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TerminatedNCT01929317Updated Jun 20, 2018Results posted

A Study to Evaluate the Efficacy of 18 to 24mg/Day Ropinirole Controlled Release (CR) Tablets in Early and Advanced Parkinson's Disease (PD) Patients.

A Phase 3 interventional study of Ropinirole CR 2mg tablet and Ropinirole CR 8mg tablet in Parkinson Disease, sponsored by GlaxoSmithKline. Terminated at 17 sites in Japan. Open to participants aged 20 Years and older. Per ClinicalTrials.gov, last updated 2018-06-20.

Sponsored by GlaxoSmithKline · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
81
Allocation
Randomized
Ages
20 Years and older
Sex
All
01

Study summary

This study is a Phase III, multicentre, randomized, initial double-blind study with subsequent open label phases. The study will havea screening phase (4 weeks), a dose increase effect verification phase (12 weeks), a down titration 1 phase (1 week), a long-term phase (39 weeks), down titration 2 phase (1 to 2 weeks) and a follow up phase. Subjects will be assigned to Ropinirole CR high-dose group or Ropinirole CR maintenance group at a ratio of 3:1. This study is being conducted to evaluate the efficacy (effect of increasing Ropinirole dose from 16 mg/day to 18-24 mg/day) of the Ropinirole CR tablets in early and advanced PD patients who have not achieved an optimal therapeutic response with marketed Ropinirole Immediate release (IR) (15 mg/day) or marketed Ropinirole CR (16 mg/day) formulations.

02

Conditions studied

  • Parkinson Disease

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Keywords

  • Ropinirole
  • Parkinson's disease
03

In context

Parkinson Disease

4,487 studies on the registry are indexed under Parkinson Disease; 1,082 are open to participants now.

This study's enrollment of 81 is above the median of 40 across 3,294 interventional studies indexed under Parkinson Disease.

Browse Parkinson Disease studies →

Lead sponsor

GlaxoSmithKline is the lead sponsor of 3,562 studies on the registry; 117 are open to participants now.

Of its 258 completed or terminated interventional studies of FDA-regulated products, 232 (90%) have results posted.

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

04

Who can participate

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

Eligibility criteria

Inclusion Criteria:

Inclusion criteria at the start of the screening

  • Patients who are diagnosed as Parkinson's Disease with severity of the modified Hoehn \& Yahr criteria Stages I-IV.
    1. Monotherapy subject: Subjects who have never received L-dopa, or subjects who have had prior exposure to L-dopa (up to 450 milligram (mg)/day) for up to 3 months in total and L-dopa treatment has been discontinued, for a minimum of 4 weeks prior to the screening phase. 2) L-dopa adjunct subject: Subjects receiving L-dopa (up to 450 mg/day) for at least 4 weeks prior to the screening phase.
  • Patients receiving 15mg/day Ropinirole IR or 16mg/day Ropinirole CR for 4 weeks prior to the screening phase, UPDRS Part III total (on) scores is 10 points or more at screening visit and can expect clinical efficacy by increasing Ropinirole CR.
  • Age: 20years or older (at the time of informed written consent)
  • Informed consent: Patients who are able to give informed written consent in person. (i.e. patients who are capable of giving informed written consent on their own)
  • Sex: Either sex. Women of child-bearing potential will be eligible for inclusion in this study. However they have to have a negative pregnancy test at the screening visit and will have to agree to further pregnancy testing at the time points determined in study assessments and procedures and practice one of the methods of contraception mentioned in the protocol from the screening visit until the end of the follow-up examination - Outpatient status
  • corrected QT (QTc) \<450 millisecond (msec) or \<480msec for subjects with Bundle Branch Block. The QTc should be based on single or averaged QTc values of triplicate electrocardiograms (ECGs) obtained over a brief recording period.
  • Liver function tests: Patients with aspartate aminotransferase (AST) and alanine aminotransferase (ALT) \< 2x upper limit of normal (ULN); and Alkaline Phosphatase and bilirubin =\< 1.5xULN (isolated bilirubin > 1.5ULN is acceptable if bilirubin is fractionated and direct bilirubin \< 35%) at the screening visit.

Randomization Criteria

  • Patients whose UPDRS Part III total (on) scores is 10 points or more at week 0
  • Patients who did not achieve an optimal therapeutic response by treatment with 16mg/day Ropinirole CR and required higher dose of Ropinirole CR
  • Patients who are 80% or more compliant taking study drug

Exclusion Criteria

  • Late stage advanced patients demonstrating incapacitating peak dose or biphasic dyskinsia on their stable dose of L-dopa.
  • Patients who have used any other dopamine agonist (except for Ropinirole IR and CR) within 4 weeks prior to the screening phase.
  • Patients who have been treated with the following drugs at 4 weeks or earlier before the start of the screening phase, and whose treatment regimen of the drug has been changed. Anticholinergic agents: trihexyphenidyl hydrochloride, piroheptine hydrochloride, mazaticol hydrochloride, metixene hydrochloride, biperiden hydrochloride, profenamine, amantadine hydrochloride,droxidopa, citicoline, selegiline hydrochloride, entacapone, zonisamide, Estrogens, CYP1A2 inhibitors.
  • Patients who have been changing in smoking habit (started or stopped smoking) within the screening phase.
  • Patients who have been treated with any other investigational drug within 12 weeks prior to the screening phase.
  • Patients who present serious physical signs and symptoms other than those of the PD (e.g. cardiac/hepatic/renal disorder and haematopoietic disorder).
  • Patients with symptomatic postural hypotension. (e.g. dizziness and syncope).
  • Patients with a current or history of drug abuse or alcoholism.
  • Patients with severe dementia such as score 3 or 4 of the UPDRS item 1 (Mentation, behaviour, and mood).
  • Patients with current or history of major psychosis (e.g. schizophrenia or psychotic depression) such as score 3 or 4 of the UPDRS item 2 (thought disorder) or item 3(depression).
  • Patients who have received surgical treatment for PD in the past (e.g. pallidectomy, deep brain stimulation).
  • Female patients who are pregnant or lactating, who may be pregnant, or who plan for pregnancy during the study or within 30 days after the last dose of the study drug.
  • Unstable liver disease (as defined by the presence of ascites, encephalopathy, coagulapathy, hypoalbuminaemia, oesophageal or gastric varices or persistent jaundice), cirrhosis, known biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones). Chronic hepatitis B administered immunosuppressive agents due to risk of hapatitis B reactivation.
  • Patients with a history of drug allergy to Ropinirole hydrochloride.
  • Except for patients with a history of basal cell carcinoma, patients with a current or history of cancer or malignant tumor within 5 years prior to the screening phase.
  • Others whom the investigator (subinvestigator) considers ineligible for the study.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
81 participants (actual)

Study arms

  • Experimental
    Ropinirole CR high-dose group

    The subjects will receive Ropinirole CR 16mg/day for 4 weeks in screening phase. After randomization the subject will enter dose increase effect verification phase, where Ropinirole CR dose will titrated (2 mg /day/week) from 18 mg/day up to a maximum 24mg/day at intervals of 1 week or longer for 8 weeks, till subject reaches a dose level above which further symptomatic improvement cannot be expected; the subject will be maintained on that dose for 4 weeks. This will be followed by a down titration phase of one week and long term phase of 39 weeks in which the subjects will receive incremental doses (2 mg /day/week) of Ropinirole CR from 18 mg/day till to a maximum of 24 mg/day till subject reaches a dose level above which further symptomatic improvement cannot be expected; the subject will be maintained on that dose. Subjects completing the long term phase will undergo a down titration phase of 1 to 2 weeks.

    Drug: Ropinirole CR 2mg tablet · Drug: Ropinirole CR 8mg tablet

  • Experimental
    Ropinirole CR maintenance group

    The subjects will receive Ropinirole CR 16mg/day for 4 weeks in screening phase. After randomization the subject will enter dose increase effect verification phase and Ropinirole CR dose will maintained at 16mg/day and placebo will be increased at intervals of 1 week for 8 weeks till subject reaches a dose level above which further symptomatic improvement cannot be expected; the subject will be maintained on that dose for 4 weeks. This will be followed by a down titration phase of one week and long term phase of 39 weeks in which the subjects will receive incremental doses (2 mg/day/week) of Ropinirole CR from 18 mg/day till to a maximum of 24 mg/day till subject reaches a dose level above which further symptomatic improvement cannot be expected; the subject will be maintained on that dose. Subjects completing the long term phase will undergo a down titration phase of 1 to 2 weeks.

    Drug: Ropinirole CR 2mg tablet · Drug: Ropinirole CR 8mg tablet · Drug: Ropinirole CR matching Placebo tablet

Interventions

  • DrugRopinirole CR 2mg tablet

    Ropinirole CR 2mg tablets will be supplied as white oval film-coated tablets.

  • DrugRopinirole CR 8mg tablet

    Ropinirole CR 8mg tablets will be supplied as white oval film-coated tablets.

  • DrugRopinirole CR matching Placebo tablet

    Ropinirole CR matching Placebo tablet tablets (containing no active ingredients) indistinguishable in appearance from Ropinirole CR 2 mg tablets.

06

What researchers measure

Primary outcomes

  1. Mean Change From Baseline (Week 0) in UPDRS Part III Total Score at Week 12 in the CR High-dose Group

    The Japanese Unified Parkinson's Disease Rating Scale (UPDRS) assesses the status of Parkinson's Disease (PD) participants objectively. Part III assessed motor examination on 27 items. Participants received a score of 0-4 points per item. The maximum total score is 108 points. A higher score indicates more severe PD symptoms. Baseline is defined as the value evaluated at Week 0. Mean change from Baseline was calculated as the total score at Week 12 minus the total score at Baseline. The analyses for the Dose Increase Effect Verification Phase was performed using the last observation carried forward (LOCF) data. In the LOCF data, the last available data was used for the imputation for missing data at a planned visit. The imputation was conducted using the data within only the Dose Increase Effect Verification Phase; therefore, the value observed in the Dose Increase Effect Verification Phase was not used to impute a missing data in the Long-term Phase.

    Time frame: Baseline and Week 12

Secondary outcomes

  1. Mean Change From Baseline (Week 0) in UPDRS Part III Total Score at the Indicated Visits

    The Japanese Unified Parkinson's Disease Rating Scale (UPDRS) assesses the status of Parkinson's Disease (PD) participants objectively. Part III assessed motor examination on 27 items. Participants received a score of 0-4 points per item. The maximum total score is 108 points. A higher score indicates more severe PD symptoms. Baseline is defined as the value evaluated at Week 0. Mean change from Baseline was calculated as the total score at Week 12 minus the total score at Baseline. The analyses for the Dose Increase Effect Verification Phase was performed using the last observation carried forward (LOCF) data. In the LOCF data, the last available data was used for the imputation for missing data at a planned visit. The imputation was conducted using the data within only the Dose Increase Effect Verification Phase; therefore, the value observed in the Dose Increase Effect Verification Phase was not used to impute a missing data in the Long-term Phase.

    Time frame: Baseline, Weeks, 2, 4, 6, 8 and 12

  2. Number of Participants Achieving a 30% and 20% Reduction From Baseline in the UPDRS Total Part 3 Score at the Indicated Visits in the Dose Increase Effect Verification Phase

    The Japanese UPDRS assesses the status of Parkinson's Disease (PD) participants objectively. Part III assessed motor examination on 27 items. Participants received a score of 0-4 points per item. The maximum total score is 108 points. A higher score indicates more severe PD symptoms. Number of participants achieving a 30% or greater and 20% or greater reduction from Baseline in UPDRS total part III score at Weeks 2, 4, 6, 8, and 12 are presented using LOCF data. In the LOCF data, the last available data was used for the imputation for missing data at a planned visit. The imputation was conducted using the data within only the Dose Increase Effect Verification Phase; therefore, the value observed in the Dose Increase Effect Verification Phase was not used to impute a missing data in the Long-term Phase.

    Time frame: Baseline, Weeks, 2, 4, 6, 8 and 12

  3. Change From Baseline in the Japanese UPDRS Part 1 Total Score at the Indicated Visits in the Dose Increase Effect Verification Phase

    The Japanese UPDRS assesses the status of PD participants objectively. Part I evaluated mentation, behavior, and mood on 4 items, response for each item were scored numerically from 0-4. The total score for the 4 items ranged from 0 to 16. A higher score indicates more severe PD symptoms. Change from Baseline was calculated by subtracting the Baseline value from the post Baseline value. Baseline is defined as the value evaluated at Week 0. The analyses for the Dose Increase Effect Verification Phase was performed using the LOCF data. In the LOCF data, the last available data was used for the imputation for missing data at the planned visit.

