Parkinson's Disease Clinical Trial
Official title:
Randomized, Dose-finding Study of BF 2.649 5, 10 20 and 40 mg/d in Comparison to Placebo in Excessive Daytime Sleepiness in Parkinson's Disease Patients (PD)
The objective of this trial is to define the minimum effective dose of BF 2.649 between 5 mg, 10 mg, 20 mg or 40 mg versus placebo in reducing the Excessive Daytime Sleepiness of Parkinson's disease patients
Parkinson's disease (PD) is a progressive neurodegenerative disorder characterized by
resting tremor, rigidity, bradykinesia and loss of postural reflexes that affects 1% of the
North American population. Besides these motor problems there are also so called non-motor
problems.
Excessive daytime sleepiness (EDS) is a bothersome non-motor problem, which affects 20% to
50% of all PD patients and currently, there isn't any registered treatment for that trouble.
The study medication BF2.649 tested here is a novel, highly potent, selective, orally active
inverse agonist at the histamine H3 receptor, therefore strengthens histaminergic
transmission in the brain and increases wakefulness EDS is characterized by daytime
somnolence and sudden sleep episodes. This problem has several consequences, e.g., an
impairment of quality of life, an interference with activities of daily living and other
handicaps in the management of social and family affairs.
The primary endpoint of this study will be measured by the change in the well-validated
Epworth sleepiness scale (ESS). The ESS is a simple self-administered 8-item questionnaire.
The outcome is to get an impression about the level of the daytime sleepiness in several
real-life situations.
On the basis of this pharmacological and clinical rationale it is considered relevant to
carry out a dose-finding study for this original, non-amphetamine molecule in PD patients
affected by excessive daytime sleepiness. PD severity will be assessed by the routinely used
UPDRS.
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Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment
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