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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT03781167
Other study ID # M15-741
Secondary ID 2018-002144-85
Status Completed
Phase Phase 3
First received
Last updated
Start date April 29, 2019
Est. completion date August 17, 2022

Study information

Verified date September 2023
Source AbbVie
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The purpose of this study was to assess the safety and tolerability of ABBV-951 (Foslevodopa/Foscarbidopa) in participants with Parkinson's disease (PD). This was a single-arm study with preplanned analyses conducted by dose subgroup (Low Dose or High Dose) based on the modal total daily dose (most frequent dose) over the treatment period.


Recruitment information / eligibility

Status Completed
Enrollment 244
Est. completion date August 17, 2022
Est. primary completion date August 17, 2022
Accepts healthy volunteers No
Gender All
Age group 30 Years and older
Eligibility Inclusion Criteria: - Participants with diagnosis of idiopathic Parkinson's Disease (PD) that is levodopa-responsive - Participants must be judged by the investigator to be inadequately controlled by current therapy, have recognizable/identifiable "Off" and "On" states (motor fluctuations), and have a minimum of 2.5 hours of "Off" time per day Exclusion Criteria: - Participant is cognitively impaired and is not able to safely and effectively manage the drug delivery system and the diaries and is not able to adhere to the study - Participant is considered by the investigator to be an unsuitable candidate to receive ABBV-951 for any reason

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
ABBV-951
Solution for continuous subcutaneous infusion (CSCI)

Locations

Country Name City State
Australia Royal Adelaide Hospital /ID# 207634 Adelaide South Australia
Australia Concord Repatriation General Hospital /ID# 207628 Concord New South Wales
Australia Alfred Health /ID# 207632 Melbourne Victoria
Australia Perron Institute /ID# 207627 Nedlands Western Australia
Australia Westmead Hospital /ID# 207633 Westmead New South Wales
Belgium AZ Sint-Jan Brugge /ID# 208178 Brugge
Belgium Universitair Ziekenhuis Leuven /ID# 209058 Leuven Vlaams-Brabant
Belgium Groupe Sante CHC - Clinique du MontLegia /ID# 208177 Liege
Canada University of Calgary - Movement Disorders Clinic /ID# 207342 Calgary Alberta
Canada Centre de Recherche St-Louis /ID# 207344 Quebec City Quebec
Denmark Aarhus University Hospital /ID# 207668 Aarhus N Midtjylland
Denmark Bispebjerg and Frederiksberg Hospital /ID# 207669 Copenhagen NV Hovedstaden
Denmark Odense University Hospital /ID# 207871 Odense C Syddanmark
Germany Kliniken Beelitz GmbH /ID# 208600 Beelitz-Heilstaetten
Germany InnKlinikum Haag /ID# 208601 Haag
Germany Universitaetsklinikum Ulm /ID# 208602 Ulm Baden-Wuerttemberg
Italy IRCCS Centro Neurolesi Bonino Pulejo /ID# 207975 Messina
Italy Fondazione IRCCS Istituto Neurologico Carlo Besta /ID# 207955 Milan
Italy Azienda Ospedaliera di Padova /ID# 208077 Padova
Japan National Hospital Organization Asahikawa Medical Center /ID# 210914 Asahikawa-shi Hokkaido
Japan Juntendo University Hospital /ID# 210915 Bunkyo-ku Tokyo
Japan National Center of Neurology and Psychiatry /ID# 210911 Kodaira-shi Tokyo
Japan National Hospital Organization Utano National Hospital /ID# 210912 Kyoto-shi Kyoto
Japan Osaka University Hospital /ID# 210913 Suita-shi Osaka
Netherlands St. Antonius Ziekenhuis /ID# 208529 Nieuwegein
Netherlands Erasmus Medisch Centrum /ID# 208168 Rotterdam Zuid-Holland
Russian Federation City Clinical Hospital #40 /ID# 216301 Sestroretsk Sankt-Peterburg
Russian Federation Academician I.P. Pavlov First St. Petersburg State Medical University /ID# 216303 St. Petersburg Sankt-Peterburg
Spain Hospital Universitario A Coruna - CHUAC /ID# 212147 A Coruna
Spain Hospital Santa Creu i Sant Pau /ID# 208240 Barcelona
Spain Hospital General Universitario de Elche /ID# 209777 Elche Alicante
Spain Hospital Universitario Virgen de las Nieves /ID# 208242 Granada
Spain Hospital Universitario de Bellvitge /ID# 209539 L'Hospitalet de Llobregat Barcelona
Spain Hospital Universitario Ramon y Cajal /ID# 208241 Madrid
Spain Hospital Universitario Virgen del Rocio /ID# 208239 Sevilla