    Time frame: Baseline, Weeks, 2, 4, 6, 8 and 12

  4. Change From Baseline in the Japanese UPDRS Part 2 Total Score at the Indicated Visits by the on/Off Status in the Dose Increase Effect Verification Phase

    The Japanese UPDRS assesses the status of PD participants objectively. Part 2 evaluated activities of daily living on 13 items, response for each item were scored numerically from 0-4. The total score for the 4 items ranged from 0 to 52. A higher score indicates more severe PD symptoms. Change from Baseline was calculated by subtracting the Baseline value from the post Baseline value. Baseline is defined as the value evaluated at Week 0. The analyses for the Dose Increase Effect Verification Phase was performed using the LOCF data. In the LOCF data, the last available data was used for the imputation for missing data at a planned visit. "Off" state is defined as the state at which PD symptoms are not adequately controlled by the drug. "On" state is defined as the state at which PD symptoms are well controlled by the drug. The score of UPDRS part 2 in off status is rated as '0' (Normal/None), if L-dopa adjunct participants do not have diurnal fluctuations.

    Time frame: Baseline, Weeks, 2, 4, 6, 8 and 12

  5. Change From Baseline in the Japanese UPDRS Part 4 Total Score at the Indicated Visits in the Dose Increase Effect Verification Phase

    The Japanese UPDRS assessed the status of PD participants objectively. Part 4 evaluated complications on 11 items, response for 4 items were scored numerically from 0-4 and response for other 7 items were Yes/No questions and responses are numerically scored as 0 for "No" and 1 for "Yes". The total score for the 11 items ranged from 0 to 23. A higher score indicates more severe PD symptoms. Change from Baseline was calculated by subtracting the Baseline value from the post Baseline value. Baseline is defined as the value evaluated at Week 0. The analyses for the Dose Increase Effect Verification Phase was performed using the LOCF data. In the LOCF data, the last available data was used for the imputation for missing data at a planned visit.

    Time frame: Baseline, Weeks, 2, 4, 6, 8 and 12

  6. Percent Change From Baseline in the Japanese UPDRS Part 1 Total Score at the Indicated Visits in the Dose Increase Effect Verification Phase

    The Japanese UPDRS assessed the status of PD participants objectively. Part I evaluated mentation, behavior, and mood on 4 items, response for each item were scored numerically from 0-4. The total score for the 4 items ranged from 0 to 16. A higher score indicates more severe PD symptoms. Percent change from Baseline was calculated as Post baseline value minus Baseline value, divided by Baseline value and multiplied by 100. Baseline is defined as the value evaluated at Week 0. The analyses for Dose Increase Effect Verification Phase was performed using the LOCF data. In the LOCF data, the last available data was used for the imputation for missing data at a planned visit.

    Time frame: Baseline, Weeks, 2, 4, 6, 8 and 12

  7. Percent Change From Baseline in the Japanese UPDRS Part 2 Total Score at the Indicated Visits by the on/Off Status in the Dose Increase Effect Verification Phase

    The Japanese UPDRS assesses the status of PD participants objectively. Part 2 evaluates activities of daily living on 13 items, response for each item were scored numerically from 0-4. The total score for the 4 items ranged from 0 to 52. A higher score indicates more severe PD symptoms. Percent change from Baseline was calculated as Post baseline value minus Baseline value, divided by Baseline value and multiplied by 100. Baseline is defined as the value at Week 0. The analyses for Dose Increase Effect Verification Phase was performed using the LOCF data. In the LOCF data, the last available data was used for the imputation for missing data at a planned visit. "Off" state is defined as the state at which PD symptoms are not adequately controlled by the drug. "On" state is defined as the state at which PD symptoms are well controlled by the drug. The score of UPDRS part 2 in off status is rated as '0' (Normal/None), if L-dopa adjunct participants do not have diurnal fluctuations.

    Time frame: Baseline, Weeks, 2, 4, 6, 8 and 12

  8. Percent Change From Baseline in the Japanese UPDRS Part 3 Total Score at the Indicated Visits in the Dose Increase Effect Verification Phase

    The Japanese UPDRS assessed the status of PD participants objectively. Part 3 evaluated motor examination on 27 items, response for each items were scored numerically from 0-4. The total score for the 27 items ranged from 0 to 108. A higher score indicates more severe PD symptoms. Percent change from Baseline was calculated as Post baseline value minus Baseline value, divided by Baseline value and multiplied by 100. Baseline is defined as the value evaluated at Week 0. The analyses for Dose Increase Effect Verification Phase was performed using the LOCF data. In the LOCF data, the last available data was used for the imputation for missing data at a planned visit.

    Time frame: Baseline, Weeks, 2, 4, 6, 8 and 12

  9. Percent Change From Baseline in the Japanese UPDRS Part 4 Total Score at the Indicated Visits in the Dose Increase Effect Verification Phase

    The Japanese UPDRS assessed the status of PD participants objectively. Part 4 evaluated complications on 11 items, response for 4 items were scored numerically from 0-4 and response for other 7 items were Yes/No questions and responses are numerically scored as 0 for "No" and 1 for "Yes". The total score for the 11 items ranged from 0 to 23. A higher score indicates more severe PD symptoms. Percent change from Baseline was calculated as Post baseline value minus Baseline value, divided by Baseline value and multiplied by 100. Baseline is defined as the value evaluated at Week 0. The analyses for Dose Increase Effect Verification Phase was performed using the LOCF data. In the LOCF data, the last available data was used for the imputation for missing data at a planned visit.

    Time frame: Baseline, Weeks, 2, 4, 6, 8 and 12

  10. Change From Baseline in the Japanese UPDRS Part 1 Total Score at the Indicated Visits in the Long-term Phase

    The Japanese UPDRS assessed the status of PD participants objectively. Part I evaluated mentation, behavior, and mood on 4 items, response for each item were scored numerically from 0-4. The total score for the 4 items ranged from 0 to 16. A higher score indicates more severe PD symptoms.Change from Baseline was calculated by subtracting the Baseline value from the post Baseline value. Baseline is defined as the value evaluated at Week 13. If the value evaluated at Week 13 was missing, then first observed value post Week 13 was used as Baseline. The analyses performed using the OC data. In the OC data, no imputation was carried for any missing data. Full Analysis Set 2 (FAS2) Population comprised of all participants in the FAS1 and shifted to Long-term Phase, excluding those participants who received no dose of study medication and participants without UPDRS part III total score data after supply of the investigational product.

    Time frame: Baseline (Week 13), Weeks 17, 21, 25, 37, 49 and 52

  11. Change From Baseline in the Japanese UPDRS Part 2 Total Score at the Indicated Visits by the on/Off Status in the Long Term Phase

    The Japanese UPDRS assesses the status of PD participants objectively. Part 2 evaluates activities of daily living on 13 items, response for each item were scored numerically from 0-4. The total score for the 4 items ranged from 0 to 52. A higher score indicates more severe PD symptoms.Change from Baseline was calculated by subtracting the Baseline value from the post Baseline value. Baseline is defined as the value at Week 13. If the value at Week 13 was missing, then first observed value post Week 13 was used as Baseline. The analyses performed using the OC data. In the OC data, no imputation was carried for any missing data."Off" state is defined as the state at which PD symptoms are not adequately controlled by the drug. "On" state is defined as the state at which PD symptoms are well controlled by the drug. The score of UPDRS part 2 in off status is rated as '0' (Normal/None), if L-dopa adjunct participants do not have diurnal fluctuations.

    Time frame: Baseline (Week 13), Weeks 17, 21, 25, 37, 49 and 52

  12. Mean Change From Baseline in UPDRS Part 3 Total Score at the Indicated Visits for Long Term Phase

    The Japanese UPDRS assesses the status of PD participants objectively. Part 3 evaluates motor examination on 27 items, response for each items were scored numerically from 0-4. The total score for the 27 items ranged from 0 to 108. A higher score indicates more severe PD symptoms. Change from Baseline was calculated by subtracting the Baseline value from the post Baseline value. Baseline is defined as the value evaluated at Week 13. If the value evaluated at Week 13 was missing, then first observed value post Week 13 was used as Baseline. The analyses performed using the OC data. In the OC data, no imputation was carried for any missing data.

    Time frame: Baseline (Week 13), Weeks 17, 21, 25, 37, 49, 52

  13. Change From Baseline in the Japanese UPDRS Part 4 Total Score at the Indicated Visits in the Long Term Phase

    The Japanese UPDRS assessed the status of PD participants objectively. Part 4 evaluated complications on 11 items, response for 4 items were scored numerically from 0-4 and response for other 7 items were Yes/No questions and responses are numerically scored as 0 for "No" and 1 for "Yes". The total score for the 11 items ranged from 0 to 23. A higher score indicates more severe PD symptoms.Change from Baseline was calculated by subtracting the Baseline value from the post Baseline value. Baseline is defined as the value evaluated at Week 13. If the value evaluated at Week 13 was missing, then first observed value post Week 13 was used as Baseline. The analyses performed using the OC data. In the OC data, no imputation was carried for any missing data.

    Time frame: Baseline (Week 13), Weeks 17, 21, 25, 37, 49 and 52

  14. Percent Change From Baseline in the Japanese UPDRS Part 1 Total Score at the Indicated Visits in the Long Term Phase

    The Japanese UPDRS assessed the status of PD participants objectively. Part I evaluated mentation, behavior, and mood on 4 items, response for each item were scored numerically from 0-4. The total score for the 4 items ranged from 0 to 16. A higher score indicates more severe PD symptoms. Percent change from Baseline was calculated as Post baseline value minus Baseline value, divided by Baseline value and multiplied by 100. Baseline is defined as the value evaluated at Week 13. If the value evaluated at Week 13 was missing, then first observed value post Week 13 was used as Baseline. The analyses performed using the OC data. In the OC data, no imputation was carried for any missing data.

    Time frame: Baseline (Week 13), Weeks 17, 21, 25, 37, 49 and 52

  15. Percent Change From Baseline in the Japanese UPDRS Part 2 Total Score at the Indicated Visits by the on/Off Status in the Long-term Phase

    The Japanese UPDRS assesses the status of PD participants objectively. Part 2 evaluates activities of daily living on 13 items, response for each item were scored numerically from 0-4. The total score for the 4 items ranged from 0 to 52. A higher score indicates more severe PD symptoms. Percent change from Baseline was calculated as Post baseline value minus Baseline value, divided by Baseline value and multiplied by 100. Baseline is defined as the value at Week 13. If the value at Week 13 was missing, then first observed value post Week 13 was used as Baseline. The analyses performed using the OC data. In the OC data, no imputation was carried for any missing data."Off" state is defined as the state at which PD symptoms are not adequately controlled by the drug. "On" state is defined as the state at which PD symptoms are well controlled by the drug. The score of UPDRS part 2 in off status is rated as '0' (Normal/None), if L-dopa adjunct participants do not have diurnal fluctuations.

    Time frame: Baseline (Week 13), Weeks 17, 21, 25, 37, 49 and 52

  16. Percent Change From Baseline in the Japanese UPDRS Part 3 Total Score at the Indicated Visits in the Long Term Phase

    The Japanese UPDRS assessed the status of PD participants objectively. Part 3 evaluated motor examination on 27 items, response for each items were scored numerically from 0-4. The total score for the 27 items ranged from 0 to 108. A higher score indicates more severe PD symptoms. Percent change from Baseline was calculated as Post baseline value minus Baseline value, divided by Baseline value and multiplied by 100. Baseline is defined as the value evaluated at Week 13. If the value evaluated at Week 13 was missing, then first observed value post Week 13 was used as Baseline. The analyses performed using the OC data. In the OC data, no imputation was carried for any missing data.

    Time frame: Baseline (Week 13), Weeks 17, 21, 25, 37, 49 and 52

  17. Percent Change From Baseline in the Japanese UPDRS Part 4 Total Score at the Indicated Visits in the Long-term Phase

    The Japanese UPDRS assesses the status of PD participants objectively. Part 4 evaluates complications on 11 items, response for 4 items were scored numerically from 0-4 and response for other 7 items were Yes/No questions and responses are numerically scored as 0 for "No" and 1 for "Yes". The total score for the 11 items ranged from 0 to 23. A higher score indicates more severe PD symptoms. Percent change from Baseline was calculated as Post baseline value minus Baseline value, divided by Baseline value and multiplied by 100. Baseline is defined as the value evaluated at Week 13. If the value evaluated at Week 13 was missing, then first observed value post Week 13 was used as Baseline. The analyses performed using the OC data. In the OC data, no imputation was carried for any missing data.

