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    Summary
    EudraCT Number:2007-002963-28
    Sponsor's Protocol Code Number:27918
    National Competent Authority:Italy - Italian Medicines Agency
    Clinical Trial Type:EEA CTA
    Trial Status:Completed
    Date on which this record was first entered in the EudraCT database:2008-01-04
    Trial results View results
    Index
    A. PROTOCOL INFORMATION
    B. SPONSOR INFORMATION
    C. APPLICANT IDENTIFICATION
    D. IMP IDENTIFICATION
    D.8 INFORMATION ON PLACEBO
    E. GENERAL INFORMATION ON THE TRIAL
    F. POPULATION OF TRIAL SUBJECTS
    G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
    N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
    P. END OF TRIAL
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedItaly - Italian Medicines Agency
    A.2EudraCT number2007-002963-28
    A.3Full title of the trial
    A phase III, double-blind, placebo-controlled randomised trial to determine the efficacy and safety of a low (50 mg/day) and high (100 mg/day) dose of safinamide, as add-on therapy, in subjects with early idiopathic Parkinson’s Disease treated with a stable dose of a single dopamine agonist.
    A.3.2Name or abbreviated title of the trial where available
    Safinamide in early IPD, as add-on to dopamine agonist
    A.4.1Sponsor's protocol code number27918
    A.5.1ISRCTN (International Standard Randomised Controlled Trial) NumberND
    A.7Trial is part of a Paediatric Investigation Plan Information not present in EudraCT
    A.8EMA Decision number of Paediatric Investigation Plan
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorMERCK SERONO INTERNATIONAL SA
    B.1.3.4CountryItaly
    B.3.1 and B.3.2Status of the sponsorCommercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing support
    B.4.2Country
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisation
    B.5.2Functional name of contact point
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product namesafinamide
    D.3.4Pharmaceutical form Film-coated tablet
    D.3.4.1Specific paediatric formulation Information not present in EudraCT
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.9.1CAS number 202825-46-5
    D.3.9.2Current sponsor codeNW1015
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number100
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) Information not present in EudraCT
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy Information not present in EudraCT
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product Information not present in EudraCT
    D.3.11.8Extractive medicinal product Information not present in EudraCT
    D.3.11.9Recombinant medicinal product Information not present in EudraCT
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 2
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product namesafinamide
    D.3.4Pharmaceutical form Film-coated tablet
    D.3.4.1Specific paediatric formulation Information not present in EudraCT
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.9.1CAS number 202825-46-5
    D.3.9.2Current sponsor codeNW1015
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number50
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) Information not present in EudraCT
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy Information not present in EudraCT
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product Information not present in EudraCT
    D.3.11.8Extractive medicinal product Information not present in EudraCT
    D.3.11.9Recombinant medicinal product Information not present in EudraCT
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.8 Information on Placebo
    D.8 Placebo: 1
    D.8.1Is a Placebo used in this Trial?Yes
    D.8.3Pharmaceutical form of the placeboFilm-coated tablet
    D.8.4Route of administration of the placeboOral use
    D.8 Placebo: 2
    D.8.1Is a Placebo used in this Trial?Yes
    D.8.3Pharmaceutical form of the placeboFilm-coated tablet
    D.8.4Route of administration of the placeboOral use
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Idiopathic Parkinson's Disease
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 6.1
    E.1.2Level PT
    E.1.2Classification code 10061536
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    The objectives of this trial are to evaluate the safety and efficacy of two doses of safinamide (50 and 100 mg p.o. q.a.m.), compared to placebo, as add-on therapy in subjects with early idiopathic Parkinson’s Disease who are currently receiving a stable dose of a single dopamine agonist. Evaluate the changes from baseline to W24 in motor symptoms (UPDRS Section III).
    E.2.2Secondary objectives of the trial
    Evaluate the changes from baseline to W24 in activities of daily living, cognition, change in global clinical status and health related quality of life
    E.2.3Trial contains a sub-study Information not present in EudraCT
    E.3Principal inclusion criteria
    1. Diagnosis of idiopathic Parkinson’s disease of less than 5 years duration, with a Hoehn and Yahr stage of I-III. The diagnosis should be based on medical history and neurological examination. 2. Between the ages of 30 to 80 years, inclusive, at screening. 3. If female, be either post-menopausal for at least 2 years, surgically sterilised or have undergone hysterectomy or, if of child bearing potential, be willing to avoid pregnancy by using an adequate method of contraception as defined in Section 6.4.9 for four weeks prior to, during and four weeks after the last dose of trial medication. For the purposes of this trial, women of childbearing potential are defined as all female subjects after puberty unless they are post-menopausal for at least two years, are surgically sterile or are sexually inactive. 4. Receiving treatment with a single dopamine agonist at a stable dose for at least 4 weeks prior to the screening visit. 5. Willing and able to participate in the trial and have provided written, informed consent
    E.4Principal exclusion criteria
