The primary objective of this exploratory study is to investigate the efficacy and safety of tesofensine in daily doses (from 0.125 mg to 1.0 mg) in comparison to placebo, over a 14-week treatment period in levodopa treated Parkinson patients with motor fluctuations.
This is a randomized, double-blind, placebo-controlled, five parallel groups efficacy and safety exploratory of tesofensine versus placebo in levodopa treated Parkinson patients with motor fluctuations. Patients will be treated either with one of the 4 doses of tesofensine (0.125mg, 0.25mg, 0.50 mg or 1.0 mg) or with placebo, once daily, over 14 weeks. The two co-primary efficacy endpoints are the change in off-time and the change in the Unified Parkinson Disease Rating Scale (UPDRS) II+III total score Study Hypothesis: The null hypothesis is that there is no difference between placebo and tesofensine. The alternative hypothesis is that treatment with tesofensine is superior to treatment with placebo. Comparison(s): For the primary comparison between tesofensine and placebo, change in percentage off-time during waking hours will be based on reports from patient's diary (completed at day -3 and day-2 prior to the study visits) and change in the UPDRS II+III will be based on UPDRS II averaged for on and off periods and UPDRS III evaluated at on periods during the study visits.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
254
Krankenhaus d. Barmherzigen Brüder Graz-Eggenberg
Graz, Austria
Univ.-Klinik für Neurologie
Graz, Austria
Univ.-Klinik für Neurologie
Innsbruck, Austria
Landesnervenklinik Wagner Jauregg Linz
Linz, Austria
AKH der Stadt Linz
Linz, Austria
Landesklinikum St. Pölten
UPDRS parts II (averaged "on" and "off")
Time frame: 14 weeks
"Off" time during waking hours
Time frame: 14 weeks
Percent on time without dyskinesia, or with non troublesome dyskinesia, or both, or with troublesome dyskinesia
Time frame: 14 weeks
Unified Parkinson's Disease Rating Scale (UPDRS) I to IV sub-scores
Time frame: 14 weeks
Clinical Global Impressions (CGI) Improvement and Severity
Time frame: 14 weeks
Auditory Verbal Learning test (AVLT)
Time frame: 14 weeks
Modified Schwab and England Disability scale
Time frame: 14 weeks
Snaith-Hamilton Pleasure Scale (SHAPS)
Time frame: 14 weeks
Percentage of patients with at least a 20%-improvement in percent "off" time during waking hours
Time frame: 14 weeks
Percentage of patients with at least a 20% or a 30%-improvement in UPDRS parts II+III total score
Time frame: 14 weeks
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Sankt Pölten, Austria
Hôpital du Pays d'Aix
Aix-en-Provence, France
Hôpital Pierre Wertheimer
Bron, France
Hôpital Gabriel Montpied
Clermont-Ferrand, France
Hôpital Roger Salengro
Lille, France
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