Sweden Sahlgrenska University Hospital /ID# 207718 Gothenburg Vastra Gotalands Lan
Sweden Skane University Hospital Lund /ID# 207811 Lund Skane Lan
Sweden Centrum for neurologi /ID# 207716 Stockholm Stockholms Lan
United Kingdom NHS Tayside /ID# 209242 Dundee Scotland
United Kingdom King's College Hospital NHS Foundation Trust /ID# 208413 London
United Kingdom University Hospital Plymouth NHS Trust /ID# 208447 Plymouth
United States University of Colorado Hospital /ID# 207968 Aurora Colorado
United States University of Alabama at Birmingham - Main /ID# 207996 Birmingham Alabama
United States Parkinson's Disease and Movement Disorders Center of Boca Raton /ID# 207677 Boca Raton Florida
United States Massachusetts General Hospital /ID# 207993 Boston Massachusetts
United States Northwestern University Feinberg School of Medicine /ID# 208812 Chicago Illinois
United States University of Missouri /ID# 209043 Columbia Missouri
United States Neurology Consultants of Dallas - LBJ Fwy /ID# 207619 Dallas Texas
United States The Parkinson's & Movement Disorder Institute - Fountain Valley /ID# 216126 Fountain Valley California
United States Prisma Health Cancer Institute-Faris Road /ID# 207650 Greenville South Carolina
United States Baylor College of Medicine /ID# 207620 Houston Texas
United States Indiana Clinical Research Cent /ID# 207952 Indianapolis Indiana
United States Univ Kansas Med Ctr /ID# 208963 Kansas City Kansas
United States Booth Gardner Parkinson's Care Center /ID# 208026 Kirkland Washington
United States Dartmouth-Hitchcock Medical Center /ID# 207972 Lebanon New Hampshire
United States University of Kentucky Chandler Medical Center /ID# 207603 Lexington Kentucky
United States Medical College of Wisconsin /ID# 207999 Milwaukee Wisconsin
United States Legacy Medical Group - Neurology /ID# 208031 Portland Oregon
United States Wake Radiology UNC REX Healthcare - Raleigh Office /ID# 209784 Raleigh North Carolina
United States Central Texas Neurology Consul /ID# 216918 Round Rock Texas
United States Washington University-School of Medicine /ID# 207525 Saint Louis Missouri
United States Health Partners /ID# 207950 Saint Paul Minnesota
United States Univ Texas HSC San Antonio /ID# 208958 San Antonio Texas
United States Inland Northwest Research /ID# 208122 Spokane Washington
United States Banner Sun Health Res Inst /ID# 208811 Sun City Arizona

Sponsors (1)

Lead Sponsor Collaborator
AbbVie

Countries where clinical trial is conducted

United States,  Australia,  Belgium,  Canada,  Denmark,  Germany,  Italy,  Japan,  Netherlands,  Russian Federation,  Spain,  Sweden,  United Kingdom, 

Outcome

Type Measure Description Time frame Safety issue
Primary Number of Participants With Adverse Events An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment. The investigator assesses the relationship of each event to the use of study drug. A serious adverse event (SAE) is an event that results in death, is life-threatening, requires or prolongs hospitalization, results in a congenital anomaly, persistent or significant disability/incapacity or is an important medical event that, based on medical judgment, may jeopardize the participant and may require medical or surgical intervention to prevent any of the outcomes listed above. Treatment-emergent adverse events/treatment-emergent serious adverse events (TEAEs/TESAEs) are defined as any event that began or worsened in severity on or after the first dose of study drug. From first dose of study drug until 30 days following last dose of study drug (up to 480 days)
Primary Number of Participants With Adverse Events of Special Interest Treatment emergent adverse events of special interest are defined as any adverse event of infusion site infections, infusion site reactions, hallucinations/psychosis, falls and associated injuries, polyneuropathy (peripheral neuropathy), weight loss, or somnolence from the first dose of study drug until 30 days following last dose of study drug. From first dose of study drug until 30 days following last dose of study drug (up to 480 days)
