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CompletedNCT01844648Updated Dec 10, 2015

Study of the Safety and Efficacy of Tropicamide Thin Films to Reduce Hypersalivation in Parkinson's Patients

A Phase 2 interventional study of NH004 tropicamide and NH004 Placebo in Sialorrhea (Excessive Drooling), sponsored by NeuroHealing Pharmaceuticals Inc.. Completed at 3 sites in France. Open to participants aged 30 Years and older. Per ClinicalTrials.gov, last updated 2015-12-10.

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

Phase
Phase 2
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
30 Years and older
Sex
All
01

Study summary

To study the safety and efficacy of tropicamide 1 mg intra-oral slow dissolving muco-adhesive thin films compared to placebo to reduce hypersalivation in PD patients manifesting sialorrhea complaints.

Read the detailed description

This is a double-blind, placebo-controlled, randomized, crossover, multicentre study comparing intra-oral slow dissolving muco-adhesive thin films containing tropicamide 1 mg or Placebo. Patients will receive each treatment twice daily (1 h after breakfast and 1 h after lunch) for 1-week.

Patients will be evaluated for eligibility during the 14-day screening period. Those patients meeting all entry criteria at baseline will be randomized (1:1) to receive first tropicamide followed by placebo films or vice versa. Patients will return for regularly scheduled visits at Weeks 1 and 3 or at early discontinuation.

02

Conditions studied

  • Sialorrhea (Excessive Drooling)

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Keywords

  • Parkinson's disease
  • Sialorrhea
  • Tropicamide
  • Non-motor symptoms
  • Thin strip delivery
03

Who can participate

Ages eligible
30 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients with idiopathic Parkinson's disease, according to the UK Brain Bank criteria.
  • Patients complaining of drooling, with a score of at least 6 points in the SCS-PD scale.
  • Patients above 30 years old.
  • Patients with Hoehn \& Yahr score between I-IV.
  • Male or non-pregnant female. Females of child-bearing potential will be required to have undergone a pregnancy test with negative results prior to entry to the study and agree to use contraceptive measures for the duration of the study.
  • Patients must have used the same antiparkinsonian medications and at the same dose for the last month. No changes in the medication for PD are expected during the study.

Exclusion criteria

Exclusion criteria:

  • Pregnant women.
  • Patients with a secondary parkinsonian syndrome, parkinsonism-plus syndromes, heredodegenerative disorders or benign parkinsonism.
  • Patients with a diagnosis of major depression or psychosis according to the DSM-IV.
  • Patients with MMSE score equal to or lower than 24.
  • Patients with a current diagnosis of substance abuse (DSM-IV) or history of alcohol or drug abuse in the past 3 months.
  • Patients with hallucinations.
  • Patients with a current clinically significant gastrointestinal, renal, hepatic, endocrine, pulmonary or cardiovascular disease, including hypertension that is not well-controlled, asthma, chronic obstructive pulmonary disease (COPD) and Type I diabetes.
  • Patients with a second- or third-degree atrioventricular block or sick sinus syndrome, uncontrolled atrial fibrillation, severe or unstable angina, congestive heart failure, myocardial infarction within 3 months of the screening visit, or significant ECG abnormality, including QTc ≥ 450 msec (males) or ≥ 470 msec (females), where QTc is based on Bazett's correction method.
  • Patient with a neoplastic disorder, which is either currently active or has been in remission for less than one year.
  • Patients with a history or a current diagnosis of HIV, or tests positive for Hepatitis B or C antibodies, or Hepatitis B surface antigen
  • Patients who have participated in a previous clinical trial within 30 days of entry into the study (screening visit) or have received treatment with any investigational compound within 30 days.
  • Patients with hypersensitivity to atropine or other anticholinergic drugs.
  • Patients who have experienced adverse effects as a result of taking anticholinergic drugs.
  • Patients who are receiving any anticholinergic drug or an anticholinesterase agent.
  • Patients who started or changed the dose of any of the following medications in the previous week: tricyclic antidepressants, monoamine oxidase-A inhibitors, antipsychotics, benzodiazepines, opioids, antihistamines, carbamazepine, NSAIDs.
  • Patients with significant dental/oral pathology.
  • Patient with any abnormality that the investigator deems to be clinically relevant, either on medical history, physical examination, ECG or in a diagnostic laboratory test.
  • Patients with closed-angle Glaucoma or those at high risk of suffering it after treatment with anticholinergic agents.
  • Patients with Prostatic Adenoma.
  • In the judgment of the Clinical Investigator, the patient is likely to be non-compliant or uncooperative during the study.
04

Study design

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

Study arms

  • Experimental
    NH004 tropicamide

    tropicamide 1 mg thin film, twice daily for 7 days

    Drug: NH004 tropicamide

  • Placebo comparator
    NH004 placebo

    placebo thin film, twice daily for 7 days

    Drug: NH004 Placebo

Interventions

  • DrugNH004 tropicamide

    Intra-oral slow dissolving muco-adhesive thin film containing 1 mg tropicamide

  • DrugNH004 Placebo

    Intra-oral slow dissolving muco-adhesive thin film

05

What researchers measure

Primary outcomes

  1. modified Teachers Drooling Scale (% responding)

    The primary endpoint for this trial is the difference in responder rate between tropicamide and placebo. Responders will be defined as subjects whose mean sialorrhea score improved by at least 30% as compared to baseline in the 9-point modified Teachers Drooling Scale (mTDS).

    Time frame: one week

Secondary outcomes

  1. modified Teachers Drooling Scale (mean)

    Difference in the mean sialorrhea scores between placebo and tropicamide in the 9-point modified Teachers Drooling Scale (mTDS).

    Time frame: one week

  2. Sialorrhea Clinical Scale for Parkinson's Disease (mean)

    - Difference in the mean sialorrhea scores between placebo and tropicamide in the Sialorrhea Clinical Scale for Parkinson's Disease (SCS-PD).

    Time frame: one week

  3. UPDRS Part II sialorrhea item (mean)

    Difference in the mean sialorrhea scores between placebo and tropicamide in the UPDRS Part II sialorrhea item (#6).

    Time frame: one week

  4. Visual Analg Scale

    Saliva buccal content as measured by a Visual Analog Scale (VAS) score, evaluated before and during 3 hours after treatments administration.

    Time frame: one week

06

Study locations

3 sites
  • Hôpital de la Salpêtrière
    Paris, Cedrex 13 75651, France
  • Hôpital Paul de Viguier
    Toulouse, Cedrex 9 31059, France
  • Hôpital Haut Lévêque
    Bordeaux, Pessac 33604, France
07

Registry details

Key details

Study ID
NCT01844648
Lead sponsor
NeuroHealing Pharmaceuticals Inc.
Collaborators
Michael J. Fox Foundation for Parkinson's Research
Responsible party
Sponsor
First posted
May 1, 2013
Start date
Apr 2013
Primary completion
Oct 2015
Completion
Dec 2015
Last update
Dec 10, 2015

Study contacts

Elkan R Gamzu, PhD
study director · NeuroHealing Pharmaceuticals Inc.

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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