Clinical Evaluation of Ropinirole PR/XR Tablets in Monotherapy for Parkinson's Disease (PD)
This study has been completed.
Sponsor:
GlaxoSmithKline
Information provided by (Responsible Party):
GlaxoSmithKline
ClinicalTrials.gov Identifier:
NCT00434304
First received: February 9, 2007
Last updated: April 11, 2013
Last verified: March 2012
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Results First Received: November 16, 2009
| Study Type: | Interventional |
|---|---|
| Study Design: | Endpoint Classification: Pharmacokinetics Study; Intervention Model: Single Group Assignment; Masking: Open Label; Primary Purpose: Treatment |
| Condition: |
Parkinson Disease |
| Intervention: |
Drug: Ropinirole prolonged release/extended release(PR/XR) |
Participant Flow
Recruitment Details
| Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations |
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| No text entered. |
Pre-Assignment Details
| Significant events and approaches for the overall study following participant enrollment, but prior to group assignment |
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| No text entered. |
Reporting Groups
| Description | |
|---|---|
| Ropinirole PR/XR | Treatment Phase: Fixed titration phase (4 weeks): one tablet of ropinirole PR/XR 2 milligrams (mg) as the initial dose. The dose was titrated weekly by 2 mg/day and was increased to 8 mg/day in Week 4; Flexible titration and maintenance dose phases (48 weeks): from Week 5 up to Week 16, the dose was increased at minimum intervals of 1 week between titration steps (up to 16 mg/day). From Week 16 onward, treatment dose was continuously administered up to Week 52. Taper phase: the dose was tapered over 2 to 3 weeks according to the maintenance dose at completion of the Treatment Phase (or withdrawal) |
Participant Flow: Overall Study
| Ropinirole PR/XR | |
|---|---|
| STARTED | 62 |
| COMPLETED | 42 |
| NOT COMPLETED | 20 |
| Adverse Event | 14 |
| Lack of Efficacy | 2 |
| Withdrawal by Subject | 4 |
Baseline Characteristics
Reporting Groups
| Description | |
|---|---|
| Ropinirole PR/XR | Treatment Phase: Fixed titration phase (4 weeks): one tablet of ropinirole PR/XR 2 milligrams (mg) as the initial dose. The dose was titrated weekly by 2 mg/day and was increased to 8 mg/day in Week 4; Flexible titration and maintenance dose phases (48 weeks): from Week 5 up to Week 16, the dose was increased at minimum intervals of 1 week between titration steps (up to 16 mg/day). From Week 16 onward, treatment dose was continuously administered up to Week 52. Taper phase: the dose was tapered over 2 to 3 weeks according to the maintenance dose at completion of the Treatment Phase (or withdrawal) |
Baseline Measures
| Ropinirole PR/XR | |
|---|---|
|
Number of Participants
[units: participants] |
62 |
|
Age
[units: years] Mean ± Standard Deviation |
67.2 ± 8.05 |
|
Gender
[units: participants] |
|
| Female | 37 |
| Male | 25 |
|
Race/Ethnicity, Customized
[units: participants] |
|
| Asian – Japanese Heritage | 62 |
Outcome Measures
| 1. Primary: | Food Effects on Cmax and Cmin of SKF101468 (Ropinirole) and Its Metabolites [ Time Frame: Weeks 5-16 ] |
| 2. Primary: | Food Effects on AUC0-24 of SKF101468 (Ropinirole) and Its Metabolites [ Time Frame: Weeks 5-16 ] |
| 3. Primary: | Food Effects on Tmax of SKF101468 (Ropinirole) and Its Metabolites [ Time Frame: Weeks 5-16 ] |
| 4. Primary: | Plasma Trough Concentrations of SKF101468 (Ropinirole) and Its Metabolites [ Time Frame: Weeks 1-16 ] |
| 5. Secondary: | Total Score in the Japanese UPDRS Part III [ Time Frame: Weeks 0-52 ] |
