Essential Tremor Clinical Trial
Official title:
Efficacy of Pramipexole Extended Release in the Treatment of Essential Tremor: a Double-blind, Cross-over, Placebo-controlled Multicenter Study
Aim of the study is to perform a double-blind, crossover, placebo-controlled multicenter study evaluating the efficacy of pramipexole on essential tremor.
Essential tremor is one of the most common movement disorders with the prevalence of 3-5%
among the elderly population. Although its main clinical feature is the bilateral,
predominantly postural-kinetic tremor, newer studies suggest that ET is a spectrum of
clinical features with both motor and nonmotor elements not homogeneously distributed.
Despite its high occurrence, the pharmacological treatment of ET is limited. Although the
mainline drugs, propranolol and primidone, can provide good clinical benefit in a portion of
cases, >50% of the patients stop the medication due to inefficacy or side-effects.
Hypotension, dizziness, bradycardia, cognitive impairment, fatigue and erectile dysfunction
are the most common side-effects contributing to medication discontinuation.
In an open-label pilot study, the investigators previously demonstrated that 2.1 mg/day
pramipexole extended-release improved both the severity of tremor (by 52%) and
health-related quality of life.
The present study aims to confirm this hypothesis in a double-blind, crossover,
placebo-controlled multicenter study.
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