Safety and Tolerability Trial of Switching From Ropinirole to Rotigotine

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
UCB, Inc.
ClinicalTrials.gov Identifier:
NCT00593606
First received: December 21, 2007
Last updated: May 25, 2012
Last verified: October 2011
Results First Received: December 17, 2008  
Study Type: Interventional
Study Design: Allocation: Non-Randomized;   Endpoint Classification: Safety/Efficacy Study;   Intervention Model: Single Group Assignment;   Masking: Open Label;   Primary Purpose: Treatment
Condition: Parkinson's Disease
Intervention: Drug: Rotigotine

  Participant Flow
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Recruitment Details
Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations
124 patients were screened. 5 patients were run-in failures and 3 patients were screen failures. 116 patients started treatment, i.e. were included into the Safety Set. 114 patients were included into the Full Analysis Set. 99 patients completed the treatment period. 2 patients withdrew after the treatment period. 97 patients completed the study.

Pre-Assignment Details
Significant events and approaches for the overall study following participant enrollment, but prior to group assignment
No text entered.

Reporting Groups
  Description
Rotigotine Patients were dispensed rotigotine patches up to 8mg/24h at a dose considered by the investigator to be equivalent to the dose of ropinirole that the subject was currently taking.

Participant Flow:   Overall Study
    Rotigotine  
STARTED     124  
Start of Treatment - Safety Set     116  
Full Analysis Set     114  
Treatment Period Completed     99  
COMPLETED     97  
NOT COMPLETED     27  
Adverse Event                 13  
Withdrawal by Subject                 1  
Protocol Violation                 3  
Lost to Follow-up                 2  
Run-In Failure                 5  
Screen Failure                 3  



  Baseline Characteristics
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Reporting Groups
  Description
Rotigotine Patients were dispensed rotigotine patches up to 8mg/24h at a dose considered by the investigator to be equivalent to the dose of ropinirole that the subject was currently taking.

Baseline Measures
    Rotigotine  
Number of Participants  
[units: participants]
  116  
Age  
[units: participants]
 
<=18 years     0  
Between 18 and 65 years     73  
>=65 years     43  
Age  
[units: years]
Mean ± Standard Deviation
  60.0  ± 10.1  
Gender  
[units: participants]
 
Female     69  
Male     47  
Region of Enrollment  
[units: participants]
 
Korea, Republic of     116  



  Outcome Measures
  Show All Outcome Measures

1.  Primary:   Change in Pulse Rate (Supine, After 1 Minute)   [ Time Frame: Baseline, 28 days ]

2.  Primary:   Change in Systolic Blood Pressure (Supine, After 1 Minute)   [ Time Frame: Baseline, 28 days ]

3.  Primary:   Change in Diastolic Blood Pressure (Supine, After 1 Minute)   [ Time Frame: Baseline, 28 days ]

4.  Primary:   Change in Pulse Rate (Supine, After 5 Minutes)   [ Time Frame: Baseline, 28 days ]

5.  Primary:   Change in Systolic Blood Pressure (Supine, After 5 Minutes)   [ Time Frame: Baseline, 28 Days ]

6.  Primary:   Change in Diastolic Blood Pressure (Supine, After 5 Minutes)   [ Time Frame: Baseline, 28 days ]

7.  Primary:   Change in Pulse Rate (Standing, After 1 Minute)   [ Time Frame: Baseline, 28 days ]

8.  Primary:   Change in Systolic Blood Pressure (Standing, After 1 Minute)   [ Time Frame: Baseline, 28 days ]

9.  Primary:   Change in Diastolic Blood Pressure (Standing, After 1 Minute)   [ Time Frame: Baseline, 28 days ]

10.  Primary:   Change in Pulse Rate (Standing, After 3 Minutes)   [ Time Frame: Baseline, 28 days ]

11.  Primary:   Change in Systolic Blood Pressure (Standing, After 3 Minutes)   [ Time Frame: Baseline, 28 days ]

12.  Primary:   Change in Diastolic Blood Pressure (Standing, After 3 Minutes)   [ Time Frame: Baseline, 28 days ]

13.  Primary:   Change in Heart Rate   [ Time Frame: Baseline, 28 days ]

14.  Primary:   Change in PR Interval   [ Time Frame: Baseline, 28 days ]

15.  Primary:   Change in QRS Duration   [ Time Frame: Baseline, 28 days ]

16.  Primary:   Change in QT Interval   [ Time Frame: Baseline, 28 days ]

17.  Primary:   Change in QT Interval Corrected for Heart Rate According to Bazett's Formula (QTcB)   [ Time Frame: Baseline, 28 days ]
  Hide Outcome Measure 17