| 6. Secondary: | Change From Baseline in the Japanese UPDRS Part III [ Time Frame: Baseline (Week 0) and Weeks 1-52 ] |
| 7. Secondary: | Percent Change From Baseline in the Japanese UPDRS Part III [ Time Frame: Baseline (Week 0) and Weeks 1-52 ] |
| 8. Secondary: | Percentage of Responders of the Total Score in the Japanese UPDRS Total Score in Part III [ Time Frame: Baseline (Week 0) and Weeks 1-52 ] |
| 9. Secondary: | Total Score in the Japanese UPDRS Part I [ Time Frame: Weeks 0-52 ] |
| 10. Secondary: | Change From Baseline in the Japanese UPDRS Part I [ Time Frame: Baseline (Week 0) and Weeks 1-52 ] |
Hide Outcome Measure 10| Measure Type | Secondary |
|---|---|
| Measure Title | Change From Baseline in the Japanese UPDRS Part I |
| Measure Description | The UPDRS (Unified Parkinson's Disease Rating Scale) assesses the status of PD patients objectively. The Japanese UPDRS Part I assesses mentation, behavior, and mood on 4 items. Participants receive a score of 0-4 points per each item. The maximum total score is 16 points. A higher score indicates more severe mental symptoms. |
| Time Frame | Baseline (Week 0) and Weeks 1-52 |
| Safety Issue | No |
Population Description
| Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate. |
|---|
| FAS. Participants dropped out of the study each week. |
Reporting Groups
| Description | |
|---|---|
| Ropinirole PR/XR | Treatment Phase: Fixed titration phase (4 weeks): one tablet of ropinirole PR/XR 2 milligrams (mg) as the initial dose. The dose was titrated weekly by 2 mg/day and was increased to 8 mg/day in Week 4; Flexible titration and maintenance dose phases (48 weeks): from Week 5 up to Week 16, the dose was increased at minimum intervals of 1 week between titration steps (up to 16 mg/day). From Week 16 onward, treatment dose was continuously administered up to Week 52. Taper phase: the dose was tapered over 2 to 3 weeks according to the maintenance dose at completion of the Treatment Phase (or withdrawal) |
Measured Values
| Ropinirole PR/XR | |
|---|---|
|
Number of Participants Analyzed
[units: participants] |
62 |
|
Change From Baseline in the Japanese UPDRS Part I
[units: points on a scale] Mean ± Standard Deviation |
|
| Week 1, n=62 | -0.3 ± 1.00 |
| Week 2, n=60 | -0.5 ± 0.91 |
| Week 3, n=60 | -0.5 ± 1.14 |
| Week 4, n=58 | -0.5 ± 1.13 |
| Week 6, n=57 | -0.5 ± 1.21 |
| Week 8, n=56 | -0.5 ± 1.16 |
| Week 10, n=57 | -0.3 ± 1.21 |
| Week 12, n=56 | -0.5 ± 1.14 |
| Week 16, n=54 | -0.6 ± 1.24 |
| Final Assessment Point (Up to Week 16), n=62 | -0.5 ± 1.21 |
| Week 20, n=53 | -0.5 ± 1.15 |
| Week 24, n=51 | -0.5 ± 1.10 |
| Week 28, n=48 | -0.5 ± 1.11 |
| Week 32, n=47 | -0.5 ± 1.20 |
| Week 36, n=47 | -0.4 ± 1.28 |
| Week 40, n=45 | -0.4 ± 1.16 |
| Week 44, n=45 | -0.4 ± 1.25 |
| Week 48, n=44 | -0.4 ± 1.30 |
| Week 52, n=44 | -0.4 ± 1.30 |
No statistical analysis provided for Change From Baseline in the Japanese UPDRS Part I
| 11. Secondary: | Percent Change From Baseline in the Japanese UPDRS Part I [ Time Frame: Baseline (Week 0) and Weeks 1-52 ] |
| 12. Secondary: | Total Score in the Japanese UPDRS Part II [ Time Frame: Weeks 0-52 ] |
| 13. Secondary: | Change From Baseline in the Japanese UPDRS Part II [ Time Frame: Baseline (Week 0) and Weeks 1-52 ] |
| 14. Secondary: | Percent Change From Baseline in the Japanese UPDRS Part II [ Time Frame: Baseline (Week 0) and Weeks 1-52 ] |
| 15. Secondary: | Total Score in the Japanese UPDRS Part IV [ Time Frame: Baseline (Week 0) and Weeks 0-52 ] |
