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Clinical Evaluation of Ropinirole CR-RLS ( SK&F106064)Tablets in Restless Legs Syndrome
This study has been completed.
Sponsored by: GlaxoSmithKline
Information provided by: GlaxoSmithKline
ClinicalTrials.gov Identifier: NCT00530790
  Purpose

This study was designed to evaluate the safety, pharmacokinetic profile and efficacy in Restless Legs Syndrome patients.


Condition Intervention Phase
Restless Legs Syndrome (RLS)
Drug: Ropinirole CR-RLS (SK&F106064)
Phase II

MedlinePlus related topics: Restless Legs
Drug Information available for: Ropinirole Ropinirole hydrochloride
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Single Group Assignment, Safety Study
Official Title: "Clinical Evaluation of Ropinirole CR-RLS Tablets in Restless Legs Syndrome -Open-Label, Uncontrolled Study- <Classification: Clinical Pharmacology, Exploratory>

Further study details as provided by GlaxoSmithKline:

Primary Outcome Measures:
  • Adverse events and Pharmacokinetics

Secondary Outcome Measures:
  • International RLS Rating Scale
  • Efficacy variables International RLS Rating Scale Clinical Global Impression (CGI) Scale (Severity of Illness [CGI-S] and Global Improvement [CGI-I])
  • Pittsburgh Sleep Quality Index (PSQI) RLS Quality of Life Questionnaire (RLSQOL) Profile of Mood Status (POMS) Hospital Anxiety and Depression Scale (HADS)

Estimated Enrollment: 30
Study Start Date: August 2007
Study Completion Date: February 2008
Primary Completion Date: February 2008 (Final data collection date for primary outcome measure)
  Eligibility

Ages Eligible for Study:   18 Years to 80 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • A subject will be considered eligible for inclusion in this study only if all of the following criteria apply:

At Week -1 (at the start of Screening period)

  • Patients who are diagnosed with RLS according to the International RLS Study Group's (IRLSSG) Diagnostic Criteria.
  • Age: Patients aged at 18 years and under 80 years.
  • Patients who have had RLS symptoms in the evening or nighttime (17:00 to 7:00 next day) for at least 20 days within one month before the start of the screening period. Patients treated for RLS before the start of the Screening period and who do not meet this criterion are considered eligible if the previous therapy can be discontinued from the Screening period.
  • Patients who experience RLS symptoms requiring treatment after 17:00 but prior to bedtime.
  • Gender: male and female Female of child-bearing potential will be eligible for inclusion in this study.However they have a negative pregnancy test at the screening visit. They agree to are performed pregnancy test at the time that is determined in Section ""6. Study Assessments and Procedures."" and practice one of the following method of contraceptions from the screening visit till the end of follow-up examination.

    • Abstinence
    • Oral Contraceptive, either combined or progestogen alone
    • Injectable progestogen
    • Implants of levonorgestrel
    • Estrogenic vaginal ring
    • Percutaneous contraceptive patches
    • Intrauterine device (IUD) or intrauterine system (IUS) that meets the SOP effectiveness criteria as stated in the product label
    • Male partner sterilization (vasectomy with documentation of azoospermia) prior to the female subject's entry into the study, and this male is the sole partner for that subject
    • Double barrier method: condom or occlusive cap (diaphragm or cervical / vault caps) plus spermicidal agent (foam /gel / film / cream / suppository
  • Inpatient or outpatient status: Outpatient status
  • Patients who are able to give informed written consent in person. For patients aged under 20 years, their legally acceptable representatives are able to give informed written consent.

At Week 0 (at the start of treatment period)

  • Patients who experience RLS symptoms in the evening and nighttime (17:00 to 7:00 next day) for at least 4 days within 7 days before the start of the treatment period.
  • Patients who have sleep impairment associated with RLS. Patients who answered as 3 (severe) or 4 (very severe) to Question 4 (Sleep disturbance) in the IRLS Rating Scale
  • Patients whose IRLS Rating Scale total scores are 15 points or more.

Exclusion Criteria:

  • Patients requiring treatment for daytime RLS symptoms (7:00 to 17:00).
  • Patients with signs of secondary Restless Legs Syndrome (e.g. chronic renal failure, iron-deficiency anemia, pregnancy, rheumatoid arthritis and Parkinson's disease).
  • Patients whose serum ferritin level is <10 μg/L (ng/mL) at the start of Screening period.
  • Patients with following sleep disorder not associated with RLS e.g. narcolepsy, sleep terror disorder, sleepwalking disorder, breathing related sleep disorder(Patients with obvious apnea in nighttime sleeping when they do not have alcohol drinking or over 15times/hour is used to a target for apnea hypopnea index,in which case to implement polysomnography), etc.
  • Patients with complication of movement disorder (e.g. Parkinson's disease, dyskinesia, dystonia, etc.).
  • Patients with severe hepatic/renal/cardiac/pulmonary disorder or hematopoietic disorder.

