Safety and Efficacy Study of NH004 Films for Relief of Sialorrhea Symptoms in Parkinson's Disease Patients (NH004-2)
Recruitment status was Recruiting
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Purpose
The primary goal of the study is to evaluate the safety and potential efficacy of intra-oral dissolvable NH004 films to improve the short-term symptoms of sialorrhea (drooling) in Parkinson's disease patients.
| Condition | Intervention | Phase |
|---|---|---|
|
Sialorrhea Secondary to Parkinson's Disease |
Drug: Crossover of placebo, 0.3, 1 or 3 mg of tropicamide. |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Crossover Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | A Two-Phase, Double Blind, Placebo-Controlled, Randomized, Crossover Study of the Safety and Efficacy of Intra-Oral NH004 Films for the Short-Term Relief of Sialorrhea Symptoms in Parkinson's Disease Patients |
- Phase A (first 12 patients): subjective sialorrhea visual-analog scale. Phase B: sialorrhea visual-analog scale and objective saliva measurement (measured with a cotton roll). [ Time Frame: Phase A: every 15 minutes for 2 hours. Phase B: same as Phase A + one objective saliva measurement at a time point to be determined in the interim analysis. ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 36 |
| Study Start Date: | March 2008 |
| Estimated Study Completion Date: | April 2009 |
| Estimated Primary Completion Date: | March 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Crossover |
Drug: Crossover of placebo, 0.3, 1 or 3 mg of tropicamide.
Mucoadhesive film containing placebo, 0.3, 1 or 3 mg of tropicamide.
Other Name: crossover
|
Detailed Description:
NH004 contains the anticholinergic agent tropicamide and is delivered in a convenient product form (intra-oral dissolvable thin films) designed for the management of sialorrhea. This study is a double blind, placebo-controlled, crossover study of the safety and potential efficacy of three doses of of NH004 films for the short-term relief of the symptoms of sialorrhea in Parkinson's disease patients.
A total of 36 Parkinson's disease patients will be enrolled in the study in two Phases. Phase A will include 12 patients and Phase B up to 24 patients. There will be an interim analysis after conclusion of Phase A. In both phases patients will be randomized into one of four groups. Each group will have a distinctive sequence for receiving intra-oral dissolvable films of 0.3 mg, 1 mg, 3 mg of NH004, or placebo during four visits.
Eligibility| Ages Eligible for Study: | 50 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patients with idiopathic Parkinson's disease, according to the UK Brain Bank criteria.
- Patients complaining of drooling, with a score of at least 3 in the Fleni Sialorrhea scale.
- Patient is between 50 and 80 years of age, inclusive.
- Male or non-pregnant female. Females of child-bearing potential will be required to have undergone a pregnancy test with negative results prior to entry to the study and agree to use contraceptive measures for the duration of the study.
- Patients must have used the same medication and dose for PD for the last month. No changes in the medication for PD are expected during the study.
- Patients who can reasonable be expected to be on "on-state" for the duration of the testing procedures.
- Patients who have a stable response to levodopa for PD.
Exclusion Criteria:
- Pregnant women or women who may become pregnant.
- Patients with a diagnosis of depression, schizophrenia or with obvious symptoms of these diseases.
- Patients with MMSE score equal to or lower than 26.
- Patients who are receiving the following drugs: tricyclic antidepressants, MAOI's, neuroleptics (antipsychotics), or anticholinergics.
- Patients who have taken any of the drugs mentioned in exclusion criteria number 4 within the last week.
- Patients with hypersensitivity to atropine or other anticholinergic drugs.
- Patients who have experienced adverse effects as a result of taking anticholinergic drugs.
- Patients taking hypnotic or other sleep inducing drugs.
- Patients with severe urinary or gastrointestinal symptoms.
- Patients with significant dental/oral pathology.
- Patients with severe dysautonomia.
Contacts and Locations| Contact: Daniel Katzman | 617.331.4111 | daniel@neurohealing.com |
| Argentina | |
| FLENI Hospital | Recruiting |
| Buenos Aires, Argentina | |
| Contact: Santiago Perez Lloret, MD 5777-3200 ext 2600 splloret@fleni.edu.ar | |
| Principal Investigator: Marcelo Merello, MD, PhD | |
| Sub-Investigator: Santiago Perez Lloret, MD | |
| Sub-Investigator: Gabriela Nano, MD | |
| Principal Investigator: | Elkan R Gamzu, PhD | NeuroHealing Pharmaceuticals Inc. |
| Principal Investigator: | Marcelo Merello, MD, PhD | FLENI Hospital, Argentina |
More Information
No publications provided
| Responsible Party: | Elkan Gamzu, Interim Head of Clinical Trials, NeuroHealing Pharmaceuticals |
| ClinicalTrials.gov Identifier: | NCT00761137 History of Changes |
| Other Study ID Numbers: | NH004-2 |
| Study First Received: | September 25, 2008 |
| Last Updated: | September 26, 2008 |
| Health Authority: | Argentina: Administracion Nacional de Medicamentos, Alimentos y Tecnologia Medica Argentina: Human Research Bioethics Committee United States: Federal Government |
Keywords provided by FDA Office of Orphan Products Development:
|
sialorrhea drooling excessive salivation parkinson's disease |
Additional relevant MeSH terms:
|
Parkinson Disease Sialorrhea Parkinsonian Disorders Basal Ganglia Diseases Brain Diseases Central Nervous System Diseases Nervous System Diseases Movement Disorders Neurodegenerative Diseases Salivary Gland Diseases Mouth Diseases Stomatognathic Diseases |
Tropicamide Muscarinic Antagonists Cholinergic Antagonists Cholinergic Agents Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Physiological Effects of Drugs Mydriatics Autonomic Agents Peripheral Nervous System Agents |
ClinicalTrials.gov processed this record on May 21, 2013