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Rasagiline

Phase 3

Parkinson's Disease | Small molecule | Neurology |Teva Pharmaceutical Industries Limited|Last Updated: Feb 26, 2015

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials8
Total Enrollment2,983

FDA Designations

No designations recorded

Clinical trial landscape

Rasagiline · 10 trials · 4 indications

Phase 3 7Phase 2 2Phase 1 1
NCT00256204A Randomized Placebo Controlled Study to Show That Rasagiline May Slow Disease Progression for Parkinson's DiseaseParkinson's Disease
COMPLETED1,174 Analytics
NCT00203138Safety, Tolerability, and Effectiveness of Rasagiline Mesylate in Patients With Parkinson's DiseaseParkinson's Disease
COMPLETED306 Analytics
NCT00203164Study to Evaluate the Safety and Tolerability of Rasagiline in Advanced Parkinson's Disease PatientsParkinson's Disease
COMPLETED254 Analytics
NCT00203177Rasagiline in Advanced Parkinson's Disease Patients With Motor Fluctuations Treated With Levodopa/Carbidopa Therapy.Parkinson's Disease
COMPLETED254 Analytics
NCT00203125A Study to Evaluate the Effects of Tyramine in Patients Who Completed the PRESTO Study.Parkinson's Disease
COMPLETED55 Analytics
NCT00203034Multicenter Study of Rasagiline in Parkinson's Disease Patients Using Levodopa and Experiencing Motor FluctuationsParkinson's Disease
COMPLETED472 Analytics
NCT00203060Effectiveness, Tolerability and Safety of Rasagiline in Early Parkinson's Disease Patients Not Treated With LevodopaParkinson's Disease
COMPLETED404 Analytics
PHASE3COMPLETED
A Randomized Placebo Controlled Study to Show That Rasagiline May Slow Disease Progression for Parkinson's Disease
Parkinson's DiseaseUnlock trial analytics
PHASE3COMPLETED
Safety, Tolerability, and Effectiveness of Rasagiline Mesylate in Patients With Parkinson's Disease
Parkinson's DiseaseUnlock trial analytics
PHASE3COMPLETED
Study to Evaluate the Safety and Tolerability of Rasagiline in Advanced Parkinson's Disease Patients
Parkinson's DiseaseUnlock trial analytics
PHASE3COMPLETED
Rasagiline in Advanced Parkinson's Disease Patients With Motor Fluctuations Treated With Levodopa/Carbidopa Therapy.
Parkinson's DiseaseUnlock trial analytics
PHASE3COMPLETED
A Study to Evaluate the Effects of Tyramine in Patients Who Completed the PRESTO Study.
Parkinson's DiseaseUnlock trial analytics
PHASE3COMPLETED
Multicenter Study of Rasagiline in Parkinson's Disease Patients Using Levodopa and Experiencing Motor Fluctuations
Parkinson's DiseaseUnlock trial analytics
PHASE3COMPLETED
Effectiveness, Tolerability and Safety of Rasagiline in Early Parkinson's Disease Patients Not Treated With Levodopa
Parkinson's DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Change in Total Unified Parkinson's Disease Rating Scale (UPDRS) Score From Baseline
12w, 24w, 36w, 42w, 48w, 54w, 60w, 66w, 72w

The primary efficacy endpoint was defined as the change in Total UPDRS from Baseline. Subjects were assessed according to the United Parkinson's Disease Rating Scale (UPDRS,(version 3;) Parts I and II are historical data and are designed to rate mentation, behavior and mood; Part III is done as a motor examination at the time of a visit. The UPDRS measures patient status on a scale 0, which is normal or none, to 4, which is severe or the worst scenario.

Tolerability - Number of patients completing study on their original treatment assignment (dose reduction and dropout)
2.5 years
long-term safety and tolerability of rasagiline or levodopa/benserazide (LD/BZD) therapy
until commericially available

To evaluate the long-term safety and tolerability of rasagiline in PD patients with motor fluctuations treated with chronic levodopa/carbidopa (LD/CD) or levodopa/benserazide (LD/BZD) therapy

long-term safety and tolerability of rasagiline
6 months

To evaluate the long-term safety and tolerability of rasagiline in PD patients with motor fluctuations treated with chronic levodopa/carbidopa (LD/CD) or levodopa/benserazide (LD/BZD) therapy.

An increase in systolic blood pressure of > 30mmHg from the mean baseline value (documented by at least 3 consecutive measurements). Or Bradycardia with a heart rate below 40 beats per minute
26 weeks
Change from baseline in the mean total daily "OFF" time
26 weeks
The primary objective is to assess the safety and efficacy of rasagiline in PD subjects, not receiving or requiring carbidopa/levodopa therapy. The primary efficacy measure will be the change in total UPDRS score, calculated from baseline to 26 weeks.
58 weeks
Change From Baseline to Week 48/Termination Visit in the Total Unified Multiple System Atrophy Rating Scale (UMSARS Part I and II)
Day 0 (baseline), Week 48

This outcome represents the sum of 2 UMSARS sub-scales: Part I: Historical Review that includes 12 items and Part II: Motor Examination that includes 14 items. All items range from 0 to 4. Each subscale score is the sum of its items and the total UMSARS score is the sum of all 26 items. Hence the total UMSARS score can range from 0 to 104, with 0 meaning no impairment and 104 indicating severe impairment. Negative change from baseline scores indicate improvement. In the case that 6 items or more (out of 26) were missing at a certain visit, the UMSARS score for that visit was assigned a missing value.

