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The purpose of this study is to determine whether OC (oxybutynin and clonidine) oral solution is effective in reducing saliva secretion in patients suffering from Parkinson's Disease with excessive salivation.
Sialorrhea is excessive flow of saliva associated with its unintentional loss from the mouth, commonly known as drooling. Sialorrhea may result from any combination of hypersecretion, problems swallowing or sensorimotor problems containing saliva in the mouth. It is commonly found in people with neurological dysfunction such as Parkinson's Disease, leading to social isolation and embarrassment. In general, treatment options are limited because of the underlying chronic disease. The objective of the proposed low-dose, new combination drug, OC Oral solution is to develop a new treatment option that can be used to titrate saliva secretion rates to a level that is low enough to prevent unintentional loss (i.e. drooling) but not so low as to cause an uncomfortably dry mouth.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| oxybutynin and clonidine oral solution treatment D | Placebo Comparator | Placebo |
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| oxybutynin and clonidine oral solution treatment C | Experimental | High dose oxybutynin and clonidine |
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| oxybutynin and clonidine oral solution treatment A | Experimental | Low dose oxybutynin and clonidine |
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| oxybutynin and clonidine oral solution treatment B | Experimental | Intermediate dose oxybutynin and clonidine |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| oxybutynin and clonidine oral solution treatment A | Drug |
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| Measure | Description | Time Frame |
|---|---|---|
| Saliva Secreted Rate | Change from baseline, negative mean reduce secret rate from baseline, positive mean not reduce secretion. | 8 hours post-dose |
| Measure | Description | Time Frame |
|---|---|---|
| Numeric Rating Scale (NRS) Measurements of Subjective Judgment of Excessive Saliva Production | Evaluation of change from baseline the subjective assessment of saliva production after administration of a single dose of different combinations of oxybutynin and clonidine (OC Oral solution) in patients suffering from Parkinson's disease with excessive salivation. Compare with baseline the number of rate scale was more production with baseline or reduce from baseline. The min and max of the score is 0 and 10, the total range is 0~10, and higher value is represented more worse outcome. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Aaron L Ellenbogen, DO, MPH | QUEST Research Institute | Principal Investigator |
| Chi-Tai Chang, PhD | Orient Pharma Co., Ltd. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| QUEST Research Institute | Bingham Farms | Michigan | 48025 | United States |
After informed consent process, investigators screened 35 patients and successfully randomized 24 patients to receive study treatments. The other 11 patients were screening failure since they failed to meet study required inclusion and/or exclusion criteria.
This single center Phase II study was initated on 02 Aug 2011. First patient was screened on 25 Aug 2011. All the study patients were recruited from medical clinic and the patient recruitment ended on 23 Aug 2012.The last study patient completed study on 19 Sep 2012.
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| ID | Title | Description |
|---|---|---|
| FG000 | Sequence 1: Treatment A→Treatment B→Treatment D→Treatment C | Treatment A:Oxybutynin 2.0 mg and clonidine 37.5 μg Treatment B: Oxybutynin 5.0 mg and clonidine 50.0 μg Treatment C: Oxybutynin 7.5 mg and clonidine 75.0 μg Treatment D:Placebo |
| FG001 | Sequence 2: Treatment B→Treatment C→Treatment A→Treatment D |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| First Intervention |
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| oxybutynin and clonidine oral solution treatment B | Drug |
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| oxybutynin and clonidine oral solution treatment C | Drug |
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| oxybutynin and clonidine oral solution treatment D | Drug | Placebo |
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| 8 hours post-dose |
| Evaluation of the Safety and Tolerability of Different Combinations of Oxybutynin and Clonidine (OC Oral Solution) in Patients Suffering From Parkinson's Disease With Excessive Salivation | Evaluation of the safety and tolerability of different combinations of oxybutynin and clonidine (OC Oral solution) in patients suffering from Parkinson's disease with excessive salivation. Calculate the treatment Emergent Adverse Events number during the study treatment period and follow up period up to at least 23 days excluding the screening period. | during the study treatment period and follow up period at least 23 days excluding the screening period. |
Treatment B: Oxybutynin 5.0 mg and clonidine 50.0 μg Treatment C: Oxybutynin 7.5 mg and clonidine 75.0 μg Treatment A:Oxybutynin 2.0 mg and clonidine 37.5 μg Treatment D:Placebo |
| FG002 | Sequence 3: Treatment C→Treatment D→Treatment B→Treatment A | Treatment C: Oxybutynin 7.5 mg and clonidine 75.0 μg Treatment D:Placebo Treatment B: Oxybutynin 5.0 mg and clonidine 50.0 μg Treatment A:Oxybutynin 2.0 mg and clonidine 37.5 μg |
| FG003 | Sequence 4: Treatment D→Treatment A→Treatment C→Treatment B | Treatment D:Placebo Treatment A:Oxybutynin 2.0 mg and clonidine 37.5 μg Treatment C: Oxybutynin 7.5 mg and clonidine 75.0 μg Treatment B: Oxybutynin 5.0 mg and clonidine 50.0 μg |
| COMPLETED |
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| NOT COMPLETED |
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| Washout Period of >=5 Days |
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| Second Intervention |
