P2B001 is an investigational drug that comprised of low doses of two drugs, pramipexole and rasagiline, which are both approved drugs and routinely used in standard therapy for Parkinson's disease. The two drugs work in two different mechanisms that help each other, so there is a reason to believe that their combined activity will be better than each individual drug, and that lower doses can be used without losing the therapeutic effect. Thus, the development of P2B001 is intended to provide a combination of low doses of these two drugs, in an improved formulation, that is hoped to be more effective in controlling Parkinson's disease symptoms and with less side effects than each of the drugs taken alone or the current available commercial drugs taken together. In a previously completed clinical trial a significant improvement in Parkinson's disease symptoms was seen in patients treated with P2B001 compared to patients that were treated with placebo. In this phase 3 study , the safety and efficacy of P2B001 will be assessed by comparing P2B001 to its individual components pramipexole and rasagiline. This will be done by monitoring the motor and non-motor symptoms, evaluating responses participants provide on questionnaires relating to Parkinson's disease and quality of life that will be completed on every visit. In addition, this study will also compare P2B001 to a marketed drug of pramipexole ER. Approximately 525 patients will participate in this research study and the participation in this study will last between 14 to 18 weeks.
A total of 525 eligible subjects with early untreated Parkinson's disease (PD), will be randomized to 4 treatment groups. Each subject will participate in the study for approximately 18 weeks including a 30 day screening period, 12 week treatment period, and 2 weeks follow-up period. Subjects will be requested to take one capsule and 1-3 tablets of study drug by mouth with a glass of water every day for 13 weeks. The study requires seven visits to the clinic one every 2-4 weeks.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
544
Fixed low dose extended release combination capsule of pramipexole and rasagiline
Rasagiline 0.75 mg oral extended release capsule, component
Pramipexole 0.6 mg oral extended release capsule, component
Marketed Pramipexole ER titrated to optimal dose of 1.5, 3 or 4.5 mg tablet
P2B001/003 Site Scottsdale
Scottsdale, Arizona, United States
P2B001/003 study site Scottsdale
Scottsdale, Arizona, United States
P2B001/003 Study site little Rock
Little Rock, Arkansas, United States
P2B001 site Los Angeles
Los Angeles, California, United States
P2B001 Study site Englewood,
Englewood, Colorado, United States
Change in Total Unified Parkinson's Disease Rating Scale (UPDRS) Score (Defined as Sum of Parts II and III, Scores (0-160).
Differences between P2B 0.6/0.75 mg as compared to its individual components in the change of total UPDRS score (defined as sum of parts II and III, scores (0-160). UPDRS- Unified Parkinson's Disease Rating Scale, minimum value is 0 points and maximum value is 160. High score mean worse outcome.
Time frame: baseline to week 12
Change in Epworth Sleepiness Scale (ESS) Score.
Differences between P2B 0.6/0.75 mg as compared to pramipexole ER tablets in the change of Epworth Sleepiness Scale (ESS) score. Scale is 0-24 , when 24 is worse outcome
Time frame: baseline to week 12
Change From Baseline to Week 12 in Total UPDRS III Motor
Differences between P2B 0.6/0.75 mg as compared to its individual components in the change of Motor UPDRS score (UPDRS Part III ). UPDRS- Unified Parkinson's Disease Rating Scale, part III motor . min is 0 and Max is 108 (Worse outcome)
Time frame: baseline to week 12
Change From Baseline to Week 12 in Total UPDRS II ADL
Differences between of P2B 0.6/0.75 mg as compared to its individual components in the change of ADL UPDRS score (UPDRS part II) Activity of daily Life UPDRS part II minimum is 0 point and max is 52 point (worse outcome)
Time frame: Baseline to week 12
Change From Baseline to End of Week 12 Visit in ADL Subscale of PDQ39
The efficacy of P2B 0.6/0.75 mg as compared to Pramipexole ER tablet titrated to optimal dose. ADL PDQ39- Activity of daily life part in Parkinson's Disease Questionaries' 39 Score 0-100 when 100 is the worse outcome
Time frame: Baseline to week 12
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P2B001 Study Vernon
Vernon, Connecticut, United States
P2B001/003 site Boca Raton
Boca Raton, Florida, United States
P2B001/003 Site Boca Raton
Boca Raton, Florida, United States
P2B001/003 study site Jacksonville
Jacksonville, Florida, United States
P2B001/003 site Miami
Miami, Florida, United States
...and 62 more locations