Cognitive Function
Cmax
At Baseline through Day 10
Tmax
At Baseline through Day 10
AUC from time 0 to the time of the last measurable drug concentration (AUC0-t)
At Baseline to Day 1

AUC 0-t will be calculated after administration of a single dose of rasagiline.

AUC from time 0 to infinity (AUC∞)
At Baseline to Day 1

AUC∞ will be calculated after administration of a single dose of rasagiline.

Percentage extrapolated AUC (%AUCext)
At Baseline to Day 1

%AUCext will be calculated after administration of a single dose of rasagiline.

Apparent plasma terminal elimination rate constant (λz)
At Baseline to Day 10
Associated elimination half life (t½)
At Baseline to Day 10
AUC over the dosing interval at steady state (AUCτ)
At Baseline to Day 10
Minimum measured plasma concentration at steady state by inspection (Cmin,ss)
From Baseline to Day 10

minimum measured plasma concentration at steady state by inspection (Cmin,ss) (multiple dose \[predose concentrations on days 8 and 9\]))

Average plasma concentration at steady state (Cav,ss)
From Baseline to Day 10

The average plasma concentration at steady state (Cav,ss) is obtained by the calculation: AUCτ/τ, where tau is the dosing interval

Fluctuation at steady state
From Baseline to Day 10

Fluctuation at steady state, calculated as (Cmax,ss-Cmin,ss)/Cav,ss

Steady-state accumulation ratio (Rss)
From Baseline to Day 10

Steady-state accumulation ratio (Rss) calculated as (AUCτ/AUC∞)

Apparent total body clearance (CL/F)
From Baseline to Day 10
Apparent total volume of distribution (V/F)
From Baseline to Day 10

Secondary Endpoints

Change in Unified Parkinson's Disease Rating Scale (UPDRS) Score From Baseline to Last Observed Value in the Placebo Phase
36 weeks
long- term clinical effect of rasagiline
6 months
Clinical Global Impression Improvement (CGI-I) at Week 48/Termination Visit
Week 48
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
1mg rasagilineEXPERIMENTAL1mg early start active treatment arm (72 weeks active)followed by 1mg 36 week delayed start active treatment arm (36 weeks placebo followed by 36 weeks active)
2mg rasagilineEXPERIMENTAL2mg early start active treatment arm (72 weeks active)followed by 2mg 36 week delayed start active treatment arm (36 weeks placebo followed by 36 weeks active)
PlaceboPLACEBO_COMPARATOREach arm is followed by 36 weeks of placebo
rasagiline mesylateEXPERIMENTALrasagiline mesylate 1 mg oral once daily
Experimental 1EXPERIMENTAL0.5 mg rasagiline mesylate oral once daily
Expermental 2EXPERIMENTAL1.0 mg rasagiline mesylate oral once daily
Experimental 2EXPERIMENTAL1.0 mg rasagiline mesylate oral once daily
AEXPERIMENTALRasagiline treatment
BPLACEBO_COMPARATORplacebo arm
RasagilineEXPERIMENTALRasagiline mesylate oral tablets (AZILECT®) are provided at dose strengths of 0.5 and 1 mg (based on rasagiline base). Rasagiline oral tablets will be dispensed for 10 consecutive days of treatment. The oral dose will be administered each day with 240 mL water at room temperature after an overnight fast of at least 10 hours.

Interventions

NameTypeDescription
Rasagiline MesylateDRUGtablet, 1mg once daily
PlaceboOTHERPlacebo
rasagiline mesylate 1.0 mgDRUG1.0 mg rasagiline mesylate
tyramineOTHER50 mg once daily
1.0 mg rasagiline mesylateDRUG1.0 mg rasagiline mesylate oral once daily
RasagilineDRUG -
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Eligibility Criteria

Age Range30 Years to 80 Years
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Men and women with idiopathic PD whose diagnosis is confirmed at screening, with at least two cardinal signs without any other known or suspected cause of parkinsonism. If tremor is not present, subjects must have unilateral onset and persistent asymmetry. * Subjects with a di...

Countries:United StatesCanadaAustriaFranceGermanyHungaryIsraelItalyNetherlandsPortugalSpainUnited KingdomAustraliaSouth Africa
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Frequently asked questions about Rasagiline

What is Rasagiline used for?

Rasagiline is an investigational small molecule being studied for Parkinson's Disease, Dementia, and Multiple System Atrophy. It is in Phase 2 clinical development for these neurological conditions. The drug is being developed by Teva Pharmaceutical Industries Limited.

Who makes Rasagiline?

Rasagiline is being developed by Teva Pharmaceutical Industries Limited, which trades under the ticker TEVA. The company is conducting clinical trials of Rasagiline for neurological conditions including Parkinson's Disease and Dementia.

What phase is Rasagiline in?

Rasagiline is in Phase 2 clinical development. It is an investigational drug and has not been approved by regulatory authorities. Clinical trials have been completed for Parkinson's Disease, Dementia, and related conditions.

What clinical trials is Rasagiline in?

Rasagiline has been studied in clinical trials including NCT00104273 for mild to moderate Alzheimer's Disease, NCT00203177 for advanced Parkinson's Disease with motor fluctuations, and NCT00256204 for Parkinson's Disease progression. These trials are completed.

Is Rasagiline the same as Azilect?

Rasagiline is the generic name for the drug also known as Azilect. It is being studied for Parkinson's Disease and other neurological conditions. The drug is in Phase 2 development by Teva Pharmaceutical Industries Limited.