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| ID | Type | Description | Link |
|---|---|---|---|
| 2011-005201-75 | EudraCT Number |
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Traditionally amantadine is used at the beginning of Parkinson Disease (PD) treatment in the early stages of the disease, as a modest antiparkinsonian symptomatic treatment. This treatment is usually maintained for no more than the first few months of management, before resorting to drugs deemed more effective as dopamine agonists and lévo-DOPA (L-DOPA). A more modern use of the drug is at a more advanced stage of PD when dyskinesia are already established and become disabling for the patients. There is no data between these two extremes of life stages of Parkinsonism. However, the mechanisms of action of amantadine and the pathophysiology of the motor complications induced by L-DOPA, in particular dyskinesia suggest that the early and prolonged use of amantadine in the early years of management, before L-DOPA-induced dyskinesia have already emerged, should have a positive impact on long-term occurrence and fate of these symptoms, possibly through a glutamatergic mechanism of brain plasticity-of the "disease modification" type.
Traditionally amantadine is used at the beginning of Parkinson Disease (PD) treatment in the early stages of the disease, as a modest antiparkinsonian symptomatic treatment. This treatment is usually maintained for no more than the first few months of management, before resorting to drugs deemed more effective as dopamine agonists and lévo-DOPA (L-DOPA). A more modern use of the drug is at a more advanced stage of PD when dyskinesia are already established and become disabling for the patients. There is no data between these two extremes of life stages of Parkinsonism. However, the mechanisms of action of amantadine and the pathophysiology of the motor complications induced by L-DOPA, in particular dyskinesia suggest that the early and prolonged use of amantadine in the early years of management, before L-DOPA-induced dyskinesia have already emerged, should have a positive impact on long-term occurrence and fate of these symptoms, possibly through a glutamatergic mechanism of brain plasticity-of the "disease modification" type.
The primary purpose of this study is to demonstrate that early introduction of treatment with amantadine (200 mg / d) in the early years of therapeutic care, that is to say during the "honeymoon" of levodopa (early phase of disease <3 years of diagnosis <1 year of L-dopa and lack of complications of levodopa therapy) decreases the rate of subjects with abnormal involuntary dyskinetic movements after 18 months of follow-up.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Amantadine | Experimental | Patients with amantadine |
|
| Placebo | Placebo Comparator | Patients with amantadine placebo |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Amantadine | Drug | 200mg / day once daily in the morning and at noon - oral administration - |
|
| Measure | Description | Time Frame |
|---|---|---|
| after 18 months of Phase 1 of the study | Rate of patient with abnormal involuntary dyskinetic movements (as specifically defined in the protocol) after 18 months of Phase 1 of the study (amantadine versus placebo). | after 18 months of follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| abnormal involuntary dyskinetic movements at the end of phase 3 of the study (wash out) | Rate of patients with abnormal involuntary dyskinetic movements at the end of phase 3 of the study (wash out) | 22 months after inclusion |
| motor fluctuations after 18 months of Phase 1 of the study |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Olivier Rascol, MD | University Hospital, Toulouse | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHG Aix en Provence | Aix-en-Provence | 13616 | France | |||
| CHU de Bordeaux |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41316871 | Result | Rascol O, Ory-Magne F, Meissner WG, Maltete D, Defebvre L, Azulay JP, Thobois S, Houeto JL, Thalamas C, Sommet A, Geny C, Damier P, Anheim M, Marques A, Viallet F, Giroud M, Lefaucheur R, Costentin G, Spampinato U, Samier-Foubert A, Carriere N, Mutez E, Mariani LL, Eusebio A, Prange S, Benatru I, Charif M, Brefel-Courbon C, Fabbri M, Galitzky M, Rousseau V, Saubion A, Catala H, Ferreira JJ, Burn DJ, Corvol JC; PREMANDYSK Study Group. Effect on Dyskinesia of the Early Combination of Amantadine to Levodopa-Therapy in Parkinson's Disease: A Randomized, Placebo-Controlled Study (PREMANDYSK). Mov Disord. 2026 Mar;41(3):729-740. doi: 10.1002/mds.70120. Epub 2025 Nov 29. |
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| ID | Term |
|---|---|
| D010300 | Parkinson Disease |
| D020820 | Dyskinesias |
| ID | Term |
|---|---|
| D020734 | Parkinsonian Disorders |
| D001480 | Basal Ganglia Diseases |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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| ID | Term |
|---|---|
| D000547 | Amantadine |
| D000095485 | Bulk Drugs |
| ID | Term |
|---|---|
| D000218 | Adamantane |
| D001952 | Bridged-Ring Compounds |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
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| placebo | Drug | 200mg / day once daily in the morning and at noon - oral administration - |
|
|
Rate of patients with non-motor fluctuations after 18 months of Phase 1 (defined by the specific scale developed by the Marseille team involved in the project) |
| 18 months after inclusion |
| Time to onset of dyskinesias | Time to onset of dyskinesias defined as the study visit at which the investigator answers "yes" for the first time the question "do you think this patient has dyskinesia as defined in Protocol " | each visits |
| Bordeaux |
| 33604 |
| France |
| CH Jean Rougier | Cahors | 46005 | France |
| CHU Clermont-Ferrand | Clermont-Ferrand | 63003 | France |
| CHU Dijon | Dijon | 21079 | France |
| CHU Lille | Lille | 59037 | France |
| CHU Dupuytren | Limoges | 87042 | France |
| Hopital Lyon | Lyon | 69003 | France |
| Hopital de la Timone | Marseille | 13385 | France |
| CH Montauban | Montauban | 82013 | France |
| hopital Saint Eloi | Montpellier | 34295 | France |
| CHu de Nantes | Nantes | 44093 | France |
| CH de Narbonne | Narbonne | 11108 | France |
| Hopital pitié Salpétriére | Paris | 75013 | France |
| Hopital Jean Bernard | Poitiers | 86021 | France |
| CH Charles Nicolle | Rouen | 76031 | France |
| CHU de Strasbourg | Strasbourg | France |
| CHU de Toulouse | Toulouse | 31000 | France |
| D009422 | Nervous System Diseases |
| D009069 | Movement Disorders |
| D000080874 | Synucleinopathies |
| D019636 | Neurodegenerative Diseases |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009930 |
| Organic Chemicals |
| D004364 | Pharmaceutical Preparations |