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Phase 1 N=12 Randomized Double-blind Treatment

Acute Effects of Preladenant (SCH 420814) on Dyskinesia and Parkinsonism in Levodopa Treated Participants (P05550)

Parkinson Disease

Enrolled (actual)
12
Serious AEs
0.0%
Results posted
Jul 2016
Primary outcome: Primary: Mean Peak Dyskinesia Score — 11.00; 11.42; 8.50 Score on a scale

Study Design & Population

Study type
Interventional
Phase
Phase 1
Interventions
SCH 420814 10 mg (Drug); SCH 420814 100 mg (Drug); Placebo (Drug); Levodopa (Drug); Carbidopa (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Merck Sharp & Dohme LLC
Primary completion
Apr 2010

Outcome Measures

OutcomeResultp-value
PRIMARY
Mean Peak Dyskinesia Score
11.00; 11.42; 8.50
SECONDARY
Mean Peak Finger Tapping Score
44.33; 41.58; 45.75
SECONDARY
Mean Peak Tremor Score
3.5; 3.33; 4.42
SECONDARY
Mean Peak Walking Speed
16.64; 14.45; 20.00

Summary

This is a randomized, placebo-controlled, 3-period crossover, balanced, single-site, third party-blind study of preladenant (SCH 420814) in participants with Parkinson disease (PD) to be conducted in conformance with Good Clinical Practices. This trial will investigate the effects of single doses of preladenant and placebo on the dyskinesia and antiparkinsonian actions of a levodopa infusion. The study will examine 10 mg ("low dose") or 100 mg ("high dose") study drug, given as single, oral administrations in conjunction with intravenous (IV) levodopa infusion and oral carbidopa.

Eligibility Criteria

Inclusion Criteria

  • Participant must have a diagnosis of idiopathic PD based on history, exam and any relevant laboratory tests
  • Participants must have been treated with levodopa for one or more years
  • Participants must have motor fluctuations that can be measured as a 10% change in tapping speed between "on" and "off" and concurrent motor Unified PD Rating Scale (UPDRS) must also show a 20% improvement when "on"
  • Participants must have dyskinesia when "on" measured as at least 2 in one or more body parts on scale using 0 (absent) to 4 (severe) for four limbs, trunk, neck and face (total 7 body parts and 28 points)
  • Participant must be free of any clinically significant disease that would interfere with the study evaluations
  • Female participants must be postmenopausal and/or surgically sterilized and have a negative serum pregnancy test at the screening visit and a negative urine or serum pregnancy test upon each admission to the study center
  • Premenopausal, unsterilized female participants have to agree to use a medically accepted method of contraception
  • Male participants must agree to use a medically accepted method of contraception as or abstain from sexual intercourse during the trial and for 2 months after stopping the medication.

Exclusion Criteria

  • Female participants who are pregnant, intend to become pregnant (within 3 months of ending the study), or are lactating
  • Participants with dementia (mini-mental state examination [MMSE] <23), hallucinations, confusion, major psychiatric disorders, and unstable medical conditions
  • Participants with any stable surgical or medical condition which might significantly alter the absorption, distribution, metabolism or excretion of any drug
  • Participants with a positive screen for drugs of abuse
  • Participants who are positive for hepatitis B surface antigen, hepatitis C antibodies or human immunodeficiency virus (HIV)
  • Participants who are currently participating in another medical interventional clinical study or have participated in a medical interventional clinical study within 30 days and who have previously received this compound.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00845000). 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.

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