Advanced Parkinson's Disease Clinical Trial
— DUOGLOBEOfficial title:
DUOdopa/Duopa in Patients With Advanced Parkinson's Disease (PD) - a GLobal Observational Study Evaluating Long-Term Effectiveness (DUOGLOBE)
NCT number | NCT02611713 |
Other study ID # | P14-494 |
Secondary ID | |
Status | Completed |
Phase | |
First received | |
Last updated | |
Start date | January 4, 2016 |
Est. completion date | December 24, 2020 |
Verified date | December 2021 |
Source | AbbVie |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
This study is a non-interventional post-marketing observational study (PMOS) of participants with advanced Parkinson's disease (PD) treated with Duodopa/Duopa in a routine clinical setting. Effectiveness of treatment will be collected with physician and participant/caregiver health outcomes beginning with PMOS enrollment (baseline visit), at the start of Duodopa/Duopa treatment via percutaneous endoscopic gastrostomy-with jejunal extension (PEG-J), at regularly scheduled visits closest to Months 3 and 6, and every 6 months thereafter up to 36 months. An additional cohort of participants will be enrolled who in addition will be evaluated with a wearable device.
Status | Completed |
Enrollment | 213 |
Est. completion date | December 24, 2020 |
Est. primary completion date | December 24, 2020 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 99 Years |
Eligibility | Inclusion Criteria: - Eligibility for Duodopa/Duopa therapy in accordance with the approved local Duodopa/Duopa label in the participating country. - Duodopa/Duopa naïve participants - Decision to treat with Duodopa/Duopa made by the physician prior to any decision to approach the participant to participate in this study - Prior to any study-related procedures being performed, the participant, or legal authorized representative (LAR) has voluntarily signed an Authorization for Use/Disclosure of Data (AUDD)/informed consent form (ICF) according to national regulations after the study has been explained and the subject has had the opportunity to have questions answered. - For Arm B: Participant and caregiver must be motivated to use the PKG, understand the instructions and be able to handle the device. - For Arm B: participant must demonstrate at least 75% concordance with the investigator's or qualified designee's assessment of symptoms on the Parkinson's disease diary following training at enrollment visit 1/V1 with concordance on at least 1 time interval of "Off", concordance on at least 1 time interval of "ON regardless of dyskinesia" and at least 1 time interval of "ON with dyskinesia" irrespective of whether the dyskinesia are troublesome or not troublesome. Exclusion Criteria: - Any condition included in the contraindications section of the approved local Duodopa/Duopa label in the participating country. - Participants who have had previous surgery for PD including, but not limited to deep brain stimulation (DBS) or cell transplantation (this criterion removed for US sites for Arm A). - Participants currently in treatment with continuous apomorphine infusion. In case of a previous treatment with continuous subcutaneous apomorphine infusion, there must be at least 4 weeks between discontinuation of this treatment and inclusion into this study. - Mini-Mental State Examination (MMSE) score <24 - Participation in a concurrent interventional clinical trial. - Lack of motivation or insufficient language skills to complete the study questionnaires |
Country | Name | City | State |
---|---|---|---|
Australia | Kingston Centre /ID# 144374 | Cheltenham | Victoria |
Australia | Monash Medical Centre /ID# 144375 | Clayton | Victoria |
Australia | Concord Repatriation & Gen Hos /ID# 144373 | Concord | New South Wales |
Australia | St. Vincent's Hospital, Darlinghurst /ID# 144376 | Darlinghurst | New South Wales |
Belgium | UZ Antwerp /ID# 144378 | Edegem | |
Belgium | AZ Groeninge /ID# 144377 | Kortrijk | |
Belgium | CHU Tivoli /ID# 144379 | La Louviere | |
Hungary | Semmelweis Egyetem /ID# 144381 | Budapest | |
Hungary | Pecsi Tudomanyegyetem Klinikai l.sz. Belgyogyaszati Klinika /ID# 144380 | Pecs | |
Israel | Assaf Harofeh Medical Center /ID# 144383 | Be'er Ya'akov | |
Israel | The Edith Wolfson Medical Center /ID# 144382 | Holon | |
Israel | Sheba Medical Center /ID# 147099 | Ramat Gan | |