Primary Number of Participants With Numeric Grade Equal to or Higher Than 5 and With Letter Grade Equal to or Higher Than D on the Infusion Site Evaluation Scale Skin tolerability was assessed using the Infusion Site Evaluation Scale, a 2-part numeric (0-7) and letter (A-G) grade scale, where a notable skin reaction is defined as a reaction with a numeric grade of 6 or 7 or a letter grade of D, E, F, or G. Any observation of infusion site reaction with irritation criteria > 2 or > C was recorded as an adverse event (AE). Day 1, Day 2, Week 1, Week 2, Week 3, Week 4, Week 6, Week 13, Week 26, Week 39, and Week 52
Primary Hematocrit (Hematology): Change From Baseline to End of Study Samples for clinical laboratory tests were collected at study visits, and a certified central laboratory was used to process the samples and provide results. Baseline, Weeks 6, 26, 39, and 52
Primary Hemoglobin (Hematology): Change From Baseline to End of Study Samples for clinical laboratory tests were collected at study visits, and a certified central laboratory was used to process the samples and provide results. Baseline, Weeks 6, 26, 39, and 52
Primary Red Blood Cell (RBC) Count (Hematology): Change From Baseline to End of Study Samples for clinical laboratory tests were collected at study visits, and a certified central laboratory was used to process the samples and provide results. Baseline, Weeks 6, 26, 39, and 52
Primary White Blood Cell (WBC) Count (Hematology): Change From Baseline to End of Study Samples for clinical laboratory tests were collected at study visits, and a certified central laboratory was used to process the samples and provide results. Baseline, Weeks 6, 26, 39, and 52
Primary Neutrophils (Hematology): Change From Baseline to End of Study Samples for clinical laboratory tests were collected at study visits, and a certified central laboratory was used to process the samples and provide results. Baseline, Weeks 6, 26, 39, and 52
Primary Lymphocytes (Hematology): Change From Baseline to End of Study Samples for clinical laboratory tests were collected at study visits, and a certified central laboratory was used to process the samples and provide results. Baseline, Weeks 6, 26, 39, and 52
Primary Monocytes (Hematology): Change From Baseline to End of Study Samples for clinical laboratory tests were collected at study visits, and a certified central laboratory was used to process the samples and provide results. Baseline, Weeks 6, 26, 39, and 52
Primary Absolute Platelet Count (Hematology): Change From Baseline to End of Study Samples for clinical laboratory tests were collected at study visits, and a certified central laboratory was used to process the samples and provide results. Baseline, Weeks 6, 26, 39, and 52
Primary Mean Corpuscular Hemoglobin (Hematology): Change From Baseline to End of Study Samples for clinical laboratory tests were collected at study visits, and a certified central laboratory was used to process the samples and provide results. Baseline, Weeks 6, 26, 39, and 52
Primary Mean Corpuscular Volume Concentration (MCHC) (Hematology): Change From Baseline to End of Study Samples for clinical laboratory tests were collected at study visits, and a certified central laboratory was used to process the samples and provide results. Baseline, Weeks 6, 26, 39, and 52
Primary Prothrombin Time (PT) (Hematology): Change From Baseline to End of Study Samples for clinical laboratory tests were collected at study visits, and a certified central laboratory was used to process the samples and provide results. Baseline, Weeks 6, 26, 39, and 52
Primary Activated Partial Thromboplastin Time (Hematology): Change From Baseline to End of Study Samples for clinical laboratory tests were collected at study visits, and a certified central laboratory was used to process the samples and provide results. Baseline, Weeks 6, 26, 39, and 52
Primary Blood Urea Nitrogen (BUN) (Clinical Chemistry): Change From Baseline to End of Study Samples for clinical laboratory tests were collected at study visits, and a certified central laboratory was used to process the samples and provide results. Baseline, Weeks 6, 26, 39, and 52
Primary Creatinine (Clinical Chemistry): Change From Baseline to End of Study Samples for clinical laboratory tests were collected at study visits, and a certified central laboratory was used to process the samples and provide results. Baseline, Weeks 6, 26, 39, and 52
