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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Arm A: Participants with Advanced Parkinson's Disease | Participants who along with their physicians have elected for treatment with Duodopa/Duopa and are prescribed according to the local product label and reimbursement guidelines for their participating countries. | ||
| Arm B: Participants with Advanced Parkinson's Disease | Participants who along with their physicians have elected for treatment with Duodopa/Duopa and are prescribed according to the local product label and reimbursement guidelines for their participating countries. Participants will be evaluated with a wearable device |
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| Measure | Description | Time Frame |
|---|---|---|
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| Measure | Description | Time Frame |
|---|---|---|
| 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 |
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Inclusion Criteria:
Exclusion Criteria:
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Advanced Parkinson's disease
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| Name | Affiliation | Role |
|---|---|---|
| AbbVie Inc. | AbbVie | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Alabama at Birmingham - Main /ID# 144422 | Birmingham | Alabama | 35233 | United States | ||
| Parkinson's Disease and Moveme /ID# 144413 |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37302039 | Derived | Chaudhuri KR, Kovacs N, Pontieri FE, Aldred J, Bourgeois P, Davis TL, Cubo E, Anca-Herschkovitsch M, Iansek R, Siddiqui MS, Simu M, Bergmann L, Ballina M, Kukreja P, Ladhani O, Jia J, Standaert DG. Levodopa Carbidopa Intestinal Gel in Advanced Parkinson's Disease: DUOGLOBE Final 3-Year Results. J Parkinsons Dis. 2023;13(5):769-783. doi: 10.3233/JPD-225105. | |
| 32873195 |
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| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| Boca Raton |
| Florida |
| 33486 |
| United States |
| University of Florida - Archer /ID# 144415 | Gainesville | Florida | 32610 | United States |
| University of Miami /ID# 144420 | Miami | Florida | 33138 | United States |
| Georgia Regents University /ID# 144417 | Augusta | Georgia | 30912 | United States |
| University of Kansas Health Sy /ID# 154242 | Kansas City | Kansas | 66160-8500 | United States |
| University of Kentucky Chandler Medical Center /ID# 144421 | Lexington | Kentucky | 40536 | United States |
| Johns Hopkins University /ID# 144416 | Baltimore | Maryland | 21287 | United States |
| Mercy St. Mary's Health Center /ID# 144418 | Grand Rapids | Michigan | 49503 | United States |
| Jared Neuroscience Center /ID# 161629 | Springfield | Missouri | 65804 | United States |
| Washington University-School of Medicine /ID# 147235 | St Louis | Missouri | 63110 | United States |
| Univ Nebraska Med Ctr /ID# 147655 | Omaha | Nebraska | 68198 | United States |
| Wake Forest Univ HS /ID# 144419 | Winston-Salem | North Carolina | 27157 | United States |
| Penn State Child Hosp.Hersh,PA /ID# 160671 | Hershey | Pennsylvania | 17033 | United States |
| University of Pennsylvania /ID# 161135 | Philadelphia | Pennsylvania | 19104-5502 | United States |
| Vanderbilt Univ Med Ctr /ID# 150782 | Nashville | Tennessee | 37232-0011 | United States |
| University of Vermont Medical Center /ID# 144410 | Burlington | Vermont | 05401-1473 | United States |
| King County Public Hospital /ID# 144412 | Kirkland | Washington | 98034 | United States |
