Efficacy and Safety Study of ADS-5102 in PD Patients With Levodopa-Induced Dyskinesia (EASE LID 3)
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ClinicalTrials.gov Identifier: NCT02274766 |
Recruitment Status :
Completed
First Posted : October 24, 2014
Results First Posted : January 10, 2018
Last Update Posted : January 10, 2018
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Sponsor:
Adamas Pharmaceuticals, Inc.
Information provided by (Responsible Party):
Adamas Pharmaceuticals, Inc.
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Study Type | Interventional |
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Study Design | Allocation: Randomized; Intervention Model: Parallel Assignment; Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor); Primary Purpose: Treatment |
Conditions |
Dyskinesia Levodopa-Induced Dyskinesia (LID) Parkinson's Disease (PD) |
Interventions |
Drug: ADS-5102 Other: Placebo |
Enrollment | 77 |
Participant Flow
Recruitment Details | 77 subjects with Parkinson's disease (PD) and Levodopa-induced Dyskinesia (LID) were randomized at 32 study sites in the United States, Germany, France, Spain, and Austria. The first subject was randomized on 23 October 2014 and the last subject completed on 10 March 2016. |
Pre-assignment Details | All randomized subjects who received ≥ 1 dose of study drug and provided ≥ 1 postbaseline efficacy assessment (75) were included in both the Safety Analysis Population and the Modified Intent-to-Treat (MITT) population (with 38 subjects in the placebo group and 37 in the ADS-5102 group). |
Arm/Group Title | Placebo | ADS-5102 (Amantadine HCl Extended Release) |
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Placebo: oral capsules administered once nightly at bedtime for 13 weeks | 340 mg dose of ADS-5102 (amantadine hydrochloride [HCl] extended release): oral capsules administered once nightly at bedtime for 13 weeks |
Period Title: Overall Study | ||
Started | 39 | 38 |
Received Study Drug | 38 | 37 |
Completed | 35 | 29 |
Not Completed | 4 | 9 |
Reason Not Completed | ||
Withdrawal by Subject | 3 | 6 |
Did Not Receive Study Drug | 1 | 1 |
Subject Unwilling to Proceed | 0 | 1 |
Adverse Event | 0 | 1 |
Baseline Characteristics
Arm/Group Title | Placebo | ADS-5102 (Amantadine HCl Extended Release) | Total | |
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Placebo: oral capsules administered once nightly at bedtime for 13 weeks | 340 mg dose of ADS-5102 (amantadine HCl extended release): oral capsules administered once nightly at bedtime for 13 weeks | Total of all reporting groups | |
Overall Number of Baseline Participants | 38 | 37 | 75 | |
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Safety Analysis Population
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Age, Categorical
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 38 participants | 37 participants | 75 participants | |
<=18 years |
0 0.0%
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0 0.0%
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0 0.0%
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Between 18 and 65 years |
15 39.5%
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16 43.2%
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31 41.3%
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>=65 years |
23 60.5%
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21 56.8%
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44 58.7%
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Age, Continuous
Mean (Standard Deviation) Unit of measure: Years |
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Number Analyzed | 38 participants | 37 participants | 75 participants | |
64.9 (9.08) | 64.7 (9.66) | 64.8 (9.31) | ||
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 38 participants | 37 participants | 75 participants | |
Female |
18 47.4%
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18 48.6%
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36 48.0%
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Male |
20 52.6%
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19 51.4%
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39 52.0%
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Ethnicity (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 38 participants | 37 participants | 75 participants | |
Hispanic or Latino |
0 0.0%
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5 13.5%
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5 6.7%
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Not Hispanic or Latino |
38 100.0%
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32 86.5%
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70 93.3%
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Unknown or Not Reported |
0 0.0%
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0 0.0%
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0 0.0%
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Race (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 38 participants | 37 participants | 75 participants | |
American Indian or Alaska Native |
0 0.0%
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0 0.0%
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0 0.0%
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Asian |
0 0.0%
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0 0.0%
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0 0.0%
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Native Hawaiian or Other Pacific Islander |
0 0.0%
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0 0.0%
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0 0.0%
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Black or African American |
0 0.0%
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0 0.0%
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0 0.0%
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White |
38 100.0%
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36 97.3%
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74 98.7%
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More than one race |
0 0.0%
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0 0.0%
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0 0.0%
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Unknown or Not Reported |
0 0.0%
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1 2.7%
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1 1.3%
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Region of Enrollment
Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 38 participants | 37 participants | 75 participants |
United States |
8 21.1%
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15 40.5%
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23 30.7%
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Europe |
30 78.9%
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22 59.5%
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52 69.3%
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Unified Dyskinesia Rating Scale (UDysRS)
[1] Mean (Standard Deviation) Unit of measure: Units on a scale |
Number Analyzed | 38 participants | 37 participants | 75 participants |
Total Score | 41.2 (10.32) | 40.2 (13.06) | 40.7 (11.68) | |
Total Objective Score (Parts III, IV) | 15.9 (7.00) | 18.1 (7.99) | 17.0 (7.53) | |
[1]
Measure Description: The UDysRS is a dyskinesia rating scale that evaluates involuntary movements associated with PD; the UDysRS consists of the following sub-parts: IA, IB, IIA, IIB, III, and IV. The total score is the sum of all individual sub-parts, and scores for this measure can range from 0-104. The total objective score is the sum of Part III (which measures objective impairment) and Part IV (which measures objective disability), and scores for this measure can range from 0-44. For both the total score and total objective score, a higher score indicates more severe PD.
