Clinical Study

Minimal Clinically Important Difference in Parkinson’s Disease as Assessed in Pivotal Trials of Pramipexole Extended Release

Table 3

Mean changes in OFF time according to PGI-I and CGI-I ratings by treatment group in the advanced PD study.

PGI-I (%)OFF time hrs (S.D.)CGI-I (%)OFF time hrs (S.D.)

Pramipexole ER  
Very much better9 (6%)−2.9 (2.5)Very much improved9 (6%)−2.8 (2.2)
Much better51 (33%)−2.5 (3.2)Much improved69 (41%)−2.7 (3.2)
A little better66 (41%)−2.0 (2.8)Minimally improved51 (32%)−1.7 (2.8)
No change20 (13%)−1.3 (2.9)No change22 (14%)−1.0 (3.0)
A little worse13 (8%)−0.6 (3.9)Minimally worse7 (4%)1.3 (3.6)
Much worse1 (0.6%)5.3Much worse1 (0.6%) 0.3
Very much worse0Very much worse0

Pramipexole IR  
Very much better10 (6%)−4.4 (1.6)Very much improved11 (7%)−3.6 (2.7)
Much better66 (39%)−3.2 (2.6)Much improved77 (46%)−3.3 (2.5)
A little better55 (32%)−2.3 (2.2)Minimally improved55 (33%)−2.1 (2.2)
No change27 (16%)−1.2 (2.7)No change19 (11%)−0.9 (2.8)
A little worse10 (6%)−1.4 (3.8)Minimally worse4 (2%)0.5 (4.2)
Much worse3 (2%)2.3 (5.6)Much worse3 (2%)2.7 (5.3)
Very much worse0Very much worse0

Placebo   
Very much better3 (2%)−5.1 (3.6)Very much improved6 (4%)−4.4 (3.2)
Much better44 (25%)−1.9 (3.1)Much improved50 (29%)−2.3 (2.2)
A little better65 (37%)−1.5 (3.4)Minimally improved66 (39%)−0.9 (2.9)
No change43 (25%)−1.0 (2.2)No change31 (18%)−1.0 (2.3)
A little worse12 (7%)0.3 (3.6)Minimally worse15 (9%)0.0 (3.6)
Much worse7 (4%)−0.5 (2.1)Much worse3 (2%)−1.1 (2.9)
Very much worse0Very much worse0

Presented as the mean change in OFF time (standard deviations).
PGI-I: Patient-rated Global Impression of Improvement; CGI-I: Clinician-rated Global Impression of Improvement.