Measure Type Primary
Measure Title Change in QT Interval Corrected for Heart Rate According to Bazett's Formula (QTcB)
Measure Description

The QT interval is the period that extends from the beginning of ventricular depolarization until the end of ventricular repolarization.

Change = 28 day value minus baseline value.

Time Frame Baseline, 28 days  
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.
Safety Set, only patients with non-missing values were analyzed

Reporting Groups
  Description
Rotigotine Patients were dispensed rotigotine patches up to 8mg/24h at a dose considered by the investigator to be equivalent to the dose of ropinirole that the subject was currently taking.

Measured Values
    Rotigotine  
Number of Participants Analyzed  
[units: participants]
  111  
Change in QT Interval Corrected for Heart Rate According to Bazett's Formula (QTcB)  
[units: msec]
Mean ± Standard Deviation
  0.5  ± 23.1  

No statistical analysis provided for Change in QT Interval Corrected for Heart Rate According to Bazett's Formula (QTcB)



18.  Primary:   Change in Percentage of Basophilic Granulocytes in White Blood Cell Count   [ Time Frame: Baseline, 28 days ]

19.  Primary:   Change in Percentage of Eosinophilic Granulocytes in White Blood Cell Count   [ Time Frame: Baseline, 28 days ]

20.  Primary:   Change in Hematocrit   [ Time Frame: Baseline, 28 days ]

21.  Primary:   Change in Hemoglobin   [ Time Frame: Baseline, 28 days ]

22.  Primary:   Change in Percentage of Lymphocytes in White Blood Cell Count   [ Time Frame: Baseline, 28 days ]

23.  Primary:   Change in Percentage of Monocytes in White Blood Cell Count   [ Time Frame: Baseline, 28 days ]

24.  Primary:   Change in Percentage of Neutrophilic Granulocytes Segmented in White Blood Cell Count   [ Time Frame: Baseline, 28 days ]

25.  Primary:   Change in Platelet Count   [ Time Frame: Baseline, 28 days ]

26.  Primary:   Change in Red Blood Cell Count   [ Time Frame: Baseline, 28 days ]

27.  Primary:   Change in White Blood Cell Count   [ Time Frame: Baseline, 28 days ]

28.  Primary:   Change in Albumin   [ Time Frame: Baseline, 28 days ]

29.  Primary:   Change in Alkaline Phosphatase   [ Time Frame: Baseline, 28 days ]

30.  Primary:   Change in Blood Urea Nitrogen   [ Time Frame: Baseline, 28 days ]

31.  Primary:   Change in Calcium   [ Time Frame: Baseline, 28 days ]

32.  Primary:   Change in Chloride   [ Time Frame: Baseline, 28 days ]

33.  Primary:   Change in Creatinine   [ Time Frame: Baseline, 28 days ]

34.  Primary:   Change in Gamma-Glutamyltransferase   [ Time Frame: Baseline, 28 days ]

35.  Primary:   Change in Glucose   [ Time Frame: Baseline, 28 days ]

36.  Primary:   Change in Inorganic Phosphate   [ Time Frame: Baseline, 28 days ]

37.  Primary:   Change in Potassium   [ Time Frame: Baseline, 28 days ]

38.  Primary:   Change in Serum Glutamic Oxaloacetic Transaminase   [ Time Frame: Baseline, 28 days ]

39.  Primary:   Change in Glutamic Pyruvic Transaminase   [ Time Frame: Baseline, 28 days ]

40.  Primary:   Change in Sodium   [ Time Frame: Baseline, 28 days ]

41.  Primary:   Change in Total Bilirubin   [ Time Frame: Baseline, 28 days ]

42.  Primary:   Change in Total Protein   [ Time Frame: Baseline, 28 days ]

43.  Primary:   Change in Uric Acid   [ Time Frame: Baseline, 28 days ]

44.  Primary:   Occurrence of Abnormal, Clinically Relevant Events in Physical Examination for ‘Ears, Eyes, Nose, Mouth, Throat’   [ Time Frame: 28 days ]

