The purpose of this study is to determine whether Fipamezole is effective in the treatment of levodopa-induced dyskinesia in advanced Parkinson's disease.
This study is a multi-center, double-blind, placebo-controlled, multiple dose escalating, safety, tolerance, pharmacokinetics, and efficacy study of fipamezole administered in Parkinson's disease patients who are concomitantly being treated with a combination product of levodopa with a dopamine decarboxylase inhibitor (DDI) and possible other antiparkinson medication. Approximately 30 sites in the US and India will participate in this study. The patients will be randomized into one of four treatment arms to receive either fixed or ascending doses of Fipamezole (from 30 to 90 mg tid) or placebo. For efficacy assessments, levodopa-induced dyskinesia is assessed using a standardised rating scale. Time spent in 'Off' state or in 'On' state without dyskinesia, 'On' with non-troublesome dyskinesia or 'On' with troublesome dyskinesia, is assessed using patient diaries. Impact of dyskinesia on daily activities is quantified using a PDYS-26 questionnaire. To explore potential positive or negative impact of Fipamezole on cognitive functions, the study includes two cognitive tests. Finally, the study includes investigator assessments of CGI-I scales for dyskinesia, Parkinson's disease, and clinical condition in general.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
180
Fipamezole in Zydis formulation three times per day for up to 28 days
To compare the efficacy of 3 different doses of fipamezole with that of placebo on dyskinesia as assessed by a dyskinesia assessment scale.
Time frame: 28-days treatment
To compare efficacy of 3 different doses of fipamezole with that of placebo on the mean daily 'Off' time, as recorded in the patient diary.
Time frame: 28-days treatment
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University of Alabama at Birmingham
Birmingham, Alabama, United States
Neurology Clinic PC
Northport, Alabama, United States
University of Arizona Health Sciences Center
Tucson, Arizona, United States
Parkinson and Movement Disorder Institute
Fountain Valley, California, United States
University of California Irvine
Irvine, California, United States
Coastal Neurological Medicine Group
La Jolla, California, United States
Colorado Neurological Institute
Englewood, Colorado, United States
Parkinson's Disease and Movement Disorder Center
Boca Raton, Florida, United States
Sunrise Clinical Research
Hollywood, Florida, United States
Pharmax Research Clinic
Miami, Florida, United States
...and 26 more locations