ClinicalTrials.gg
TerminatedNCT02153632ALLAY-LID-IIUpdated Feb 16, 2022Results posted

Efficacy and Safety of Amantadine Hydrogen Chloride (HCl) ER Tablets in Parkinson's Disease Subjects With LID

A Phase 3 interventional study of amantadine HCl ER and Placebo in Parkinson's Disease and Levodopa Induced Dyskinesia (LID), sponsored by Adamas Pharmaceuticals, Inc.. Terminated at 56 sites in 5 countries. Open to participants aged 30 Years to 85 Years. Per ClinicalTrials.gov, last updated 2022-02-16.

Sponsored by Adamas Pharmaceuticals, Inc. (part of Supernus Pharmaceuticals, Inc.) · Phase 3, Interventional, and Treatment

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Phase
Phase 3
Study type
Interventional
Enrollment
135
Allocation
Randomized
Ages
30 Years to 85 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 12 studies testing amantadine in Parkinson Disease — none open to participants now, none under way, none of them phase 3. Amantadine · Parkinson Disease.

Enrollment
3rd of 12
135 · median 57
Started
2014
with 1 other
Phase 3
3 of 12
none open now
Registered
9th of 12
by date
Lead sponsor
2 of 12
Adamas Pharmaceuticals, Inc.

Among the 12 studies testing amantadine in Parkinson Disease, this one is the 3rd largest by enrollment, is one of 2 that started in 2014, is one of 3 in phase 3, and was the 9th registered.

Parkinson Disease

4,576 studies on the registry are indexed under Parkinson Disease; 1,087 are open to participants now.

Browse Parkinson Disease studies →

Open to participants now

None of the 12 studies testing amantadine in Parkinson Disease is open now. The open studies under Parkinson Disease, anywhere →

About amantadine

Amantadine: first FDA approval 1968 (SYMMETREL). What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 749 Parkinson Disease studies recruiting now, 311 (42%) set no upper age limit and 127 (17%) stop at 75 or younger; 64 take children under 18; 189 take healthy volunteers.

This study: 30 Years to 85 Years · all sexes · no healthy volunteers.

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Download CSVNarrow it in search →With an account: the 12 studies testing amantadine in Parkinson Disease as a file.
02

Study summary

The purpose of this multi-center, randomized, double-blind, parallel-group, 26 week study is to compare the efficacy and safety of two different dose levels of Amantadine Extended Release Tablets to placebo for the treatment of levodopa induced dyskinesia in patients with Parkinson's disease.

Read the detailed description

This study was terminated early due to slow enrollment with 135 of 162 planned subjects enrolled. Amantadine HCl ER has been used for many years as a treatment for Parkinson's disease. It has been reported in the literature to effectively treat the motor complications of levodopa, especially dyskinesia, but it must be given 2 to 4 times a day. The purpose of this multi-center, randomized, double-blind, parallel-group, 26 week study is to compare the efficacy and safety of two different dose levels of Amantadine Extended Release Tablets to placebo for the treatment of levodopa induced dyskinesia in patients with Parkinson's disease. The dose will be given once a day in the morning so that amantadine concentrations are maintained throughout the day for treating the levodopa induced dyskinesia, but will be lower during the night, potentially reducing the negative impact of amantadine on sleep.

03

Conditions studied

  • Parkinson's Disease
  • Levodopa Induced Dyskinesia (LID)

Keywords

  • Parkinson's Disease
  • Levodopa Induced Dyskinesia (LID)
  • LID
  • Parkinsonism
  • Dyskinesia
04

Who can participate

Ages eligible
30 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

Inclusion criteria

  • Signed Institutional Review Board (IRB)/ Independent Ethics Committee (IEC) form.
  • Idiopathic Parkinson's disease per the United Kingdom (UK) Parkinson's Disease Society Brain Bank criteria.
  • Male or female 30 to 85 years old.
  • Levodopa induced, predictable peak-effect dyskinesia considered problematic and/or disabling.
  • Screening serum creatinine level within normal range
  • On stable doses of all oral anti-Parkinson's medication, including any levodopa preparation, for 30 days and be willing to remain on the same doses throughout the trial.
  • The subject/caregiver must demonstrate the ability to complete an accurate home diary based on training and evaluation during the screening period.

