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Low Dose Apomorphine and Parkinsonism
This study has been completed.
Study NCT00472355   Information provided by National Institute of Neurological Disorders and Stroke (NINDS)
First Received: May 10, 2007   Last Updated: December 7, 2007   History of Changes
This Tabular View shows the required WHO registration data elements as marked by

May 10, 2007
December 7, 2007
October 2005
Effects on parkinsonism measured with finger and foot tapping speed
Same as current
Complete list of historical versions of study NCT00472355 on ClinicalTrials.gov Archive Site
 
 
 
Low Dose Apomorphine and Parkinsonism
Does Presynaptic Dopamine Receptor Stimulation Transiently Worsen Parkinsonism?

The purpose of this study is to determine if low doses of apomorphine worsen the motor symptoms of Parkinson's disease.

The goal of the study is to learn why some people with Parkinson's disease (PD) get worse right after taking PD medication such as carbidopa/levodopa or as the medication is wearing off.

In this study scientists will determine if apomorphine, a drug used to treat symptoms of PD, will worsen the motor symptoms of people with PD when low doses of the drug are given as a continuous subcutaneous infusion. A continuous subcutaneous infusion means the drug is administered continuously through a small needle placed under the skin. Apomorphine, a PD drug that works similar to carbidopa/levodopa, will be used in this study because it is faster-acting and has a more brief effect than carbidopa/levodopa.

After the initial screening, participants will enter a 3-day treatment phase during which they will receive in random order low dose apomorphine, high dose apomorphine, or placebo (inactive substance). All participants will receive the study drug for 2 of the days at 2 different doses (low and high) and a placebo for 1 day. During the 3 days participants will provide blood samples and have their hearts monitored. Parkinsonism will be monitored each day by speed of finger tapping, foot tapping and walking as well as tremor and dyskinesia scores.

Duration of the study for participants is approximately 4 to 5 days including 1-2 outpatient visits and a 3-day inpatient hospital stay.

Phase II
Interventional
Treatment, Randomized, Double-Blind, Placebo Control, Crossover Assignment, Efficacy Study
Parkinson's Disease
Drug: apomorphine
 
Gunzler SA, Koudelka C, Carlson NE, Pavel M, Nutt JG. Effect of low concentrations of apomorphine on parkinsonism in a randomized, placebo-controlled, crossover study. Arch Neurol. 2008 Feb;65(2):193-8.

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Completed
14
May 2007
 

Inclusion Criteria:

  • Have idiopathic Parkinson's disease treated with levodopa and experiencing motor fluctuations
  • Response to levodopa had to be documented by a 10 percent increase in finger or foot tapping speed

Exclusion Criteria:

  • Clinically significant cardiovascular, cerebrovascular, hepatic and renal diseases
  • Psychosis
  • Allergy to apomorphine or 5ht3 inhibitors
  • Prolonged qt interval
  • Pregnancy/breast-feeding
  • Hemodynamic instability
  • Severe nausea
  • Alcohol/drug abuse
  • Other unstable medical conditions
Both
35 Years to 85 Years
No
 
United States
 
 
NCT00472355
John G. Nutt, MD, Professor of Neurology, Oregon Health and Science University
M01RR000334
Oregon Health and Science University
National Institute of Neurological Disorders and Stroke (NINDS)
Principal Investigator: John G. Nutt, MD Professor of Neurology, Oregon Health and Science University
Principal Investigator: Steven Gunzler, MD Fellow and Clinical Instructor in Neurology, Oregon Health and Science University
National Institute of Neurological Disorders and Stroke (NINDS)
December 2007

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.