    Time frame: Baseline (Week 13), Weeks 17, 21, 25, 37, 49 and 52

  18. Change From Baseline in the Actual Hours of Awake Time Spent "Off" at the Indicated Visits Only in Participants Who Received L-dopa Adjunct

    "Off" state is defined as the state at which PD symptoms are not adequately controlled by the drug. Participants were asked to record the duration of their "off " periods and asleep in diary cards every day. Change from Baseline in awake time spent "Off"(actual hours) is calculated as awake time spent "Off" (hours) at the indicated visit minus awake time spent "Off" (hours) at Baseline. Baseline is defined as the value at Week 0. The analyses for Dose Increase Effect Verification Phase was performed using the LOCF data. In the LOCF data, the last available data was used for the imputation for missing data at a planned visit.

    Time frame: Baseline, Weeks, 2, 4, 6, 8 and 12

  19. Change From Baseline in the Percentage of Awake Time Spent "Off" at the Indicated Visits Only in Participants Who Received L-dopa Adjunct

    "Off" state is defined as the state at which PD symptoms are not adequately controlled by the drug. Participants were asked to record the duration of their "off " periods and asleep in diary cards every day. Percentage of awake time spent "off" is defined as sum of two days off time (hours) divided by sum of two days awake time (hours) and multiplied by 100. Change from Baseline was calculated by subtracting the Baseline value (percentage of awake time spent "off") from the post Baseline value (percentage of awake time spent "off"). Baseline is defined as the value at Week 0. The analyses for Dose Increase Effect Verification Phase was performed using the LOCF data. In the LOCF data, the last available data was used for the imputation for missing data at a planned visit.

    Time frame: Baseline, Weeks, 2, 4, 6, 8 and 12

  20. Change From Baseline in Actual Hours of Awake Time Spent "On" at the Indicated Visits Only in Participants Who Received L-dopa Adjunct

    "On" state is defined as the state at which PD symptoms are well controlled by the drug. Participants were asked to record the duration of their "off " periods and asleep in diary cards every day. Change from Baseline in awake time spent "On"(actual hours) is calculated as awake time spent "On" (hours) at the indicated visit minus awake time spent "On" (hours) at Baseline. Baseline is defined as the value at Week 0. The analyses for Dose Increase Effect Verification Phase was performed using the LOCF data. In the LOCF data, the last available data was used for the imputation for missing data at a planned visit.

    Time frame: Baseline, Weeks, 2, 4, 6, 8 and 12

  21. Change From Baseline in Actual Hours of Awake Time Spent "On"Without Troublesome Dyskinesias at the Indicated Visits Only in Participants Who Received L-dopa Adjunct

    "On" state is defined as the state at which PD symptoms are well controlled by the drug. Participants were asked to record the duration of their "off " periods and asleep in diary cards every day. Change from Baseline in awake time spent "On" without troublesome dyskinesias (actual hours) is calculated as \[awake time spent "On" minus awake time spent "On" with troublesome dyskinesias\] (hours) at visit minus \[awake time spent "On" minus awake time spent "On" with troublesome dyskinesias\] (hours) at Baseline. Baseline is defined as the value at Week 0. The analyses for Dose Increase Effect Verification Phase was performed using the LOCF data. In the LOCF data, the last available data was used for the imputation for missing data at a planned visit.

    Time frame: Baseline, Weeks, 2, 4, 6, 8 and 12

  22. Number of Participants With an Improvement (Responder) in the Clinical Global Impression (CGI) Global Improvement Scale at Week 12

    The CGI global improvement scale allows the investigator to rate the participant's total improvement since the beginning of treatment (Baseline). Scores on the scale range from 1 to 7 (1=very much improved, 2=much improved, 3=minimally improved, 4=no change, 5=minimally worse, 6=much worse, and 7=very much worse). Participants with a CGI global improvement score of \<=2 (representing much improved or very much improved) were considered to be moderate improvement (responder). The analyses performed using the OC data. In the OC data, no imputation was carried for any missing data.

    Time frame: Week 12

  23. Number of Participants Remaining in the Study

    Time frame: From the start of the study medication (Week 0) until Week 52

  24. Number of Participants Achieving a 30% and 20% Reduction From Baseline in the UPDRS Total Part 3 Score at the Indicated Visits in Long Term Phase.

    The Japanese UPDRS assesses the status of Parkinson's Disease (PD) participants objectively. Part III assessed motor examination on 27 items. Participants received a score of 0-4 points per item. The maximum total score is 108 points. A higher score indicates more severe PD symptoms. Number of participants achieving a 30% or greater and 20% or greater reduction from Baseline in UPDRS total part III score at Weeks 17, 21, 25, 37, 49 and 52,are presented using OC data. Change from Baseline was calculated by subtracting the Baseline value from the post Baseline value. Baseline is defined as the value evaluated at Week 13. If the value evaluated at Week 13 was missing, then first observed value post Week 13 was used as Baseline. The OC (observed Case) dataset was defined as the dataset consisting of observed data without any missing data imputation.

    Time frame: Baseline (Week 13), Weeks 17, 21, 25, 37, 49, 52

  25. Change From Baseline in the Actual Hours of Awake Time Spent "Off" at the Indicated Visits Only in Participants Who Received L-dopa Adjunct in Long Term Phase

    "Off" state is defined as the state at which PD symptoms are not adequately controlled by the drug. Participants were asked to record the duration of their "off " periods and asleep in diary cards every day. Change from Baseline was calculated by subtracting the Baseline value (actual hours of awake time spent "off") from the week 17, 21, 25, 37, 49 and 52 value (proportion of awake time spent "off"). Baseline is defined as the value at Week 13. If the value evaluated at week 13 was missing then first observed value post week 13 was used as a Baseline.The analyses for long term phase was performed using the OC data. In the OC data, no imputation was carried for any missing data

    Time frame: Baseline (Week 13), Weeks 17, 21, 25, 37, 49 and 52

  26. Change From Baseline in the Percentage of Awake Time Spent "Off" at the Indicated Visits Only in Participants Who Received L-dopa Adjunct in Long Term Phase

    "Off" state is defined as the state at which PD symptoms are not adequately controlled by the drug. Participants were asked to record the duration of their "off " periods and asleep in diary cards every day. Percentage of awake time spent "off" is defined as sum of two days off time (hours) divided by sum of two days awake time (hours) and multiplied by 100. Change from Baseline was calculated by subtracting the Baseline value (percentage of awake time spent "off") from week 17, 21, 25, 37, 49 and 52 value (percentage of awake time spent "off"). Baseline is defined as the value at Week 13, If the value evaluated at week 13 was missing then first observed value post week 13 was used as a Baseline. The analyses for Long term phase was performed using the OC data. In the OC data, no imputation was carried for any missing data.

    Time frame: Baseline (Week 13), Weeks 17, 21, 25, 37, 49 and 52

  27. Change From Baseline in Actual Hours of Awake Time Spent "On" at the Indicated Visits Only in Participants Who Received L-dopa Adjunct in Long Term Phase

    "On" state is defined as the state at which PD symptoms are well controlled by the drug. Participants were asked to record the duration of their "off " periods and asleep in diary cards every day. Change from Baseline in awake time spent "On"(actual hours) is calculated as awake time spent "On" (hours) at the week 17, 21, 25, 37, 49 and 52 value minus awake time spent "On" (hours) at Baseline. Baseline is defined as the value at Week 13. If the value evaluated at week 13 was missing then first observed value post week 13 was used as a Baseline. The analyses for Long term phase was performed using the OC data. The OC (observed Case) dataset was defined as the dataset consisting of observed data without any missing data imputation.

    Time frame: Baseline (Week 13), Weeks 17, 21, 25, 37, 49 and 52

  28. Change From Baseline in Actual Hours of Awake Time Spent "On" Without Troublesome Dyskinesias at the Indicated Visits Only in Participants Who Received L-dopa Adjunct in Long Term Phase

    "On" state is defined as the state at which PD symptoms are well controlled by the drug. Participants were asked to record the duration of their "on " periods and asleep in diary cards every day. Change from Baseline in awake time spent "On" without troublesome dyskinesias (actual hours) is calculated as \[awake time spent "On" minus awake time spent "On" with troublesome dyskinesias\] (hours) at visit minus \[awake time spent "On" minus awake time spent "On" with troublesome dyskinesias\] (hours) at Baseline. Baseline is defined as the value at Week 13. If the value evaluated at week 13 was missing then first observed value post week 13 was used as a Baseline. The analyses for Long term phase was performed using the OC data. In the OC data, no imputation was carried for any missing data

    Time frame: Baseline (Week 13), Weeks 17, 21, 25, 37, 49 and 52

  29. Change From Baseline in Percentage of Awake Time Spent "On" at the Indicated Visits Only in Participants Who Received L-dopa Adjunct in Long Term Phase

    "On" state is defined as the state at which PD symptoms are well controlled by the drug. Participants were asked to record the duration of their "on " periods and asleep in diary cards every day. Percentage of awake time spent "on" is defined as sum of two days on time (hours) divided by sum of two days awake time (hours) and multiplified by 100. Change from Baseline was calculated by subtracting the Baseline value (percentage of awake time spent "on") from week 17, 21, 25, 37, 49 and 52 value (percentage of awake time spent "on"). Baseline is defined as the value at Week 13. If the value evaluated at week 13 was missing the first observed value post week 13 was used as a Baseline.The analyses for Long term phase was performed using the OC data. In the OC data, no imputation was carried for any missing data.

    Time frame: Baseline (Week 13), Weeks 17, 21, 25, 37, 49 and 52

  30. Change From Baseline in Percentage of Awake Time Spent "On" Without Troublesome Dyskinesias at the Indicated Visits Only in Participants Who Received L-dopa Adjunct in Long Term Phase

    "On" state is defined as the state at which PD symptoms are well controlled by the drug. Par. were asked to record the duration of their "on " periods and asleep in diary cards every day. Percentage of awake time spent "On" without troublesome dyskinesias is defined as sum of two days on time without troublesome dyskinesias \["On" time minus "On" time with troublesome dyskinesias\] (hours) divided by sum of two days awake time (hours) and multiplified by 100. Change from Baseline was calculated by subtracting the Baseline value (percentage of awake time spent "On" without troublesome dyskinesias) from week 17, 21, 25, 37, 49 and 52 value (percentage of awake time spent "On" without troublesome dyskinesias). Baseline is defined as the value at Week 13. If the value evaluated at week 13 was missing the first observed value post week 13 was used as a Baseline.The analyses for Long term phase was performed using the OC data. In the OC data, no imputation was carried for any missing data.

    Time frame: Baseline (Week 13), Weeks 17, 21, 25, 37, 49 and 52

07

Results

Posted May 21, 2015

Participant flow

A total of 81 participants (par.) were randomized, of which 71 participants completed the Dose Increase Effect Verification (DIEV) Phase and 62 participants entered the Long-term Phase and 39 participants completing the Long-term Phase.

Dose Increase Effect Verification Phase
Participant flow — Dose Increase Effect Verification Phase
MilestoneRopinirole CR - High Dose GroupRopinirole CR - Maintenance Dose Group
Started6120
Completed5219
Not completed91
Withdrew: Adverse event51
Withdrew: Physician decision10
Withdrew: Withdrawal by subject30
Long-term Phase
Participant flow — Long-term Phase
MilestoneRopinirole CR - High Dose GroupRopinirole CR - Maintenance Dose Group
Started4418
Completed2514
Not completed194
Withdrew: Adverse event51
Withdrew: Physician decision30
Withdrew: Withdrawal by subject40
Withdrew: Protocol violation10
Withdrew: Protocol-defined stopping criteria10
Withdrew: Study closed/terminated53

Outcome measures

PrimaryMean Change From Baseline (Week 0) in UPDRS Part III Total Score at Week 12 in the CR High-dose Group

The Japanese Unified Parkinson's Disease Rating Scale (UPDRS) assesses the status of Parkinson's Disease (PD) participants objectively. Part III assessed motor examination on 27 items. Participants received a score of 0-4 points per item. The maximum total score is 108 points. A higher score indicates more severe PD symptoms. Baseline is defined as the value evaluated at Week 0. Mean change from Baseline was calculated as the total score at Week 12 minus the total score at Baseline. The analyses for the Dose Increase Effect Verification Phase was performed using the last observation carried forward (LOCF) data. In the LOCF data, the last available data was used for the imputation for missing data at a planned visit. The imputation was conducted using the data within only the Dose Increase Effect Verification Phase; therefore, the value observed in the Dose Increase Effect Verification Phase was not used to impute a missing data in the Long-term Phase.

