A randomised, double-blind, placebo-controlled, dose escalation study of single and multiple oral dose administration of BIIB014 in subjects with moderate to late stage parkinson's disease who are also receiving treatment with levodopa

ISRCTN ISRCTN12870393
DOI https://doi.org/10.1186/ISRCTN12870393
Secondary identifying numbers 204PD202
Submission date
08/09/2006
Registration date
13/09/2006
Last edited
25/04/2014
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nervous System Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof David J Brooks
Scientific

MRC Clinical Sciences Centre
Faculty of Medicine
Imperial College
Hammersmith Hospital
Du Cane Road
London
W12 0NN
United Kingdom

Study information

Study designDouble-blind, placebo-controlled, multicentre, dose-escalation, single dose/washout/multiple dose study
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeTreatment
Scientific title
Study objectivesTo establish a safe and tolerable BIIB014 dose range for future studies in subjects with moderate to late stage Parkinson's Disease (PD).
Ethics approval(s)Thames Valley Multi-Centre Research Ethics Committee (ref: 06/MRE12/67)

Ethics approval added as of 04/07/2007:
Nizam's Institute of Medical Sciences (India) (ref: EC/NIMS/702©/2007)
Health condition(s) or problem(s) studiedModerate to late stage Parkinson's Disease (PD)
InterventionPlease note that this trial started in May 2007 and the anticipated trial end date has been extended to March 2008.

Group one: Intervention treatment - BIIB014 at either 5 mg, 5 mg/10 mg, 10 mg, 10 mg/30 mg, 30 mg, 30 mg/100 mg, 50 mg, 100 mg. If patients are randomised to a single dose group they will receive 26 days of treatment (72 hour washout after first dose). If patients are randomised to a two dose group they will receive 28 days of treatment (seven days at the lower dose and 21 days at the higher dose).
Group two: Control treatment - placebo and levodopa treatment. The control group is the standard of care. All doses are in capsule form to be taken once daily in the morning with food.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Specified
Drug / device / biological / vaccine name(s)BIIB014, levodopa
Primary outcome measure1. The number and proportion of subjects with adverse events
2. Assessment of clinical laboratory parameters
3. Assessment of vital signs
4. Assessment of ECG parameters
Secondary outcome measures1. To explore the PharmacoKinetic (PK) drug interactions between BIIB014 and L-DOPA in subjects with moderate to late stage PD
2. To explore the PK of BIIB014 when administered as adjunct therapy to subjects with moderate to late stage PD
3. To explore the activity of BIIB014 when administered as adjunct therapy to subjects with moderate to late stage PD
Overall study start date31/12/2006
Completion date31/12/2007

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participantsAs of 18/06/2007: 90; At time of registration: 110
Key inclusion criteriaInclusion criteria amended as of 18/06/2007:
1. Male or female subjects, aged 30 to 78 years old, inclusive
2. Must carry a diagnosis of idiopathic PD according to UK Parkinson's Disease Society Brain Bank Clinical Diagnostic Criteria made by a Movement Disorder Specialist, and be Hoehn & Yahr Stage II to IV (inclusive) when 'off'
4. Subjects must be on a stable dose of L-3,4-Dihydroxyphenylalanine (L-DOPA) / carbidopaor L-DOPA / benserazide for at least 4 weeks prior to enrollment
5. Some subjects must demonstrate a definite end of L-DOPA dose wearing off (at least two hours 'off' time per waking day) and must be able to keep accurate patient diaries of PD activity
6. Except for L-DOPA and certain allowed dopamine agonists, must not be receiving any other PD medication (Current treatment with certain dopamine agonists is allowed but must have been on a stable dose for at least 4 weeks prior to enrollment)

Inclusion criteria provided at time of registration:
1. Male or female subjects, aged 30 to 78 years old, inclusive
2. Must carry a diagnosis of idiopathic PD according to UK Parkinson's Disease Society Brain Bank Clinical Diagnostic Criteria made by a Movement Disorder Specialist, and be Hoehn & Yahr Stage II to IV (inclusive) when 'off'
4. Subjects must be on a stable dose of L-3,4-Dihydroxyphenylalanine (L-DOPA)/carbidopa or L-DOPA/benserazide for at least three weeks prior to enrollment
5. Must demonstrate an excellent motor response to L-DOPA, and have a definite end of L-DOPA dose wearing off (at least two hours 'off' time per waking day)
6. Subjects must not be receiving any other PD medications
Key exclusion criteriaExclusion criteria amended as of 18/06/2007:
1. Mini Mental State Examination (MMSE) score of <26
2. History or clinical features consistent with an atypical parkinsonian syndrome
3. Any significant non-PD central nervous system disorder
4. Any significant AXIS I psychiatric disease from the Diagnostic and Statistical Manual of Mental Disorders (DSM)
5. History of surgical intervention for PD
6. History of certain malignancies
7. History of severe allergic anaphylactic reactions to any drug
8. Clinically significant baseline Electrocardiogram (ECG)
9. Orthostatic hypotension
10. HbA1c >7.0%

Exclusion criteria provided at time of registration:
1. Mini Mental State Examination (MMSE) score of less than 27
2. History or clinical features consistent with an atypical parkinsonian syndrome
3. Any significant non-PD central nervous system disorder
4. Any significant AXIS I psychiatric disease from the Diagnostic and Statistical Manual of Mental Disorders (DSM)
5. History of surgical intervention for PD
6. History of malignancy
7. History of severe allergic anaphylactic reactions to any drug
8. Clinically significant baseline Electrocardiogram (ECG)
9. Orthostatic hypotension
Date of first enrolment31/12/2006
Date of final enrolment31/12/2007

Locations

Countries of recruitment

  • England
  • India
  • United Kingdom

Study participating centre

MRC Clinical Sciences Centre
London
W12 0NN
United Kingdom

Sponsor information

Biogen Idec (USA)
Industry

12 Cambridge Center
Bio 6, 6th Floor
Cambridge
02142
United States of America

Website http://www.biogenidec.com/
ROR logo "ROR" https://ror.org/02jqkb192

Funders

Funder type

Industry

Biogen Idec (USA)
Private sector organisation / For-profit companies (industry)
Location
United States of America

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan