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TerminatedNCT02496039Updated Jul 3, 2017Results posted

Effectiveness, Safety, and Health-Related Outcomes of NUEDEXTA® in Nursing Home Patients With Pseudobulbar Affect (PBA)

A Phase 4 interventional study of NUEDEXTA® in Pseudobulbar Affect (Involuntary Laughing and/or Crying), sponsored by Avanir Pharmaceuticals. Terminated at 2 sites in United States. Open to participants aged 18 Years to 90 Years. Per ClinicalTrials.gov, last updated 2017-07-03.

Sponsored by Avanir Pharmaceuticals (part of Otsuka Holdings Co., Ltd.) · Phase 4, Interventional, and Other

Why this study was terminated
The study was terminated prematurely because of difficulty with recruiting.
Phase
Phase 4
Study type
Interventional
Enrollment
5
Allocation
Not applicable
Ages
18 Years to 90 Years
Sex
All
01

Study summary

6 month study of NUEDEXTA ® (Dextromethorphan Hydrobromide and Quinidine Sulfate) for the treatment of Pseudobulbar Affect (PBA) in Nursing Home Patients.

Read the detailed description

Eligible patients for this study must have a diagnosis of a neurological disorder affecting the brain of at least 3 months duration prior to baseline and which is not rapidly progressing and must have a diagnosis of Pseudobulbar affect (PBA).

This is a multicenter, open label study consisting of 6 months of treatment.

Approximately 125 patients will be enrolled at approximately 25 centers in the United States.

02

Conditions studied

  • Pseudobulbar Affect (Involuntary Laughing and/or Crying)

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Keywords

  • PBA
  • involuntary crying
  • involuntary laughing
03

In context

Crying

39 studies on the registry are indexed under Crying; 8 are open to participants now.

This study's enrollment of 5 is below the median of 90 across 34 interventional studies indexed under Crying.

Browse Crying studies →

Lead sponsor

Avanir Pharmaceuticals is the lead sponsor of 13 studies on the registry; none are open to participants now.

First submitted after Avanir Pharmaceuticals became part of Otsuka Holdings Co., Ltd..

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

04

Who can participate

Ages eligible
18 Years to 90 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

  • Diagnosis of a neurological disorder affecting the brain (e.g. Alzheimer's and other dementias, stroke, Trauma Brain Injury, Multiple Sclerosis, Amyotrophic Lateral Sclerosis, Huntington's disease, Parkinson's disease) of at least 3 months duration prior to baseline and which is not rapidly progressing
  • Diagnosis of Pseudobulbar Affect (PBA)
  • A Center for Neurologic Study-Lability Scale (CNS-LS) score of 13 or greater at Baseline
  • Minimum Data Set (MDS) information for patient available within 60 days prior to Baseline
  • Informant who is willing to comply with study procedures

Exclusion criteria

Exclusion Criteria:

  • Patients who have received NUEDEXTA® in the past 1 year
  • Patients with the diagnosis of Severe Depressive Disorder that would interfere with the conduct of the study
  • Patients who have a history of schizophrenia spectrum and other psychotic disorders
  • Patients with co-existent or unstable systemic diseased that could confound the interpretation of the safety results of the study (e.g.,, poorly controlled diabetes, poorly controlled hypertension, unstable pulmonary, renal or hepatic disease, unstable ischemic cardiac disease, dilated cardiomyopathy, or unstable valvular heart disease)
  • Patients with myasthenia gravis
Terms in these criteria, in plain language(2)

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.

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Phase 4
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
5 participants (actual)

Study arms

  • Other
    NUEDEXTA®

    NUEDEXTA capsules (20 mg dextromethorphan hydrobromide and 10 mg quinidine sulfate) administered orally, once a day from Days 1 to 7 and twice a day from Days 8 to 180

    Drug: NUEDEXTA®

Interventions

  • NUEDEXTA® only

    Also known as: dextromethorphan hydrobromide and quinidine

06

What researchers measure

Primary outcomes

  1. Scores on the Center for Neurologic Study-Lability Scale (CNS-LS)

    The study was terminated prematurely because of difficulty with recruiting. Analysis for this outcome measure was not performed because data were not collected prior to termination.

    Time frame: 180 days

  2. Scores on the Clinical Global Impression of Severity of Illness (CGIS) Scale

    The study was terminated prematurely because of difficulty with recruiting. Analysis for this outcome measure was not performed because data were not collected prior to termination.

    Time frame: 180 days

  3. Scores on the Clinical Global Impression of Change (CGIC) Scale

    The study was terminated prematurely because of difficulty with recruiting. Analysis for this outcome measure was not performed because data were not collected prior to termination.

    Time frame: 180 days

  4. Scores on the Patient Global Impression of Change (PGIC) Scale

    The study was terminated prematurely because of difficulty with recruiting. Analysis for this outcome measure was not performed because data were not collected prior to termination.

    Time frame: 180 days

  5. Number of Participants With the Indicated Responses to the Neuropsychiatric Inventory-Nursing Home (NPI-NH) Questionnaire

    The study was terminated prematurely because of difficulty with recruiting. Analysis for this outcome measure was not performed because data were not collected prior to termination.

    Time frame: 180 days

  6. Scores on the Impact of Pseudobulbar Affect (PBA) on Participant Scale

    The study was terminated prematurely because of difficulty with recruiting. Analysis for this outcome measure was not performed because data were not collected prior to termination.