Time frame:
Baseline and Week 12
Reported as:
Mean · Scores on a scale
Mean Change From Baseline (Week 0) in UPDRS Part III Total Score at Week 12 in the CR High-dose Group
Scores on a scaleRopinirole CR - High Dose Group
Mean Change From Baseline (Week 0) in UPDRS Part III Total Score at Week 12 in the CR High-dose Group-4.8 ± 5.95
Statistical analysis
  • Ropinirole CR - High Dose Group · t-test, 1 sided · p = <0.001 · Mean change from baseline: -4.8 · 95% CI -6.3 to -3.2
SecondaryMean Change From Baseline (Week 0) in UPDRS Part III Total Score at the Indicated Visits

The Japanese Unified Parkinson's Disease Rating Scale (UPDRS) assesses the status of Parkinson's Disease (PD) participants objectively. Part III assessed motor examination on 27 items. Participants received a score of 0-4 points per item. The maximum total score is 108 points. A higher score indicates more severe PD symptoms. Baseline is defined as the value evaluated at Week 0. Mean change from Baseline was calculated as the total score at Week 12 minus the total score at Baseline. The analyses for the Dose Increase Effect Verification Phase was performed using the last observation carried forward (LOCF) data. In the LOCF data, the last available data was used for the imputation for missing data at a planned visit. The imputation was conducted using the data within only the Dose Increase Effect Verification Phase; therefore, the value observed in the Dose Increase Effect Verification Phase was not used to impute a missing data in the Long-term Phase.

Time frame:
Baseline, Weeks, 2, 4, 6, 8 and 12
Reported as:
Mean · Scores on a scale
Mean Change From Baseline (Week 0) in UPDRS Part III Total Score at the Indicated Visits
Scores on a scaleRopinirole CR - High Dose GroupRopinirole CR - Maintenance Dose Group
Week 2-2.9 ± 4.41-2.7 ± 4.27
Week 4-3.8 ± 5.23-4.4 ± 3.50
Week 6-4.6 ± 5.28-5.0 ± 5.09
Week 8-5.2 ± 5.46-4.5 ± 4.94
Week 12-4.8 ± 5.95-5.7 ± 5.18
Statistical analysis
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): -0.2 · 95% CI -2.4 to 2.0Estimated value and CI are presented for the change from Baseline in Japanese UPDRS Part III total score for Week 2.
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): 0.6 · 95% CI -1.9 to 3.1Estimated value and CI are presented for the change from Baseline in Japanese UPDRS Part III total score for Week 4.
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): 0.3 · 95% CI -2.3 to 3.0Estimated value and CI are presented for the change from Baseline in Japanese UPDRS Part III total score for Week 6.
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): -0.7 · 95% CI -3.4 to 2.0Estimated value and CI are presented for the change from Baseline in Japanese UPDRS Part III total score for Week 8.
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): 0.9 · 95% CI -2.0 to 3.9Estimated value and CI are presented for the change from Baseline in Japanese UPDRS Part III total score for Week 12.
SecondaryNumber of Participants Achieving a 30% and 20% Reduction From Baseline in the UPDRS Total Part 3 Score at the Indicated Visits in the Dose Increase Effect Verification Phase

The Japanese UPDRS assesses the status of Parkinson's Disease (PD) participants objectively. Part III assessed motor examination on 27 items. Participants received a score of 0-4 points per item. The maximum total score is 108 points. A higher score indicates more severe PD symptoms. Number of participants achieving a 30% or greater and 20% or greater reduction from Baseline in UPDRS total part III score at Weeks 2, 4, 6, 8, and 12 are presented using LOCF data. In the LOCF data, the last available data was used for the imputation for missing data at a planned visit. The imputation was conducted using the data within only the Dose Increase Effect Verification Phase; therefore, the value observed in the Dose Increase Effect Verification Phase was not used to impute a missing data in the Long-term Phase.

Time frame:
Baseline, Weeks, 2, 4, 6, 8 and 12
Reported as:
Number · Participants
Number of Participants Achieving a 30% and 20% Reduction From Baseline in the UPDRS Total Part 3 Score at the Indicated Visits in the Dose Increase Effect Verification Phase
ParticipantsRopinirole CR - High Dose GroupRopinirole CR - Maintenance Dose Group
Week 2, 30% or greater reduction from Baseline104
Week 4, 30% or greater reduction from Baseline175
Week 6, 30% or greater reduction from Baseline216
Week 8, 30% or greater reduction from Baseline307
Week 12, 30% or greater reduction from Baseline277
Week 2, 20% or greater reduction from Baseline165
Week 4, 20% or greater reduction from Baseline2611
Week 6, 20% or greater reduction from Baseline3010
Week 8, 20% or greater reduction from Baseline3511
Week 12, 20% or greater reduction from Baseline3113
SecondaryChange From Baseline in the Japanese UPDRS Part 1 Total Score at the Indicated Visits in the Dose Increase Effect Verification Phase

The Japanese UPDRS assesses the status of PD participants objectively. Part I evaluated mentation, behavior, and mood on 4 items, response for each item were scored numerically from 0-4. The total score for the 4 items ranged from 0 to 16. A higher score indicates more severe PD symptoms. Change from Baseline was calculated by subtracting the Baseline value from the post Baseline value. Baseline is defined as the value evaluated at Week 0. The analyses for the Dose Increase Effect Verification Phase was performed using the LOCF data. In the LOCF data, the last available data was used for the imputation for missing data at the planned visit.

Time frame:
Baseline, Weeks, 2, 4, 6, 8 and 12
Reported as:
Mean · Scores on a scale
Change From Baseline in the Japanese UPDRS Part 1 Total Score at the Indicated Visits in the Dose Increase Effect Verification Phase
Scores on a scaleRopinirole CR - High Dose GroupRopinirole CR - Maintenance Dose Group
Week 2-0.0 ± 0.50-0.1 ± 0.31
Week 4-0.1 ± 0.57-0.2 ± 0.49
Week 6-0.1 ± 0.69-0.1 ± 0.45
Week 8-0.1 ± 0.68-0.1 ± 0.45
Week 120.1 ± 0.89-0.1 ± 0.45
Statistical analysis
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): 0.1 · 95% CI -0.2 to 0.3Estimated value and CI are presented for the change from Baseline in Japanese UPDRS Part 1 total score for Week 2.
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): 0.1 · 95% CI -0.2 to 0.4Estimated value and CI are presented for the change from Baseline in Japanese UPDRS Part 1 total score for Week 4.
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): 0.0 · 95% CI -0.4 to 0.3Estimated value and CI are presented for the change from Baseline in Japanese UPDRS Part 1 total score for Week 6.
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): 0.0 · 95% CI -0.3 to 0.3Estimated value and CI are presented for the change from Baseline in Japanese UPDRS Part 1 total score for Week 8.
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): 0.2 · 95% CI -0.2 to 0.6Estimated value and CI are presented for the change from Baseline in Japanese UPDRS Part 1 total score for Week 12.
SecondaryChange From Baseline in the Japanese UPDRS Part 2 Total Score at the Indicated Visits by the on/Off Status in the Dose Increase Effect Verification Phase

The Japanese UPDRS assesses the status of PD participants objectively. Part 2 evaluated activities of daily living on 13 items, response for each item were scored numerically from 0-4. The total score for the 4 items ranged from 0 to 52. A higher score indicates more severe PD symptoms. Change from Baseline was calculated by subtracting the Baseline value from the post Baseline value. Baseline is defined as the value evaluated at Week 0. The analyses for the Dose Increase Effect Verification Phase was performed using the LOCF data. In the LOCF data, the last available data was used for the imputation for missing data at a planned visit. "Off" state is defined as the state at which PD symptoms are not adequately controlled by the drug. "On" state is defined as the state at which PD symptoms are well controlled by the drug. The score of UPDRS part 2 in off status is rated as '0' (Normal/None), if L-dopa adjunct participants do not have diurnal fluctuations.

Time frame:
Baseline, Weeks, 2, 4, 6, 8 and 12
Reported as:
Mean · Scores on a scale
Change From Baseline in the Japanese UPDRS Part 2 Total Score at the Indicated Visits by the on/Off Status in the Dose Increase Effect Verification Phase
Scores on a scaleRopinirole CR - High Dose GroupRopinirole CR - Maintenance Dose Group
Week 2, On status, n=61, 20-1.0 ± 2.00-0.2 ± 0.99
Week 4, On status, n=61, 20-1.4 ± 2.60-0.3 ± 1.63
Week 6, On status, n=61, 20-1.6 ± 3.03-0.5 ± 2.04
Week 8, On status, n=61, 20-1.4 ± 3.23-0.2 ± 2.23
Week 12, On status, n=61, 20-1.1 ± 3.61-0.2 ± 2.64
Week 2, Off status, n=53, 18-1.0 ± 2.13-0.3 ± 1.97
Week 4, Off status, n=53, 18-1.3 ± 3.23-0.4 ± 2.89
Week 6, Off status, n=53, 18-1.7 ± 3.90-0.8 ± 2.26
Week 8, Off status, n=53, 18-1.4 ± 3.92-1.3 ± 2.27
Week 12, Off status, n=53, 18-1.4 ± 4.25-1.3 ± 2.52
Statistical analysis
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): -0.9 · 95% CI -1.8 to 0.1Estimated value and CI are presented for the change from Baseline in Japanese UPDRS Part 2 total score for Week 2, On status.
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): -1.1 · 95% CI -2.4 to 0.1Estimated value and CI are presented for the change from Baseline in Japanese UPDRS Part 2 total score for Week 4, On status.
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): -1.1 · 95% CI -2.6 to 0.3Estimated value and CI are presented for the change from Baseline in Japanese UPDRS Part 2 total score for Week 6, On status.
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): -1.2 · 95% CI -2.8 to 0.3Estimated value and CI are presented for the change from Baseline in Japanese UPDRS Part 2 total score for Week 8, On status.
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): -1.0 · 95% CI -2.7 to 0.7Estimated value and CI are presented for the change from Baseline in Japanese UPDRS Part 2 total score for Week 12, On status.
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): -0.6 · 95% CI -1.8 to 0.5Estimated value and CI are presented for the change from Baseline in Japanese UPDRS Part 2 total score for Week 2, Off status.
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): -0.9 · 95% CI -2.6 to 0.8Estimated value and CI are presented for the change from Baseline in Japanese UPDRS Part 2 total score for Week 4, Off status.
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): -0.9 · 95% CI -2.8 to 1.0Estimated value and CI are presented for the change from Baseline in Japanese UPDRS Part 2 total score for Week 6, Off status.
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): -0.2 · 95% CI -2.1 to 1.8Estimated value and CI are presented for the change from Baseline in Japanese UPDRS Part 2 total score for Week 8, Off status.
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): -0.1 · 95% CI -2.2 to 2.1Estimated value and CI are presented for the change from Baseline in Japanese UPDRS Part 2 total score for Week 12, Off status.
SecondaryChange From Baseline in the Japanese UPDRS Part 4 Total Score at the Indicated Visits in the Dose Increase Effect Verification Phase

The Japanese UPDRS assessed the status of PD participants objectively. Part 4 evaluated complications on 11 items, response for 4 items were scored numerically from 0-4 and response for other 7 items were Yes/No questions and responses are numerically scored as 0 for "No" and 1 for "Yes". The total score for the 11 items ranged from 0 to 23. A higher score indicates more severe PD symptoms. Change from Baseline was calculated by subtracting the Baseline value from the post Baseline value. Baseline is defined as the value evaluated at Week 0. The analyses for the Dose Increase Effect Verification Phase was performed using the LOCF data. In the LOCF data, the last available data was used for the imputation for missing data at a planned visit.