Israel | Tel Aviv Sourasky Medical Center /ID# 153779 | Tel Aviv-Yafo | Tel-Aviv |
Italy | Ospedale Santo Stefano /ID# 144386 | Prato | |
Italy | Azienda Ospedaliera Sant' Andrea /ID# 144385 | Rome | |
Italy | A.O. Circolo e Fondazione Macc /ID# 144384 | Varese | |
Romania | Spitatlul Clinic Colentina /ID# 144447 | Bucharest | |
Romania | Spital Universitar Bucuresti /ID# 144446 | Bucharesti | |
Romania | Spitalul Clinic Judetean de Ur /ID# 144451 | Oradea, Judet Bihor | |
Romania | Institutul Clinic Fundeni /ID# 144448 | Sector 2 | Bucuresti |
Romania | Spitalul Clinic Judetean /ID# 144453 | Targu Mures | |
Romania | Sp. Clinic de Judetean /ID# 144449 | Timisoara | |
Romania | Sp. Clinic de Judetean /ID# 144452 | Timisoara | |
Slovenia | Univ Medical Ctr Ljubljana /ID# 144387 | Ljubljana | |
Spain | OSI Ezkerraldea-Enkarterri-Cruces /ID# 151781 | Barakaldo | |
Spain | Hospital Universitario Vall d'Hebron /ID# 151778 | Barcelona | |
Spain | Hospital Universitario de Burgos /ID# 144406 | Burgos | |
Spain | Hospital Arquitecto Marcide - Complejo Hospitalario Universitario de Ferrol /ID# 151782 | Ferrol | A Coruna |
Spain | CLINICA UNIVERSIDAD DE NAVARRA-Pamplona /ID# 162277 | Pamplona | Navarra, Comunidad |
Spain | Hospital Universitario Mutua Terrassa /ID# 144405 | Terrasa | Barcelona |
Spain | Hospital de Tortosa Verge de la Cinta /ID# 153502 | Tortosa | Tarragona |
United Kingdom | King's College Hospital NHS /ID# 147130 | London | |
United Kingdom | St. George's Healthcare NHS /ID# 147131 | London | |
United Kingdom | Queens Hospital /ID# 147133 | Romford | |
United Kingdom | Salford Royal NHS Found Trust /ID# 151783 | Salford | |
United States | Georgia Regents University /ID# 144417 | Augusta | Georgia |
United States | Johns Hopkins University /ID# 144416 | Baltimore | Maryland |
United States | University of Alabama at Birmingham - Main /ID# 144422 | Birmingham | Alabama |
United States | Parkinson's Disease and Moveme /ID# 144413 | Boca Raton | Florida |
United States | University of Vermont Medical Center /ID# 144410 | Burlington | Vermont |
United States | University of Florida - Archer /ID# 144415 | Gainesville | Florida |
United States | Mercy St. Mary's Health Center /ID# 144418 | Grand Rapids | Michigan |
United States | Penn State Child Hosp.Hersh,PA /ID# 160671 | Hershey | Pennsylvania |
United States | University of Kansas Health Sy /ID# 154242 | Kansas City | Kansas |
United States | King County Public Hospital /ID# 144412 | Kirkland | Washington |
United States | University of Kentucky Chandler Medical Center /ID# 144421 | Lexington | Kentucky |
United States | University of Miami /ID# 144420 | Miami | Florida |
United States | Vanderbilt Univ Med Ctr /ID# 150782 | Nashville | Tennessee |
United States | Univ Nebraska Med Ctr /ID# 147655 | Omaha | Nebraska |
United States | University of Pennsylvania /ID# 161135 | Philadelphia | Pennsylvania |
United States | Washington University-School of Medicine /ID# 147235 | Saint Louis | Missouri |
United States | Northwest Neurological, PLLC /ID# 144409 | Spokane | Washington |
United States | Jared Neuroscience Center /ID# 161629 | Springfield | Missouri |
United States | Wake Forest Univ HS /ID# 144419 | Winston-Salem | North Carolina |
Lead Sponsor | Collaborator |
---|---|
AbbVie |
United States, Australia, Belgium, Hungary, Israel, Italy, Romania, Slovenia, Spain, United Kingdom,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in the number of hours spent in OFF time in Arm A | Assess the effectiveness of Duodopa/Duopa treatment on OFF time measured by the change (from baseline to 36 months) in the number of hours spent in OFF time as reported by the participant for the day prior to the clinical visit. | Baseline visit (Enrollment) to month 36 | |
Primary | Change in Duration of OFF time (hours/day) in Arm B | Assess the effectiveness of Duodopa/Duopa treatment measured by the change (from baseline to 6 months) in OFF time duration as measured by UPDRS Part IV (Motor Symptoms), item 39. | Baseline visit (Enrollment) to month 6 | |
Primary | Change in Duration of OFF time (hours/day) in Arm B | Assess the effectiveness of Duodopa/Duopa treatment measured by the change (from baseline to 6 months) in OFF time duration as reported by participant with PD Diary both per full 24 hours and for the time period of 09:00 - 18:00 | Baseline visit (Enrollment) to month 6 | |
