Phase 4
N=329
Long-term Efficacy, Safety and Tolerability of Pramipexole in Patients With Idiopathic Moderate to Severe Restless Legs Syndrome (RLS)
Restless Legs Syndrome
Bottom Line
View on ClinicalTrials.gov: NCT00472199 ↗Enrolled (actual)
329
Serious AEs
3.3%
Results posted
Nov 2009
Primary outcome: Primary: Change From Baseline in International Restless Legs Syndrome Study Group Rating Scale (IRLS) Total Score After 26 Weeks — -13.7; -11.1 Scores on a scale — p=0.0077
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 4
- Interventions
- Pramipexole (Drug); Placebo (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Boehringer Ingelheim
- Primary completion
- Jul 2008
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change From Baseline in International Restless Legs Syndrome Study Group Rating Scale (IRLS) Total Score After 26 Weeks |
-13.7; -11.1 | 0.0077 sig |
| SECONDARY Clinical Global Impression - Global Improvement (CGI-I) Responder Rate |
111; 80; 51; 79 | 0.0010 sig |
| SECONDARY International Restless Legs Syndrome (IRLS) Study Group Rating Scale Responder Rate |
95; 68; 67; 91 | 0.0044 sig |
| SECONDARY Patient Global Impression (PGI) Responder Rate |
101; 70; 61; 89 | 0.0011 sig |
| SECONDARY Change From Baseline in Restless Legs Syndrome-6 (RLS-6) Score "Satisfaction With Sleep" After 26 Weeks |
-2.5; -2 | 0.0489 sig |
| SECONDARY Change From Baseline in RLS-6 Score "Severity Falling Asleep" After 26 Weeks |
-3; -1 | 0.0315 sig |
| SECONDARY Change From Baseline in RLS-6 Score "Severity During the Night" After 26 Weeks |
-3; -2 | 0.0735 |
| SECONDARY Change From Baseline in RLS-6 Score "Severity During the Day When at Rest" After 26 Weeks |
-3; -1 | 0.8410 |
| SECONDARY Change From Baseline RLS-6 Score "Severity During the Day Engaged in Activities" After 26 Weeks |
0; 0 | 0.9241 |
| SECONDARY Change From Baseline in RLS-6 Score "Tired or Sleepy During the Day" After 26 Weeks |
-1; -1 | 0.8093 |
| SECONDARY Change From Baseline in IRLS Mood Disturbance Score (Item 10) After 26 Weeks |
-1; -1 | 0.0583 |
| SECONDARY Change From Baseline in Visual Analogue Scale (VAS) Score for Pain in Limbs After 26 Weeks |
-26; -15 | 0.0916 |
| SECONDARY Change From Baseline in Quality of Life in RLS (RLS QoL) Score After 26 Weeks |
15; 12.5 | 0.5905 |
| SECONDARY Change From Baseline in Short Form-36 (SF-36) Dimension Bodily Pain After 26 Weeks |
12; 9 | 0.0179 sig |
| SECONDARY Change From Baseline in SF-36 Dimension General Health After 26 Weeks |
0; 0 | 0.5450 |
| SECONDARY Change From Baseline in SF-36 Dimension Mental Health After 26 Weeks |
5; 5 | 0.1456 |
| SECONDARY Change From Baseline in SF-36 Dimension Physical Functioning After 26 Weeks |
0; 0 | 0.2915 |
| SECONDARY Change From Baseline in SF-36 Dimension Role Limitations Due to Emotional Problems After 26 Weeks |
0; 0 | 0.3131 |
| SECONDARY Change From Baseline in SF-36 Dimension Role Limitations Due to Physical Problems After 26 Weeks |
6.3; 6.3 | 0.5713 |
| SECONDARY Change From Baseline in SF-36 Dimension Social Functioning After 26 Weeks |
0; 0 | 0.8432 |
| SECONDARY Change From Baseline in SF-36 Dimension Vitality After 26 Weeks |
6.3; 3.1 | 0.0206 sig |
| SECONDARY Change From Baseline in SF-36 Dimension Mental Component Summary After 26 Weeks |
1.7; 1.9 | 0.5602 |
| SECONDARY Change From Baseline in SF-36 Dimension Physical Component Summary After 26 Weeks |
2.1; 2 | 0.1360 |
| SECONDARY Diagnosis of Classified Augmentation According to Independent Expert Panel |
18; 14 | — |
| SECONDARY Worsening of RLS Symptoms (by at Least 4 Points in the IRLS Total Score Compared to Baseline) After Treatment Discontinuation |
