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Trial registered on ANZCTR
Registration number
ACTRN12610000765022
Ethics application status
Approved
Date submitted
30/08/2010
Date registered
15/09/2010
Date last updated
1/07/2011
Type of registration
Prospectively registered
Titles & IDs
Public title
Famotidine for dyskinesia in Parkinson's disease
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Scientific title
The effect of Famotidine on levodopa-induced Dyskinesia in Parkinson's disease: A double-blind, Placebo-controlled Study
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Secondary ID [1]
252594
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Nil
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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:
Parkinson's disease
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Dyskinesia
258179
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Condition category
Condition code
Neurological
258273
258273
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0
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Parkinson's disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Famotidine 40 mg twice daily
3 weeks
oral capsule
Wash out of one week
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Intervention code [1]
257119
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Treatment: Drugs
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Comparator / control treatment
Placebo being identical oral capsule administered for 3 weeks during the 3 week placebo stage of the crossover trial
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Change in dyskinesia as per the Rush Dyskinesia rating scale
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Assessment method [1]
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Timepoint [1]
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First assessment at 3 weeks following randomisation, then one week wash out and second assessment 3 weeks after starting second stage.
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Secondary outcome [1]
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Unified Dyskinesia rating Scale
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Assessment method [1]
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Timepoint [1]
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First assessment at 3 weeks following randomisation, then one week wash out and second assessment 3 weeks after starting second stage.
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Eligibility
Key inclusion criteria
1. Have a diagnosis of idiopathic Parkinson’s Disease of more than 3 years duration, with a Hoehn and Yahr stage of I-IV during an “off” phase. The diagnosis should be based on medical history and neurological examination.
2. Be between the ages of 30 to 85 years, inclusive, at screening.
3. If female, be either post-menopausal for at least 2 years, surgically sterilised or have undergone hysterectomy or, if of child bearing potential, be willing to avoid pregnancy by using an adequate method of contraception.
4. Be levodopa responsive and have been receiving treatment with a stable dose of levodopa [3-10 doses per day of any levodopa preparation (including controlled release (CR), immediate release (IR) or a combination of CR/IR), plus benserazide/carbidopa; with or without addition of a catechol O methyl transferase (COMT) inhibitor] and may be receiving concomitant treatment with stable doses of a dopamine agonist, an anticholinergic for at least 4 weeks prior to the screening visit.
5. Have daily dyskinesia
6. Willing and able to participate in the trial and has provided written, informed consent.
7. Mini mental Status Examination (MMSE) > 24
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Minimum age
30
Years
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Maximum age
85
Years
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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
1. Any indication of forms of parkinsonism, other than idiopathic Parkinson’s Disease.
2. Current or recent (within 1 month) use of Amantadine.
3. Current diagnosis of substance abuse or history of alcohol or drug abuse in the past 3 months.
4. Current clinically significant gastrointestinal, renal, hepatic, endocrine, pulmonary or cardiovascular disease, hypertension that is not well controlled
5. Current or recent (within 3 months) treatment with Famotidine or another histamine (H2) antagonist (cimetidine, ranitidine).
6. Concomitant disease likely to interfere with the trial medication (e.g. capable of altering absorption, metabolism or elimination of the trial drug).
7. Current history of severe dizziness or fainting on standing, due to postural hypotension.
8. Stereotactic surgery as a treatment for his/her Parkinson’s Disease.
9. Any abnormality that the investigator deems to be clinically relevant, either on medical history, physical examination, electrocardiogram (ECG) or a diagnostic laboratory test.
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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)
Central randomisation by computer within pharmacy
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computer programme
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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
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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
1/10/2010
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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
30
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
2843
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New Zealand
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State/province [1]
2843
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Auckland City Hospital
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Address [1]
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Park Road
Grafton
Auckland 1023
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Country [1]
257562
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New Zealand
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Primary sponsor type
Hospital
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Name
Auckland City Hospital
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Address
Park Road
Grafton
Auckland 1023
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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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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Northern X Regional Ethics Committee
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Ethics committee address [1]
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Ministry of Health Private Bag 92522 Auckland 1141
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
259584
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17/09/2010
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Approval date [1]
259584
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03/11/2010
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Ethics approval number [1]
259584
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Ethics committee name [2]
269332
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New ethics name. Please modify.
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Ethics committee address [2]
269332
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New ethics address. Please modify.
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Ethics committee country [2]
269332
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Date submitted for ethics approval [2]
269332
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Approval date [2]
269332
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Ethics approval number [2]
269332
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New ethics HREC. Please modify.
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Summary
Brief summary
Dyskinesia is the jerking or twisting movement that can occur in patients with Parkinson’s disease when their medication is working. Dyskinesia impacts on quality of life in Parkinson’s disease. Treatment of dyskinesia is difficult. Recent scientific evidence from an animal model of Parkinson’s disease suggests that Famotidine, a medication used in the treatment of excess stomach acid, may reduce dyskinesia in Parkinson’s disease. Famotidine works by blocking histamine receptors. Histamine receptors are present in the stomach and also in the brain. In this study we will test the effectiveness of Famotidine on dyskinesia in Parkinson’s disease. The study will be a cross over design. 25 patients will be randomised to either Famotidine or placebo. At the end of the first three weeks the study participants will present for a levodopa challenge. During a levodopa challenge, the patient is given 1.5 times their normal morning Parkinson’s medication, the degree of dyskinesia will be assessed. The patient will then cross over and after another 3 weeks, the levodopa challenge will be repeated. The levodopa challenge and dyskinesia assessments will be videotaped and rated by a neurologist unaware of which treatment the patient had been taking.
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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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Dr Mark Simpson
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Address
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Dept of Neurology
Auckland City Hospital
Park Road
Grafton
Auckland 1023
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Country
14835
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New Zealand
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Phone
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+64 276003636
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Fax
14835
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Email
14835
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[email protected]
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Contact person for scientific queries
Name
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Dr Mark Simpson
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Address
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Dept of Neurology
Auckland City Hospital
Park Road
Grafton
Auckland 1023
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Country
5763
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New Zealand
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Phone
5763
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+64 276003636
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Fax
5763
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Email
5763
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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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