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| Washout Period of >=5 Days |
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| Third Intervention |
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| Washout Period of >=5 Days |
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| Fourth Intervention |
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| ID | Title | Description |
|---|---|---|
| BG000 | Sequence 1 | Treatment A→Treatment B→Treatment D→Treatment C |
| BG001 | Sequence 2 | Treatment B→Treatment C→Treatment A→Treatment D |
| BG002 | Sequence 3 | Treatment C→Treatment D→Treatment B→Treatment A |
| BG003 | Sequence 4 | Treatment D→Treatment A→Treatment C→Treatment B |
| BG004 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants | Participants |
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| Age, Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Saliva Secreted Rate | Change from baseline, negative mean reduce secret rate from baseline, positive mean not reduce secretion. | Posted | Mean | Standard Deviation | percentage of change from baseline | 8 hours post-dose |
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| Secondary | Numeric Rating Scale (NRS) Measurements of Subjective Judgment of Excessive Saliva Production | Evaluation of change from baseline the subjective assessment of saliva production after administration of a single dose of different combinations of oxybutynin and clonidine (OC Oral solution) in patients suffering from Parkinson's disease with excessive salivation. Compare with baseline the number of rate scale was more production with baseline or reduce from baseline. The min and max of the score is 0 and 10, the total range is 0~10, and higher value is represented more worse outcome. | Posted | Mean | Standard Deviation | score on a scale | 8 hours post-dose |
| |||||||||||||||||||||||||||||||||||||
| Secondary | Evaluation of the Safety and Tolerability of Different Combinations of Oxybutynin and Clonidine (OC Oral Solution) in Patients Suffering From Parkinson's Disease With Excessive Salivation | Evaluation of the safety and tolerability of different combinations of oxybutynin and clonidine (OC Oral solution) in patients suffering from Parkinson's disease with excessive salivation. Calculate the treatment Emergent Adverse Events number during the study treatment period and follow up period up to at least 23 days excluding the screening period. | Posted | Number | Treatment Emergent Adverse Events | during the study treatment period and follow up period at least 23 days excluding the screening period. |
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23 days for experimental period and follow up period.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | OC Oral Solution Treatment A | Low dose oxybutynin and clonidine OC oral solution treatment A : | 0 | 24 | 6 | 24 | ||
| EG001 | OC Oral Solution Treatment B | Intermediate dose oxybutynin and clonidine OC oral solution treatment B : | 0 | 24 | 6 | 24 | ||
| EG002 | OC Oral Solution Treatment C | High dose oxybutynin and clonidine OC oral solution treatment C : | 0 | 24 | 5 | 24 | ||
| EG003 | OC Oral Solution Treatment D | Placebo OC oral solution treatment D : Placebo | 0 | 23 | 4 | 23 |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Diarrhoea | Gastrointestinal disorders | MedDRA 15.0 | Systematic Assessment |
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| Nausea | Gastrointestinal disorders | MedDRA 15.0 | Systematic Assessment |
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| Gait disturbance | General disorders | MedDRA 15.0 | Systematic Assessment |
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| Tooth infection | Infections and infestations | MedDRA 15.0 | Systematic Assessment |
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| Urinary tract infection | Infections and infestations | MedDRA 15.0 | Systematic Assessment |
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| Heart rate irregular | Investigations | MedDRA 15.0 | Systematic Assessment |
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| Dizziness | Nervous system disorders | MedDRA 15.0 | Systematic Assessment |
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| Somnolence | Nervous system disorders | MedDRA 15.0 | Systematic Assessment |
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| Hallucination | Psychiatric disorders | MedDRA 15.0 | Systematic Assessment |
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| Choking | Respiratory, thoracic and mediastinal disorders | MedDRA 15.0 | Systematic Assessment |
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Due to adverse event, one female patient (randomized number R24) did not complete her 4th study treatment (Treatment D/Placebo) in this 4-way cross over study.
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Aaron L. Ellenbogen, OD, MPH | Quest Research Institute | +1 248 644 7770 | aellenbogen@comcast.net |
| ID | Term |
|---|---|
| D012798 | Sialorrhea |
| D010300 | Parkinson Disease |
| ID | Term |
|---|---|
| D012466 | Salivary Gland Diseases |
| D009059 | Mouth Diseases |
| D009057 | Stomatognathic Diseases |
| D020734 | Parkinsonian Disorders |
| D001480 | Basal Ganglia Diseases |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D009069 | Movement Disorders |
| D000080874 | Synucleinopathies |
| D019636 | Neurodegenerative Diseases |
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| ID | Term |
|---|---|
| C005419 | oxybutynin |
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| Between 18 and 65 years |
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| >=65 years |
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| Male |
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Placebo
OC oral solution treatment D : Placebo
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placebo oxybutynin and placebo clonidine |
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