E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Parkinsons disease
Huntingtons disease
Multiple scleros
Brain trauma
Stroke
Myalgic encephalomyelitis
Narcolepsy |
Parkinsons sjukdom
Huntingtons sjukdom
Multipel scleros
Traumatisk hjärnskada
Stroke
Myalgisk encefalomyelit
Narkolepsi |
|
E.1.1.1 | Medical condition in easily understood language |
Parkinsons disease
Huntingtons disease
Multiple scleros
Brain trauma
Stroke
Myalgic encephalomyelitis
Narcolepsy |
Parkinsons sjukdom
Huntingtons sjukdom
Multipel scleros
Traumatisk hjärnskada
Stroke
Myalgisk encefalomyelit
Narkolepsi |
|
E.1.1.2 | Therapeutic area | Diseases [C] - Nervous System Diseases [C10] |
MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | Yes |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
An open safety study with the monoaminergic stabilizer (-)-OSU6162 in patients with mental fatigue and related vitality and wakefulness disturbances associated with neurologiacal disorders, e g Parkinson’s disease, Huntington’s disease, brain trauma, stroke, myalgic encephalomyelitis and narcolepsy. |
En öppen studie av säkerhet hos den monoaminerga stabiliseraren (-)-OSU6162 hos patienter med mental trötthet och därmed relaterad vitalitets- och vakenhetsstörning registrerade vid neuro-psykiatriska sjukdomar som Parkinsons sjukdom, Huntingtons sjukdom, traumatisk hjärnskada, stroke, Myalgisk encefalomyelit och narkolepsi. |
|
E.2.2 | Secondary objectives of the trial |
We will also explore the value of new objective measuring methods
concerning movement patterns and level of activitry. |
Vi kommer också att explorera värdet av nya objektiva mättekniker
med avseende på rörelsemönster och aktiveringsgrad.
|
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Patient should sign informed consent.
Should be 18-75 years old.
Women of child bearing age should be on contraceptives. Patients with brain trauma and stroke should have a minimal time period of 12 months since onset/diagnosis and a minimal of three months fatigue.
Patients should fulfil international criterias for one of the diseases listed in the project title. |
Patienten skall ha undertecknat informerat samtycke till deltagande i studien, ska vara mellan 18 och 75 år.
Kvinna i fertil ålder skall ha tillförlitlig antikonception, dvs P-stav, P-spruta, sterilisering, hormonspiral, kopparspiral, kondom, p-piller. Traumatisk hjärnskada och stroke ska ha en minimal tidsperiod sedan insjuknande/diagnos på 12 månader och trötthet i minst tre månader.
Patienten ska också uppfylla internationellt gällande kriterier för någon av de diagnoser som anges i projektets titel.
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E.4 | Principal exclusion criteria |
Patients with unstable medication.
Patients with abuse problems.
Patients suffering from other serious somatic or psychiatric diseases.
Becks depression scale 30 points or more at V1 och V2
Pregnant women (pregnancy test V1 and V7).
Breast feeding women.
Patients with aberrant laboratory investigations of serious degree.
Pathological ECG
Maximal QTc on ECG: 450 ms for men and 460 ms for women.
Pathological UCG heart.
Patients mentally or somatically reduced so they can not participate in
ratings or other methods for evaluating effect.
Patients receiving therapy with Modiodal, Xyrem , mirtazapin, metabolic enzyme inhibitors, metabolic enzyme inducers and drugs with a narrow therapeutic window (i.e. warfarine, antieoileptics , cyclosporine, tacrolimus, individually dose titrated drugs i.e. lithium) are excluded.
Patients should not participate in any other Clinical studies. |
Om patienten erhåller annan behandling under inställning
Patienter med missbruksproblem (drogtest tas vid V1)
Om patienten lider av annan allvarlig somatisk eller psykiatrisk sjukdom
Becks depression scale max 30 poäng eller mer vid V1 och V2
Gravida kvinnor (graviditetstest tas vid V1 och V7)
Kvinnor som ammar
Patienter med abnorma laboratorievärden av sådan allvarlighetsgrad att deltagandet i studien kan ifrågasättas
Patologiskt EKG
Max QTc-tid på EKG: 450 ms hos män och 460 ms hos kvinnor
Patologiskt hjärt-ultraljud
Patienter som bedöms vara så invalidiserade av sin sjukdom att de inte antas klara av skattningsförfarandet eller att hantera instrument för urvärdering av effekt
Patienter som behandlas med läkemedlen Modiodal, Xyrem, mirtazapin samt metabolic enzyme inhibitors, metabolic enzyme inducers och läkemdel med ett smalt terapeutiskt fönster (tex. warfarin, antiepileptika, cyklosporin, tackolimus och individuellt inställda lälkemedel såsom litium).
Patienter får inte samtidigt delta i andra forskningsstudier.
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E.5 End points |
E.5.1 | Primary end point(s) |
Safety of OSU6162. Recording of adverse events on doses between 5 - 90 mg per
day in patients with Parkinson's disease, Huntington's disease,multiple sclerosis,brain trauma, stroke, myalgic encephalomyelitis and narcolepsy.
|
OSU6162:s säkerhet.
Registrering av AE vid behandling med doserna 5 - 90 mg dagligen av patienter med Parkinsons sjukdom, Huntingtons sjukdom, multipel skleros, traumatisk hjärnskada, stroke, myalgisk encefalomyelit och narkolepsi.
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|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
After three months open study. (6 and 12 months for stroke). |
Efter tre månaders öppen studie. (6 och 12 månader för stroke) |
|
E.5.2 | Secondary end point(s) |
We will also explore the value of objective new techniques for measuring
movements and activity levels before and after three months treatment (6 and 12 months for stroke). |
Vi kommer också att explorera värdet av nya mättekniker
med avseende på rörelsemönster och aktiveringsgrad före
och efter tre månaders behandling (6 och 12 månaders behandling vid stroke).
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|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
Three months open study (6 and 12 months for stroke). |
Tre månaders öppen studie (6 och 12 månader för stroke). |
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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 | No |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | Yes |
E.6.13.1 | Other scope of the trial description |
Compare the validity of ratings with the result of more objective instruments for
mesuring activity variables. |
Jämföra tillförlitligheten av skattningar med resultat av objektiv mätning
av aktivitet. |
|
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 | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | Yes |
E.8.1.7.1 | Other trial design description |
|
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 1 |
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 | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | No |
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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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 2 |
E.8.9.1 | In the Member State concerned months | |
E.8.9.1 | In the Member State concerned days | |