Exclusion criteria

Exclusion Criteria:

  • Secondary parkinsonian syndrome, such as vascular, postinflammatory,drug-induced, neoplastic and post-traumatic parkinsonism or any atypical parkinsonian syndrome (e.g., Progressive Supranuclear Palsy, Multi-System Atrophy, etc.);
  • Use of amantadine within 14 days before study start, or previously had an adverse event to amantadine
  • Currently taking neuroleptics and atypical antipsychotic agents, acetylcholinesterase inhibitors, apomorphine, rimantadine, memantine and dextromethorphan and quinidine if used in combination for treating dyskinesia.
  • History of neurosurgical intervention for treating Parkinson's s disease (i.e. pallidotomy or implanted with a deep brain stimulator)
  • Any medical condition or past medical history that would increase the risk of exposure to Amantadine HCl Extended Release Tablets or interfere with safety and efficacy evaluations.
  • History of cancer within 5 years of screening with following exceptions: adequately treated non-melanomatous skin cancers, localized bladder cancer, non- prostate cancer or in situ cervical cancer.
  • History or current diagnosis of schizophrenia or bipolar disorder;
  • Inadequately treated Major Depressive Disorder. Subjects on stable doses of selective serotonin reuptake inhibitors (SSRIs) or serotonin-norepinephrine reuptake inhibitors (SNRIs) are eligible for the study;
  • Is at imminent risk of suicide or had a suicide attempt within 6 months of screening
  • History or current diagnosis of Impulse Control Disorder
  • Calculated plasma of \<60 mL/min at screening
  • History of or currently has any of the following conditions, cardiovascular, respiratory, renal, hepatic, or gastrointestinal disease
  • Any clinically significant vital sign, , or laboratory abnormalities;
  • A positive test for antibody or history of HIV; surface antigen unless the positive test followed a recent (\<28 days) vaccination for hepatitis B; antibody;
  • A positive urine drug test.
  • Pregnant or breastfeeding at screening or has a positive pregnancy test
  • If a sexually active female, is not surgically sterile or at least 2 years , or does not agree to utilize an effective method of from the screening visit to at least 4 weeks after the completion of study treatment.
  • History of alcohol or narcotic substance abuse ≤1 year before screening.
  • Has dementia or another psychiatric illness that prevents provision of .
  • Has a known to the study treatment(s), based on known allergies to drugs of the same class including rimantadine HCl and memantine HCl.
  • Has participated in other studies involving drugs or surgeries within the last 30 days or investigational biologics within the last 6 months prior to screening.
  • Plans to undergo major elective surgery during the course of the study.
  • Received administration of Live Attenuated Influenza Vaccine (LAIV) within 2 weeks.
  • Cognitive impairment, as evidenced by a score \<26 on the (MoCA) at the screening visit.
Terms in these criteria, in plain language(13)

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

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Contraception

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

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

Hypersensitivity

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

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

MMSE and MoCA

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

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
135 participants (actual)

Study arms

  • Experimental
    240mg amantadine HCl ER tablets

    amantadine HCl ER, 240 mg tablets, once daily, 22 weeks

    Drug: amantadine HCl ER

  • Experimental
    320mg amantadine HCl ER tablets

    amantadine HCl ER, 320 mg tablets, once daily, 22 weeks

    Drug: amantadine HCl ER

  • Placebo comparator
    Placebo Tablets for Amantadine

    Placebo, tablets, once daily, 26 weeks.

    Drug: Placebo

Interventions

  • Subjects are given either 240 mg amantadine HCl ER tablet or 320 mg amantadine HCl ER tablet

    Also known as: Osmolex ER Tablet

  • DrugPlacebo

    subjects are given an identical placebo tablet

    Also known as: Placebo tablets

06

What researchers measure

Primary outcomes

  1. Unified Dyskinesia Rating Scale

    The Unified Dyskinesia Rating Scale is a validated tool for assessment of dyskinesia (involuntary movements) in Parkinson's Disease patients. Rating consists of the change from baseline to Day 98 of the sum of the 26 questions comprising the questionnaire. Each question in the questionnaire is rated on a 5 point scale from 0-4 where 0 is a better outcome. Questions assess: over the past week total hours with dyskinesia and total hours without dyskinesia; problems with speech, chewing and swallowing, eating, dressing, hygiene, handwriting, hobbies, balance, socializing, emotions, spasm or cramps, pain without dystonia and pain from dystonia. The minimum (better) value is 0 and the maximum (worse) value is 130.

    Time frame: Change from baseline to Day 98

Secondary outcomes

  1. Mobility State Self-Assessment - Subject Diary Cards

    hange from baseline in the number of awake hours without troublesome dyskinesia (involuntary movements). Every half hour the subject will indicate in the diary if the medication has ("ON") or has not ("OFF") produced benefits in terms of mobility, slowness and rigidity. Valid diaries of the 3 consecutive days prior to each visit will be averaged with respect to the number of awake hours without troublesome dyskinesia. The change from baseline in the number of waking hours that subjects report being "ON" without troublesome dyskinesias will be analyzed at analysis visits Day 14 and Day 98 of treatment. Higher scores mean a better outcome and the maximum value is 24 hours.