Time frame:
Baseline, Weeks, 2, 4, 6, 8 and 12
Reported as:
Mean · Scores on a scale
Change From Baseline in the Japanese UPDRS Part 4 Total Score at the Indicated Visits in the Dose Increase Effect Verification Phase
Scores on a scaleRopinirole CR - High Dose GroupRopinirole CR - Maintenance Dose Group
Week 2-0.3 ± 1.10-0.2 ± 1.01
Week 4-0.2 ± 1.24-0.2 ± 1.39
Week 6-0.2 ± 1.43-0.3 ± 1.49
Week 80.0 ± 1.320.1 ± 1.28
Week 12-0.1 ± 1.380.1 ± 1.29
Statistical analysis
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): -0.1 · 95% CI -0.7 to 0.4Estimated value and CI are presented for the change from Baseline in Japanese UPDRS Part 4 total score for Week 2.
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): -0.1 · 95% CI -0.7 to 0.6Estimated value and CI are presented for the change from Baseline in Japanese UPDRS Part 4 total score for Week 4.
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): 0.1 · 95% CI -0.7 to 0.8Estimated value and CI are presented for the change from Baseline in Japanese UPDRS Part 4 total score for Week 6.
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): 0.0 · 95% CI -0.7 to 0.7Estimated value and CI are presented for the change from Baseline in Japanese UPDRS Part 4 total score for Week 8.
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): -0.2 · 95% CI -0.9 to 0.5Estimated value and CI are presented for the change from Baseline in Japanese UPDRS Part 4 total score for Week 12.
SecondaryPercent Change From Baseline in the Japanese UPDRS Part 1 Total Score at the Indicated Visits in the Dose Increase Effect Verification Phase

The Japanese UPDRS assessed the status of PD participants objectively. Part I evaluated mentation, behavior, and mood on 4 items, response for each item were scored numerically from 0-4. The total score for the 4 items ranged from 0 to 16. A higher score indicates more severe PD symptoms. Percent change from Baseline was calculated as Post baseline value minus Baseline value, divided by Baseline value and multiplied by 100. Baseline is defined as the value evaluated at Week 0. The analyses for Dose Increase Effect Verification Phase was performed using the LOCF data. In the LOCF data, the last available data was used for the imputation for missing data at a planned visit.

Time frame:
Baseline, Weeks, 2, 4, 6, 8 and 12
Reported as:
Mean · Percent change
Percent Change From Baseline in the Japanese UPDRS Part 1 Total Score at the Indicated Visits in the Dose Increase Effect Verification Phase
Percent changeRopinirole CR - High Dose GroupRopinirole CR - Maintenance Dose Group
Week 2-6.2 ± 40.06-16.7 ± 35.63
Week 4-14.5 ± 63.87-41.7 ± 49.60
Week 6-15.2 ± 83.82-29.2 ± 45.21
Week 8-16.4 ± 82.27-29.2 ± 45.21
Week 12-7.4 ± 85.84-29.2 ± 45.21
SecondaryPercent Change From Baseline in the Japanese UPDRS Part 2 Total Score at the Indicated Visits by the on/Off Status in the Dose Increase Effect Verification Phase

The Japanese UPDRS assesses the status of PD participants objectively. Part 2 evaluates activities of daily living on 13 items, response for each item were scored numerically from 0-4. The total score for the 4 items ranged from 0 to 52. A higher score indicates more severe PD symptoms. Percent change from Baseline was calculated as Post baseline value minus Baseline value, divided by Baseline value and multiplied by 100. Baseline is defined as the value at Week 0. The analyses for Dose Increase Effect Verification Phase was performed using the LOCF data. In the LOCF data, the last available data was used for the imputation for missing data at a planned visit. "Off" state is defined as the state at which PD symptoms are not adequately controlled by the drug. "On" state is defined as the state at which PD symptoms are well controlled by the drug. The score of UPDRS part 2 in off status is rated as '0' (Normal/None), if L-dopa adjunct participants do not have diurnal fluctuations.

Time frame:
Baseline, Weeks, 2, 4, 6, 8 and 12
Reported as:
Mean · Percent change
Percent Change From Baseline in the Japanese UPDRS Part 2 Total Score at the Indicated Visits by the on/Off Status in the Dose Increase Effect Verification Phase
Percent changeRopinirole CR - High Dose GroupRopinirole CR - Maintenance Dose Group
Week 2, On status, n=55, 16-22.3 ± 35.46-4.6 ± 20.29
Week 4, On status, n=55, 16-21.9 ± 43.38-13.0 ± 39.07
Week 6, On status, n=55, 16-21.4 ± 48.64-12.9 ± 53.71
Week 8, On status, n=55, 16-14.3 ± 75.53-9.0 ± 59.34
Week 12, On status, n=55, 16-4.7 ± 102.75-9.3 ± 63.12
Week 2, Off status, n=48, 15-11.7 ± 26.38-4.2 ± 13.45
Week 4, Off status, n=48, 15-15.0 ± 36.35-4.4 ± 18.18
Week 6, Off status, n=48, 15-17.0 ± 42.27-9.7 ± 17.69
Week 8, Off status, n=48, 15-14.7 ± 40.53-10.9 ± 16.68
Week 12, Off status, n=48, 15-15.2 ± 44.90-10.1 ± 14.02
SecondaryPercent Change From Baseline in the Japanese UPDRS Part 3 Total Score at the Indicated Visits in the Dose Increase Effect Verification Phase

The Japanese UPDRS assessed the status of PD participants objectively. Part 3 evaluated motor examination on 27 items, response for each items were scored numerically from 0-4. The total score for the 27 items ranged from 0 to 108. A higher score indicates more severe PD symptoms. Percent change from Baseline was calculated as Post baseline value minus Baseline value, divided by Baseline value and multiplied by 100. Baseline is defined as the value evaluated at Week 0. The analyses for Dose Increase Effect Verification Phase was performed using the LOCF data. In the LOCF data, the last available data was used for the imputation for missing data at a planned visit.

Time frame:
Baseline, Weeks, 2, 4, 6, 8 and 12
Reported as:
Mean · Percent change
Percent Change From Baseline in the Japanese UPDRS Part 3 Total Score at the Indicated Visits in the Dose Increase Effect Verification Phase
Percent changeRopinirole CR - High Dose GroupRopinirole CR - Maintenance Dose Group
Week 2-12.0 ± 18.69-11.8 ± 22.78
Week 4-17.4 ± 23.29-21.9 ± 18.81
Week 6-21.6 ± 23.96-22.9 ± 23.74
Week 8-25.5 ± 26.97-22.9 ± 25.02
Week 12-23.1 ± 29.88-27.6 ± 28.37
SecondaryPercent Change From Baseline in the Japanese UPDRS Part 4 Total Score at the Indicated Visits in the Dose Increase Effect Verification Phase

The Japanese UPDRS assessed the status of PD participants objectively. Part 4 evaluated complications on 11 items, response for 4 items were scored numerically from 0-4 and response for other 7 items were Yes/No questions and responses are numerically scored as 0 for "No" and 1 for "Yes". The total score for the 11 items ranged from 0 to 23. A higher score indicates more severe PD symptoms. Percent change from Baseline was calculated as Post baseline value minus Baseline value, divided by Baseline value and multiplied by 100. Baseline is defined as the value evaluated at Week 0. The analyses for Dose Increase Effect Verification Phase was performed using the LOCF data. In the LOCF data, the last available data was used for the imputation for missing data at a planned visit.

Time frame:
Baseline, Weeks, 2, 4, 6, 8 and 12
Reported as:
Mean · Percent change
Percent Change From Baseline in the Japanese UPDRS Part 4 Total Score at the Indicated Visits in the Dose Increase Effect Verification Phase
Percent changeRopinirole CR - High Dose GroupRopinirole CR - Maintenance Dose Group
Week 2-7.9 ± 36.71-1.9 ± 31.59
Week 4-4.1 ± 41.73-6.5 ± 35.97
Week 6-7.2 ± 47.39-4.9 ± 36.92
Week 81.4 ± 46.483.5 ± 35.18
Week 12-6.6 ± 46.049.5 ± 30.44
SecondaryChange From Baseline in the Japanese UPDRS Part 1 Total Score at the Indicated Visits in the Long-term Phase

The Japanese UPDRS assessed the status of PD participants objectively. Part I evaluated mentation, behavior, and mood on 4 items, response for each item were scored numerically from 0-4. The total score for the 4 items ranged from 0 to 16. A higher score indicates more severe PD symptoms.Change from Baseline was calculated by subtracting the Baseline value from the post Baseline value. Baseline is defined as the value evaluated at Week 13. If the value evaluated at Week 13 was missing, then first observed value post Week 13 was used as Baseline. The analyses performed using the OC data. In the OC data, no imputation was carried for any missing data. Full Analysis Set 2 (FAS2) Population comprised of all participants in the FAS1 and shifted to Long-term Phase, excluding those participants who received no dose of study medication and participants without UPDRS part III total score data after supply of the investigational product.

Time frame:
Baseline (Week 13), Weeks 17, 21, 25, 37, 49 and 52
Reported as:
Mean · Scores on a scale
Change From Baseline in the Japanese UPDRS Part 1 Total Score at the Indicated Visits in the Long-term Phase
Scores on a scaleRopinirole CR - High Dose Group: Long Term PhaseRopinirole CR - Maintenance Group: Long Term Phase
Week 17; n=42,170.1 ± 0.450.1 ± 0.56
Week 21; n=40, 160.2 ± 0.88-0.2 ± 0.66
Week 25; n=40, 170.2 ± 0.86-0.1 ± 0.83
Week 37; n=33, 170.2 ± 1.020.1 ± 0.90
Week 49; n=26, 140.2 ± 0.510.1 ± 0.73
Week 52; n=25, 140.2 ± 0.580.2 ± 0.97
SecondaryChange From Baseline in the Japanese UPDRS Part 2 Total Score at the Indicated Visits by the on/Off Status in the Long Term Phase

The Japanese UPDRS assesses the status of PD participants objectively. Part 2 evaluates activities of daily living on 13 items, response for each item were scored numerically from 0-4. The total score for the 4 items ranged from 0 to 52. A higher score indicates more severe PD symptoms.Change from Baseline was calculated by subtracting the Baseline value from the post Baseline value. Baseline is defined as the value at Week 13. If the value at Week 13 was missing, then first observed value post Week 13 was used as Baseline. The analyses performed using the OC data. In the OC data, no imputation was carried for any missing data."Off" state is defined as the state at which PD symptoms are not adequately controlled by the drug. "On" state is defined as the state at which PD symptoms are well controlled by the drug. The score of UPDRS part 2 in off status is rated as '0' (Normal/None), if L-dopa adjunct participants do not have diurnal fluctuations.

Time frame:
Baseline (Week 13), Weeks 17, 21, 25, 37, 49 and 52
Reported as:
Mean · Scores on a scale
Change From Baseline in the Japanese UPDRS Part 2 Total Score at the Indicated Visits by the on/Off Status in the Long Term Phase
Scores on a scaleRopinirole CR - High Dose Group: Long Term PhaseRopinirole CR - Maintenance Group: Long Term Phase
Week 17, On status, n=42, 17-0.1 ± 1.520.1 ± 0.60
Week 21, On status, n=40, 16-0.4 ± 1.600.0 ± 0.89
Week 25, On status, n=40, 17-0.2 ± 1.91-0.1 ± 0.99
Week 37, On status, n=33, 170.0 ± 2.320.2 ± 1.48
Week 49, On status, n=26, 140.0 ± 2.410.6 ± 1.70
Week 52, On status, n=25, 14-0.2 ± 2.670.1 ± 1.35
Week 17, Off status, n=36, 15-0.4 ± 2.33-0.5 ± 1.46
Week 21, Off status, n=34, 14-0.4 ± 2.32-0.7 ± 1.07
Week 25, Off status, n=34, 15-0.2 ± 2.27-1.5 ± 3.14
Week 37, Off status, n=29, 150.9 ± 3.770.0 ± 5.01
Week 49, Off status, n=24, 120.4 ± 3.110.8 ± 4.84
Week 52, Off status, n=23, 120.4 ± 2.520.8 ± 4.32
SecondaryMean Change From Baseline in UPDRS Part 3 Total Score at the Indicated Visits for Long Term Phase

The Japanese UPDRS assesses the status of PD participants objectively. Part 3 evaluates motor examination on 27 items, response for each items were scored numerically from 0-4. The total score for the 27 items ranged from 0 to 108. A higher score indicates more severe PD symptoms. Change from Baseline was calculated by subtracting the Baseline value from the post Baseline value. Baseline is defined as the value evaluated at Week 13. If the value evaluated at Week 13 was missing, then first observed value post Week 13 was used as Baseline. The analyses performed using the OC data. In the OC data, no imputation was carried for any missing data.

