Pilot Study of Safety and Efficacy of Spheramine

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00761436
Recruitment Status : Terminated (Study was completed, only life long extended follow-up phase was discontinued after 12 years)
First Posted : September 29, 2008
Last Update Posted : December 2, 2014
Titan Pharmaceuticals
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Brief Summary:
Tolerability and Efficacy of Spheramine will be evaluated after operative implantation (Stereotactic Intrastriatal Implantation) in patients with advanced Parkinson's Disease

Condition or disease Intervention/treatment Phase
Parkinson's Disease Biological: Spheramine (BAY86-5280) Phase 2

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 6 participants
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Stereotactic Intrastriatal Implantation of Spheramine in Advanced Parkinson's Disease Patients: A Pilot Study of Tolerability and Efficacy.
Study Start Date : February 2000
Actual Primary Completion Date : May 2012
Actual Study Completion Date : May 2012

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Experimental: Arm 1 Biological: Spheramine (BAY86-5280)
Stereotactic Intrastriatal Implantation

Primary Outcome Measures :
  1. The primary outcome measure for evaluating efficacy will be the motor subscore of the Unified Parkinson's Disease Rating Scale (UPDRS) (version 3.0) in the practically defined "off" state. During the Screening and at Baseline Evaluations. [ Time Frame: Evaluations, and at approximately 1, 3, 6, 9, 12, 15, 18 and 24 months post-implantation and annually thereafter, the patients Parkinson's symptomatology will be evaluated both on their baseline drug therapy and in the practically defined "off" period. ]

Secondary Outcome Measures :
  1. Involuntary Movements, time Motor Tests [ Time Frame: Performed during defined "off" and best "on" states ]
  2. Motor Fluctuation and Percent OFF Time Evaluation [ Time Frame: Daily "on" phases, "off" phases and hours of sleep per day, using Home Diary ]
  3. Quality of Life and Physician's and Patients Global Evaluations [ Time Frame: Every visit until year 5 ]
  4. Neuropsychological Evaluations [ Time Frame: Will occur pre-operatively and at 3, 12 and 24 months post-operatively ]

Information from the National Library of Medicine

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Ages Eligible for Study:   40 Years to 70 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Idiopathic Parkinson's disease (PD). As defined by:

    • presence of bradykinesia and either rest tremor or rigidity
    • history of asymmetry of PD signs
    • history of progression of PD signs, and
    • no other suspected cause of PD signs
  • Patient is between 40 and 70 years of age, inclusive
  • Patient is L-dopa-sensitive and has unequivocal clinical "off" periods as documented by home diary, completed on 4 consecutive days with an average of 1.5 hours/day in the clinically "off" state
  • Patient is Hoehn & Yahr stage III or higher in the practically defined "off" phase
  • All other medical problems are stable or under control and are not contraindications to general anesthesia or stereotactic neurosurgery
  • Patient's brain magnetic imaging resonance (MRI) shows no abnormality that would contraindicate Spheramine implantation
  • Patient does not have a major psychiatric problem or dementia
  • Patient must give written informed consent to participate in this study
  • Patient must be on a stable dose of antiparkinsonian medication for at least 1 month prior to completion of the home diary assessment and the baseline UPDRS assessments
  • If the patient is a woman of childbearing potential, she must not be nursing or pregnant and must use an adequate form of birth control for the duration of the study deemed appropriate by the investigator such as oral contraceptives, IUD, or condoms
  • Patient must be living with or in close constant contact with a person who can contribute information as to the patient's condition before and after implant and provide assistance, if necessary

Exclusion Criteria:

  • Patients with atypical Parkinson's disease (e.g. parkinsonian "plus" syndrome, secondary Parkinsonian syndrome)
  • Patients exhibiting only a tremor-based symptomatology
  • Patients exhibiting very severe dyskinesias (lasting more than 2 hour/day) exacerbated by L-dopa, evaluated as 4/4 on the dyskinesia scale (violent dyskinesias, incompatible with any normal motor task)
  • Women of childbearing potential without contraception
  • Patients who are non-cooperative or incapable of completing self-evaluation scales or diaries
  • Patients presenting with known pharmacologic immunosuppression related to chemotherapeutic treatment for malignancy, autoimmune disease, allografts or other medical conditions associated with immunosuppression
  • Patient's cardiovascular, pulmonary, renal and hematological state contraindicates use of general anesthesia
  • Evidence of abnormal coagulation including PT > 13 sec, PT > 35 sec or platelets < 5 ml
  • Patients having had previous stereotactic brain surgery
  • Patients treated by apomorphine pump
  • Patients with significant cognitive impairment, untreated or treatment resistant depression, psychosis, hallucinations or delusions that would prevent their effective participation in the study
  • Patients who have participated in another experimental drug or device trial in the past 30 days

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00761436

United States, Georgia
Atlanta, Georgia, United States, 30329
Sponsors and Collaborators
Titan Pharmaceuticals
Study Director: Bayer Study Director Bayer

Additional Information:
Responsible Party: Head Clinical Pharmacology, Bayer Healthcare Pharmaceuticals Inc. Identifier: NCT00761436     History of Changes
Other Study ID Numbers: 91677
311361 ( Other Identifier: Company Internal )
First Posted: September 29, 2008    Key Record Dates
Last Update Posted: December 2, 2014
Last Verified: November 2014

Additional relevant MeSH terms:
Parkinson Disease
Parkinsonian Disorders
Basal Ganglia Diseases
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Movement Disorders
Neurodegenerative Diseases