E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
L-dopa induced dyskinesias in patients with Parkinson's disease |
L-dopa induce discinesie in pazienti con malattia di Parkinson. |
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E.1.1.1 | Medical condition in easily understood language |
Parkinson's Patients With L-dopa Induced Dyskinesias |
Pazienti con malattia di Parkinson con discinesie da L-dopa |
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E.1.1.2 | Therapeutic area | Diseases [C] - Nervous System Diseases [C10] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10043118 |
E.1.2 | Term | Tardive dyskinesia |
E.1.2 | System Organ Class | 10029205 - Nervous system disorders |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To assess how titration of AFQ056 at 2-week intervals affects the tolerability profile To demonstrate the anti-dyskinetic efficacy, as measured by the modified AIMS (Abnormal Involuntary Movement Scale) total score |
• Valutare come AFQ056, somministrato con dose incrementale ad intervalli di due settimane fino a raggiungere il dosaggio finale di 100 mg b.i.d, influenza il profilo di tollerabilita' in pazienti con PD-LID di grado da moderato a severo rispetto a placebo. • Dimostrare l’efficacia anti-discinetica, misurata come modificazione del punteggio totale della scala AISM (Abnormal Involuntary Movement Scale) alla settimana 12 rispetto al basale, di AFQ056 somministrato con dose incrementale ad intervalli di due settimane fino a raggiungere il dosaggio finale di 100 mg b.i.d rispetto a placebo in pazienti con PD-LID di grado da moderato a severo. |
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E.2.2 | Secondary objectives of the trial |
- To assess the anti-dyskinetic efficacy as measured by the Revised Lang-Fahn Activities of Daily Living Dyskinesia Scale (LFADLDS) - To evaluate change from baseline on patient's disability caused by the dyskinesia as assessed by a clinician-rated global impression of change (CGIC) - To evaluate the Total ON- and OFF-times and ON-time with dyskinesia and with troublesome dyskinesias (patient diary) - To evaluate anti-dyskinetic efficacy as measured by items 32, 33 and 34 of Part IV of the UPDRS (Unified Parkinson's Disease Rating Scale) - To evaluate the safety of AFQ056 as measured by changes in vital signs, laboratory values and ECGs and number of adverse events Other secondary objectives may be defined in the protocol |
• Valutare l’efficacia anti-discinetica sulla base della scala LFADLDS (Revised Lang-Fahn Activities of Daily Living Dyskinesia Scale) compilata dal paziente e dalla persona incaricata alla cura dello stesso • Valutare il cambiamento rispetto al basale della disabilita' legata alla discinesia del paziente sulla base dell’impressione globale della variazione stimata dal clinico (CGIC) • Valutare i periodi ON e OFF totali e il periodo ON con discinesie o discinesie complicate (diario del paziente) • Valutare l’efficacia anti-discinetica sulla base dei parametri 32, 33 e 34 della sezione IV della scala UPDRS (Unified Parkinson’s Disease Rating Scale) • Valutare la sicurezza di AFQ056 sulla base del cambiamento dei segni vitali, dei parametri di ... PER FAVORE VEDERE SINOSSI |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
• Outpatients with Parkinson`s disease (PD), treated with L-Dopa, experiencing dyskinesias for at least three months • Outpatients who are on a stable anti-parkinsonian treatment regimen for at least four weeks Other protocol-defined inclusion criteria may apply |
Uomini e donne di eta' compresa tra 30 e 80 anni (estremi inclusi) Pazienti ambulatoriali Diagnosi clinica di malattia di Parkinson secondo i criteri diagnostici clinici della UK Parkinson’s Disease Society Brain Bank. Punteggio ≥ 2 al parametro 32 e ≥ 2 al parametro 33 della scala UPDRS. Esordio delle discinesie almeno 3 mesi prima della prima visita basale (BL1) Trattamento stabile con L-dopa e altri trattamenti antiparkinsoniani per almeno 4 settimane prima della prima visita basale (BL1) Dimostrazione di capacita' di completare accuratamente le valutazioni sul diario. |
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E.4 | Principal exclusion criteria |
• Surgical treatment for PD • Cancer within the past 5 years (other than localized skin cancer and prostate cancer that has been effectively treated) • Advanced, severe or unstable disease (other than PD) or evidence of dementia that may interfere with the study outcome evaluations Other protocol-defined exclusion criteria may apply |