| Northwest Neurological, PLLC /ID# 144409 | Spokane | Washington | 99202 | United States |
| Concord Repatriation & Gen Hos /ID# 144373 | Concord | New South Wales | 2139 | Australia |
| St. Vincent's Hospital, Darlinghurst /ID# 144376 | Darlinghurst | New South Wales | 2010 | Australia |
| Kingston Centre /ID# 144374 | Cheltenham | Victoria | 3192 | Australia |
| Monash Medical Centre /ID# 144375 | Clayton | Victoria | 3168 | Australia |
| UZ Antwerp /ID# 144378 | Edegem | 2650 | Belgium |
| AZ Groeninge /ID# 144377 | Kortrijk | 8500 | Belgium |
| CHU Tivoli /ID# 144379 | La Louvière | 7100 | Belgium |
| Semmelweis Egyetem /ID# 144381 | Budapest | 1085 | Hungary |
| Pecsi Tudomanyegyetem Klinikai l.sz. Belgyogyaszati Klinika /ID# 144380 | Pécs | 7624 | Hungary |
| Tel Aviv Sourasky Medical Center /ID# 153779 | Tel Aviv | Tel Aviv | 6423906 | Israel |
| Assaf Harofeh Medical Center /ID# 144383 | Be’er Ya‘aqov | 70300 | Israel |
| The Edith Wolfson Medical Center /ID# 144382 | Holon | 58100 | Israel |
| Sheba Medical Center /ID# 147099 | Ramat Gan | 5239424 | Israel |
| Ospedale Santo Stefano /ID# 144386 | Prato | 59100 | Italy |
| Azienda Ospedaliera Sant' Andrea /ID# 144385 | Rome | 00189 | Italy |
| A.O. Circolo e Fondazione Macc /ID# 144384 | Varese | 21100 | Italy |
| Institutul Clinic Fundeni /ID# 144448 | Sector 2 | Bucharest | 022328 | Romania |
| Spitatlul Clinic Colentina /ID# 144447 | Bucharest | 020125 | Romania |
| Spital Universitar Bucuresti /ID# 144446 | Bucharesti | 050098 | Romania |
| Spitalul Clinic Judetean de Ur /ID# 144451 | Oradea, Judet Bihor | 410028 | Romania |
| Spitalul Clinic Judetean /ID# 144453 | Târgu Mureş | 540136 | Romania |
| Sp. Clinic de Judetean /ID# 144449 | Timișoara | 300736 | Romania |
| Sp. Clinic de Judetean /ID# 144452 | Timișoara | 300736 | Romania |
| Univ Medical Ctr Ljubljana /ID# 144387 | Ljubljana | 1000 | Slovenia |
| Hospital Arquitecto Marcide - Complejo Hospitalario Universitario de Ferrol /ID# 151782 | Ferrol | A Coruna | 15405 | Spain |
| Hospital Universitario Mutua Terrassa /ID# 144405 | Terrassa | Barcelona | 08221 | Spain |
| CLINICA UNIVERSIDAD DE NAVARRA-Pamplona /ID# 162277 | Pamplona | Navarra, Comunidad | 31008 | Spain |
| Hospital de Tortosa Verge de la Cinta /ID# 153502 | Tortosa | Tarragona | 43500 | Spain |
| OSI Ezkerraldea-Enkarterri-Cruces /ID# 151781 | Barakaldo | 48903 | Spain |
| Hospital Universitario Vall d'Hebron /ID# 151778 | Barcelona | 08035 | Spain |
| Hospital Universitario de Burgos /ID# 144406 | Burgos | 09006 | Spain |
| King's College Hospital NHS /ID# 147130 | London | SE5 9RS | United Kingdom |
| St. George's Healthcare NHS /ID# 147131 | London | SW17 0QT | United Kingdom |
| Queens Hospital /ID# 147133 | Romford | RM7 0AG | United Kingdom |
| Salford Royal NHS Found Trust /ID# 151783 | Salford | M6 8HD | United Kingdom |
| Aldred J, Anca-Herschkovitsch M, Antonini A, Bajenaru O, Bergmann L, Bourgeois P, Cubo E, Davis TL, Iansek R, Kovacs N, Kukreja P, Onuk K, Pontieri FE, Robieson W, Siddiqui MS, Simu M, Standaert DG, Chaudhuri KR. Application of the '5-2-1' screening criteria in advanced Parkinson's disease: interim analysis of DUOGLOBE. Neurodegener Dis Manag. 2020 Oct;10(5):309-323. doi: 10.2217/nmt-2020-0021. Epub 2020 Sep 2. |
| ID | Term |
|---|---|
| D020820 | Dyskinesias |
| D014202 | Tremor |
| D000084802 | Caregiver Burden |
| ID | Term |
|---|---|
| D009069 | Movement Disorders |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D013315 | Stress, Psychological |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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