The study is designed to measure the efficacy and safety of levetiracetam on levodopa-induced dyskinesias in late-stage Parkinson's disease. The patients are planned to be treated with levetiracetam (up to 2000 mg per day) or placebo for 13 weeks. Efficacy measure is the modified AIMS.
The LeLeDys study is designed to determine the efficacy and safety of levetiracetam on levodopa-induced dyskinesias in advanced Parkinson's disease. The design is a multicenter, randomized, stratified, double-blinded, placebo-controlled phase IV study design. The hypothesis is that levetiracetam is able to reduce duration and severity of levodopa-induced dyskinesias in Parkinson's disease. The patients are planned to be treated with levetiracetam (up to 2000 mg per day) or placebo for 13 weeks. Efficacy measure is the modified AIMS. Main inclusion criteria are: * Advanced Parkinson's disease (Hoehn \& Yahr II-IV) * Age of 30 to 80 years * Levodopa-induced dyskinesias of at least 25% of the waking day and with moderate disability * Stable dosage of antiparkinson medication and/or stable deep brain stimulation parameters for at least 4 week prior inclusion * Written informed consent Main exclusion criteria are: * Atypical parkinsonian syndromes * Treatment with antipsychotics * Epilepsia or seizure in the history * Deep brain stimulation other than DBS in STN * Pregnant or lactating women * Severe dementia Methods: * Primary outcome measure is the modified AIMS * Secondary outcome measures include UPDRS, safety, patient day record Study medication: * Levetiracetam (upt to 2000 mg / day) * Matched Placebo
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
34
up to 200 mg per day in two dosages per day.
Department of Neurology at the Technical University of Dresden
Dresden, Germany
Department of Neurology at the University of Leipzig
Leipzig, Germany
Modified AIMS
Time frame: 11 weeks
UPDRS items 32 & 33
Time frame: 11 weeks
UPDRS
Time frame: 11 weeks
Schwab & England scale
Time frame: 11 weeks
Hoehn & Yahr scale
Time frame: 11 weeks
GCI
Time frame: 11 weeks
Patient day record
Time frame: 11 weeks
Epsworth sleep scale
Time frame: 11 weeks
Levodopa challenge test
Time frame: 11 weeks
Safety measures
Time frame: 11 weeks
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