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Trial registered on ANZCTR
Registration number
ACTRN12606000253505
Ethics application status
Approved
Date submitted
23/03/2006
Date registered
23/06/2006
Date last updated
23/06/2006
Type of registration
Retrospectively registered
Titles & IDs
Public title
The treatment of depression in Parkinson's Disease using mifepristone.
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Scientific title
A pilot, double-blind crossover trial of the glucocorticoid antagonist mifepristone (RU-486) in the treatment of depression in patients with Parkinson's disease.
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Diagnostic and Statistical Manual 4th edition (DSM-IV) Major Depressive Episode in patients with Parkinson's Disease.
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Condition category
Condition code
Neurological
1314
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0
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Parkinson's disease
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Mental Health
1315
1315
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0
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Depression
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Mifepristone 600mg orally (3x200mg tablets) daily for 7 days.
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Intervention code [1]
948
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Treatment: Drugs
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Comparator / control treatment
Placebo (3 identical tablets) orally daily for 7 days .
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Montgomery Asberg Depression Rating Scale (MADRS)
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Assessment method [1]
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Timepoint [1]
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At 2 weeks
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Secondary outcome [1]
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Hamilton Depression Rating Scale (HDRS)
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Assessment method [1]
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Timepoint [1]
3151
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At 2 weeks.
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Secondary outcome [2]
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Global Assessment of Functioning (GAF)
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Assessment method [2]
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Timepoint [2]
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At 2 weeks.
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Secondary outcome [3]
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Cognitive tests at 2 weeks (Hopkins Verbal Learning Test, Verbal fluency using letters "F""A""S" and equivalents, Digit span forwards and backwards, Benton Judgement of Line Orientation).
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Assessment method [3]
3153
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Timepoint [3]
3153
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Secondary outcome [4]
3154
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Unified Parkinson's Disease Rating Scale (UPDRS) at completion of course of medication.
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Assessment method [4]
3154
0
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Timepoint [4]
3154
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Eligibility
Key inclusion criteria
PD (UK Brain Bank criteria), DSM-IV Major Depressive Episode, Mini-mental state examination (MMSE) score >23.
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Minimum age
18
Years
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Maximum age
Not stated
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Depression complicated by active suicidal intent or requiring urgent treatment/hospitilisation, Current use steroid medications, Severe asthma/respiratory disease, Chronic adrenal, renal or hepatic failure, Females of child-bearing potential. Males and females eligible for study. Females of child-bearing potential are excluded.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
The randomisation code will be held only by the pharmacist and the placebo tablets used will be identical to the mifepristone tablets. All medication will be dispensed by one hospital pharmacy. A statistician will generate the randomisation code and give this to the pharmacist but not the investigators. The investigators will give participants a standard presciption form to take to the pharmacy which will be the same regardless of whether mifepristone or placebo will be dispensed.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Intervention order (mifepristone versus placebo) determined by computerised method using Microsoft Excel random number generator and balanced in blocks. Block sizes not variable.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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Other design features
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Phase
Phase 3
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
27/03/2006
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
20
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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Neurological Foundation
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Address [1]
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Country [1]
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Primary sponsor type
Charities/Societies/Foundations
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Name
Neurological Foundation
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Address
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Country
New Zealand
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Secondary sponsor category [1]
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None
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Name [1]
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None
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Address [1]
1274
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Country [1]
1274
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Upper South B ethics committee -Christchurch
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Ethics committee address [1]
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
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Approval date [1]
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28/02/2005
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Ethics approval number [1]
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URB/04/12/011
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Summary
Brief summary
A crossover trial of mifepristone for the treatment of depression in Parkinson's disease. Participants will be randomly assigned to either mifepristone or placebo during the first part of the study and then assigned to the other during the second part of the study. The trial will be double blinded - the placebo and mifepristone are to be dispensed by a hospital pharmacy according to a code generated by a statistician. Participants and investigators will not know which has been dispensed until the completion of the trial.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Colin Peebles
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Address
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Princess Margaret Hospital
Cashmere Road
PO Box 800
Christchurch
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Country
10137
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New Zealand
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Phone
10137
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+64 3 3377969
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Fax
10137
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Email
10137
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[email protected]
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Contact person for scientific queries
Name
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Colin Peebles
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Address
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Princess Margaret Hospital
Cashmere Road
PO Box 800
Christchurch
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Country
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New Zealand
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Phone
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+64 3 3377969
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Fax
1065
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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