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CompletedNCT00761137NH004-2Updated Oct 12, 2015Results posted

Safety and Efficacy Study of NH004 Films for Relief of Sialorrhea Symptoms in Parkinson's Disease Patients

A Phase 2 interventional study of 0.3 mg tropicamide and 1 mg tropicamide in Sialorrhea Secondary to Parkinson's Disease, sponsored by NeuroHealing Pharmaceuticals Inc.. Completed at 1 site in Argentina. Open to participants aged 50 Years to 80 Years. Per ClinicalTrials.gov, last updated 2015-10-12.

Sponsored by NeuroHealing Pharmaceuticals Inc. · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
19
Allocation
Randomized
Ages
50 Years to 80 Years
Sex
All
01

Study summary

The primary goal of the study is to evaluate the safety and potential efficacy of intra-oral dissolvable NH004 films to improve the short-term symptoms of sialorrhea (drooling) in Parkinson's disease (PD) patients.

Read the detailed description

NH004 contains the anticholinergic agent tropicamide and is delivered in a convenient product form (intra-oral dissolvable thin films) designed for the management of sialorrhea. This study is a double blind, placebo-controlled, crossover study of the safety and potential efficacy of three doses of of NH004 films for the short-term relief of the symptoms of sialorrhea in Parkinson's disease patients.

A total of up to 36 Parkinson's disease patients will be enrolled in the study in two Phases. Phase A will include 12 patients and Phase B up to 24 patients. There will be an interim analysis after conclusion of Phase A. In both phases patients will be randomized into one of four groups. Each group will have a distinctive sequence for receiving intra-oral dissolvable films of 0.3 mg, 1 mg, 3 mg of NH004, or placebo during four visits.

02

Conditions studied

  • Sialorrhea Secondary to Parkinson's Disease

Keywords

  • sialorrhea
  • drooling
  • excessive salivation
  • parkinson's disease
03

In context

Sialorrhea

60 studies on the registry are indexed under Sialorrhea; 5 are open to participants now.

This study's enrollment of 19 is below the median of 31 across 44 interventional studies indexed under Sialorrhea.

Browse Sialorrhea studies →

Lead sponsor

NeuroHealing Pharmaceuticals Inc. is the lead sponsor of 3 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
50 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Patients with idiopathic Parkinson's disease, according to the United Kingdom Brain Bank criteria.
  2. Patients complaining of drooling, with a score of at least 3 in the FLENI Sialorrhea scale.
  3. Patient is between 50 and 80 years of age, inclusive.
  4. Male or non-pregnant female. Females of will be required to have undergone a pregnancy test with negative results prior to entry to the study and agree to use measures for the duration of the study.
  5. Patients must have used the same medication and dose for PD for the last month. No changes in the medication for PD are expected during the study.
  6. Patients who can reasonable be expected to be on "on-state" for the duration of the testing procedures.
  7. Patients who have a stable response to levodopa for PD.

Exclusion criteria

Exclusion Criteria:

  1. Pregnant women or women who may become pregnant.
  2. Patients with a diagnosis of depression, schizophrenia or with obvious symptoms of these diseases.
  3. Patients with (MMSE) score equal to or lower than 26.
  4. Patients who are receiving the following drugs: tricyclic antidepressants, Monoamine Oxidase Inhibitors (MAOI's), neuroleptics (antipsychotics), or anticholinergics.
  5. Patients who have taken any of the drugs mentioned in exclusion criteria number 4 within the last week.
  6. Patients with to atropine or other anticholinergic drugs.
  7. Patients who have experienced adverse effects as a result of taking anticholinergic drugs.
  8. Patients taking hypnotic or other sleep inducing drugs.
  9. Patients with severe urinary or gastrointestinal symptoms.
  10. Patients with significant dental/oral pathology.
  11. Patients with severe dysautonomia.
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

MMSE and MoCA

Short tests of memory and thinking, each scored out of 30. Lower scores suggest more difficulty; criteria give a range, either to include people with memory problems or to leave them out.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
19 participants (actual)

Study arms

  • Experimental
    Tropicamide placebo

    subject received (blinded) each of the 4 drug doses at different visits - 0 mg tropicamide, 0.3 mg tropicamide, 1 mg tropicamide, 3 mg tropicamide

    Drug: 0.3 mg tropicamide · Drug: 1 mg tropicamide · Drug: 3 mg tropicamide · Drug: 0 mg tropicamide

  • Experimental
    Tropicamide 0.3 mg

    subject received (blinded) each of the 4 drug doses at different visits - 0.3 mg tropicamide, 1 mg tropicamide, 3 mg tropicamide, 0 mg tropicamide

    Drug: 0.3 mg tropicamide · Drug: 1 mg tropicamide · Drug: 3 mg tropicamide · Drug: 0 mg tropicamide

  • Experimental
    Tropicamide 1 mg

    subject received (blinded) each of the 4 drug doses at different visits - 1 mg tropicamide, 3 mg tropicamide, 0 mg tropicamide, 0.3 mg tropicamide

    Drug: 0.3 mg tropicamide · Drug: 1 mg tropicamide · Drug: 3 mg tropicamide · Drug: 0 mg tropicamide