Primary Creatine Phosphokinase (Clinical Chemistry): Change From Baseline to End of Study Samples for clinical laboratory tests were collected at study visits, and a certified central laboratory was used to process the samples and provide results. Baseline, Weeks 6, 26, 39, and 52
Primary Total Bilirubin (Clinical Chemistry): Change From Baseline to End of Study Samples for clinical laboratory tests were collected at study visits, and a certified central laboratory was used to process the samples and provide results. Baseline, Weeks 6, 26, 39, and 52
Primary Serum Alanine Aminotransferase (Clinical Chemistry): Change From Baseline to End of Study Samples for clinical laboratory tests were collected at study visits, and a certified central laboratory was used to process the samples and provide results. Baseline, Weeks 6, 26, 39, and 52
Primary Serum Aspartate Aminotransferase (Clinical Chemistry): Change From Baseline to End of Study Samples for clinical laboratory tests were collected at study visits, and a certified central laboratory was used to process the samples and provide results. Baseline, Weeks 6, 26, 39, and 52
Primary Serum Lactate Dehydrogenase (LDH) (Clinical Chemistry): Change From Baseline to End of Study Samples for clinical laboratory tests were collected at study visits, and a certified central laboratory was used to process the samples and provide results. Baseline, Weeks 6, 26, 39, and 52
Primary Gamma-glutamyl Transferase (Clinical Chemistry): Change From Baseline to End of Study Samples for clinical laboratory tests were collected at study visits, and a certified central laboratory was used to process the samples and provide results. Baseline, Weeks 6, 26, 39, and 52
Primary Alkaline Phosphatase (Clinical Chemistry): Change From Baseline to End of Study Samples for clinical laboratory tests were collected at study visits, and a certified central laboratory was used to process the samples and provide results. Baseline, Weeks 6, 26, 39, and 52
Primary Sodium (Clinical Chemistry): Change From Baseline to End of Study Samples for clinical laboratory tests were collected at study visits, and a certified central laboratory was used to process the samples and provide results. Baseline, Weeks 6, 26, 39, and 52
Primary Potassium (Clinical Chemistry): Change From Baseline to End of Study Samples for clinical laboratory tests were collected at study visits, and a certified central laboratory was used to process the samples and provide results. Baseline, Weeks 6, 26, 39, and 52
Primary Calcium (Clinical Chemistry): Change From Baseline to End of Study Samples for clinical laboratory tests were collected at study visits, and a certified central laboratory was used to process the samples and provide results. Baseline, Weeks 6, 26, 39, and 52
Primary Inorganic Phosphorus (Clinical Chemistry): Change From Baseline to End of Study Samples for clinical laboratory tests were collected at study visits, and a certified central laboratory was used to process the samples and provide results. Baseline, Weeks 6, 26, 39, and 52
Primary Uric Acid (Clinical Chemistry): Change From Baseline to End of Study Samples for clinical laboratory tests were collected at study visits, and a certified central laboratory was used to process the samples and provide results. Baseline, Weeks 6, 26, 39, and 52
Primary Total Cholesterol (Clinical Chemistry): Change From Baseline to End of Study Samples for clinical laboratory tests were collected at study visits, and a certified central laboratory was used to process the samples and provide results. Baseline, Weeks 6, 26, 39, and 52
Primary Albumin (Clinical Chemistry): Change From Baseline to End of Study Samples for clinical laboratory tests were collected at study visits, and a certified central laboratory was used to process the samples and provide results. Baseline, Weeks 6, 26, 39, and 52
Primary Glucose (Clinical Chemistry): Change From Baseline to End of Study Samples for clinical laboratory tests were collected at study visits, and a certified central laboratory was used to process the samples and provide results. Baseline, Weeks 6, 26, 39, and 52
Primary Sodium Bicarbonate/CO2 (Clinical Chemistry): Change From Baseline to End of Study Samples for clinical laboratory tests were collected at study visits, and a certified central laboratory was used to process the samples and provide results. Baseline, Weeks 6, 26, 39, and 52
