About this trial
A non-inferiority open-labelled crossover randomized controlled trial, of two arms, to investigate the adhesiveness and safety of Rotigexole 8 mg/24 hours transdermal patch, manufactured by Eva pharma, Egypt, compared to the innovator product, Neupro® 8 mg/ 24 hours transdermal patch, manufactured by UCB Pharma S.A., Belgium, after 24 hours of application
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Male or Female patients aged ≥30 years at Screening
Diagnosed with idiopathic Parkinson's disease with a Hoehn and Yahr stage of II to III.
Patients who have not received dopamine agonists in the past 30 days or are willing to discontinue current dopamine agonist therapy for the duration of the study
Subjects should have a Mini Mental State Examination (MMSE) score of ≥25 at Screening.
Disqualifiers
Patients with a medical history indicating a Parkinsonian syndrome other than idiopathic PD (e.g., drug-induced, post-stroke)
History of significant skin hypersensitivity to adhesives or other transdermal products.
History of or clinical features consistent with atypical parkinsonian syndromes (e.g., multiple system atrophy, progressive supranuclear palsy)
CNS or psychiatric disorders other than idiopathic PD (mild depression or anxiety arising in the context of PD is not exclusionary).
Trial design
Crossover
Treatments tested in this trial
Rotigexole 8 mg
DrugRotigotine 8 mg
Neupro ® 8 mg
DrugRotigotine 8 mg
Treatment groups
Trial outcomes
Primary outcomes
The cumulative mean percentage adhesion of the transdermal patch over the 24-hour dosing interval for two treatment periods, compared between Rotigexole (Test) and Neupro® (Reference)
Using a mixed-effects model adjusted for period and sequence effects, with subject as a random effect
Secondary outcomes
Proportion of participants achieving more than 90% adherence at 4, 8, 12 and 24 hours at each period as assessed by the investigator/designee as per modified EMA scale for adhesion.
Adjusted Mean adherence percentage at each assessment time (4, 8, 12 and 24 hours).
Proportion of participants with a meaningful degree of detachment (more than half of the patch lifting off the skin or falling off) at 4, 8, 12 and 24 hours.
Number of patches that are completely detached at 4, 8, 12 and 24 hours.
Locations
Sponsors and contacts
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Eva Pharma
Lead sponsor
MARC-CRO
Collaborator
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