45.  Primary:   Occurrence of Abnormal, Clinically Relevant Events in Physical Examination for ‘Psychiatric’   [ Time Frame: 28 days ]

46.  Primary:   Occurrence of Abnormal, Clinically Relevant Events in Physical Examination for ‘Hematological/Lymphatic Nodes’   [ Time Frame: 28 days ]

47.  Primary:   Occurrence of Abnormal, Clinically Relevant Events in Physical Examination for ‘Dermatological’   [ Time Frame: 28 days ]

48.  Primary:   Occurrence of Abnormal, Clinically Relevant Events in Physical Examination for ‘Cardiovascular’   [ Time Frame: 28 days ]

49.  Primary:   Occurrence of Abnormal, Clinically Relevant Events in Physical Examination for ‘Peripheral Vascular’   [ Time Frame: 28 days ]

50.  Primary:   Occurrence of Abnormal, Clinically Relevant Events in Physical Examination for ‘Pulmonary’   [ Time Frame: 28 days ]

51.  Primary:   Occurrence of Abnormal, Clinically Relevant Events in Physical Examination for ‘Musculoskeletal’   [ Time Frame: 28 days ]

52.  Primary:   Occurrence of Abnormal, Clinically Relevant Events in Physical Examination for ‘Hepato-/Gastrointestinal’   [ Time Frame: 28 days ]

53.  Primary:   Occurrence of Abnormal, Clinically Relevant Events in Physical Examination for ‘Renal/Genitourological’   [ Time Frame: 28 days ]

54.  Primary:   Occurrence of Abnormal, Clinically Relevant Events in Physical Examination for ‘Metabolic/Endocrine’   [ Time Frame: 28 days ]

55.  Primary:   Occurrence of Abnormal, Clinically Relevant Events in Physical Examination for ‘Other’   [ Time Frame: 28 days ]

56.  Primary:   Occurrence of Abnormal, Clinically Relevant Events in Neurological Examination for ‘Mental Status’   [ Time Frame: 28 days ]

57.  Primary:   Occurrence of Abnormal, Clinically Relevant Events in Neurological Examination for ‘Deep Tendon Reflexes’   [ Time Frame: 28 days ]

58.  Primary:   Occurrence of Abnormal, Clinically Relevant Events in Neurological Examination for ‘Muscle Strength’   [ Time Frame: 28 days ]

59.  Primary:   Occurrence of Abnormal, Clinically Relevant Events in Neurological Examination for ‘Cranial Nerve Function’   [ Time Frame: 28 days ]

60.  Primary:   Occurrence of Abnormal, Clinically Relevant Events in Neurological Examination for ‘Plantar Reflex’   [ Time Frame: 28 days ]

61.  Primary:   Occurrence of Abnormal, Clinically Relevant Events in Neurological Examination for ‘Gait’   [ Time Frame: 28 days ]

62.  Primary:   Occurrence of Abnormal, Clinically Relevant Events in Neurological Examination for ‘Coordination/Balance’   [ Time Frame: 28 days ]

63.  Primary:   Occurrence of Abnormal, Clinically Relevant Events in Neurological Examination for ‘Involuntary Movements’   [ Time Frame: 28 days ]

64.  Primary:   Occurrence of Abnormal, Clinically Relevant Events in Neurological Examination for ‘Sensory Perception’   [ Time Frame: 28 days ]

65.  Primary:   Occurrence of Abnormal, Clinically Relevant Events in Neurological Examination for ‘Other’   [ Time Frame: 28 days ]

66.  Primary:   Completion of Trial From Baseline to End of Treatment   [ Time Frame: Baseline, 28 days ]

67.  Primary:   Completion of Trial on the Original Treatment Assignment From Baseline to End of Treatment   [ Time Frame: Baseline, 28 days ]

68.  Primary:   Drop-out During the 5 Half-life Overlap Period Due to Adverse Events (AEs)   [ Time Frame: Baseline, 2 days ]

69.  Primary:   Drop-out Due to Adverse Events (AEs) With Onset During the 5 Half-life Overlap Period   [ Time Frame: Baseline, 56 days ]