Primary | Duration of bradykinesia score above target in Arm B | Assess the effectiveness of Duodopa/Duopa treatment measured by the change (from baseline to 6 months) in duration of bradykinesia score above target between 09:00 - 18:00 and for the full 24 hours per day (measured by Parkinson's KinetiGraph ( PKG)) | Baseline visit (Enrollment) to month 6 | |
Primary | Average bradykinesia score in Arm B | Assess the effectiveness of Duodopa/Duopa treatment measured by the change (from baseline to 6 months) in average bradykinesia score (measured by PKG) | Baseline visit (Enrollment) to month 6 | |
Secondary | Change in Disease-Specific Caregiver Burden in Arm A | Assess the effectiveness of Duodopa/Duopa treatment measured by the change (from baseline to 36 months) in disease-specific caregiver burden as measured by the Modified Caregiver Strain Index (MCSI) for PD with a total score range from 0 to 26. | Baseline visit (Enrollment) to month 36 | |
Secondary | Change in the Duration of Dyskinesia in Arm A | Assess the effectiveness of Duodopa/Duopa treatment measured by the change (from baseline to 36 months) in duration of dyskinesia as reported by the patient for the day prior to the clinical visit | Baseline visit (Enrollment) to month 36 | |
Secondary | Change in Disease-Specific Sleep Quality in Arm A | Assess the effectiveness of Duodopa/Duopa treatment measured by the change (from baseline to 36 months) in disease-specific sleep quality as measured by Parkinson's Disease Sleep Scale-2 (PDSS-2) with a total score range from 0 to 60. | Baseline visit (Enrollment) to month 36 | |
Secondary | Change in Tremor Severity in Arm A | Assess the effectiveness of Duodopa/Duopa treatment measured by the change (from baseline to 36 months) in tremor severity as measured by UPDRS Part III, item 20 (Tremor at Rest) with a total score range of 0 to 20. | Baseline visit (Enrollment) to month 36 | |
Secondary | Change in Motor Function in Arm A | Assess the effectiveness of Duodopa/Duopa treatment measured by the change (from baseline to 36 months) in motor function as measured by UPDRS, Part III (Motor Examination) with a total score range of 0 to 108. | Baseline visit (Enrollment) to month 36 | |
Secondary | Change in Generic Quality of Life in Arm A | Assess the effectiveness of Duodopa/Duopa treatment measured by the change (from baseline to 36 months) in generic quality of life as measured by EuroQoL-5 Dimensions Quality of Life Questionnaire (EQ-5D). This assessment contains a health state descriptive part with five items scored from 1 to 3. | Baseline visit (Enrollment) to month 36 | |
Secondary | Change in Dyskinesia Severity in Arm A | Assess the effectiveness of Duodopa/Duopa treatment measured by the change (from baseline to 36 months) in dyskinesia severity as measured by Unified Dyskinesia Rating Scale (UDysRS) with a total score range from 0 to 104. | Baseline visit (Enrollment) to month 36 | |
Secondary | Change in Overall Clinical Impression of Disease Severity in Arm A | Assess the effectiveness of Duodopa/Duopa treatment measured by the change (from baseline to 36 months) in overall clinical impression of disease severity as measured by Clinical Impression of Severity Index for Parkinson's Disease (CISI-PD) obtained by adding four domain scores with a total score range from 0 to 24. | Baseline visit (Enrollment) to month 36 | |
Secondary | Change in Disease-Specific Quality of Life in Arm A | Assess the effectiveness of Duodopa/Duopa treatment measured by the change (from baseline to 36 months) in disease-specific quality of life (QoL) as measured by Parkinson's Disease Questionnaire 8 (PDQ-8) summary index range from 0 to 100. | Baseline visit (Enrollment) to month 36 | |
Secondary | Change in OFF Time Duration in Arm A | Assess the effectiveness of Duodopa/Duopa treatment measured by the change (from baseline to 36 months) in OFF time duration as measured by UPDRS Part IV (Motor Fluctuations), item 39, with a total score range of 0 to 4. | Baseline visit (Enrollment) to month 36 | |
Secondary | Change in Non-Motor Symptoms in Arm A | Assess the effectiveness of Duodopa/Duopa treatment measured by the change (from baseline to 36 months) in non-motor symptoms as measured by Non-Motor Symptoms Scale (NMSS) with a total score range from 0 to 360. | Baseline visit (Enrollment) to month 36 | |
