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To establish the efficacy of 10, 20 and 40 mg/d dose of istradefylline for reducing the percentage of OFF time in patients with advanced Parkinson's disease (PD) treated with levodopa.
To establish the efficacy of 10, 20 and 40 mg/d dose of istradefylline for reducing the percentage of OFF time in patients with advanced Parkinson's disease (PD) treated with levodopa. Patients who meet entry criteria will be randomized in a 1 to 1 ratio to either istradefylline 10, 20 or 40 mg or matching placebo. Patients will be treated for 12 weeks and will have interim visits and end of treatment visit to assess efficacy and safety.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Istradefylline (KW-6002) | Drug |
| Measure | Description | Time Frame |
|---|---|---|
| To establish the efficacy of 10, 20 and 40 mg/d istradefylline for reducing the percentage of OFF time in patients with advanced Parkinson's disease (PD) treated with levodopa/carbidopa. |
| Measure | Description | Time Frame |
|---|---|---|
| To evaluate the dose-response of 10, 20 and 40 mg/d istradefylline using the primary efficacy outcome variable. | ||
| To evaluate the efficacy of 10, 20 and 40 mg/d istradefylline for reducing the total hours of OFF time. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Neil Sussman, MD | Kyowa Kirin, Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kyowa Pharmaceutical Inc. | Princeton | New Jersey | 08540 | United States | ||
| Kyowa Pharmaceutical |
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| ID | Term |
|---|---|
| D010300 | Parkinson Disease |
| ID | Term |
|---|---|
| D020734 | Parkinsonian Disorders |
| D001480 | Basal Ganglia Diseases |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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| ID | Term |
|---|---|
| C111599 | istradefylline |
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| To evaluate the change in total hours of ON time (without dyskinesia, with dyskinesia, with non-troublesome dyskinesia, and with troublesome dyskinesia). |
| To evaluate the change in Unified Parkinson's Disease Rating Scale (UPDRS) Motor Examination score (part III) and/or in Activities of Daily Living (ADL) score (part II). |
| To evaluate the change in Parkinson's Disease Questionnaire (PDQ-39) and Medical Outcomes Study 36-item Short Form (SF-36). |
| To evaluate the Patient Global Impression - Improvement scale (PGI-I). |
| To evaluate change in the Clinical Global Impression - Severity of Illness scale (CGI-S). |
| To evaluate the safety of 10, 20, and 40 mg/d istradefylline by changes in safety parameters as noted in Section 7.2.4. |
| Princeton |
| New Jersey |
| 08540 |
| United States |
| D009422 | Nervous System Diseases |
| D009069 | Movement Disorders |
| D000080874 | Synucleinopathies |
| D019636 | Neurodegenerative Diseases |