70.  Primary:   Dose Reduction During the 5 Half-life Overlap Period Due to Adverse Events (AEs)   [ Time Frame: Baseline, 2 days ]

71.  Primary:   Dose Reduction Due to Adverse Events (AEs) With Onset During the 5 Half-life Overlap Period   [ Time Frame: Baseline, 56 days ]

72.  Secondary:   Change in Unified Parkinson's Disease Rating Scale (UPDRS) Part I Score From Baseline to End of Treatment   [ Time Frame: Baseline, 28 days ]

73.  Secondary:   Change in Unified Parkinson's Disease Rating Scale (UPDRS) Part II Score From Baseline to End of Treatment   [ Time Frame: Baseline, 28 days ]

74.  Secondary:   Change in Unified Parkinson's Disease Rating Scale (UPDRS) Part III Score From Baseline to End of Treatment   [ Time Frame: Baseline, 28 days ]

75.  Secondary:   Change in Unified Parkinson's Disease Rating Scale (UPDRS) Part IV Score From Baseline to End of Treatment   [ Time Frame: Baseline, 28 days ]

76.  Secondary:   Change in Parkinson’s Disease Sleep Scale (PDSS) Sum Score From Baseline to End of Treatment   [ Time Frame: Baseline, 28 days ]

77.  Secondary:   Change in Epworth Sleepiness Scale (ESS) Sum Score From Baseline to End of Treatment   [ Time Frame: Baseline, 28 days ]

78.  Secondary:   Change in Parkinson’s Disease Non-Motor Symptom Assessment Scale (PDNMS) Total Sum Score From Baseline to End of Treatment   [ Time Frame: Baseline, 28 days ]

79.  Secondary:   Change in Clinical Global Impression (CGI) Item 1 Score From Baseline to End of Treatment   [ Time Frame: Baseline, 28 days ]

80.  Secondary:   Clinical Global Impression (CGI) Item 2 Score   [ Time Frame: 28 days ]

81.  Secondary:   Clinical Global Impression (CGI) Item 3.1   [ Time Frame: 28 days ]

82.  Secondary:   Clinical Global Impression (CGI) Item 3.2   [ Time Frame: 28 days ]

83.  Secondary:   Patient Global Impression (PGI) Item 1 Score   [ Time Frame: 28 days ]

84.  Secondary:   Patient Global Impression (PGI) Item 2   [ Time Frame: 28 days ]

85.  Secondary:   Patient Global Impression (PGI) Item 3   [ Time Frame: 28 days ]

86.  Secondary:   Change in Short-form Parkinson's Disease Questionnaire (PDQ-8) Single Index Score From Baseline to End of Treatment   [ Time Frame: Baseline, 28 days ]

87.  Secondary:   Patient Treatment Preference Scale Question 1   [ Time Frame: 28 days ]

88.  Secondary:   Patient Treatment Preference Scale Question 2   [ Time Frame: 28 days ]

89.  Secondary:   Patient Treatment Preference Scale Question 3   [ Time Frame: 28 days ]

90.  Secondary:   Patient Treatment Preference Scale Question 4   [ Time Frame: 28 days ]

91.  Secondary:   Patient Treatment Preference Scale Question 5   [ Time Frame: 28 days ]

92.  Secondary:   Patient Treatment Preference Scale Question 6   [ Time Frame: 28 days ]

93.  Secondary:   Patient Treatment Preference Scale Question 7   [ Time Frame: 28 days ]


  Serious Adverse Events


  Other Adverse Events


  More Information
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Certain Agreements:  
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:
unchecked The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 60 days. The sponsor cannot require changes to the communication and cannot extend the embargo.
unchecked The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is more than 60 days but less than or equal to 180 days. The sponsor cannot require changes to the communication and cannot extend the embargo.


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
No text entered.  


Results Point of Contact:  
Name/Title: UCB Clinical Trial Call Center
Organization: UCB
phone: +1 877 822 9493


Publications of Results:

Responsible Party: UCB, Inc.
ClinicalTrials.gov Identifier: NCT00593606     History of Changes
Other Study ID Numbers: SP908
Study First Received: December 21, 2007
Results First Received: December 17, 2008
Last Updated: May 25, 2012
Health Authority: Korea: Food and Drug Administration