The objectives of this trial conducted in early Parkinson's Disease (PD) patients are to determine the efficacy (as measured by the change from baseline to the end of the maintenance phase in the total score for the Unified Parkinson's Disease Rating Scale (UPDRS) Parts II and III combined), safety, and tolerability of Pramipexole Extended Release (ER) (in daily doses from 0.375mg to 4.5mg q.d.) in comparison to placebo, and to test for non-inferiority between the two formulations (ER and IR) of pramipexole. In addition, the efficacy of Pramipexole Immediate Release (IR) will be compared to placebo, for assay sensitivity
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
539
248.524.01018 Boehringer Ingelheim Investigational Site
Gilbert, Arizona, United States
248.524.01004 Boehringer Ingelheim Investigational Site
Sun City, Arizona, United States
248.524.01016 Boehringer Ingelheim Investigational Site
La Jolla, California, United States
248.524.01013 Boehringer Ingelheim Investigational Site
Oxnard, California, United States
248.524.01008 Boehringer Ingelheim Investigational Site
Danbury, Connecticut, United States
Change From Baseline in Unified Parkinson's Disease Rating Scale (UPDRS) Parts II+III Total Score
Activities of daily living are scored from 0-52 in UPDRS II, result of motor examination scored 0-108 in UPDRS III. A decrease in the score means improvement.
Time frame: baseline and after 33 weeks treatment
Percentage of Responders on the Clinical Global Impressions of Improvement (CGI-I) Scale
Clinicians evaluation in a rating scale of 7 steps, 1 meaning very much improved to 7 meaning very much worse. Responders are the patients with 'much improved' and 'very much improved' on the scale
Time frame: after 18 weeks of treatment compared to baseline
Percentage of Responders on the Patients Global Impressions of Improvement (PGI-I) Scale
Patient rated evaluation of the PD symptoms on a rating scale of 7 steps, 1 meaning very much better to 7 meaning very much worse. Responders are the patients with 'much better' and 'very much better' on the score.
Time frame: after 18 weeks of treatment compared to baseline
UPDRS II+III Responder Rate (at Least 20% Improvement)
Responders are defined as at least 20% decrease in the UPDRS II+III score. UPDRS II+III ranges 0-160 scores from best to worse.
Time frame: after 33 weeks treatment
UPDRS Part I Change From Baseline
UPDRS I evaluates mentation behaviour and mood with a total score of 0-16. Decrease in the scores means improvement
Time frame: baseline and after 33 weeks treatment
UPDRS Part II Total Score
UPDRS II evaluates activities of daily living in a score 0-52. Decrease of the score means improvement
Time frame: after 33 weeks treatment
UPDRS Part III Total Score
UPDRS III is the result of a motor examination with the scores 0-108. A decrease in the scores means improvement
Time frame: after 33 weeks treatment
Beck's Depression Inventory Version I A
The Beck's Depression Inventory (BDI) is a 21-item self-rating scale that was originally designed as an instrument to assess the intensity of depressive symptoms (sadness, pessimism, sense of failure, dissatisfaction, guilt, expectation of punishment, dislike of self, self-accusation, suicidal ideation, episodes of crying, irritability, social withdrawal, indecisiveness, changes in body image, retardation, insomnia, fatigability, loss of appetite and weight, somatic preoccupation, low level of energy). Each item is scored from 0 (absent) to 3 (severe). The patients select the score which best describes their status in the last 7 days. Since its introduction in 1961, its use has been extended (also to PD patients) and today it is used also as a screening instrument as well as an outcome measure in depression treatment trials. The total score sums the 21 individual items yielding a score that can range from zero (minimal depression) to 63 (severe depression).
Time frame: after 33 weeks treatment
Likert Scale for Pain Related to PD
Patient assessed 11 units on a scale from 'no pain' to 'unbearable pain'. Decrease of the score means improvement
Time frame: after 33 weeks treatment
Parkinson's Disease Sleep Scale (PDSS)
PDSS is a self-rated instrument addressing 15 commonly reported symptoms associated with sleep disturbance on 15 visual analogue scales (VAS: 0 to 10 cm) each ranging from worst score ('awful or always' at the left extremity to the best score ('excellent or never' at the right extremity) An increase in the score means improvement. Worst possible score 0, best score 150)
Time frame: after 33 weeks treatment
Change From Baseline in Parkinson's Disease Quality of Life Questionnaire Total Score
The PDQ-39 is a self-administered questionnaire which comprises 39 items addressing 8 domains of health which patients consider to be adversely affected by the disease. Higher scores are consistently associated with more severe symptoms of the disease such as tremor and stiffness, while lower scores indicate a better perceived health status. The 8 domains include: * mobility (e.g. fear of falling when walking): 10 items * activities of daily living (e.g. difficulty cutting food): 6 items * emotional well-being (e.g. feelings of isolation): 6 items * stigma (e.g. social embarrassment): 4 items * social support: 3 items * cognition: 4 items * communication: 3 items * bodily discomfort: 3 items. A total score is calculated by summing the responses to the 39 individual items and the total ranges from 0 (no problem at all) to 156 (maximum level of problem). A negative change in the total score indicates improvement.
Time frame: after 33 weeks treatment
Change From Baseline in European Quality of Life Visual Analog Scale
European Quality of Life Visual Analog Scale (EQ-5D VAS) is a 20 centimeter vertical analog scale assessing the patient's general health status with scores ranging from 0 (worst imaginable health) to 100 (perfect health). A positive change in the scale indicates improvement in health status.
Time frame: after 33 weeks treatment
Patients Who Started to Use L-Dopa Rescue Medication
L-dopa could be introduced as rescue medication based upon the clinical judgement of the investigator. descriptive on the Full Analysis Set (FAS) population
Time frame: from trial start on to any time before final assessment of the patient, up to 33 weeks
Number of Patients With Treatment Emergent Abnormal Behaviour as Indicated by the Modified Minnesota Impulsive Disorders Interview (mMIDI Questionnaire)
mMIDI is a semi-structured clinical interview to assess pathological gambling (12 questions, positive screen if patient answers 'yes' to question 1 and to at least 5 of the rest of the questions), compulsive buying (9 questions from 1a to 4c, positive screen if the patient answers 'yes' to 1a, 2a, 3a, and 4a) and compulsive sexual behaviour (4 questions, positive screen if patient answers 'yes' to question 1,2,3, or 4).
Time frame: from trial start on to any time before final assessment of the patient, up to 33 weeks
Possible Clinically Significant Abnormal Laboratory Parameters
The significant abnormality of values was based on standard criteria defined in appendix 16.1.10, LISTING 4 Criteria for clinically significant abnormalities based on normalized laboratory values.
Time frame: baseline and after 33 weeks of treatment
Clinical Relevant Abnormal Findings in Vital Signs and Physical Examination as Reported in Adverse Events
Time frame: baseline and after 33 weeks of treatment
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248.524.01010 Boehringer Ingelheim Investigational Site
Boca Raton, Florida, United States
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Augusta, Georgia, United States
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Kansas City, Kansas, United States
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Elkridge, Maryland, United States
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