UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000014988
Receipt number R000017289
Scientific Title An open-label, randomized controlled study evaluating the effectiveness of pramipexole extended-release tablets for tardive dystonia.
Date of disclosure of the study information 2014/09/01
Last modified on 2020/03/03 20:55:26

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Basic information

Public title

An open-label, randomized controlled study evaluating the effectiveness of pramipexole extended-release tablets for tardive dystonia.

Acronym

REDUCTION Trail

Scientific Title

An open-label, randomized controlled study evaluating the effectiveness of pramipexole extended-release tablets for tardive dystonia.

Scientific Title:Acronym

REDUCTION Trail

Region

Japan


Condition

Condition

Tardive dystonia

Classification by specialty

Psychiatry Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To examine the effectiveness of pramipexole extended-release tablets for tardive dystonia.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

Burke-Fahn-Marsden Dystonia Rating Scale

Key secondary outcomes

Extrapyramidal Symptom Rating Scale(ESRS), Brief Psychiatric Rating Scale(BPRS), Euro Qol 5 demensions(EQ-5D)


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

Active

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Active drug group:
In the "active drug group", a fixed daily dose of 0.375 mg of pramipexole extended-release tablet is administered to each patient for the first 4 weeks, after which physician can adjust the trial drug's dosage within the range of 0.375-1.50 mg per day, based on a clinical assessment. If the physician increases the dosage of the drug, the adjustment must be at an interval of at least 1 week. Maximum dose is no more than 1.50 mg per day. Each patient is observed for a total of 16 weeks, during which time the psysician treats the patient in accords with this study protocol.

Interventions/Control_2

Usual care group:
In the "usual care group", each patient's previous medication (such as anticholonergic agents) for tardive dystonia continues to be administered to the patient throughout the trial period of 16 weeks. The addition of any agent and/or adjustment of the treatment drug's dosage are not allowed in this group.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

60 years-old >=

Gender

Male and Female

Key inclusion criteria

To participate in this study, all of the following items must be met by the patient.
1) The patient's dystonia has been confirmed to have been caused by any agent with a blocking effect of dopamine receptor (i.e., tardive dystonia): the dystonia was not observed before the patient took the offending drug, and it emerged following medication with the drug for at least one month.
2) Medication with an anticholinergic agent (such as biperiden, trihexyphenidyl) at a sufficient dose has been provided at least once, but was not effective for the tardive dystonia. In addition, at the time that the patient's consent to participate in the study was obtained, the Global Assessment of Functioning score of the patient did not reach 60 points due to his/her dystonia and the symptoms caused the patient profound distress.
3) Within the 4 weeks before the patient's consent was obtained, the type and dosage of any psychotoropic drugs used were not changed. Occasional use of such drugs is accepted.
4) The patient's age at the time of consent is > 20 and < 60 years old.
5) The patient undestands all aspects of the study and gives written consent. If he/she is not able to understand the study due to his/her psychiatric disease, his/her representative gives written consent.

Key exclusion criteria

1) With blepharospasm or oculogyric crisis alone as a symptom of tardive dystonia
2) Without a treatment history with anticholinergic agent
3) Under treatment with clozapine
4) With treatment histroy of deep brain stimulation (DBS)
5) With treatment history of electroconvulsove therapy (ECT) within 3 months prior to the study enrollment
6) With treatment history of botulinum toxin within 3 months prior to the study enrollment
7) Particition history of a clinical trial with any intervention (
i.e., except for observational study), within the most recent 3 months prior to the study enrollment
8) Without notification of a diagnosis of psychiatric disease
9) pregnant or childbearing-potential woman, and woman who are breast-feeding
10) With renal dysfunction: serum creatinine > 2.0 mg/dl
11) With hypersensitivity to any ingredient of the trial drug
12) With a suicide history within the most recent 1 year prior to the study enrollment
13) Assessed as unsuitable for participation in the study by the study physician

Target sample size

24


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Masaomi Iyo

Organization

Chiba University Graduate School of Medicine

Division name

Department of Psychiatry

Zip code


Address

1-8-1 Inohana, Chuou-ku, Chiba City, Chiba, Japan

TEL

043-222-7171

Email

iyom@faculty.chiba-u.jp


Public contact

Name of contact person

1st name
Middle name
Last name Nobuhisa Kanahara

Organization

Chiba University Center for Forensic Mental Health

Division name

Division of Medical Treatment and Rehabilitation

Zip code


Address

1-8-1 Inohana, Chuou-ku, Chiba City, Chiba, Japan

TEL

043-222-7171

Homepage URL


Email

kanahara@faculty.chiba-u.jp


Sponsor or person

Institute

Department of Psychiatry, Chiba University Graduate School of Medicine

Institute

Department

Personal name



Funding Source

Organization

General grant from Chiba University

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

Shoushin-kai Mobara Psychiatric Hospital(Chiba), Chiba Psychiatric Medical Center (Chiba), Satsuki-kai Sodegaura-Satsukidai Hospital (Chiba), Douwa-kai Chiba Hospital (Chiba), Doujin-kai Kisaradzu Hospital (Chiba)


Other administrative information

Date of disclosure of the study information

2014 Year 09 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2014 Year 09 Month 01 Day

Date of IRB

2014 Year 05 Month 21 Day

Anticipated trial start date

2014 Year 09 Month 01 Day

Last follow-up date

2021 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2014 Year 08 Month 29 Day

Last modified on

2020 Year 03 Month 03 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000017289


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name