Primary Magnesium (Clinical Chemistry): Change From Baseline to End of Study Samples for clinical laboratory tests were collected at study visits, and a certified central laboratory was used to process the samples and provide results. Baseline, Weeks 6, 26, 39, and 52
Primary Creatinine Clearance (Clinical Chemistry): Change From Baseline to End of Study Samples for clinical laboratory tests were collected at study visits, and a certified central laboratory was used to process the samples and provide results. Baseline, Weeks 6, 26, 39, and 52
Primary Homocysteine (Clinical Chemistry): Change From Baseline to End of Study Samples for clinical laboratory tests were collected at study visits, and a certified central laboratory was used to process the samples and provide results. Baseline, Weeks 6, 26, and 52
Primary Vitamin B6 (Clinical Chemistry): Change From Baseline to End of Study Samples for clinical laboratory tests were collected at study visits, and a certified central laboratory was used to process the samples and provide results. Baseline, Weeks 6, 26, and 52
Primary Vitamin B12 (Clinical Chemistry): Change From Baseline to End of Study Samples for clinical laboratory tests were collected at study visits, and a certified central laboratory was used to process the samples and provide results. Baseline, Weeks 6, 26, and 52
Primary pH (Urinalysis): Change From Baseline to End of Study Samples for clinical laboratory tests were collected at study visits, and a certified central laboratory was used to process the samples and provide results. Baseline, Weeks 6, 26, 39, and 52
Primary Specific Gravity (Urinalysis): Change From Baseline to End of Study Samples for clinical laboratory tests were collected at study visits, and a certified central laboratory was used to process the samples and provide results. Baseline, Weeks 6, 26, 39, and 52
Primary Orthostatic Systolic Blood Pressure (Vital Signs): Change From Baseline to End of Study Orthostatic blood pressure was measured after the participant had been supine (lying down with their face up) for at least 5 minutes and then, after the participant had been standing for 2 minutes. When vital sign measurements were scheduled at the same time as a blood collection, vital sign measurements were obtained prior to blood collection. Baseline, Weeks 1, 6, 26, and 52 (orthostatic and standing); Baseline, Weeks 2, 4, 13, and 39 (supine)
Primary Orthostatic Diastolic Blood Pressure (Vital Signs): Change From Baseline to End of Study Orthostatic blood pressure was measured after the participant had been supine (lying down with their face up) for at least 5 minutes and then, after the participant had been standing for 2 minutes. When vital sign measurements were scheduled at the same time as a blood collection, vital sign measurements were obtained prior to blood collection. Baseline, Weeks 1, 6, 26, and 52 (orthostatic and standing); Baseline, Weeks 2, 4, 13, and 39 (supine)
Primary Orthostatic Pulse Rate (Vital Signs): Change From Baseline to End of Study Orthostatic pulse rate was measured after the participant had been supine (lying down with their face up) for at least 5 minutes and then, after the participant had been standing for 2 minutes. When vital sign measurements were scheduled at the same time as a blood collection, vital sign measurements were obtained prior to blood collection. Baseline, Weeks 1, 6, 26, and 52 (orthostatic and standing); Baseline, Weeks 2, 4, 13, and 39 (supine)
Primary Electrocardiogram (ECG) Mean Heart Rate: Change From Baseline to End of Study 12-lead electrocardiograms (ECGs) were recorded at study visits after the participant had been supine for at least 5 minutes. Participants were instructed to remain stationary (no talking, laughing, deep breathing, sleeping, or swallowing) for approximately 10 seconds during the ECG recording. When an ECG was recorded at a time near that of a blood collection, the ECG was obtained prior to the blood collection. ECGs on Day 1 were recorded after initiation of the continuous subcutaneous infusion (CSCI) of ABBV-951 prior to the end of the study visit. Baseline, Day 1 (postdose), Weeks 6 and 52