Secondary | Change in Healthcare Resource Utilization in Arm A | Assess the effectiveness of Duodopa/Duopa treatment measured by the change (from baseline to 36 months) in healthcare resource utilization as measured by the Healthcare Resource Utilization Questionnaire (HCRU). | Baseline visit (Enrollment) to month 36 | |
Secondary | Change in Daytime Sleepiness in Arm A | Assess the effectiveness of Duodopa/Duopa treatment measured by the change (from baseline to 36 months) in daytime sleepiness as measured by Epworth Sleepiness Scale (ESS) with a total score range from 0 to 24. | Baseline visit (Enrollment) to month 36 | |
Secondary | Change in Activities of Daily Living in Arm A | Assess the effectiveness of Duodopa/Duopa treatment measured by the change (from baseline to 36 months) in Activities of Daily Living as measured by Unified Parkinson's Disease Rating Scale (UPDRS) Part II (Activity of Daily Living) with a total score range of 0 to 52. | Baseline visit (Enrollment) to month 36 | |
Secondary | Change in Complications of Therapy in Arm A | Assess the effectiveness of Duodopa/Duopa treatment measured by the change (from baseline to 36 months) in Complications of Therapy (dyskinesia duration, disability, pain and early morning dystonia) as measured by UPDRS Part IV (Complications of Therapy), items 32 (individual score 0 to 4), 33 (individual score 0 to 4), 34 (individual score 0 to 4), 35 (individual score 0 to 1) and total score range of 0 to 13. | Baseline visit (Enrollment) to month 36 | |
Secondary | Correlation of non-motor and motor improvements with Quality of Life improvements in Arm A | Assess the correlation of non-motor and motor improvements with the improvement in the Quality of Life (QOL). | Baseline visit (Enrollment) to month 36 | |
Secondary | Correlation between duration of OFF time measured by UPDRS IV and duration of bradykinesia score above target in Arm B | Assess the correlation between duration of OFF time measured by UPDRS IV item 39 and duration of bradykinesia score above target between 09:00 - 18:00 and for the full 24 hours per day measured by PKG | Baseline visit (Enrollment) to month 6 | |
Secondary | Correlation between duration of OFF time measured by patient with PD Diary and average bradykinesia score in Arm B | Assess the correlation between duration of OFF time measured by patient with PD Diary both per full 24 hours and for the time period of 09:00 - 18:00 and average bradykinesia score measured by PKG | Baseline visit (Enrollment) to month 6 | |
Secondary | Correlation between duration of bradykinesia score above target and average bradykinesia score in Arm B | Assess the correlation between duration of bradykinesia score above target between 09:00 - 18:00 and for the full 24 hours per day measured by PKG and average bradykinesia score measured by PKG | Baseline visit (Enrollment) to month 6 | |
Secondary | Correlation between duration of OFF time measured by patient with PD Diary and duration of bradykinesia score above target in Arm B | Assess the correlation between duration of OFF time measured by patient with PD Diary both per full 24 hours and for the time period of 09:00 - 18:00 and duration of bradykinesia score above target between 09:00 - 18:00 and for the full 24 hours per day measured by PKG | Baseline visit (Enrollment) to month 6 | |
Secondary | Correlation between duration of OFF time measured by UPDRS IV and average bradykinesia score in Arm B | Assess the correlation between duration of OFF time measured by UPDRS IV item 39 and average bradykinesia score measured by PKG | Baseline visit (Enrollment) to month 6 | |
Secondary | Correlation between duration of dyskinesia and Unified Dyskinesia Rating Scale (UDysRS) in Arm B | Pairwise correlation between duration of dyskinesia both per full 24 hours and 09:00 - 18:00 (based on UPDRS IV, PD diary and dyskinesia score measured by PKG) and UDysRS will be evaluated | Baseline visit (Enrollment) to month 6 | |
Secondary | Severity of dyskinesia in Arm B | Severity of dyskinesia (item 33 score of UPDRS IV, UDysRS total score or the PKG-based dyskinesia score and the pairwise correlation between these will be evaluated | Baseline visit (Enrollment) to month 6 | |