Time frame:
Baseline (Week 13), Weeks 17, 21, 25, 37, 49, 52
Reported as:
Mean · Scores on a scale
Mean Change From Baseline in UPDRS Part 3 Total Score at the Indicated Visits for Long Term Phase
Scores on a scaleRopinirole CR - High Dose Group: Long Term PhaseRopinirole CR - Maintenance Group: Long Term Phase
Week 17; n=41, 16-1.2 ± 3.46-0.7 ± 5.03
Week 21, n=39, 16-2.5 ± 5.53-1.9 ± 4.92
Week 25, n=40, 17-2.1 ± 5.09-0.6 ± 4.31
Week 37; n=33, 17-1.9 ± 6.461.4 ± 7.65
Week 49; n=26, 14-2.2 ± 8.660.6 ± 7.38
Week 52; n=25, 14-1.9 ± 6.92-0.6 ± 5.49
SecondaryChange From Baseline in the Japanese UPDRS Part 4 Total Score at the Indicated Visits in the Long Term Phase

The Japanese UPDRS assessed the status of PD participants objectively. Part 4 evaluated complications on 11 items, response for 4 items were scored numerically from 0-4 and response for other 7 items were Yes/No questions and responses are numerically scored as 0 for "No" and 1 for "Yes". The total score for the 11 items ranged from 0 to 23. A higher score indicates more severe PD symptoms.Change from Baseline was calculated by subtracting the Baseline value from the post Baseline value. Baseline is defined as the value evaluated at Week 13. If the value evaluated at Week 13 was missing, then first observed value post Week 13 was used as Baseline. The analyses performed using the OC data. In the OC data, no imputation was carried for any missing data.

Time frame:
Baseline (Week 13), Weeks 17, 21, 25, 37, 49 and 52
Reported as:
Mean · Scores on a scale
Change From Baseline in the Japanese UPDRS Part 4 Total Score at the Indicated Visits in the Long Term Phase
Scores on a scaleRopinirole CR - High Dose Group: Long Term PhaseRopinirole CR - Maintenance Group: Long Term Phase
Week 17, n=42, 170.1 ± 0.97-0.1 ± 1.03
Week 21, n=40, 160.3 ± 1.01-0.1 ± 0.89
Week 25, n=40, 170.4 ± 0.830.2 ± 2.24
Week 37; n=33;170.5 ± 1.151.1 ± 2.80
Week 49; n=26,140.9 ± 1.281.2 ± 2.72
Week 52; n=25, 140.6 ± 1.040.8 ± 2.36
SecondaryPercent Change From Baseline in the Japanese UPDRS Part 1 Total Score at the Indicated Visits in the Long Term Phase

The Japanese UPDRS assessed the status of PD participants objectively. Part I evaluated mentation, behavior, and mood on 4 items, response for each item were scored numerically from 0-4. The total score for the 4 items ranged from 0 to 16. A higher score indicates more severe PD symptoms. Percent change from Baseline was calculated as Post baseline value minus Baseline value, divided by Baseline value and multiplied by 100. Baseline is defined as the value evaluated at Week 13. If the value evaluated at Week 13 was missing, then first observed value post Week 13 was used as Baseline. The analyses performed using the OC data. In the OC data, no imputation was carried for any missing data.

Time frame:
Baseline (Week 13), Weeks 17, 21, 25, 37, 49 and 52
Reported as:
Mean · Percent change
Percent Change From Baseline in the Japanese UPDRS Part 1 Total Score at the Indicated Visits in the Long Term Phase
Percent changeRopinirole CR - High Dose Group: Long Term PhaseRopinirole CR - Maintenance Group: Long Term Phase
Week 17, n=15, 713.3 ± 36.43-9.5 ± 71.27
Week 21, n=14, 7-7.1 ± 28.47-31.0 ± 53.08
Week 25, n=14, 73.6 ± 48.89-26.2 ± 60.75
Week 37; n=9, 70.0 ± 43.30-11.9 ± 77.41
Week 49; n=6, 520.8 ± 40.0515.0 ± 85.88
Week 52; n=6, 512.5 ± 44.025.0 ± 75.83
SecondaryPercent Change From Baseline in the Japanese UPDRS Part 2 Total Score at the Indicated Visits by the on/Off Status in the Long-term Phase

The Japanese UPDRS assesses the status of PD participants objectively. Part 2 evaluates activities of daily living on 13 items, response for each item were scored numerically from 0-4. The total score for the 4 items ranged from 0 to 52. A higher score indicates more severe PD symptoms. Percent change from Baseline was calculated as Post baseline value minus Baseline value, divided by Baseline value and multiplied by 100. Baseline is defined as the value at Week 13. If the value at Week 13 was missing, then first observed value post Week 13 was used as Baseline. The analyses performed using the OC data. In the OC data, no imputation was carried for any missing data."Off" state is defined as the state at which PD symptoms are not adequately controlled by the drug. "On" state is defined as the state at which PD symptoms are well controlled by the drug. The score of UPDRS part 2 in off status is rated as '0' (Normal/None), if L-dopa adjunct participants do not have diurnal fluctuations.

Time frame:
Baseline (Week 13), Weeks 17, 21, 25, 37, 49 and 52
Reported as:
Mean · Percent change
Percent Change From Baseline in the Japanese UPDRS Part 2 Total Score at the Indicated Visits by the on/Off Status in the Long-term Phase
Percent changeRopinirole CR - High Dose Group: Long Term PhaseRopinirole CR - Maintenance Group: Long Term Phase
Week 17, On status, n=35, 122.3 ± 62.37-5.8 ± 30.29
Week 21, On status, n=33, 11-0.1 ± 62.87-7.1 ± 36.34
Week 25, On status, n=33, 12-1.7 ± 41.50-0.7 ± 46.77
Week 37, On status, n=26, 128.0 ± 64.38-8.6 ± 34.96
Week 49, On status, n=20, 927.8 ± 99.171.8 ± 54.21
Week 52, On status, n=19, 97.5 ± 93.460.7 ± 54.13
Week 17, Off status, n=26, 13-1.4 ± 29.10-3.6 ± 14.44
Week 21, Off status, n=24, 12-4.4 ± 35.76-6.0 ± 9.09
Week 25, Off status, n=24, 131.4 ± 41.65-5.2 ± 38.30
Week 37, Off status, n=20, 136.1 ± 54.096.3 ± 50.27
Week 49, Off status, n=16, 111.9 ± 41.7144.5 ± 96.82
Week 52, Off status, n=15, 117.1 ± 39.2426.2 ± 50.57
SecondaryPercent Change From Baseline in the Japanese UPDRS Part 3 Total Score at the Indicated Visits in the Long Term Phase

The Japanese UPDRS assessed the status of PD participants objectively. Part 3 evaluated motor examination on 27 items, response for each items were scored numerically from 0-4. The total score for the 27 items ranged from 0 to 108. A higher score indicates more severe PD symptoms. Percent change from Baseline was calculated as Post baseline value minus Baseline value, divided by Baseline value and multiplied by 100. Baseline is defined as the value evaluated at Week 13. If the value evaluated at Week 13 was missing, then first observed value post Week 13 was used as Baseline. The analyses performed using the OC data. In the OC data, no imputation was carried for any missing data.

Time frame:
Baseline (Week 13), Weeks 17, 21, 25, 37, 49 and 52
Reported as:
Mean · Percent change
Percent Change From Baseline in the Japanese UPDRS Part 3 Total Score at the Indicated Visits in the Long Term Phase
Percent changeRopinirole CR - High Dose Group: Long Term PhaseRopinirole CR - Maintenance Group: Long Term Phase
Week 17, n=41, 16-5.4 ± 20.986.2 ± 38.25
Week 21, n=39, 16-10.5 ± 25.83-6.0 ± 35.72
Week 25, n=40, 17-10.3 ± 31.992.6 ± 36.71
Week 37; n=33, 17-6.4 ± 30.9150.2 ± 148.56
Week 49; n=26, 14-3.4 ± 46.7343.2 ± 134.85
Week 52; n=25, 14-4.1 ± 44.3516.2 ± 77.23
SecondaryPercent Change From Baseline in the Japanese UPDRS Part 4 Total Score at the Indicated Visits in the Long-term Phase

The Japanese UPDRS assesses the status of PD participants objectively. Part 4 evaluates complications on 11 items, response for 4 items were scored numerically from 0-4 and response for other 7 items were Yes/No questions and responses are numerically scored as 0 for "No" and 1 for "Yes". The total score for the 11 items ranged from 0 to 23. A higher score indicates more severe PD symptoms. Percent change from Baseline was calculated as Post baseline value minus Baseline value, divided by Baseline value and multiplied by 100. Baseline is defined as the value evaluated at Week 13. If the value evaluated at Week 13 was missing, then first observed value post Week 13 was used as Baseline. The analyses performed using the OC data. In the OC data, no imputation was carried for any missing data.

Time frame:
Baseline (Week 13), Weeks 17, 21, 25, 37, 49 and 52
Reported as:
Mean · Percent change
Percent Change From Baseline in the Japanese UPDRS Part 4 Total Score at the Indicated Visits in the Long-term Phase
Percent changeRopinirole CR - High Dose Group: Long Term PhaseRopinirole CR - Maintenance Dose Group: Long Term Phase
Week 17, n=30, 1513.1 ± 49.427.1 ± 43.29
Week 21, n=28, 1411.3 ± 48.626.8 ± 41.68
Week 25, n=28, 1516.4 ± 41.6518.7 ± 101.42
Week 37, n=23, 1511.3 ± 38.3249.5 ± 139.78
Week 49, n=18, 1327.5 ± 34.9340.0 ± 123.78
Week 52, n=17, 1323.7 ± 36.3235.4 ± 104.67
SecondaryChange From Baseline in the Actual Hours of Awake Time Spent "Off" at the Indicated Visits Only in Participants Who Received L-dopa Adjunct

"Off" state is defined as the state at which PD symptoms are not adequately controlled by the drug. Participants were asked to record the duration of their "off " periods and asleep in diary cards every day. Change from Baseline in awake time spent "Off"(actual hours) is calculated as awake time spent "Off" (hours) at the indicated visit minus awake time spent "Off" (hours) at Baseline. Baseline is defined as the value at Week 0. The analyses for Dose Increase Effect Verification Phase was performed using the LOCF data. In the LOCF data, the last available data was used for the imputation for missing data at a planned visit.

Time frame:
Baseline, Weeks, 2, 4, 6, 8 and 12
Reported as:
Mean · hours
Change From Baseline in the Actual Hours of Awake Time Spent "Off" at the Indicated Visits Only in Participants Who Received L-dopa Adjunct
hoursRopinirole CR - High Dose GroupRopinirole CR - Maintenance Dose Group
Week 20.14 ± 2.2600.44 ± 1.605
Week 40.09 ± 2.3080.04 ± 1.817
Week 60.01 ± 2.6450.37 ± 2.068
Week 8-0.08 ± 2.5520.77 ± 2.442
Week 12-0.27 ± 2.7810.81 ± 1.953
Statistical analysis
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): -0.30 · 95% CI -1.65 to 1.04Estimated value and CI are presented for the change from Baseline in actual hours of awake time spent "Off" for Week 2.
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): 0.05 · 95% CI -1.34 to 1.45Estimated value and CI are presented for the change from Baseline in actual hours of awake time spent "Off" for Week 4.
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): -0.35 · 95% CI -1.95 to 1.24Estimated value and CI are presented for the change from Baseline in actual hours of awake time spent "Off" for Week 6.
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): -0.85 · 95% CI -2.44 to 0.75Estimated value and CI are presented for the change from Baseline in actual hours of awake time spent "Off" for Week 8.
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): -1.07 · 95% CI -2.73 to 0.58Estimated value and CI are presented for the change from Baseline in actual hours of awake time spent "Off" for Week 12.
SecondaryChange From Baseline in the Percentage of Awake Time Spent "Off" at the Indicated Visits Only in Participants Who Received L-dopa Adjunct

"Off" state is defined as the state at which PD symptoms are not adequately controlled by the drug. Participants were asked to record the duration of their "off " periods and asleep in diary cards every day. Percentage of awake time spent "off" is defined as sum of two days off time (hours) divided by sum of two days awake time (hours) and multiplied by 100. Change from Baseline was calculated by subtracting the Baseline value (percentage of awake time spent "off") from the post Baseline value (percentage of awake time spent "off"). Baseline is defined as the value at Week 0. The analyses for Dose Increase Effect Verification Phase was performed using the LOCF data. In the LOCF data, the last available data was used for the imputation for missing data at a planned visit.