The severity refers to Grade 3 according to "the Classification of the Severity of Adverse Experiences" (PAB/SD Notification No. 80, dated 29 June 1992).

  • Patients with the medical history or complication of cancer or malignant tumour.
  • Patients with the medical history or complication of substance abuse (e.g. alcohol or drug) or dependency of substance for the last one year
  • Patients whose diastolic BP is >110 mmHg or <50 mmHg or whose systolic BP is >180 mmHg or <90 mmHg at the start of Screening period and Week0.
  • Patients intolerant for ropinirole HCl or other dopamine agonists.
  • Patients with the medical history of allergy to ropinirole HCl in the past.
  • Patients with the medical history of Augmentation to ropinirole HCl or other dopamine agonists in the past and those who have experienced early morning RLS symptoms.

Augmentation is defined as below:

Restless legs symptoms appear 2 hours earlier than the pre-treatment. Symptoms become severer than the pre-treatment. Symptoms which start after less time at rest than they did before treatment.. The restless legs symptoms extend to other sites (e.g. arm and trunk).

  • Patients without nighttime sleeping habit (e.g. night-shift worker, etc.) and those who must drastically change the habitual bedtime during the study duration.
  • Patients who have participated in another clinical study of an investigational product or medical device within the last 12 weeks prior to the start of screening period.
  • Female patients who are pregnant or lactating, who may be pregnant, or who plan for pregnancy during the study .
  • Patients with chronic hepatitis typeB and /or typeC which is positive of hepatitis B surface antigen (HBsAg)and/or hepatitis C antibody.
  • Patients who have medical conditions which, in the opinion of investigator could affect efficacy and safety assessment. This may include, but are not limited to the following disorders: diabetes, peripheral neuropathy, fibromyalgia syndrome, symptomatic orthostatic hypotension, hepatic or renal failure, pleuro-pulmonary fibrosis.
  • Patients who have received treatment of an estrogen drug product and a drug that are known to substantially inhibit CYP1A2 and have changed the dose from baseline visit to Week0.
  • Others whom the investigator (sub investigator) considers ineligible for the study.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00530790

Locations
Japan
GSK Investigational Site
Osaka, Japan, 589-0022
GSK Investigational Site
Fukuoka, Japan, 810-0044
GSK Investigational Site
Fukuoka, Japan, 802-0084
GSK Investigational Site
Tochigi, Japan, 321-0293
GSK Investigational Site
Osaka, Japan, 550-0004
GSK Investigational Site
Tokyo, Japan, 151-0053
GSK Investigational Site
Tokyo, Japan, 187-0041
GSK Investigational Site
Fukuoka, Japan, 830-0011
GSK Investigational Site
Osaka, Japan, 599-8263
GSK Investigational Site
Kanagawa, Japan, 210-0024
GSK Investigational Site
Hiroshima, Japan, 733-0031
Sponsors and Collaborators
GlaxoSmithKline
Investigators
Study Director: GSK Clinical Trials, MD GlaxoSmithKline
  More Information

Responsible Party: GSK ( Study Director )
Study ID Numbers: 107846
Study First Received: September 14, 2007
Last Updated: October 15, 2008
ClinicalTrials.gov Identifier: NCT00530790  
Health Authority: Japan: Ministry of Health, Labor and Welfare

Keywords provided by GlaxoSmithKline:
RLS

Study placed in the following topic categories:
Ropinirole
Ekbom syndrome
Sleep Disorders
Dyssomnias
Psychomotor Agitation
Dyskinesias
Sleep Disorders, Intrinsic
Signs and Symptoms
Dopamine
Mental Disorders
Restless Legs Syndrome
Neurologic Manifestations
Neurobehavioral Manifestations

Additional relevant MeSH terms:
Neurotransmitter Agents
Disease
Molecular Mechanisms of Pharmacological Action
Anti-Dyskinesia Agents
Physiological Effects of Drugs
Nervous System Diseases
Parasomnias
Antiparkinson Agents
Dopamine Agonists
Pharmacologic Actions
Pathologic Processes
Syndrome
Therapeutic Uses
Psychomotor Disorders
Dopamine Agents
Central Nervous System Agents

ClinicalTrials.gov processed this record on January 16, 2009