Status:

TERMINATED

Efficacy and Tolerability of Ramelteon in Patients With Rapid Eye Movement (REM) Behavior Disorder and Parkinsonism

Lead Sponsor:

Northwestern University

Collaborating Sponsors:

Takeda

Conditions:

REM Behavior Disorder

Parkinsonism

Eligibility:

All Genders

Phase:

NA

Brief Summary

Parkinson's disease (PD) is the second most common neurodegenerative disorder of the elderly that affects a million patients in US. Sleep dysfunction impacts up to 90% of PD patients. PD patients expe...

Detailed Description

See above.

Eligibility Criteria

Inclusion

  • Diagnosis of parkinsonism (idiopathic PD, multiple systems atrophy, Lewy body dementia)
  • RBD frequency of at least once per week based on the RBD screening clinical questionnaire
  • PSG evidence of RBD
  • Presence of bed partner/caregiver who sleeps in the same room as PD patient

Exclusion

  • Known hypersensitivity to ramelteon or related compounds, including melatonin and melatonin-related compounds.
  • Use of hypnotics or other sedatives within a month prior to the study initiation
  • Presence of active psychosis
  • Use of neuroleptics, except for the atypical neuroleptics - specifically quetiapine (the dose should not exceed 50mg/day)
  • Use of antidepressants unless the patient has been on a stable dose for at least three months
  • Use of Venlafaxine (Effexor®)
  • Presence of cognitive impairment, defined as the Mini Mental Status Examination (MMSE) score \<24
  • Presence of depression defined as the Beck Depression Inventory (BDI) score \>14
  • Significant sleep disordered breathing (defined as an apnea-hypopnea index\>15 events/hr of sleep on screening PSG), significant periodic limb movement disorder (defined as a PLM index\>10 events/hr of sleep with awakening on screening PSG)
  • Travel through two time zones within a month prior to the study initiation

Key Trial Info

Start Date :

June 1 2008

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 1 2009

Estimated Enrollment :

3 Patients enrolled

Trial Details

Trial ID

NCT00745030

Start Date

June 1 2008

End Date

December 1 2009

Last Update

January 9 2024

Active Locations (1)

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1

Northwestern University

Chicago, Illinois, United States, 60611