Safety, Tolerability and Efficacy of Two Doses of Once Daily P2B001 in Subjects With Early Parkinson's Disease
Status: | Completed |
---|---|
Conditions: | Parkinsons Disease |
Therapuetic Areas: | Neurology |
Healthy: | No |
Age Range: | 35 - 75 |
Updated: | 11/2/2017 |
Start Date: | December 2013 |
End Date: | June 2015 |
A Phase 2B, Twelve-week Multi-Center, Randomized, Double-Blind, Placebo-Controlled, Parallel Group Study, To Determine the Safety, Tolerability and Efficacy of Two Doses of Once Daily P2B001 in Subjects With Early Parkinson's Disease
This study will evaluate an oral fixed-dose, once daily product that combines pramipexole and
rasagiline for the treatment of early Parkinson's disease.
Animal studies support the therapeutic advantage of combining low doses of rasagiline and
pramipexole and suggest further improvement when both are administered in a sustained
fashion. Both rasagiline and pramipexole are well known marketed drugs for Parkinson's
disease with a good safety profile. combining the drugs in low doses and controlled release
may provide better symptom management than the existing drugs alone or together.
rasagiline for the treatment of early Parkinson's disease.
Animal studies support the therapeutic advantage of combining low doses of rasagiline and
pramipexole and suggest further improvement when both are administered in a sustained
fashion. Both rasagiline and pramipexole are well known marketed drugs for Parkinson's
disease with a good safety profile. combining the drugs in low doses and controlled release
may provide better symptom management than the existing drugs alone or together.
Inclusion Criteria:
- Subject is male or female ≥35 years of age to ≤75 years of age at the time of
enrollment.
- Subject has idiopathic Parkinson's disease consistent with the UK Brain Bank Criteria;
must have bradykinesia with sequence effect and rest tremor or prominent motor
asymmetry.
- Subject with disease duration no longer than 3 years and 0 months.
- Subject has a Hoehn & Yahr (H&Y) stage score of < 3.
- Subject has a MMSE score ≥ 26
Exclusion Criteria:
- Subject has an atypical parkinsonian syndrome or secondary parkinsonism (e.g., due to
drugs, metabolic neurogenetic disorders, encephalitis, cerebrovascular disease or
degenerative disease).
- Subject has a history of psychosis or hallucinations within the previous 12 months.
- Subject who is taking anticholinergic drugs.
- Subject has previous exposure to levodopa or a dopamine agonist for longer than 4
weeks; if previous exposure was less than 4 weeks then it must not be within 2 months
prior to the baseline visit.
- Subject has previous exposure to a MAO-B inhibitor for longer than 4 weeks; if
previous exposure was less than 4 weeks then it must not be within 3 months prior to
the baseline visit.
- Subject who is taking MAO inhibitors, potent CYP1A2 inhibitors, e,g, Ciprofloxacin,
Dextromethorphan or antitussive agent, analgesic agents such as tramadol, meperidine,
methadone and propoxyphene, strong 3A4 inducers, e.g., St. John's Wort or
cyclobenzaprine (tricyclic muscle relaxant), dopamine antagonists, such as the
neuroleptics (phenothiazines, butyrophenones, thioxanthenes) or metoclopramide.
Probenecid, cimetidine, ranitidine, diltiazem, verapamil and quinidine.
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