Official Title
Treatment of Restless Leg Syndrome (RLS) Augmentation With Ecopipam, a D1 Specific Antagonist
Phase
Phase 1/Phase 2Lead Sponsor
Methodist Cancer Center, Houston, TexasStudy Type
InterventionalStatus
Unknown statusIndication/Condition
Restless Legs Syndrome ...Intervention/Treatment
Ecopipam ...Study Participants
10This is an exploratory, double blinded cross-over study of the D1 antagonist ecopipam treat patients currently having dopamine agonist induced augmentation in restless legs syndrome. Each arm is 6 weeks composed of an unforced titration up to 100mg/day separated by a 2-week wash-out period. Efficacy points will include the IRLS, augmentation scales, sleep scales, clinical impressions and fatigue/mood scales.
This is a double-blind, exploratory proof of concept, cross-over trial of the D1 antagonist ecopipam for subjects with augmented Restless legs syndrome (RLS). Investigators will recruit 10 subjects taking dopamine agonists for RLS who are currently experiencing augmentation. The goal is to have 8 completers. There is no power analysis as this is an exploratory study and there is no previous data on treatment of augmentation. "Meaningful improvement" is not even established. A safety analysis will be done after 5 subjects have been enrolled. Duration of study and is based mostly on contracted drug availability for this pilot study.
oral drug in subjection currently experiencing dopamine agonist induced augmentation
matching placebo
Ecopipam or matching placebo 25 mg by mouth for 7 days (week 1), followed by Ecopipam or matching placebo 50 mg by mouth for 7 days (week 2), followed by Ecopipam or matching placebo 100 mg by mouth for 23 days (weeks 3).
Inclusion Criteria: Provide consent to participate in the study Individuals of either sex, 21-80 years of age Clinically defined Restless Leg Syndrome, and problematic augmentation currently on monotherapy with dopaminergic treatment. Exclusion Criteria: Current use of Opioid medications Clinical relevant depression or other medical problems that in the opinion of the investigator would not allow for safe completion of the protocol. Suicidal ideation History of epilepsy Current MAO inhibitors