Time frame:
Baseline, Weeks, 2, 4, 6, 8 and 12
Reported as:
Mean · percentage of awake time spent off
Change From Baseline in the Percentage of Awake Time Spent "Off" at the Indicated Visits Only in Participants Who Received L-dopa Adjunct
percentage of awake time spent offRopinirole CR - High Dose GroupRopinirole CR - Maintenance Dose Group
Week 21.36 ± 13.0252.39 ± 9.119
Week 40.62 ± 13.4860.48 ± 10.116
Week 6-0.09 ± 15.6772.70 ± 10.518
Week 80.19 ± 16.0124.65 ± 12.040
Week 12-1.24 ± 16.8144.74 ± 11.214
Statistical analysis
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): -1.03 · 95% CI -8.77 to 6.71Estimated value and CI are presented for the change from Baseline in the proportion of awake time spent "Off" for Week 2.
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): 0.14 · 95% CI -7.94 to 8.22Estimated value and CI are presented for the change from Baseline in the proportion of awake time spent "Off" for Week 4.
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): -2.78 · 95% CI -12.06 to 6.49Estimated value and CI are presented for the change from Baseline in the proportion of awake time spent "Off" for Week 6.
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): -4.46 · 95% CI -14.06 to 5.14Estimated value and CI are presented for the change from Baseline in the proportion of awake time spent "Off" for Week 8.
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): -5.98 · 95% CI -15.92 to 3.96Estimated value and CI are presented for the change from Baseline in the proportion of awake time spent "Off" for Week 12.
SecondaryChange From Baseline in Actual Hours of Awake Time Spent "On" at the Indicated Visits Only in Participants Who Received L-dopa Adjunct

"On" state is defined as the state at which PD symptoms are well controlled by the drug. Participants were asked to record the duration of their "off " periods and asleep in diary cards every day. Change from Baseline in awake time spent "On"(actual hours) is calculated as awake time spent "On" (hours) at the indicated visit minus awake time spent "On" (hours) at Baseline. Baseline is defined as the value at Week 0. The analyses for Dose Increase Effect Verification Phase was performed using the LOCF data. In the LOCF data, the last available data was used for the imputation for missing data at a planned visit.

Time frame:
Baseline, Weeks, 2, 4, 6, 8 and 12
Reported as:
Mean · hours
Change From Baseline in Actual Hours of Awake Time Spent "On" at the Indicated Visits Only in Participants Who Received L-dopa Adjunct
hoursRopinirole CR - High Dose GroupRopinirole CR - Maintenance Dose Group
Week 2, n=53, 17-0.39 ± 2.154-0.46 ± 1.635
Week 4, n=53, 18-0.12 ± 2.271-0.60 ± 2.180
Week 6, n=53, 18-0.01 ± 2.474-0.61 ± 1.676
Week 8, n=53, 18-0.11 ± 2.759-0.96 ± 1.554
Week 12, n=53, 180.07 ± 2.789-0.79 ± 1.815
Statistical analysis
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): 0.07 · 95% CI -1.07 to 1.21Estimated value and CI are presented for the change from Baseline in actual hours of awake time spent "On" for Week 2.
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): 0.47 · 95% CI -0.75 to 1.70Estimated value and CI are presented for the change from Baseline in actual hours of awake time spent "On" for Week 4.
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): 0.60 · 95% CI -0.65 to 1.86Estimated value and CI are presented for the change from Baseline in actual hours of awake time spent "On" for Week 6.
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): 0.85 · 95% CI -0.52 to 2.22Estimated value and CI are presented for the change from Baseline in actual hours of awake time spent "On" for Week 8.
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): 0.86 · 95% CI -0.55 to 2.26Estimated value and CI are presented for the change from Baseline in actual hours of awake time spent "On" for Week 12.
SecondaryChange From Baseline in Actual Hours of Awake Time Spent "On"Without Troublesome Dyskinesias at the Indicated Visits Only in Participants Who Received L-dopa Adjunct

"On" state is defined as the state at which PD symptoms are well controlled by the drug. Participants were asked to record the duration of their "off " periods and asleep in diary cards every day. Change from Baseline in awake time spent "On" without troublesome dyskinesias (actual hours) is calculated as \[awake time spent "On" minus awake time spent "On" with troublesome dyskinesias\] (hours) at visit minus \[awake time spent "On" minus awake time spent "On" with troublesome dyskinesias\] (hours) at Baseline. Baseline is defined as the value at Week 0. The analyses for Dose Increase Effect Verification Phase was performed using the LOCF data. In the LOCF data, the last available data was used for the imputation for missing data at a planned visit.

Time frame:
Baseline, Weeks, 2, 4, 6, 8 and 12
Reported as:
Mean · hours
Change From Baseline in Actual Hours of Awake Time Spent "On"Without Troublesome Dyskinesias at the Indicated Visits Only in Participants Who Received L-dopa Adjunct
hoursRopinirole CR - High Dose GroupRopinirole CR - Maintenance Dose Group
Week 2, n=53, 17-0.40 ± 2.276-0.59 ± 1.400
Week 4, n=53, 18-0.14 ± 2.359-0.71 ± 1.745
Week 6, n=53, 18-0.06 ± 2.566-0.63 ± 1.476
Week 8, n=53, 18-0.05 ± 2.896-1.01 ± 1.549
Week 12, n=53, 180.11 ± 2.968-0.74 ± 1.733
Statistical analysis
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): 0.19 · 95% CI -0.98 to 1.36Estimated value and CI are presented for the change from Baseline in actual hours of awake time spent "On" without troublesome dyskinesias for Week 2.
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): 0.57 · 95% CI -0.64 to 1.78Estimated value and CI are presented for the change from Baseline in actual hours of awake time spent "On" without troublesome dyskinesias for Week 4.
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): 0.56 · 95% CI -0.71 to 1.84Estimated value and CI are presented for the change from Baseline in actual hours of awake time spent "On" without troublesome dyskinesias for Week 6.
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): 0.96 · 95% CI -0.47 to 2.39Estimated value and CI are presented for the change from Baseline in actual hours of awake time spent "On" without troublesome dyskinesias for Week 8.
  • Ropinirole CR - High Dose Group vs Ropinirole CR - Maintenance Dose Group · Mean difference (final values): 0.85 · 95% CI -0.63 to 2.33Estimated value and CI are presented for the change from Baseline in actual hours of awake time spent "On" without troublesome dyskinesias for Week 12.
SecondaryNumber of Participants With an Improvement (Responder) in the Clinical Global Impression (CGI) Global Improvement Scale at Week 12

The CGI global improvement scale allows the investigator to rate the participant's total improvement since the beginning of treatment (Baseline). Scores on the scale range from 1 to 7 (1=very much improved, 2=much improved, 3=minimally improved, 4=no change, 5=minimally worse, 6=much worse, and 7=very much worse). Participants with a CGI global improvement score of \<=2 (representing much improved or very much improved) were considered to be moderate improvement (responder). The analyses performed using the OC data. In the OC data, no imputation was carried for any missing data.

Time frame:
Week 12
Reported as:
Number · Participants
Number of Participants With an Improvement (Responder) in the Clinical Global Impression (CGI) Global Improvement Scale at Week 12
ParticipantsRopinirole CR - High Dose GroupRopinirole CR - Maintenance Dose Group
Number of Participants With an Improvement (Responder) in the Clinical Global Impression (CGI) Global Improvement Scale at Week 12196
SecondaryNumber of Participants Remaining in the Study
Time frame:
From the start of the study medication (Week 0) until Week 52
Reported as:
Number · Participants
Number of Participants Remaining in the Study
ParticipantsRopinirole CR - High Dose GroupRopinirole CR - Maintenance Dose Group
Number of Participants Remaining in the Study2514
SecondaryNumber of Participants Achieving a 30% and 20% Reduction From Baseline in the UPDRS Total Part 3 Score at the Indicated Visits in Long Term Phase.

The Japanese UPDRS assesses the status of Parkinson's Disease (PD) participants objectively. Part III assessed motor examination on 27 items. Participants received a score of 0-4 points per item. The maximum total score is 108 points. A higher score indicates more severe PD symptoms. Number of participants achieving a 30% or greater and 20% or greater reduction from Baseline in UPDRS total part III score at Weeks 17, 21, 25, 37, 49 and 52,are presented using OC data. Change from Baseline was calculated by subtracting the Baseline value from the post Baseline value. Baseline is defined as the value evaluated at Week 13. If the value evaluated at Week 13 was missing, then first observed value post Week 13 was used as Baseline. The OC (observed Case) dataset was defined as the dataset consisting of observed data without any missing data imputation.

Time frame:
Baseline (Week 13), Weeks 17, 21, 25, 37, 49, 52
Reported as:
Number · Participants
Number of Participants Achieving a 30% and 20% Reduction From Baseline in the UPDRS Total Part 3 Score at the Indicated Visits in Long Term Phase.
ParticipantsRopinirole CR - High Dose Group: Long Term PhaseRopinirole CR - Maintenance Group: Long Term Phase
Week 17, >=30% reduction from Baseline; n=41,1652
Week 21, >=30% reduction from Baseline; n=39,1683
Week 25, >=30% reduction from Baseline; n=40, 1793
Week 37, >=30% reduction from Baseline; n=33,1783
Week 49, >=30% reduction from Baseline; n=26, 1491
Week 52, >=30% reduction from Baseline; n=25, 1462
Week 17, >=20% reduction from Baseline; n=41,1682
Week 21, >=20% reduction from Baseline; n=39,16153
Week 25, >=20% reduction from Baseline; n=40, 17163
Week 37, >=20% reduction from Baseline; n=33,17143
Week 49, >=20% reduction from Baseline; n=26, 14133
Week 52, >=20% reduction from Baseline; n=25, 14124
SecondaryChange From Baseline in the Actual Hours of Awake Time Spent "Off" at the Indicated Visits Only in Participants Who Received L-dopa Adjunct in Long Term Phase

"Off" state is defined as the state at which PD symptoms are not adequately controlled by the drug. Participants were asked to record the duration of their "off " periods and asleep in diary cards every day. Change from Baseline was calculated by subtracting the Baseline value (actual hours of awake time spent "off") from the week 17, 21, 25, 37, 49 and 52 value (proportion of awake time spent "off"). Baseline is defined as the value at Week 13. If the value evaluated at week 13 was missing then first observed value post week 13 was used as a Baseline.The analyses for long term phase was performed using the OC data. In the OC data, no imputation was carried for any missing data

Time frame:
Baseline (Week 13), Weeks 17, 21, 25, 37, 49 and 52
Reported as:
Mean · hours
Change From Baseline in the Actual Hours of Awake Time Spent "Off" at the Indicated Visits Only in Participants Who Received L-dopa Adjunct in Long Term Phase
hoursRopinirole CR - High Dose Group: Long Term PhaseRopinirole CR - Maintenance Dose Group: Long Term Phase
Week 17, n=26, 13-0.63 ± 2.600-0.50 ± 1.829
Week 21, n=24, 12-0.40 ± 1.892-0.65 ± 1.428
Week 25, n=24, 130.04 ± 1.442-0.52 ± 1.325
Week 37, n=20, 130.01 ± 2.999-0.46 ± 2.252
Week 49, n=18, 11-0.24 ± 1.9450.91 ± 3.117
Week 52, n=15, 11-0.62 ± 1.7970.45 ± 2.255
SecondaryChange From Baseline in the Percentage of Awake Time Spent "Off" at the Indicated Visits Only in Participants Who Received L-dopa Adjunct in Long Term Phase

"Off" state is defined as the state at which PD symptoms are not adequately controlled by the drug. Participants were asked to record the duration of their "off " periods and asleep in diary cards every day. Percentage of awake time spent "off" is defined as sum of two days off time (hours) divided by sum of two days awake time (hours) and multiplied by 100. Change from Baseline was calculated by subtracting the Baseline value (percentage of awake time spent "off") from week 17, 21, 25, 37, 49 and 52 value (percentage of awake time spent "off"). Baseline is defined as the value at Week 13, If the value evaluated at week 13 was missing then first observed value post week 13 was used as a Baseline. The analyses for Long term phase was performed using the OC data. In the OC data, no imputation was carried for any missing data.