| 16. Secondary: | Change From Baseline in the Japanese UPDRS Part IV [ Time Frame: Baseline (Week 0) and Weeks 1-52 ] |
| 17. Secondary: | Percent Change From Baseline in the Japanese UPDRS Part IV [ Time Frame: Baseline (Week 0) and Weeks 1-52 ] |
| 18. Secondary: | Summary of the Modified Hoehn & Yahr Criteria Stages [ Time Frame: Screening-Week 52 ] |
| 19. Secondary: | Number of Participants Scored as Responders on the Clinician's Global Impression (CGI) Scale [ Time Frame: Weeks 1-52 ] |
| 20. Secondary: | Percentage of Participants Who Remained in the Study on the Indicated Days [ Time Frame: Days 0-364 ] |
| 21. Secondary: | Change From Baseline in Albumin, Total Protein, and Hemoglobin at Weeks 16 and 52 [ Time Frame: Baseline (Screening) and Weeks 16 and 52 ] |
| 22. Secondary: | Change From Baseline in Alkaline Phosphatase, Alanine Amino Transferase, Aspartate Amino Transferase, Creatine Kinase, Gamma Glutamyl Transferase, and Lactate Dehydrogenase at Weeks 16 and 52 [ Time Frame: Baseline (Screening) and Weeks 16 and 52 ] |
| 23. Secondary: | Change From Baseline in Total Bilirubin, Blood Urea Nitrogen, and Creatinine at Weeks 16 and 52 [ Time Frame: Baseline (Screening) and Weeks 16 and 52 ] |
| 24. Secondary: | Change From Baseline in Blood Urea Nitrogen, Cholesterol, Chloride, Potassium, and Sodium at Weeks 16 and 52 [ Time Frame: Baseline (Screening) and Weeks 16 and 52 ] |
| 25. Secondary: | Change From Baseline in Prolactin at Weeks 16 and 52 [ Time Frame: Baseline (Screening) and Weeks 16 and 52 ] |
| 26. Secondary: | Change From Baseline in Hematocrit at Weeks 16 and 52 [ Time Frame: Baseline (Screening) and Weeks 16 and 52 ] |
| 27. Secondary: | Change From Baseline in Platelet Count and White Blood Cell Count at Weeks 16 and 52 [ Time Frame: Baseline (Screening) and Weeks 16 and 52 ] |
| 28. Secondary: | Change From Baseline in Red Blood Cell Count at Weeks 16 and 52 [ Time Frame: Baseline (Screening) and Weeks 16 and 52 ] |
| 29. Secondary: | Urinalysis Data [ Time Frame: Screening, Week 16, and Week 52 ] |
| 30. Secondary: | Number of Participants With the Indicated Shift From Baseline in 12-Lead Electrocardiogram (ECG) Findings at Weeks 16 and 52 [ Time Frame: Baseline (Screening) and Weeks 16 and 52 ] |
| 31. Secondary: | Change From Baseline in Supine and Standing Systolic and Diastolic Blood Pressure at Weeks 16 and 52 [ Time Frame: Baseline (Screening) and Weeks 16 and 52 ] |
| 32. Secondary: | Change From Baseline in Supine and Standing Pulse Rate at Weeks 16 and 52 [ Time Frame: Baseline (Screening) and Weeks 16 and 52 ] |
More Information
Certain Agreements:
Limitations and Caveats
Results Point of Contact:
No publications provided
| Principal Investigators are NOT employed by the organization sponsoring the study. | ||||||
| There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed. | ||||||
The agreement is:
|
Limitations and Caveats
| Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data |
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| No text entered. |
Results Point of Contact:
Name/Title: GSK Response Center
Organization: GlaxoSmithKline
phone: 866-435-7343
Organization: GlaxoSmithKline
phone: 866-435-7343
No publications provided
| Responsible Party: | GlaxoSmithKline |
| ClinicalTrials.gov Identifier: | NCT00434304 History of Changes |
| Other Study ID Numbers: | ROP106064 |
| Study First Received: | February 9, 2007 |
| Results First Received: | November 16, 2009 |
| Last Updated: | April 11, 2013 |
| Health Authority: | Japan: Ministry of Health, Labor and Welfare Japan: Pharmaceuticals and Medical Devices Agency |