    1.Indic of forms of Parkinsonism other than idiopathic Parkinson’s Dis 2. Be pregnant or lactating. 3. Current diagn of subst abuse or histo of alcohol or drug abuse in the past 3 months4.Currently exp end of dose wearing off or on-off phenomena disabling peak dose or biphasic dyskinesias or unpredictable or widely swinging fluctuations 5.Current clinic significant gastrointest renal hepatic endocrine pulmonary or cardiovasc disease including acute gastric ulcer, hypertension that isnot well-controlled asthma chronic obstructive pulmonary disease (COPD) and Type I diabetes. (Subj with a hist of gastric ulcer who have not had a recent episode of acute gastritis and are not current experiencing gastric pain will be eligible for inclusion.6. Second-or-third-degree atrioventricular block or sick sinus syndrome uncontrolled a trial fibrillation severe or unstable angina congestive heart failure myocardial infarction within 3 months of the screen vis or signif ECG abnormality incl QTc M450 msec(males) or M470msec (females) where QTc is based on Bazett’s correction method. 7.Have received treat with safinamide previous 8.Concomitant disease likely to interfere with the trial medication (e.g.capable of altering absorption metabolism or elimination of the trial drug).9.Hist of or current psychosis (e.g. schizophrenia or psychotic depression) or with a score M3 on item 2 (thought disorder)or 3(depress) of the UPDRS Section I at screening. 10. Evidence of dementia or cognitive dysfunction as indicated by a MMSE score < 24 or a score M 3 on item 1 (mentation) of the UPDRS Sect I at screening. 11. Depression as indicated by a GRID-HAMD (17-item scale) score > 17 at screening. 12. Hist of allergic response to anticonvulsants or anti-Parkinsonian agents. 13. Mental / physical condit (e.g. neurotic behaviour crippling degenerative arthritis or limb amputation) which would preclude performing efficacy or safety assess. 14. Hypersensitiv or contraindic to MAO-B inhibitors. 15. Current hist of severe dizziness or fainting on standing due to postural hypotension. 16. Neoplastic disorder which is either currently active or has been in remission for less than one year. 17. Participation in a trial within 30 days of entry into the trial (screening vis) or has received treat with any investig compound within 30 days or 5 half-lives whichever is longer prior to screening. 18. Treat of their Parkinsonian symptoms with a medication other than a stable dose of a single dopamine agonist during the 8 weeks preceding the screen visit. 19. Treat with any agent known to signif inhibit or induce drug-metabolizing enyzmes (e.g.barbiturates phenothiazines etc.) within 4 weeks preceding the screening visit. 20. Treat with opioids (e.g. tramadol meperidine derivatives) SNRIs (e.g.venlafaxine duloxetine) tri- or tetra-cyclic antidepressants MAO inhibitors (e.g.selegiline) in the 8 weeks prior to the screen visit. Dextromethorphan will bepermitted if used for treating cough. 21. Treatment with a depot neuroleptic within one injec cycle or oral neuroleptics within 4 weeks prior to the screen vis. 22. Treatment with a drug that has hepatotoxic potential e.g.tamoxifen within 4 weeks or received radiation therapy or a drug with cytotoxic potential e.g chemotherapy within one year prior to the screening visit. 23. Diagnosis of HIV or tests positive for Hepat C antibodies or Hepat B surface antigen. 24. Any abnormality that the investig deems to be clinically relevant either on medical history physical examin ECG or in a diagnostic laboratory test.25. Ophthalmologic hist including any of the following conditions: albino subj family hist of heredit retinal disease progressive and/or severe diminution of visual acuity (ie 20/70) retinitis pigmentosa retinitis pigmentosa retinal pigmentation due to any cause any active retinopathy or ocular inflammation(uveitis) or diabetic retinopathy 26. Signs and sympt suggest of transmissible spongiform encephal or famly members suff
    E.5 End points
    E.5.1Primary end point(s)
    UPDRS Section III score change from baseline to W24
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis No
    E.6.3Therapy Yes
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic Yes
    E.6.7Pharmacodynamic No
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic Information not present in EudraCT
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others Information not present in EudraCT
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other No
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) No
    E.7.3Therapeutic confirmatory (Phase III) Yes
    E.7.4Therapeutic use (Phase IV) No
    E.8 Design of the trial
    E.8.1Controlled Yes
    E.8.1.1Randomised Yes
    E.8.1.2Open No
    E.8.1.3Single blind No
    E.8.1.4Double blind Yes
    E.8.1.5Parallel group Yes
    E.8.1.6Cross over No
    E.8.1.7Other No
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) No
    E.8.2.2Placebo Yes
    E.8.2.3Other No
    E.8.3 The trial involves single site in the Member State concerned No
    E.8.4 The trial involves multiple sites in the Member State concerned Yes
    E.8.5The trial involves multiple Member States Yes
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA No
    E.8.6.2Trial being conducted completely outside of the EEA Information not present in EudraCT
    E.8.7Trial has a data monitoring committee Information not present in EudraCT
    E.8.8 Definition of the end of the trial and justification where it is not the last visit of the last subject undergoing the trial
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years1
    E.8.9.1In the Member State concerned months6
    E.8.9.1In the Member State concerned days
    E.8.9.2In all countries concerned by the trial years1
    E.8.9.2In all countries concerned by the trial months6
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 No
    F.1.1.1In Utero No
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) No
    F.1.1.3Newborns (0-27 days) No
    F.1.1.4Infants and toddlers (28 days-23 months) No
    F.1.1.5Children (2-11years) No
    F.1.1.6Adolescents (12-17 years) No
    F.1.2Adults (18-64 years) Yes
    F.1.3Elderly (>=65 years) Yes
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers No
    F.3.2Patients Yes
    F.3.3Specific vulnerable populations Information not present in EudraCT
    F.3.3.1Women of childbearing potential not using contraception No
    F.3.3.2Women of child-bearing potential using contraception Information not present in EudraCT
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation No
    F.3.3.6Subjects incapable of giving consent personally No
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state70
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 666
    F.4.2.2In the whole clinical trial 666
    G. Investigator Networks to be involved in the Trial
    N. Review by the Competent Authority or Ethics Committee in the country concerned
    N.Competent Authority Decision Authorised
    N.Date of Competent Authority Decision2008-06-30
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2007-12-21
    P. End of Trial
    P.End of Trial StatusCompleted
    P.Date of the global end of the trial2012-03-06
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