Secondary | Motor symptoms in Arm B | Motor symptoms measured by UPDRS III in ON state and correlation with PKG-based bradykinesia score will be evaluated | Baseline visit (Enrollment) to month 6 | |
Secondary | Severity of tremor in Arm B | Severity of tremor measured by item 20 of UPDRS III in ON state and PKG-based tremor score and correlation between both will be evaluated | Baseline visit (Enrollment) to month 6 | |
Secondary | Activities of Daily Living (ADL) in Arm B | ADL measured by UPDRS II in ON state and correlation with and PKG-based fluctuation/dyskinesia score and bradykinesia score will be evaluated | Baseline visit (Enrollment) to month 6 | |
Secondary | Sleep in Arm B | Sleep as measured by PDSS-2, sleep/fatigue subdomain of NMSS, duration of sleep based on PD Diary or PKG-based night-time total sleep and pairwise correlation between these will be evaluated | Baseline visit (Enrollment) to month 6 | |
Secondary | Daytime sleepiness in Arm B | Daytime sleepiness as measured by PKG-based percent of time asleep in the day time and the Epworth Sleepiness Scale and the correlation between these will be evaluated | Baseline visit (Enrollment) to month 6 | |
Secondary | Quality of Life (QoL) in Arm B | QoL as measured by PDQ-8 and the correlation with PKG-based fluctuation/dyskinesia and bradykinesia scores will be evaluated | Baseline visit (Enrollment) to month 6 |
Status | Clinical Trial | Phase | |
---|---|---|---|
Recruiting |
NCT02154724 -
Clinical Study for Adaptive Deep Brain Stimulation (aDBS)Controlled by Intracerebral Activity in Parkinson's Disease
|
N/A | |
Completed |
NCT02549092 -
A Study to Examine the Effect of Levodopa-Carbidopa Intestinal Gel (LCIG) Therapy Relative to That of Optimized Medical Treatment (OMT) on Non-motor Symptoms (NMS) Associated With Advanced Parkinson's Disease (PD)
|
Phase 3 | |
Completed |
NCT01960842 -
A Study to Assess the Efficacy, Safety and Tolerability of ABT-SLV187 Monotherapy in Subjects With Advanced Parkinson's Disease (PD) and Persistent Motor Complications, Despite Optimized Treatment With Available Anti-Parkinsonian Medications
|
Phase 3 | |
Completed |
NCT01723904 -
A Phase 3b, Open-Label, Safety and Efficacy Study of Rotigotine as Add-On Therapy With Low Doses of Pramipexole or Ropinirole in Patients With Advanced Parkinson's Disease
|
Phase 3 | |
Completed |
NCT01479127 -
Study of Safety, Tolerability, Pharmacokinetics, and Efficacy of ABT-SLV187 in Subjects With Advanced Parkinson's Disease
|
Phase 2 | |
Completed |
NCT03007888 -
A Study to Assess the PK and Pharmacodynamics of IPX203 in Subjects With Advanced Parkinson's Disease
|
Phase 2 | |
Completed |
NCT00660673 -
Open Label Continuation Treatment Study With Levodopa-Carbidopa Intestinal Gel in Advanced Parkinson's Disease
|
Phase 3 | |
Active, not recruiting |
NCT04802733 -
Phase 1 Safety and Tolerability Study of MSK-DA01 Cell Therapy for Advanced Parkinson's Disease
|
Phase 1 | |
Completed |
NCT01736176 -
A Study to Assess the Safety and Efficacy of Levodopa-carbidopa Intestinal Gel (LCIG) for the Treatment of Non-motor Symptoms in Patients With Advanced Parkinson's Disease
|
Phase 3 | |
Completed |
NCT02082249 -
An Extension Study to Assess the Safety, Tolerability and Efficacy of ABT-SLV187 in Subjects With Advanced Parkinson's Disease and Persistent Motor-Complications Despite Optimized Treatment With Available Anti-Parkinsonian Medications
|
Phase 3 | |
Terminated |
NCT01536015 -
Effect of Rotigotine on Motor Symptoms in Patients With Advanced Parkinson's Disease (PD) With Motor Fluctuations and Symptoms of Gastrointestinal Dysfunction
|
Phase 3 | |
Completed |
NCT00357994 -
Study of Efficacy, Safety and Tolerability of Levodopa-Carbidopa Intestinal Gel in Levodopa-Responsive Parkinson's Subjects
|
Phase 3 | |
Completed |
NCT00335153 -
Levodopa-Carbidopa Intestinal Gel Open-Label Study in Advanced Parkinson's Disease
|
Phase 3 | |
Active, not recruiting |
NCT06396494 -
An Automated Navigation System for Deep Brain Electrode Implantation
|
||
Recruiting |
NCT06195124 -
A Study on the Safety and Tolerability of RGL-193 in Patients With Advanced Parkinson's Disease
|
Early Phase 1 | |
Completed |
NCT00660387 -
Study of Efficacy, Safety and Tolerability of Levodopa-Carbidopa Intestinal Gel in Levodopa-Responsive Parkinson's Subjects
|
Phase 3 |