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PD Home Diary
[1] Mean (Standard Deviation) Unit of measure: Hours |
Number Analyzed | 38 participants | 37 participants | 75 participants |
ON time without troublesome dyskinesia | 7.79 (3.249) | 8.77 (2.457) | 8.27 (2.909) | |
ON time with troublesome dyskinesia | 6.02 (3.353) | 4.71 (2.509) | 5.37 (3.020) | |
OFF time | 1.98 (1.687) | 2.62 (2.015) | 2.30 (1.871) | |
Asleep time | 8.21 (1.643) | 7.91 (1.502) | 8.06 (1.572) | |
[1]
Measure Description:
A PD home diary was used to score 5 different conditions in 30-minute intervals: ASLEEP, OFF, ON (ie, had adequate control of PD symptoms) without dyskinesia, ON with non-troublesome dyskinesia, and ON with troublesome dyskinesia. Total time with dyskinesia includes ON time with non-troublesome and troublesome dyskinesia. |
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Movement Disorder Society-Unified Parkinson's Disease Rating Scale (MDS-UPDRS)
[1] Mean (Standard Deviation) Unit of measure: Units on a scale |
Number Analyzed | 38 participants | 37 participants | 75 participants |
Part I | 9.9 (4.86) | 11.3 (5.87) | 10.6 (5.39) | |
Part II | 14.8 (6.06) | 14.1 (6.15) | 14.4 (6.07) | |
Part III | 21.4 (10.22) | 21.2 (9.24) | 21.3 (9.68) | |
Combined Parts I, II, and III | 46.1 (17.00) | 46.6 (14.76) | 46.3 (15.83) | |
Part IV | 11.1 (2.40) | 9.8 (2.78) | 10.5 (2.66) | |
Part IV, Item 4.1 | 2.8 (0.94) | 2.2 (0.81) | 2.5 (0.92) | |
Part IV, Item 4.2 | 2.5 (0.51) | 2.5 (0.61) | 2.5 (0.55) | |
[1]
Measure Description: The MDS-UPDRS Parts I, II, III, and IV examined non-motor experiences of daily living, motor experiences of daily living, motor examination, and motor complications, respectively. Each Part contains items/questions, each rated on a scale from 0 (normal) to 4 (severe). The range of total scores for each Part is as follows: Part I, 0-52; Part II, 0-52; Part III, 0-132; Part IV, 0-24. Combined Parts I, II, and III is the sum of scores from Parts I, II, and III and has a scale range of 0-236. Parts 4.1 and 4.2 each has a scale range of 0-4. Higher scores indicate more severe PD.
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Time Since PD Diagnosis
Mean (Standard Deviation) Unit of measure: Years |
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Number Analyzed | 38 participants | 37 participants | 75 participants | |
10.71 (4.265) | 10.40 (5.105) | 10.55 (4.669) | ||
Duration of Levodopa Treatment
Mean (Standard Deviation) Unit of measure: Years |
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Number Analyzed | 38 participants | 37 participants | 75 participants | |
8.54 (4.845) | 7.69 (4.121) | 8.12 (4.493) | ||
Duration of LID
Mean (Standard Deviation) Unit of measure: Years |
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Number Analyzed | 38 participants | 37 participants | 75 participants | |
3.98 (2.566) | 3.78 (3.160) | 3.88 (2.857) | ||
Hoehn and Yahr Stage
[1] Mean (Standard Deviation) Unit of measure: Units on a scale |
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Number Analyzed | 38 participants | 37 participants | 75 participants | |
2.4 (0.55) | 2.1 (0.60) | 2.2 (0.59) | ||
[1]
Measure Description: The Hoehn and Yahr scale, from 1-5, describes the subject's PD progression. The higher the score the more severe the symptoms of PD.
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Subjects taking Antiparkinson Medication
[1] Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 38 participants | 37 participants | 75 participants |
Levodopa |
38 100.0%
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37 100.0%
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75 100.0%
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Dopamine Agonists |
25 65.8%
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21 56.8%
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46 61.3%
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MAO Inhibitors |
20 52.6%
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17 45.9%
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37 49.3%
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COMT Inhibitors |
1 2.6%
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3 8.1%
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4 5.3%
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Anticholinergics |
2 5.3%
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0 0.0%
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2 2.7%
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[1]
Measure Description: Subjects may have been taking more than 1 antiparkinson medication at Baseline.
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Outcome Measures
Adverse Events
Limitations and Caveats
[Not Specified]
More Information
Results Point of Contact
Name/Title: | Head, Regulatory Affairs |
Organization: | Adamas Pharmaceuticals, Inc. |
Phone: | +1 (510) 450-3500 |
EMail: | drugsafety@adamaspharma.com |
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: | Adamas Pharmaceuticals, Inc. |
ClinicalTrials.gov Identifier: | NCT02274766 |
Other Study ID Numbers: |
ADS-AMT-PD304 |
First Submitted: | October 22, 2014 |
First Posted: | October 24, 2014 |
Results First Submitted: | September 21, 2017 |
Results First Posted: | January 10, 2018 |
Last Update Posted: | January 10, 2018 |