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| Name | Class |
|---|---|
| Samsung Medical Center | OTHER |
| Korea University Guro Hospital | OTHER |
| Hanyang University | OTHER |
| Seoul Veterans Hospital |
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The purpose of this study is to determine whether DA-9701(Motilitone) is effective and safe for the treatment on health-related quality of life in Parkinson's disease (PD) patients with gastrointestinal symptoms.
Gastrointestinal (GI) symptoms are frequently complained by PD patients. To improve their symptoms, prokinetics are often used in clinics. However, some prokinetics are dopamine receptor antagonist which can aggravate motor symptoms of PD patients or develop tardive dyskinesia when it affects dopamine receptors of the brain.
DA-9701 (Motilitone) is recently developed herbal medication which has both 5-HT4 agonism and D2 antagonism. Furthermore, it does not cross the blood brain barrier that can be safely used in PD patients. Hypothetically it has a potential to be a good choice for the treatment of GI symptoms of PD patients. However, there has been no study that evaluates its efficacy and safety by randomized clinical trials in PD patients.
This study will evaluate the efficacy and safety of DA-9701 in the double-blind placebo-controlled phase 1 (4 weeks), and the long-term safety of DA-9701 in the open-label phase 2 (8 weeks after phase 1).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Motilitone arm | Experimental | DA-9701 (Motilitone) 30mg 1T three times per day for 4+8 weeks |
|
| Placebo arm | Placebo Comparator | DA-9701 placebo 30mg 1T three times per day for 4 weeks, DA-9701 (Motilitone) 30mg 1T three times per day for 8 weeks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| DA-9701 | Drug | DA-9701 30mg Tablet |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in the Nepean dyspepsia index-Korean version scores | The Nepean dyspepsia index is a tool to measure gastrointestinal symptoms | 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Change in bowel movements per day assessed by a bowel habit questionnaire. | Mean bowel movements per day of recent 1 week will be asked using the bowel habit questionnaire. | 4 weeks, 12 weeks |
| Change in frequency of early satiety per day assessed by a bowel habit questionnaire. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jee-Young Lee, MD, PhD | SMG-SNU Boramae Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hanyang University Medical Center | Seoul | South Korea | ||||
| Korea University Guro Hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32761955 | Derived | Choi JH, Lee JY, Cho JW, Koh SB, Yang YS, Yoo D, Shin CM, Kim HT. Double-Blind, Randomized, Placebo-Controlled Trial of DA-9701 in Parkinson's Disease: PASS-GI Study. Mov Disord. 2020 Nov;35(11):1966-1976. doi: 10.1002/mds.28219. Epub 2020 Aug 6. |
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DATA including IPD can be shared individually upon request by qualified investigators excluding patients' personal information
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The information will be judged by the principal investigator upon individual request.
The information will be judged by the principal investigator upon individual request.
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| OTHER |
| SMG-SNU Boramae Medical Center | OTHER |
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| DA-9701 placebo | Drug | Placebo pill manufactured to mask DA-9701 30mg Tablet |
|
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Mean frequency of early satiety per day of recent 1 week will be asked using the bowel habit questionnaire. The frequency will be categorized as following: 0, no event; 1, once a day; 2, twice a day; 3, every meal. |
| 4 weeks, 12 weeks |
| Change in frequency of gastric fullness after a meal per day assessed by a bowel habit questionnaire. | Mean frequency of gastric fullness after a meal per day of recent 1 week will be asked using the bowel habit questionnaire. The frequency will be categorized as following: 0, no event; 1, once a day; 2, twice a day; 3, every meal. | 4 weeks, 12 weeks |
| Change in severity of epigastric pain assessed by a bowel habit questionnaire. | Existence and severity of epigastric pain of recent 1 week will be asked using the bowel habit questionnaire. The severity will be categorized as following: 0, no event; 1, mild; 2, moderate; 3, severe; 4, very severe. | 4 weeks, 12 weeks |
| Change in the Bristol stool scale score | This is a descriptive picture plate which patients can choose the type of their stool | 4 weeks, 12 weeks |
| Change in the Unified Parkinson's disease rating scale (UPDRS) scores | This is a measure of the severity of Parkinson's disease | 4 weeks, 12 weeks |
| Change in the Parkinson's disease quality of life scale (PDQ-39) scores | This is a measure of everyday quality of life affected by Parkinson's disease | 4 weeks, 12 weeks |
| Change in the Patient global improvement (PGI) scores | This is a measure of patients perception of change in their gastrointestinal symptoms | 4 weeks, 12 weeks |
| Change in the Clinician global improvement (CGI) scores | This is a measure of clinican's assessment of global clinical status of the patient | 4 weeks, 12 weeks |
| Change in the Nepean dyspepsia index-Korean version scores | This is a measure of changes in gastrointestinal symptoms at the end of this trial | 12 weeks |
| Seoul |
| South Korea |
| Samsung Medical Center | Seoul | South Korea |
| Seoul National University Boramae Hospital | Seoul | South Korea |
| Veterans Healthcare Service Medical Center | Seoul | South Korea |
| ID | Term |
|---|---|
| D010300 | Parkinson Disease |
| D004415 | Dyspepsia |
| ID | Term |
|---|---|
| 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 |
| D012817 | Signs and Symptoms, Digestive |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| C533973 | DA-9701 |
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