    Time frame: Day 14 and Day 98 of treatment

07

Results

Posted Apr 2, 2019

Participant flow

Participant flow — Overall Study
Milestone240mg Amantadine HCl ER Tablets320mg Amantadine HCl ER TabletsPlacebo Tablets for Amantadine
Started454644
Completed272725
Not completed181919

Outcome measures

PrimaryUnified Dyskinesia Rating Scale

The Unified Dyskinesia Rating Scale is a validated tool for assessment of dyskinesia (involuntary movements) in Parkinson's Disease patients. Rating consists of the change from baseline to Day 98 of the sum of the 26 questions comprising the questionnaire. Each question in the questionnaire is rated on a 5 point scale from 0-4 where 0 is a better outcome. Questions assess: over the past week total hours with dyskinesia and total hours without dyskinesia; problems with speech, chewing and swallowing, eating, dressing, hygiene, handwriting, hobbies, balance, socializing, emotions, spasm or cramps, pain without dystonia and pain from dystonia. The minimum (better) value is 0 and the maximum (worse) value is 130.

Time frame:
Change from baseline to Day 98
Reported as:
Mean · score on a scale
Unified Dyskinesia Rating Scale
score on a scale240mg Amantadine HCl ER Tablets320mg Amantadine HCl ER TabletsPlacebo Tablets for Amantadine
Visit 2 (Baseline)41.3 ± 13.9136.3 ± 12.4040.7 ± 13.98
Visit 7 (Day 98)/Stable Dose LOCF [1]41.3 ± 13.9836.3 ± 12.4040.7 ± 13.98
Mean Change from Baseline (SD)-15.2 ± 15.58-13.7 ± 10.95-9.0 ± 10.62
Statistical analysis
  • 240mg Amantadine HCl ER Tablets · ANCOVA · p = 0.031 · Mean difference (final values): -5.5 · 95% CI -10.5 to -0.5
  • 320mg Amantadine HCl ER Tablets · ANCOVA · p = 0.011 · Mean difference (final values): -6.5 · 95% CI -11.5 to -1.5
SecondaryMobility State Self-Assessment - Subject Diary Cards

hange from baseline in the number of awake hours without troublesome dyskinesia (involuntary movements). Every half hour the subject will indicate in the diary if the medication has ("ON") or has not ("OFF") produced benefits in terms of mobility, slowness and rigidity. Valid diaries of the 3 consecutive days prior to each visit will be averaged with respect to the number of awake hours without troublesome dyskinesia. The change from baseline in the number of waking hours that subjects report being "ON" without troublesome dyskinesias will be analyzed at analysis visits Day 14 and Day 98 of treatment. Higher scores mean a better outcome and the maximum value is 24 hours.

Time frame:
Day 14 and Day 98 of treatment
Reported as:
Mean · Hours
Mobility State Self-Assessment - Subject Diary Cards
Hours240mg Amantadine HCl ER Tablets320mg Amantadine HCl ER TabletsPlacebo Tablets for Amantadine
Visit 2 (Baseline)10.4 ± 3.769.8 ± 3.489.1 ± 3.48
Visit 7 (Day 98)/Stable Dose LOCF [1]12.7 ± 3.9113.3 ± 3.8311.1 ± 4.03
Mean Change in Hours from Baseline (SD)2.3 ± 3.253.6 ± 3.931.6 ± 3.56

Adverse events

Collected over 26 weeks. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
240mg Amantadine HCl ER Tablets0/45 (0%)1/45 (2.2%)36/45 (80%)
320mg Amantadine HCl ER Tablets0/46 (0%)4/46 (8.7%)38/46 (82.6%)
Placebo Tablets for Amantadine0/44 (0%)6/44 (13.6%)29/44 (65.9%)
Most frequent serious events
Showing 10 of 11
Most frequent serious events
Event240mg Amantadine HCl ER Tablets320mg Amantadine HCl ER TabletsPlacebo Tablets for Amantadine
transient ischaemic attackNervous system disorders0/450/461/44
lumbar spinal stenosisMusculoskeletal and connective tissue disorders0/450/461/44
intervertebral disc protrusionMusculoskeletal and connective tissue disorders0/450/461/44
brain abscessInfections and infestations0/450/461/44
contipation diabetes mellitus inadequate controlMetabolism and nutrition disorders0/450/461/44
thoracic vertebral fractureInjury, poisoning and procedural complications0/450/461/44
hypertensionVascular disorders1/450/460/44
osteoarthritisMusculoskeletal and connective tissue disorders0/451/460/44
constipation hemorrhoidsGastrointestinal disorders0/451/460/44
vestibular neuronitisInfections and infestations0/451/460/44
Most frequent other events
Showing 10 of 160
Most frequent other events
Event240mg Amantadine HCl ER Tablets320mg Amantadine HCl ER TabletsPlacebo Tablets for Amantadine
NauseaGastrointestinal disorders6/456/461/44
FallInjury, poisoning and procedural complications5/454/465/44
DyskinesiaNervous system disorders5/453/463/44
Dry mouthGastrointestinal disorders4/455/460/44
Urinary tract infectionInfections and infestations3/455/463/44
FatigueGeneral disorders0/453/464/44
SomnolenceNervous system disorders3/450/464/44
Oedema peripheralGeneral disorders0/454/461/44
ArthralgiaMusculoskeletal and connective tissue disorders3/451/460/44
DizzinessNervous system disorders3/452/460/44

