Study of NP002 in Subjects With Idiopathic Parkinson's Disease to Treat Dyskinesias Due to Levodopa Therapy

Completed · Phase 1/Phase 2 · Has a placebo group

Conditions studied: Parkinson's Disease

In brief

The study is designed to answer the question: will nicotine at doses that do not cause serious side effects, show feasibility in treatment of levodopa-induced dyskinesia in patients with Parkinson's disease?

Key facts

Study ID

NCT00957918

Run by

Neuraltus Pharmaceuticals, Inc.

People needed

65

Starts

2009-10-01

Expected to finish

2010-09-01

Last updated by the study team

2011-10-05

Who can join

Age: 30 and older, up to 83. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• clinical diagnosis of probable idiopathic Parkinson's disease
• in stable health
• male and female aged 30-83 yrs
• Hoehn and Yahr stage II through IV inclusive
• levodopa-induced dyskinesias present greater than 25% of waking day; rating equal or greater than 2 on item 32 of UPDRS
• dyskinesias moderately or severely disabling as determined by a rating of equal or greater than 2 on item 33 of UPDRS
• Mini-Mental state (MMSE) score of equal or greater than 26
• on a stable dose of levodopa for at least 30 days
• if subjects are taking dopamine antagonists, amantadine, MAO-B inhibitors (rasagiline only) or COMT inhibitors, doses must have been stable for at least 30 days

You may not qualify if…

• Secondary or non-idiopathic Parkinson's disease
• Subjects with parkinsonian symptoms who do not respond to levodopa therapy
• history of schizophrenia, or other DSM-IV TR axis 1 diagnosis sufficient to interfere with or affect study conduct or interpretation of results
• any history (past 5 years) of suicide or suicide attempt or thoughts or urges of suicide on direct questioning
• subjects who score 2 or higher on a single module of the Jay MIDI scale
• moderate or severe hallucinations, psychoses or delusions
• any medical condition or lab abnormality presenting an unwarranted risk in the opinion of the Investigator
• history of HIV positivity, AIDS, or active hepatitis determined by subject report
• female who is pregnant or breastfeeding
• female of childbearing potential not using double barrier method of birth control throughout the duration of the study
• receipt of a neurosurgical intervention (e.g. brain surgery)related to Parkinson's disease or any neurosurgical procedure sufficient to interfere with study conduct or interpretation of results
• must not have systolic blood pressure ≥150; diastolic ≥95.
• must not have ECG at screening judged clinically significantly abnormal by investigator
• must not have QTc > 450 msec at ECG screen
• must not have current angina pectoris, history of ventricular arrhythmias, uncontrolled hyperthyroidism, known or suspected pheochromocytoma, symptomatic vasospastic disease, or active peptic ulcer
• must not have a history of stroke, transient ischemic attack (TIA) or myocardial infarction within the last 2 years
• must not have current drug or alcohol abuse within the last two years. Acceptable alcohol use is no more than 3 ounces of alcohol, 3 beers or 2 glasses of wine per day.
• must not be participating in another drug trial or have participated in another drug study in the last 30 days. Observational trials with no intervention are acceptable provided permission is obtained from the other study sponsor in writing.
• must not be unwilling or unable to swallow capsules
• must not have a positive urine test for cotinine at screening
• must not be a smoker, previous (less than 5 years since cessation) smoker or have regular exposure to second hand smoke
• must not be allergic to capsule excipients
• must not be allergic to ondansetron. If allergic, they may participate provided they understand there is no rescue medication for potential nausea or vomiting during the study
• must not have known sensitivity to nicotine or nicotine-containing products
• must not be taking any of the following medications or substances within a minimum of 30 days: nicotine, any form; CYP2A6 inducers or inhibitors during the course of the study or within 30 days of the planned initial dose (your investigator will have a full list of these drugs); Monoamine oxidase inhibitors (with the exception of rasagiline, which is allowed)(your investigator will have a full list of these drugs); apokyn (apomorphine), due to its contraindication with ondansetron); warfarin.

Where it is running

• Barrow Neurology Clinics at St. Joseph's Hospital and Medical Center — Phoenix, Arizona, United States
• Keck/USC School of Medicine -Department of Neurology — Los Angelis, California, United States
• Pacific Neuroscience Medical Group — Oxnard, California, United States
• Colorado Neurological Institute — Englewood, Colorado, United States
• Parkinson's Disease & Movement Disorders Ctr of Boca Raton — Boca Raton, Florida, United States
• Collier Neurologic Specialists, LLC — Naples, Florida, United States
• Strurers Parkinson's Center — Golden Valley, Minnesota, United States
• David L. Kreitzman, M.D., P.C. — Commack, New York, United States
• 108-14 72nd Ave, Second floor — Forest Hills, New York, United States
• Duke University Medical Center, Department of Neurology — Durham, North Carolina, United States
• The Movement Disordedr Clinic of Oklahoma — Tusla, Oklahoma, United States
• Parkinson's Disease and Movement Center, Penn Comprehensive Neuroscience Center — Philadelphia, Pennsylvania, United States

Full record on ClinicalTrials.gov

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