Study startOct 2013
  3. Primary completionOct 2016
  4. Study completionOct 2016

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
613 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01968031
Sponsor's protocol ID
6002-014
Other IDs
2013-002254-70
Acronym
KW-6002
Status last verified
Apr 2024
First submitted
18 Oct 2013
Last updated
25 Apr 2024
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Istradefylline 40 mg and Istradefylline 20 mg in people with Idiopathic Parkinson's Disease, run by Kyowa Kirin Co., Ltd. at 89 sites in 8 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 4 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 25 Apr 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 89 sites in United States, Germany, Italy, Poland, Czechia and 3 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 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 20 Nov 2020). 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 the Total Hours of Awake Time/Day Spent in the OFF State at Week 12 (time frame: Baseline, Week 2, Week 6, Week 10 and Week 12.). 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 25 Apr 2024.

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