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)240mg Amantadine HCl ER Tablets320mg Amantadine HCl ER TabletsPlacebo Tablets for AmantadineTotal
<=18 years0000
Between 18 and 65 years454644135
>=65 years0000
Age, Continuous
Age, Continuous(years)240mg Amantadine HCl ER Tablets320mg Amantadine HCl ER TabletsPlacebo Tablets for AmantadineTotal
Mean63.9 ± 8.8863.0 ± 8.9863.5 ± 10.3663.5 ± 9.36
Sex: Female, Male
Sex: Female, Male(Participants)240mg Amantadine HCl ER Tablets320mg Amantadine HCl ER TabletsPlacebo Tablets for AmantadineTotal
Female16211855
Male29252680
Region of Enrollment
Region of Enrollment(participants)240mg Amantadine HCl ER Tablets320mg Amantadine HCl ER TabletsPlacebo Tablets for AmantadineTotal
Canada3126
United States15232361
France107825
Germany76619
Spain109524
08

Study locations

56 sites
  • Tucson, Arizona 85724, United States
  • Fountain Valley, California 92708, United States
  • Irvine, California 92602, United States
  • Pasadena, California 91105, United States
  • Ventura, California 93001, United States
  • Boulder, Colorado 80304, United States
  • Hollywood, Florida 33021, United States
  • Miami, Florida 40502, United States
  • North Palm Beach, Florida 33404, United States
  • Sarasota, Florida 34243, United States
  • Tampa, Florida 33612, United States
  • Chicago, Illinois 60612, United States
  • Indianapolis, Indiana 46202, United States
  • Lexington, Kentucky 40502, United States
  • Baton Rouge, Louisiana 70810, United States
  • Ann Arbor, Michigan 48103, United States
  • Summit, New Jersey 07901, United States
  • Brooklyn, New York 11215, United States
  • Patchogue, New York 11772, United States
  • Raleigh, North Carolina 27612, United States
  • Columbus, Ohio 43004, United States
  • Round Rock, Texas 78681, United States
  • Orem, Utah 84058, United States
  • Kirkland, Washington 98033, United States
  • Ottawa, Ontario, Canada
  • Rennes, Ille Et Vilaine, France
  • Amiens, France
  • Bron, 69677, France
  • Clermont-Ferrand, France
  • Creteil, France
  • Lille, France
  • Marseille, 13385, France
  • Montauban, France
  • Nimes, France
  • Paris, France
  • Poitiers, France
  • Toulouse, France
  • Haag, Bayern, Germany
  • Hindenburg, Berlin 39596, Germany
  • Weissensee, Berlin, Germany
  • Erbach, Hessen, Germany
  • Achim, Niedersachesen, Germany
  • Bochum, Nordrhein-Westfalen, Germany
  • Berlin, Germany
  • Wiesbaden, 65191, Germany
  • Wurzburg, 97080, Germany
  • L'Hospitalet De Llobregat, Barcelona 08907, Spain
  • Manresa, Barcelona, Spain
  • Sevilla, Barcelona, Spain
  • Vallés, Barcelona, Spain
  • Alcorcón, Madrid, Spain
  • Castellana, Madrid, Spain
  • Marañón, Madrid, Spain
  • Hospital de la Santa Creu i Sant Pau
    Barcelona, 08041, Spain
  • Hospital General de Cataluna
    Barcelona, 08195, Spain
  • Pamplona, 31008, Spain
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jul 2014 to primary completion in May 2016, 21 months.

Results were first posted in Apr 2019, 2 years 10 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
May 30, 2014
First posted
Jun 3, 2014
StartActual
Jul 30, 2014
Primary completionActual
May 20, 2016
CompletionActual
May 20, 2016
Results first posted
Apr 2, 2019
Last update
Feb 16, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 16, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02153632
Responsible party
Sponsor
First posted
Jun 3, 2014
Start date
Jul 30, 2014
Primary completion
May 20, 2016
Completion
May 20, 2016
Results posted
Apr 2, 2019
Last update
Feb 16, 2022

Study contacts

Angela Dentiste, MBA
study chair · Osmotica Pharmaceutical US LLC

Oversight

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

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Studies of the drug tested here: Amantadine

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