Time frame:
Baseline (Week 13), Weeks 17, 21, 25, 37, 49 and 52
Reported as:
Mean · percentage of awake time spent off
Change From Baseline in the Percentage of Awake Time Spent "Off" at the Indicated Visits Only in Participants Who Received L-dopa Adjunct in Long Term Phase
percentage of awake time spent offRopinirole CR - High Dose Group: Long Term PhaseRopinirole CR - Maintenance Dose Group: Long Term Phase
Week 17, n=26, 13-4.16 ± 15.734-4.41 ± 16.606
Week 21, n=24, 12-2.59 ± 10.682-5.39 ± 13.102
Week 25, n=24, 130.49 ± 8.123-3.95 ± 10.677
Week 37, n=20, 13-0.99 ± 15.204-4.56 ± 20.134
Week 49, n=18, 11-1.33 ± 11.5092.93 ± 19.464
Week 52, n=15, 11-3.62 ± 9.9251.24 ± 13.957
SecondaryChange From Baseline in Actual Hours of Awake Time Spent "On" at the Indicated Visits Only in Participants Who Received L-dopa Adjunct in Long Term Phase

"On" state is defined as the state at which PD symptoms are well controlled by the drug. Participants were asked to record the duration of their "off " periods and asleep in diary cards every day. Change from Baseline in awake time spent "On"(actual hours) is calculated as awake time spent "On" (hours) at the week 17, 21, 25, 37, 49 and 52 value minus awake time spent "On" (hours) at Baseline. Baseline is defined as the value at Week 13. If the value evaluated at week 13 was missing then first observed value post week 13 was used as a Baseline. The analyses for Long term phase was performed using the OC data. The OC (observed Case) dataset was defined as the dataset consisting of observed data without any missing data imputation.

Time frame:
Baseline (Week 13), Weeks 17, 21, 25, 37, 49 and 52
Reported as:
Mean · hours
Change From Baseline in Actual Hours of Awake Time Spent "On" at the Indicated Visits Only in Participants Who Received L-dopa Adjunct in Long Term Phase
hoursRopinirole CR - High Dose Group: Long Term PhaseRopinirole CR - Maintenance Dose Group: Long Term Phase
Week 17, n=36, 150.56 ± 2.4720.57 ± 2.376
Week 21, n=34, 140.43 ± 1.5850.73 ± 2.006
Week 25, n=34, 15-0.04 ± 1.4340.23 ± 1.896
Week 37, n=29, 150.26 ± 2.1880.37 ± 3.266
Week 49, n=26, 12-0.19 ± 1.764-0.56 ± 3.163
Week 52, n=23, 120.36 ± 1.539-0.56 ± 2.358
SecondaryChange From Baseline in Actual Hours of Awake Time Spent "On" Without Troublesome Dyskinesias at the Indicated Visits Only in Participants Who Received L-dopa Adjunct in Long Term Phase

"On" state is defined as the state at which PD symptoms are well controlled by the drug. Participants were asked to record the duration of their "on " periods and asleep in diary cards every day. Change from Baseline in awake time spent "On" without troublesome dyskinesias (actual hours) is calculated as \[awake time spent "On" minus awake time spent "On" with troublesome dyskinesias\] (hours) at visit minus \[awake time spent "On" minus awake time spent "On" with troublesome dyskinesias\] (hours) at Baseline. Baseline is defined as the value at Week 13. If the value evaluated at week 13 was missing then first observed value post week 13 was used as a Baseline. The analyses for Long term phase was performed using the OC data. In the OC data, no imputation was carried for any missing data

Time frame:
Baseline (Week 13), Weeks 17, 21, 25, 37, 49 and 52
Reported as:
Mean · hours
Change From Baseline in Actual Hours of Awake Time Spent "On" Without Troublesome Dyskinesias at the Indicated Visits Only in Participants Who Received L-dopa Adjunct in Long Term Phase
hoursRopinirole CR - High Dose Group: Long Term PhaseRopinirole CR - Maintenance Dose Group: Long Term Phase
Week 17, n=36, 150.24 ± 2.2450.60 ± 2.347
Week 21, n=34, 140.21 ± 1.8501.23 ± 2.403
Week 25, n=34, 15-0.15 ± 1.3410.25 ± 2.615
Week 37, n=29, 15-0.09 ± 2.2471.02 ± 3.447
Week 49, n=26, 12-0.50 ± 1.8770.04 ± 2.720
Week 52, n=23, 120.08 ± 1.378-0.21 ± 2.886
SecondaryChange From Baseline in Percentage of Awake Time Spent "On" at the Indicated Visits Only in Participants Who Received L-dopa Adjunct in Long Term Phase

"On" state is defined as the state at which PD symptoms are well controlled by the drug. Participants were asked to record the duration of their "on " periods and asleep in diary cards every day. Percentage of awake time spent "on" is defined as sum of two days on time (hours) divided by sum of two days awake time (hours) and multiplified by 100. Change from Baseline was calculated by subtracting the Baseline value (percentage of awake time spent "on") from week 17, 21, 25, 37, 49 and 52 value (percentage of awake time spent "on"). Baseline is defined as the value at Week 13. If the value evaluated at week 13 was missing the first observed value post week 13 was used as a Baseline.The analyses for Long term phase was performed using the OC data. In the OC data, no imputation was carried for any missing data.

Time frame:
Baseline (Week 13), Weeks 17, 21, 25, 37, 49 and 52
Reported as:
Mean · percentage of awake time spent on
Change From Baseline in Percentage of Awake Time Spent "On" at the Indicated Visits Only in Participants Who Received L-dopa Adjunct in Long Term Phase
percentage of awake time spent onRopinirole CR - High Dose Group: Long Term PhaseRopinirole CR - Maintenance Dose Group: Long Term Phase
Week 17, n=36, 152.81 ± 13.5293.82 ± 15.452
Week 21, n=34, 141.20 ± 9.8414.62 ± 12.211
Week 25, n=34, 15-1.02 ± 7.8133.42 ± 9.982
Week 37, n=29, 150.13 ± 12.7663.27 ± 19.048
Week 49, n=26, 12-0.23 ± 10.389-2.68 ± 18.578
Week 52, n=23, 121.80 ± 8.706-1.14 ± 13.313
SecondaryChange From Baseline in Percentage of Awake Time Spent "On" Without Troublesome Dyskinesias at the Indicated Visits Only in Participants Who Received L-dopa Adjunct in Long Term Phase

"On" state is defined as the state at which PD symptoms are well controlled by the drug. Par. were asked to record the duration of their "on " periods and asleep in diary cards every day. Percentage of awake time spent "On" without troublesome dyskinesias is defined as sum of two days on time without troublesome dyskinesias \["On" time minus "On" time with troublesome dyskinesias\] (hours) divided by sum of two days awake time (hours) and multiplified by 100. Change from Baseline was calculated by subtracting the Baseline value (percentage of awake time spent "On" without troublesome dyskinesias) from week 17, 21, 25, 37, 49 and 52 value (percentage of awake time spent "On" without troublesome dyskinesias). Baseline is defined as the value at Week 13. If the value evaluated at week 13 was missing the first observed value post week 13 was used as a Baseline.The analyses for Long term phase was performed using the OC data. In the OC data, no imputation was carried for any missing data.

Time frame:
Baseline (Week 13), Weeks 17, 21, 25, 37, 49 and 52
Reported as:
Mean · percentage of awake time spent on
Change From Baseline in Percentage of Awake Time Spent "On" Without Troublesome Dyskinesias at the Indicated Visits Only in Participants Who Received L-dopa Adjunct in Long Term Phase
percentage of awake time spent onRopinirole CR - High Dose Group: Long Term PhaseRopinirole CR - Maintenance Dose Group: Long Term Phase
Week 17, n=36, 150.70 ± 11.6554.04 ± 15.472
Week 21, n=34, 14-0.16 ± 11.7307.31 ± 13.780
Week 25, n=34, 15-1.70 ± 7.7653.10 ± 15.036
Week 37, n=29, 15-1.71 ± 13.6986.93 ± 19.472
Week 49, n=26, 12-2.00 ± 11.8350.45 ± 15.958
Week 52, n=23, 12-0.05 ± 7.5210.53 ± 14.966

Adverse events

Collected over Serious adverse events (SAEs) and non-SAEs were collected from the start of study treatment (Week 0) until Week 52.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Ropinirole CR - High Dose Group—2/61 (3.3%)13/61 (21.3%)
Ropinirole CR - Maintenance Group—4/20 (20%)11/20 (55%)
Ropinirole CR - High Dose Group: Long Term Phase—0/44 (0%)14/44 (31.8%)
Ropinirole CR - Maintenance Group: Long Term Phase—1/18 (5.6%)13/18 (72.2%)
Most frequent serious events
Most frequent serious events
EventRopinirole CR - High Dose GroupRopinirole CR - Maintenance GroupRopinirole CR - High Dose Group: Long Term PhaseRopinirole CR - Maintenance Group: Long Term Phase
Uterine prolapseReproductive system and breast disorders0/611/200/441/18
Gastric cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/610/200/441/18
Atrial fibrillationCardiac disorders0/611/200/440/18
Inguinal herniaGastrointestinal disorders0/611/200/440/18
Fractured sacrumInjury, poisoning and procedural complications0/611/200/440/18
Cerebral infarctionNervous system disorders0/611/200/440/18
Myocardial infarctionCardiac disorders1/610/200/440/18
PericarditisCardiac disorders1/610/200/440/18
Ovarian cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/610/200/440/18
Most frequent other events
Showing 10 of 40
Most frequent other events
EventRopinirole CR - High Dose GroupRopinirole CR - Maintenance GroupRopinirole CR - High Dose Group: Long Term PhaseRopinirole CR - Maintenance Group: Long Term Phase
Back painMusculoskeletal and connective tissue disorders0/610/200/444/18
NasopharyngitisInfections and infestations2/614/205/440/18
Sudden onset of sleepNervous system disorders2/612/201/443/18
VomitingGastrointestinal disorders0/611/200/442/18
ConstipationGastrointestinal disorders0/610/203/442/18
NauseaGastrointestinal disorders3/611/200/442/18
DyskinesiaNervous system disorders3/612/202/441/18
EczemaSkin and subcutaneous tissue disorders0/610/203/440/18
SomnolenceNervous system disorders4/611/200/440/18
DizzinessNervous system disorders0/610/201/441/18

Baseline characteristics

Age, Continuous
Age, Continuous(Years)Ropinirole CR - High Dose GroupRopinirole CR - Maintenance Dose GroupTotal
Mean65.5 ± 8.9563.3 ± 12.4265.0 ± 9.88
Sex: Female, Male
Sex: Female, Male(Participants)Ropinirole CR - High Dose GroupRopinirole CR - Maintenance Dose GroupTotal
Female391150
Male22931
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Ropinirole CR - High Dose GroupRopinirole CR - Maintenance Dose GroupTotal
Japanese/East Asian Heritage (EAH)/South EAH612081
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Study locations

17 sites
  • GSK Investigational Site
    Aichi, 466-8560, Japan
  • GSK Investigational Site
    Akita, 010-0874, Japan
  • GSK Investigational Site
    Aomori, 030-8553, Japan
  • GSK Investigational Site
    Hokkaido, 070-8530, Japan
  • GSK Investigational Site
    Hokkaido, 070-8644, Japan
  • GSK Investigational Site
    Hyogo, 672-8043, Japan
  • GSK Investigational Site
    Hyogo, 674-0081, Japan
  • GSK Investigational Site
    Iwate, 020-0878, Japan
  • GSK Investigational Site
    Iwate, 025-0075, Japan
  • GSK Investigational Site
    Kagawa, 760-0027, Japan
  • GSK Investigational Site
    Kanagawa, 252-0392, Japan
  • GSK Investigational Site
    Kyoto, 600-8811, Japan
  • GSK Investigational Site
    Okayama, 703-8265, Japan
  • GSK Investigational Site
    Osaka, 530-8480, Japan
  • GSK Investigational Site
    Osaka, 578-8588, Japan
  • GSK Investigational Site
    Shizuoka, 416-0955, Japan
  • GSK Investigational Site
    Shizuoka, 433-8125, Japan
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References and documents

Publications

  • Hattori N, Hasegawa K, Sato K, Mitsuyama E, Numachi Y. Clinical evaluation of ropinirole controlled-release formulation at 18-24 mg/day in Japanese patients with Parkinson's disease. Parkinsonism Relat Disord. 2017 Jul;40:33-39. doi: 10.1016/j.parkreldis.2017.04.005. Epub 2017 Apr 13. PubMed 28442303 ↗

Individual participant data

Plan to share: Yes — Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 20, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01929317
Lead sponsor
GlaxoSmithKline
Responsible party
Sponsor
First posted
Aug 27, 2013
Start date
Aug 28, 2013
Primary completion
Sep 16, 2014
Completion
Jun 9, 2015
Results posted
May 21, 2015
Last update
Jun 20, 2018

Study contacts

GSK Clinical Trials
study director · GlaxoSmithKline

Oversight

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

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This study is terminated, as verified in Jun 2018. You cannot join it, but the record below documents what was studied.

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