14; 2 | 0.0022 sig |
| SECONDARY Baseline, Week 26 Mean Supine Systolic Blood Pressure |
133.4; 132.7; 132.3; 132.2 | — |
| SECONDARY Baseline, Week 26 Mean Standing Systolic Blood Pressure |
132.6; 130.6; 132.4; 130.1 | — |
| SECONDARY Baseline, Week 26 Mean Supine Diastolic Blood Pressure |
79.2; 79.6; 78.3; 79.5 | — |
| SECONDARY Baseline, Week 26 Mean Standing Diastolic Blood Pressure |
82.7; 81.7; 80.5; 80.8 | — |
| SECONDARY Baseline, Week 26 Mean Supine Pulse Rate |
68.5; 68.7; 69.1; 68.3 | — |
| SECONDARY Baseline, Week 26 Mean Standing Pulse Rate |
74.6; 74.0; 74.1; 75.0 | — |
Summary
The primary objective of the current study will be the evaluation of long-term efficacy of a 26-weeks treatment with pramipexole in patients with idiopathic moderate to severe Restless Legs Syndrome (RLS) in comparison to placebo.
The key secondary objectives are to assess the effects on clinical global impressions - global improvement (CGI-I) (based on CGI-I responder rate) and on RLS (based on IRLS responder rate) for 26 weeks under pramipexole in comparison to placebo. Further secondary objectives are to investigate the incidence and severity of augmentation and rebound and to assess the effects on patient global impression (PGI) (based on PGI responder rate), on RLS symptoms (based on the RLS-6 scales), on associated mood disturbance (based on item 10 of the IRLS), on pain in limbs (based on a visual analogue scale (VAS)), on quality of life in RLS (based on Johns Hopkins RLS-QoL), on general quality of life Short Form 36 (SF-36) and on safety (based on adverse events (AE) profile) of pramipexole in comparison to placebo.
Eligibility Criteria
Inclusion Criteria
- Written informed consent consistent with International Conference on Harmonization - Good Clinical Practice (ICH-GCP) and local Institutional Review Board/Independent Ethics Committee (IRB/IEC) requirements obtained prior to any study procedures being performed and the ability and willingness to comply with study treatment regimen and to attend study assessments
- Male or female out-patients aged 18-85 years
- Diagnosis of idiopathic RLS according to the clinical RLS criteria of the International Restless Legs Syndrome Study Group (IRLSSG) [P03-03355]. All four criteria must be present to fulfil the diagnosis of RLS.
- RLS symptoms present at least 2 to 3 days per week during the last 3 months prior to baseline (Visit 2)
- IRLS total score >15 at baseline (Visit 2)
Exclusion Criteria
- Women of child-bearing potential (i.e. premenopausal women, or postmenopausal women less than 6 months after last menses) who do not use during the clinical trial an adequate method of contraception such as: double barrier protection (e.g. diaphragm or condom and spermicide), intrauterine device, hormonal therapy (oral, injectable, or subcutaneous), or partner's surgical sterilization
- Any woman of child-bearing potential not having a negative pregnancy test at screening
- Breastfeeding women
- Patients with known hypersensitivity to pramipexole or any other component of the investigational product or placebo tablets
- Diagnosis of augmentation under previous pharmacological RLS treatment
- Concomitant or previous pharmacologic therapy as follows: Any intake of dopamine agonists within 14 days prior to baseline (Visit 2); Any intake of levodopa within 14 days prior to baseline (Visit 2); Unsuccessful prior treatment with non-ergot dopamine agonists (e.g. pramipexole, ropinirole);
Data sourced from ClinicalTrials.gov (NCT00472199). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.