Forma atipica o secondaria di malattia di Parkinson Storia di trattamento chirurgico per la malattia di Parkinson, inclusa la stimolazione dei nuclei cerebrali profondi Punteggio = 5 della scala Modified Hoehn and Yahr Staging nella fase ON Qualsiasi malattia avanzata, grave o instabile (oltre alla malattia di Parkinson) Demenza (o MMSE ≤ 26), disturbo depressivo maggiore, allucinazioni o psicosi che richiedano un trattamento antipsicotico, stati confusionali (DSM-IV, revisione) Trattamento precedente alla prima visita basale (BL1) con uno dei seguenti AFQ056 Inibitori forti o moderati del CYP3A4 (entro una settimana) Induttori forti o moderati del CYP3A4 (entro una settimana) Warfarin e digossina (entro una settimana) Farmaci anti-colinergici attivi a livello centrale (entro una settimana) Amantadina (entro tre settimane) Metoclopramide (entro quattro settimane) Domperidone, antidepressivi e ansiolitici a regime non stabile (entro sei settimane) Agenti neurolettici tipici o atipici (entro tre mesi) Pompe di duodopa o apomorfina durante l’intera durata dello studio Per maggiori dettagli consultare i paragrafi 4.1 e 4.2 del protocollo originale. |
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E.5 End points |
E.5.1 | Primary end point(s) |
- Anti-dyskinetic efficacy as measured by the modified AIMS (Abnormal Involuntary Movement Scale) total score - To assess how titration of AFQ056 at 2-week intervals affects tolerability profile |
• Dimostrare l’efficacia anti-discinetica, misurata come modificazione del punteggio totale della scala AISM (Abnormal Involuntary Movement Scale) • L’effetto di un lento incremento del dosaggio di AFQ056 sul profilo di tollerabilita' |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
Timeframe 12 weeks |
12 settimane |
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E.5.2 | Secondary end point(s) |
- Anti-dyskinetic efficacy as measured by the Lang-Fahn Activities of Daily Living Dyskinesia Scale (LFADLDS) - Change from baseline on patient's disability caused by the dyskinesia as assessed by a clinician-rated global impression of change (CGIC) - Total ON- and OFF-times and ON-time with dyskinesia and with troublesome dyskinesias (patient diary) - Anti-dyskinetic efficacy as measured by items 32, 33 and 34 of Part IV of the Unified Parkinson's Disease Rating Scale (UPDRS ) - Safety of AFQ056 as measured by changes in vital signs, laboratory values, electrocardiogram and number of Adverse Events |
• Valutare l’efficacia anti-discinetica sulla base della scala LFADLDS (Revised Lang-Fahn Activities of Daily Living Dyskinesia Scale) • Valutare il cambiamento rispetto al basale della disabilita' legata alla discinesia del paziente sulla base dell’impressione globale della variazione stimata dal clinico (CGIC) • Valutare i periodi ON e OFF totali e il periodo ON con discinesie o discinesie complicate (diario del paziente) • Valutare l’efficacia anti-discinetica sulla base dei parametri 32, 33 e 34 della sezione IV della scala UPDRS (Unified Parkinson’s Disease Rating Scale) • Valutare la sicurezza di AFQ056 sulla base del cambiamento dei segni vitali, dei parametri di laboratorio, elettrocardiogramma e numero degli eventi avversi |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
- LFADLDS: Weeks -2, 0, 6, 8, 12 - CGIC: Weeks 6, 8, 12 - patient diary: Weeks -2, 0, 8, 12 - UPDRS Part IV:Weeks -6 to -3, -2, 0, 8, 12 - Vital signs: Weeks -6 to -3, -2, 0, 2, 4, 6, 8, 12 - laboratory values: Weeks -6 to -3, -2, 0, 6, 8, 12 - electrocardiogram: Weeks 6 to -3, -2, 6, 8, 12 - Adverse Events: all visits |
- LFADLDS: Settimane -2, 0, 6, 8, 12 - CGIC: Settimane 6, 8, 12 - Diario del Paziente: Settimane -2, 0, 8, 12 - UPDRS Part IV:Settimane -6 to -3, -2, 0, 8, 12 - Segni Vitali: Settimane -6 to -3, -2, 0, 2, 4, 6, 8, 12 - Parametri di Laboratorio: Settimane -6 a -3, -2, 0, 6, 8, 12 - elettrocardiograma: Settimane 6 a -3, -2, 6, 8, 12 - Eventi Avversi: tutte le visite |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | Yes |
E.6.11 | Pharmacogenomic | Yes |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | Yes |
E.6.13.1 | Other scope of the trial description |
tolerability |
tollerabilita' |
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E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | Yes |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
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.8.4.1 | Number of sites anticipated in Member State concerned | 3 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 26 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
European Union |
Canada |
Switzerland |
United States |
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E.8.7 | Trial has a data monitoring committee | Yes |
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
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LPLV : 06/JULY/2012 |
LPLV : 06/07/2012 |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 0 |
E.8.9.1 | In the Member State concerned months | 9 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 0 |
E.8.9.2 | In all countries concerned by the trial months | 9 |
E.8.9.2 | In all countries concerned by the trial days | 0 |