  • Experimental
    Tropicamide 3 mg

    subject received (blinded) each of the 4 drug doses at different visits - 3 mg tropicamide, 0 mg tropicamide, 0.3 mg tropicamide, 1 mg tropicamide

    Drug: 0.3 mg tropicamide · Drug: 1 mg tropicamide · Drug: 3 mg tropicamide · Drug: 0 mg tropicamide

Interventions

  • 0.3 mg tropicamide in intra-oral thin film

    Also known as: NH004

  • 1 mg tropicamide in intra-oral thin film

    Also known as: NH004

  • 3 mg tropicamide in intra-oral thin film

    Also known as: NH004

  • 0 mg tropicamide (placebo) in intra-oral thin film

    Also known as: NH004 (placebo)

06

What researchers measure

Primary outcomes

  1. Sialorrhea Visual Analogue Scale (VAS)

    Saliva buccal assessment was evaluated by an VAS scale before, and 15, 30, 45, 60, 90, and 120 min after treatment administration. Subjects were asked to rate how much saliva they perceived in their buccal cavity on an unmarked 0 to 10 cm line, higher scores meaning greater perceived buccal saliva levels.

    Time frame: Before and 120 min after treatment administration

Secondary outcomes

  1. Percentage Change in Saliva Volume

    Saliva volume was measured at baseline and 75 minutes after treatment administration. Volumes were measured by using cotton rolls placed near each Stenton duct and below the tongue for 5 minutes; cotton rolls were centrifuged and the volume of saliva determined.

    Time frame: Before and 75 minutes after treatment administration

07

Results

Posted Oct 12, 2015

Participant flow

Participant flow — Overall Study
MilestoneAll Participants
Started19
Placebo19
0.3 mg tropicamide19
1 mg tropicamide19
3 mg tropicamide19
Completed19
Not completed0

Outcome measures

PrimarySialorrhea Visual Analogue Scale (VAS)

Saliva buccal assessment was evaluated by an VAS scale before, and 15, 30, 45, 60, 90, and 120 min after treatment administration. Subjects were asked to rate how much saliva they perceived in their buccal cavity on an unmarked 0 to 10 cm line, higher scores meaning greater perceived buccal saliva levels.

Time frame:
Before and 120 min after treatment administration
Reported as:
Mean · cm on VAS
Sialorrhea Visual Analogue Scale (VAS)
cm on VASTropicamide - PlaceboTropicamide - 0.3 mgTropicamide - 1 mgTropicamide 3 mg
Sialorrhea Visual Analogue Scale (VAS)-0.55 ± 0.54-1.08 ± 0.54-1.53 ± 0.52-0.81 ± 0.51
Statistical analysis
  • Tropicamide - Placebo vs Tropicamide - 0.3 mg vs Tropicamide - 1 mg vs Tropicamide 3 mg · ANOVA · p = 0.6
SecondaryPercentage Change in Saliva Volume

Saliva volume was measured at baseline and 75 minutes after treatment administration. Volumes were measured by using cotton rolls placed near each Stenton duct and below the tongue for 5 minutes; cotton rolls were centrifuged and the volume of saliva determined.

Time frame:
Before and 75 minutes after treatment administration
Reported as:
Median · percentage change of saliva volume
Percentage Change in Saliva Volume
percentage change of saliva volumeTropicamide - PlaceboTropicamide - 0.3 mgTropicamide - 1 mgTropicamide 3 mg
Percentage Change in Saliva Volume-5 (-27 to 17)-27 (-48 to -6)-33 (-60 to -7)-20 (-33 to -7)

Adverse events

Collected over 1 month. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
All Participants—0/19 (0%)0/19 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)All Study Participants
Mean67 ± 12
Sex: Female, Male
Sex: Female, Male(Participants)All Study Participants
Female4
Male15
Region of Enrollment
Region of Enrollment(participants)All Study Participants
Argentina19
08

Study locations

1 site
  • FLENI Hospital
    Buenos Aires, Argentina
09

References and documents

Publications

  • Lloret SP, Nano G, Carrosella A, Gamzu E, Merello M. A double-blind, placebo-controlled, randomized, crossover pilot study of the safety and efficacy of multiple doses of intra-oral tropicamide films for the short-term relief of sialorrhea symptoms in Parkinson's disease patients. J Neurol Sci. 2011 Nov 15;310(1-2):248-50. doi: 10.1016/j.jns.2011.05.021. Epub 2011 Jun 1. PubMed 21636098 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 12, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00761137
Lead sponsor
NeuroHealing Pharmaceuticals Inc.
Collaborators
Michael J. Fox Foundation for Parkinson's Research
Responsible party
Sponsor
First posted
Sep 29, 2008
Start date
Mar 2008
Primary completion
Jun 2010
Completion
Jun 2010
Results posted
Oct 12, 2015
Last update
Oct 12, 2015

Study contacts

Elkan R Gamzu, PhD
principal investigator · NeuroHealing Pharmaceuticals Inc.
Marcelo Merello, MD, PhD
principal investigator · FLENI Hospital, Argentina

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Apr 2013. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Tropicamide

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