Primary Electrocardiogram (ECG) Aggregate PR Interval: Change From Baseline to End of Study 12-lead electrocardiograms (ECGs) were recorded at study visits after the participant had been supine for at least 5 minutes. Participants were instructed to remain stationary (no talking, laughing, deep breathing, sleeping, or swallowing) for approximately 10 seconds during the ECG recording. When an ECG was recorded at a time near that of a blood collection, the ECG was obtained prior to the blood collection. ECGs on Day 1 were recorded after initiation of the continuous subcutaneous infusion (CSCI) of ABBV-951 prior to the end of the study visit. Baseline, Day 1 (postdose), Weeks 6 and 52
Primary Electrocardiogram (ECG) Aggregate QRS Duration: Change From Baseline to End of Study 12-lead electrocardiograms (ECGs) were recorded at study visits after the participant had been supine for at least 5 minutes. Participants were instructed to remain stationary (no talking, laughing, deep breathing, sleeping, or swallowing) for approximately 10 seconds during the ECG recording. When an ECG was recorded at a time near that of a blood collection, the ECG was obtained prior to the blood collection. ECGs on Day 1 were recorded after initiation of the continuous subcutaneous infusion (CSCI) of ABBV-951 prior to the end of the study visit. Baseline, Day 1 (postdose), Weeks 6 and 52
Primary Electrocardiogram (ECG) Aggregate QT Interval: Change From Baseline to End of Study 12-lead electrocardiograms (ECGs) were recorded at study visits after the participant had been supine for at least 5 minutes. Participants were instructed to remain stationary (no talking, laughing, deep breathing, sleeping, or swallowing) for approximately 10 seconds during the ECG recording. When an ECG was recorded at a time near that of a blood collection, the ECG was obtained prior to the blood collection. ECGs on Day 1 were recorded after initiation of the continuous subcutaneous infusion (CSCI) of ABBV-951 prior to the end of the study visit. Baseline, Day 1 (postdose), Weeks 6 and 52
Primary Electrocardiogram (ECG) Aggregate QTcB Interval: Change From Baseline to End of Study 12-lead electrocardiograms (ECGs) were recorded at study visits after the participant had been supine for at least 5 minutes. Participants were instructed to remain stationary (no talking, laughing, deep breathing, sleeping, or swallowing) for approximately 10 seconds during the ECG recording. When an ECG was recorded at a time near that of a blood collection, the ECG was obtained prior to the blood collection. ECGs on Day 1 were recorded after initiation of the continuous subcutaneous infusion (CSCI) of ABBV-951 prior to the end of the study visit. Baseline, Day 1 (postdose), Weeks 6 and 52
Primary Electrocardiogram (ECG) Aggregate QTcF Interval: Change From Baseline to End of Study 12-lead electrocardiograms (ECGs) were recorded at study visits after the participant had been supine for at least 5 minutes. Participants were instructed to remain stationary (no talking, laughing, deep breathing, sleeping, or swallowing) for approximately 10 seconds during the ECG recording. When an ECG was recorded at a time near that of a blood collection, the ECG was obtained prior to the blood collection. ECGs on Day 1 were recorded after initiation of the continuous subcutaneous infusion (CSCI) of ABBV-951 prior to the end of the study visit. Baseline, Day 1 (postdose), Weeks 6 and 52
Primary Electrocardiogram (ECG) Aggregate RR Interval: Change From Baseline to End of Study 12-lead electrocardiograms (ECGs) were recorded at study visits after the participant had been supine for at least 5 minutes. Participants were instructed to remain stationary (no talking, laughing, deep breathing, sleeping, or swallowing) for approximately 10 seconds during the ECG recording. When an ECG was recorded at a time near that of a blood collection, the ECG was obtained prior to the blood collection. ECGs on Day 1 were recorded after initiation of the continuous subcutaneous infusion (CSCI) of ABBV-951 prior to the end of the study visit. Baseline, Day 1 (postdose), Weeks 6 and 52
Secondary Average Daily Normalized "Off" Time: Change From Baseline to End of Study Upon awakening and every 30 minutes during their normal waking time, participants recorded their state in the Parkinson's Disease Diary (PD Diary) for 2 consecutive days prior to study visits.
