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Efficacy of Continuous Apomorphine Infusion on Cognitive and Neuropsychological Functions in Parkinson's Disease (APO-TEP)

The recruitment status of this study is unknown. The completion date has passed and the status has not been verified in more than two years.
Verified November 2012 by Rennes University Hospital.
Recruitment status was:  Recruiting
Information provided by (Responsible Party):
Rennes University Hospital Identifier:
First received: December 22, 2009
Last updated: November 30, 2012
Last verified: November 2012

In Parkinson's disease, treatment mainly aims to improve motor functions. However, other dysfunctions are often observed in Parkinson's patients, and may have important consequences on the quality of life of patients.

Cognitive and neuropsychological troubles may be observed, as memory impairment or anxiety for example. As this kind of troubles is worrying for the patient himself (herself) and his/her family, treatment needs to take into account those troubles in addition to motor difficulties. In our centre, we have already used continuous Apomorphine infusions among Parkinson's patients and it seems to have good results. The present study aims to objectively assess the efficacy of continuous Apomorphine infusions on cognitive and neuropsychological functions in Parkinson's disease using clinical and positron emission tomography (PET)-scan measures.

Condition Intervention Phase
Parkinsons's Disease
Drug: Continuous Apomorphine infusion
Drug: Usual dopaminergic per os treatment
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Prospective, Randomised, Comparative Study Comparing Efficacy of Continuous Apomorphine Infusion Versus Usual Dopaminergic Per os Treatment on Cognitive and Neuropsychological Functions in Parkinson's Disease: a Clinical and PET-scan Study

Resource links provided by NLM:

Further study details as provided by Rennes University Hospital:

Primary Outcome Measures:
  • Neuropsychological results: Montgomery-Åsberg Depression Rating Scale (MADRS), The Lille Apathy Rating Scale (LARS), Spielberger [ Time Frame: 6 months ]

Estimated Enrollment: 30
Study Start Date: February 2009
Estimated Study Completion Date: August 2014
Estimated Primary Completion Date: February 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: Per os dopaminergic treatment Drug: Usual dopaminergic per os treatment
No specific change in the dopaminergic per os treatment
Experimental: Continuous Apomorphine infusion Drug: Continuous Apomorphine infusion
Continuous Apomorphine infusion during 6 months


Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Age 18 and more
  • Parkinson's disease according to UKPDSBB diagnosis criteria
  • Motor difficulties in spite of dopaminergic per os treatment
  • Not eligible for deep brain stimulation for one or more reasons (age>70, axial troubles in spite of dopaminergic per os treatment, cognitive troubles and/or hallucinations)

Exclusion Criteria:

  • Mattis scale < 120
  • Contraindication to Apomorphine (liver insufficiency, severe cognitive troubles, allergy, pregnancy, neuroleptic treatment)
  • Contraindication to Fluoro-Deoxy-Glucose which is used in PET-Scan (allergy, kidney failure, pregnancy, breast feeding)
  Contacts and Locations
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Please refer to this study by its identifier: NCT01039090

Contact: Dorothée VIDET-GIBOU, MD

Rennes University Hospital Recruiting
Rennes, France, 35000
Contact: Dorothée VIDET-GIBOU, MD   
Principal Investigator: Marc VERIN, MD PhD         
Sponsors and Collaborators
Rennes University Hospital
Principal Investigator: Marc VERIN, MD PhD Rennes University Hospital
  More Information

Responsible Party: Rennes University Hospital Identifier: NCT01039090     History of Changes
Other Study ID Numbers: 2008-006045-10
Study First Received: December 22, 2009
Last Updated: November 30, 2012

Keywords provided by Rennes University Hospital:
Not eligible for deep brain stimulation
Parkinsons's patients

Additional relevant MeSH terms:
Parkinson Disease
Parkinsonian Disorders
Basal Ganglia Diseases
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Movement Disorders
Neurodegenerative Diseases
Dopamine Agonists
Dopamine Agents
Physiological Effects of Drugs
Autonomic Agents
Peripheral Nervous System Agents
Gastrointestinal Agents
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action
Cardiotonic Agents
Protective Agents processed this record on April 25, 2017