    Time frame: 180 days

  7. Scores on the Minimum Data Set (MDS) Sections of Presumed Relevance to PBA, Including Sections on Speech, Cognition, Mood, Behavior, Health Condition, and Medication

    The study was terminated prematurely because of difficulty with recruiting. Analysis for this outcome measure was not performed because data were not collected prior to termination.

    Time frame: 180 days

  8. Number of Participants Using Concomitant Psychotropic Medication

    The study was terminated prematurely because of difficulty with recruiting. Analysis for this outcome measure was not performed because data were not collected prior to termination.

    Time frame: 180 days

  9. Scores on the Impact of PBA on Informant Scale

    The study was terminated prematurely because of difficulty with recruiting. Analysis for this outcome measure was not performed because data were not collected prior to termination.

    Time frame: 180 days

07

Results

Posted Jul 3, 2017
Limitations and caveats
The study was terminated prematurely because of difficulty with recruiting.

Participant flow

Participant flow — Overall Study
Milestone20 mg Dextromethorphan Hydrobromide/10 mg Quinidine Sulfate
Started5
Completed1
Not completed4
Withdrew: Adverse event3
Withdrew: Protocol violation1

Outcome measures

PrimaryScores on the Center for Neurologic Study-Lability Scale (CNS-LS)

The study was terminated prematurely because of difficulty with recruiting. Analysis for this outcome measure was not performed because data were not collected prior to termination.

Time frame:
180 days

No measurements were reported for this outcome.

PrimaryScores on the Clinical Global Impression of Severity of Illness (CGIS) Scale

The study was terminated prematurely because of difficulty with recruiting. Analysis for this outcome measure was not performed because data were not collected prior to termination.

Time frame:
180 days

No measurements were reported for this outcome.

PrimaryScores on the Clinical Global Impression of Change (CGIC) Scale

The study was terminated prematurely because of difficulty with recruiting. Analysis for this outcome measure was not performed because data were not collected prior to termination.

Time frame:
180 days

No measurements were reported for this outcome.

PrimaryScores on the Patient Global Impression of Change (PGIC) Scale

The study was terminated prematurely because of difficulty with recruiting. Analysis for this outcome measure was not performed because data were not collected prior to termination.

Time frame:
180 days

No measurements were reported for this outcome.

PrimaryNumber of Participants With the Indicated Responses to the Neuropsychiatric Inventory-Nursing Home (NPI-NH) Questionnaire

The study was terminated prematurely because of difficulty with recruiting. Analysis for this outcome measure was not performed because data were not collected prior to termination.

Time frame:
180 days

No measurements were reported for this outcome.

PrimaryScores on the Impact of Pseudobulbar Affect (PBA) on Participant Scale

The study was terminated prematurely because of difficulty with recruiting. Analysis for this outcome measure was not performed because data were not collected prior to termination.

Time frame:
180 days

No measurements were reported for this outcome.

PrimaryScores on the Minimum Data Set (MDS) Sections of Presumed Relevance to PBA, Including Sections on Speech, Cognition, Mood, Behavior, Health Condition, and Medication

The study was terminated prematurely because of difficulty with recruiting. Analysis for this outcome measure was not performed because data were not collected prior to termination.

Time frame:
180 days

No measurements were reported for this outcome.

PrimaryNumber of Participants Using Concomitant Psychotropic Medication

The study was terminated prematurely because of difficulty with recruiting. Analysis for this outcome measure was not performed because data were not collected prior to termination.

Time frame:
180 days

No measurements were reported for this outcome.

PrimaryScores on the Impact of PBA on Informant Scale

The study was terminated prematurely because of difficulty with recruiting. Analysis for this outcome measure was not performed because data were not collected prior to termination.

Time frame:
180 days

No measurements were reported for this outcome.

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
20 mg Dextromethorphan Hydrobromide/10 mg Quinidine Sulfate0/5 (0%)3/5 (60%)4/5 (80%)
Most frequent serious events
Most frequent serious events
Event20 mg Dextromethorphan Hydrobromide/10 mg Quinidine Sulfate
Altered mental statusPsychiatric disorders1/5
Severe agitationPsychiatric disorders1/5
Worsening of urinary tract infectionInfections and infestations1/5
Left leg tibia fractureInjury, poisoning and procedural complications1/5
Most frequent other events
Most frequent other events
Event20 mg Dextromethorphan Hydrobromide/10 mg Quinidine Sulfate
Urinary tract infectionInfections and infestations2/5
HypoglycemiaMetabolism and nutrition disorders1/5
FallInjury, poisoning and procedural complications1/5

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)20 mg Dextromethorphan Hydrobromide/10 mg Quinidine Sulfate
<=18 years0
Between 18 and 65 years0
>=65 years5
Sex: Female, Male
Sex: Female, Male(Participants)20 mg Dextromethorphan Hydrobromide/10 mg Quinidine Sulfate
Female4
Male1
Race (NIH/OMB)
Race (NIH/OMB)(Participants)20 mg Dextromethorphan Hydrobromide/10 mg Quinidine Sulfate
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American1
White4
More than one race0
Unknown or Not Reported0
08

Study locations

2 sites
  • Miami, Florida 33137, United States
  • Centerville, Ohio 45459, United States
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 3, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02496039
Responsible party
Sponsor
First posted
Jul 14, 2015
Start date
Sep 2015
Primary completion
May 2016
Completion
May 2016
Results posted
Jul 3, 2017
Last update
Jul 3, 2017

Oversight

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

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Studies of the drug tested here: Dextromethorphan

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