"Off" time is defined as periods of poor mobility, tremor, slowness, and stiffness. The daily "On" and "Off" times were normalized to a typical waking day (16 hours) to account for different sleep patterns across participants. When "Off" was the first morning symptom upon awakening, this was considered morning akinesia in this study.
Baseline value is defined as the average of normalized "Off" time collected over the 2 PD Diary days before the Enrollment visit. Negative changes from Baseline indicate improvement.
Baseline, Weeks 1, 6, 13, 26, 39, and 52
Secondary Average Daily Normalized "On" Time With Troublesome Dyskinesia: Change From Baseline to End of Study Upon awakening and every 30 minutes during their normal waking time, participants recorded their state in the Parkinson's Disease Diary (PD Diary) for 2 consecutive days prior to study visits.
"On" time is defined as periods of good motor symptom control. The daily "On" and "Off" times were normalized to a typical waking day (16 hours) to account for different sleep patterns across participants.
Baseline value is defined as the average of normalized "On" time with troublesome dyskinesia collected over the 2 PD Diary days before the Enrollment visit. Negative changes from Baseline indicate improvement.
Baseline, Weeks 1, 6, 13, 26, 39, and 52
Secondary Average Daily Normalized "On" Time Without Troublesome Dyskinesia: Change From Baseline to End of Study Upon awakening and every 30 minutes during their normal waking time, participants recorded their state in the Parkinson's Disease Diary (PD Diary) for 2 consecutive days prior to study visits.
"On" time is defined as periods of good motor symptom control. The daily "On" and "Off" times were normalized to a typical waking day (16 hours) to account for different sleep patterns across participants.
Baseline value is defined as the average of normalized "On" time without troublesome dyskinesia collected over the 2 PD Diary days before the Enrollment visit. Positive changes from Baseline indicate improvement.
Baseline, Weeks 1, 6, 13, 26, 39, and 52
Secondary Movement Disorder Society-Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Part I Score: Change From Baseline to End of Study The Movement Disorder Society-Unified Parkinson's Disease Rating Scale (MDS-UPDRS) is an investigator-used rating tool to follow the longitudinal course of Parkinson's Disease (PD). Part I assesses the participant's non-motor aspects of experiences of daily living (nM-EDL) with 13 questions. (The numeric score for each question is between 0-4; 0=Normal,1=Slight,2=Mild,3=Moderate,4=Severe). Part I scores range from 0 to 52, with higher scores indicating more severe symptoms of PD. Negative changes from Baseline indicate improvement. Baseline, Day 2, Weeks 1, 2, 3, 4, 6, 13, 26, 39, and 52
Secondary Movement Disorder Society-Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Part II Score: Change From Baseline to End of Study The Movement Disorder Society-Unified Parkinson's Disease Rating Scale (MDS-UPDRS) is an investigator-used rating tool to follow the longitudinal course of Parkinson's Disease (PD). Part II assesses the participant's motor experiences of daily living (M-EDL) with 13 questions. (The numeric score for each question is between 0-4; 0=Normal,1=Slight,2=Mild,3=Moderate,4=Severe). Part II scores range from 0 to 52, with higher scores indicating more severe symptoms of PD. Negative changes from Baseline indicate improvement. Baseline, Day 2, Weeks 1, 2, 3, 4, 6, 13, 26, 39, and 52
Secondary Movement Disorder Society-Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Part III Score: Change From Baseline to End of Study The Movement Disorder Society-Unified Parkinson's Disease Rating Scale (MDS-UPDRS) is an investigator-used rating tool to follow the longitudinal course of Parkinson's Disease (PD). Part III assesses the participant's motor examination (including Hoehn and Yahr stage) with 33 questions. (The numeric score for each question is between 0-4; 0=Normal,1=Slight,2=Mild,3=Moderate,4=Severe). Part III scores range from 0 to 132, with higher scores indicating more severe symptoms of PD. Negative changes from Baseline indicate improvement. Baseline, Day 2, Weeks 1, 2, 3, 4, 6, 13, 26, 39, and 52
