UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000024536
Receipt number R000028214
Scientific Title Intervention Study for the effect of Istradefylline on onset of Dyskinesia in Patients with Parkinson's Disease.
Date of disclosure of the study information 2016/10/25
Last modified on 2019/07/05 16:11:15

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Intervention Study for the effect of Istradefylline on onset of Dyskinesia in Patients with Parkinson's Disease.

Acronym

ODYSSEI Study(Onset of Dyskinesia and Safety/Efficacy of Istradefylline)

Scientific Title

Intervention Study for the effect of Istradefylline on onset of Dyskinesia in Patients with Parkinson's Disease.

Scientific Title:Acronym

ODYSSEI Study(Onset of Dyskinesia and Safety/Efficacy of Istradefylline)

Region

Japan


Condition

Condition

Parkinson's disease

Classification by specialty

Neurology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The objective of this study is to evaluate whether the addition of istradefylline delays the onset of dyskinesia in Parkinson's disease patients experiencing wearing-off symptoms on levodopa therapy but who have never experienced dyskinesia.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Time to onset of dyskinesia

Key secondary outcomes

-Time to onset of troublesome dyskinesia
-Change in Movement Disorder Society-Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Part1,2,3,4 score and total score
-Change in Parkinson's Disease Questionnaire (PDQ)-39 score
-Change in modifyied Hoehn & Yahr scale
-Change in Mini Mental State Examination (MMSE) score
-Change in Levodopa dose and Levodopa equivalent dose


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Treatment with istradefylline combined with optimal medical therapy.

Treatment with istradefylline will be started at a dose of 20 mg administered once daily at Week 0. The dose of istradefylline will be increased to 40 mg once daily if the patient has no tolerability issues and still has motor symptoms at Week 4.

From the following day of Week 4, Optimal medical therapy including istradefylline will be applied to each patient.

Interventions/Control_2

Optimal medical therapy without istradefylline.

Treatment with increased dose of previously used antiparkinson drugs or addition of new antiparkinson drug other than istradefylline will be started at Week 0.

After Week 4, Optimal medical therapy without istradefylline will be applied to each patient.

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

30 years-old <=

Age-upper limit

80 years-old >

Gender

Male and Female

Key inclusion criteria

(1)Current use of levodopa-containing drugs more than 300mg/day administered at least three times daily
(2)Patients with wearing-off
(3)Patients who have never previously experienced dyskinesia
(4)>= 30 to < 80 years of age at the time of consent.
(5)Diagnosed as Parkinson's disease based on UK Parkinson's Disease Society Brain Bank criteria
(6)Stages <=4 in the ON state for Modified Hoehn and Yahr Scale.
(7)Stable antiparkinson drug regimen for at least 4 weeks prior to study entry.
(8)Completion of patient diary training and able to satisfactorily complete patient diary.
(9)Patients who have given written consent if the patient has difficulty in writing due to his or her condition, a representative may sign the written consent, subject to the patient's prior oral consent.

Key exclusion criteria

(1)Current use of istradefylline (within 1 year prior to study entry)
(2)Current use of amantadine (within 3 months prior to study entry)
(3)Current use of an investigational drug (within 4 months prior to study entry.)
(4)Patients with dementia or a score of 23 or less on the Mini-Mental State Examination (MMSE)
(5)Patients with a previous history of brain surgery for the treatment of parkinson's disease.
(6)Current use or plan to administer levodopa/carbidopa intestinal gel
(7)Patients with moderate to severe hepatic disorder
(8)Current use of a strong inhibitor of CYP3A4 (within 14days prior to study entry)
(9)Current use of typical and atypical antipsychotics (within 3 months prior to study entry)
(10)Female patients who are pregnant, trying to become pregnant or nursing (lactating) an infant.
(11)Patients who are in the Investigator's judgment unlikely to comply with medical regimens or study requirements.

Target sample size

280


Research contact person

Name of lead principal investigator

1st name Yoshio
Middle name
Last name Tsuboi

Organization

Fukuoka University

Division name

Neurology

Zip code

814-0180

Address

7-45-1 Nanakuma, Jonan-ku, Fukuoka 814-0180, JAPAN

TEL

092-801-1011

Email

tsuboi@cis.fukuoka-u.ac.jp


Public contact

Name of contact person

1st name Yoshio
Middle name
Last name Tsuboi

Organization

Fukuoka University

Division name

Neurology

Zip code

814-0180

Address

7-45-1 Nanakuma, Jonan-ku, Fukuoka 814-0180, JAPAN

TEL

092-801-1011

Homepage URL


Email

odyssei@kyowa-kirin.co.jp


Sponsor or person

Institute

Fukuoka University

Institute

Department

Personal name



Funding Source

Organization

Kyowa Hakko Kirin Co., Ltd.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Fukuoka University Medical Ethics Review Board

Address

8-19-1 Nanakuma, Jonan-ku, Fukuoka

Tel

092-801-1011

Email

odyssei@kyowa-kirin.co.jp


Secondary IDs

Secondary IDs

YES

Study ID_1

jRCTs071180014

Org. issuing International ID_1

jRCT

Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2016 Year 10 Month 25 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

214

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

Terminated

Date of protocol fixation

2016 Year 09 Month 01 Day

Date of IRB

2016 Year 11 Month 02 Day

Anticipated trial start date

2016 Year 11 Month 28 Day

Last follow-up date

2022 Year 05 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

2016 Year 10 Month 24 Day

Last modified on

2019 Year 07 Month 05 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000028214


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name