Secondary Movement Disorder Society-Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Part IV Score: Change From Baseline to End of Study The Movement Disorder Society-Unified Parkinson's Disease Rating Scale (MDS-UPDRS) is an investigator-used rating tool to follow the longitudinal course of Parkinson's Disease (PD). Part IV assesses the participant's motor complications with 6 questions. (The numeric score for each question is between 0-4; 0=Normal,1=Slight,2=Mild,3=Moderate,4=Severe). Part IV scores range from 0 to 24, with higher scores indicating more severe symptoms of PD. Negative changes from Baseline indicate improvement. Baseline, Day 2, Weeks 1, 2, 3, 4, 6, 13, 26, 39, and 52
Secondary Sleep Symptoms as Assessed by the Parkinson's Disease Sleep Scale-2 (PDSS-2) Total Score: Change From Baseline to End of Study The PDSS-2 consists of 15 questions that evaluate motor and non-motor symptoms at night and upon wakening, as well as disturbed sleep grouped into 3 domains: motor symptoms at night (5 items), Parkinson's Disease (PD) symptoms at night (5 items), and disturbed sleep (5 items). The frequency is assessed for the 15 sleep problems based on a 5-point Likert-type scale (ranging from 0 [never] to 4 [very often] with the exception of Question 1 score ranging from 0 [very often] to 4 [never]). Scores are calculated for each of the 3 domains as well as a total score. The PDSS-2 domain scores range from 0 to 20 and the total score is a sum of the 3 domains and ranges from 0 to 60. Higher scores indicate higher frequency and more severe impact of PD on sleep. Negative changes indicate improvement from Baseline. Baseline, Weeks 6, 13, 26, 39, and 52
Secondary Quality of Life Assessed by the Parkinson's Disease Questionnaire-39 Items (PDQ-39) Summary Index Score: Change From Baseline to End of Study The Parkinson's Disease Questionnaire (PDQ-39) is a disease-specific instrument designed to measure aspects of health that are relevant to participants with Parkinson's Disease (PD), and which may not be included in general health status questionnaires. Each item is scored on the following 5-point scale: 0 = never, 1 = occasionally, 2 = sometimes, 3 = often, 4 = always (or cannot do at all, if applicable). Higher scores are consistently associated with more severe symptoms of the disease such as tremors and stiffness. The results can be presented in either domain scores or as a summary index score. The full range of the PDQ-39 summary index score is from 0 (no patient-related symptoms/quality of life unaffected) to 100 (highest patient-related symptoms/low quality of life). Negative changes indicate improvement from Baseline. Baseline, Weeks 6, 13, 26, 39, and 52
Secondary The EuroQol 5-Dimension Questionnaire (EQ-5D-5L) Quality of Life Summary Index: Change From Baseline to End of Study The EuroQol 5-dimension questionnaire (EQ-5D-5L) is a standardized non-disease specific instrument for describing and valuing health-related quality of life. The EQ-5D-5L descriptive system comprises 5 dimensions of health (mobility, self -care, usual activities, pain/discomfort, and anxiety/depression) to describe the participant's current health state. Each dimension comprises 5 levels with corresponding numeric scores, where 1 indicates no problems, and 5 indicates extreme problems. The health status is converted to an index value using the country-specific weighted scoring algorithm for the United States (US). The summary index value for the US ranges from a worst score of -0.109 to a best score of 1. An increase in the EQ-5D-5L total score indicates improvement. Baseline, Weeks 6, 13, 26, 39, and 52
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