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Pharmacokinetic Study in Healthy Volunteers (NOCOFPK2)

Primary Purpose

Parkinson's Disease

Status
Completed
Phase
Phase 1
Locations
Finland
Study Type
Interventional
Intervention
levodopa, carbidopa, ODM-104
levodopa, carbidopa, entacapone
Sponsored by
Orion Corporation, Orion Pharma
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Parkinson's Disease

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Written informed consent (IC) obtained
  • Good general health ascertained by detailed medical history and physical examinations
  • Finnish speaking males and females 18-65 years of age
  • Normal weight defined as body mass index (BMI) 19-30 kg/m2 (BMI=weight/height m2)
  • Weight at least 55 kg
  • Regular intestinal transit (no recent history of recurrent constipation, diarrhea, or other intestinal problems, and no history of major gastrointestinal surgery)
  • Sexually active study subjects, unless surgically sterile must adhere to a proper form of contraception (hormonal contraception or intrauterine device on female partner, and an additional barrier method used at least by one of the partners) from the first study treatment administration until 3 months after the end-of-study visit

Exclusion Criteria:

  • Evidence of clinically significant cardiovascular, renal, hepatic, haematological, gastrointestinal, pulmonary, metabolic-endocrine, neurological or psychiatric disease or cancer (except local non-melanoma skin cancer) within the previous 2 years.
  • Family history (parents, siblings) of clinically significant cardiac conduction disease.
  • Any condition requiring regular concomitant treatment (including vitamins and herbal products) or likely to need any concomitant treatment during the study. As an exception, paracetamol for occasional pain is allowed. Hormonal contraception and hormone replacement therapy are allowed.
  • Intake of any medication that could affect the outcome of the study.
  • Any clinically significant abnormal laboratory value or physical finding (including ECG and vital signs) that in the opinion of the investigator could interfere with the interpretation of study results or cause a health risk for the subject if he/she takes part in the study.
  • Known hypersensitivity to the active substances or the excipients of the drugs.
  • Pregnant or lactating females.
  • History of vasovagal collapses or vagal reactions with unexplained reason within the previous 2 years or a tendency for vasovagal reactions during blood sampling.
  • HR < 40 bpm or > 90 bpm in the supine position after 10 min rest at the screening visit.
  • At the screening visit:

systolic BP < 90 mmHg or > 150 mmHg in the supine position after 10 min rest diastolic BP < 50 mmHg or > 90 mmHg in the supine position after 10 min rest

  • History of anaphylactic/anaphylactoid reactions.
  • Strong tendency to motion sickness.
  • Recent or current (suspected) drug abuse.
  • Recent or current alcohol abuse; regular drinking of more than 21 units per week (males) or 16 units per week (females) (1 unit = 4 cl spirits or equivalent).
  • Current use of nicotine containing products more than 5 cigarettes (or equivalent)/day and/or inability to refrain from the use of nicotine containing products during the study (from the screening visit to the end-of-study visit).

Use of caffeine containing beverages more than 600 mg of caffeine/day and/or inability to refrain from using caffeine containing beverages 24 h before the first levodopa administration on the PK day (day 7) until collection of the 24 h PK sample in the morning of day 8.

  • Blood donation or loss of a significant amount of blood within 90 days before the first study treatment administration.
  • Participation in an investigational drug study or administration of an investigational drug within 90 days before the first study treatment administration.
  • Veins unsuitable for repeated venipuncture or cannulation.
  • Predictable poor compliance or inability to communicate well with the study centre personnel.
  • Inability to participate in all treatment periods.

Sites / Locations

  • Clinical Research Services Turku CRST

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Active Comparator

Arm Label

Levodopa standard carbidopa

Levodopa modified carbidopa

Stalevo

Arm Description

Levodopa, carbidopa, ODM-104

Levodopa, carbidopa, ODM-104

Levodopa, carbidopa, entacapone

Outcomes

Primary Outcome Measures

Levodopa Peak Plasma Concentration (Cmax) and fluctuation of levodopa Cmax/Cmin, tau
Explore the Cmax of levodopa and fluctuation of levodopa Cmax/Cmin, tau

Secondary Outcome Measures

Carbidopa Peak Plasma Concentration (Cmax)
Explore Cmax of carbidopa
3-OMD Peak Plasma Concentration (Cmax)
Explore Cmax of 3-OMD
Levodopa Cmax, tau
Explore Cmax, tau of levodopa
Levodopa Cmin, tau
Explore Cmin, tau of levodopa
Levodopa Area under the plasma concentration versus time curve (AUC)
Explore AUC of levodopa
Carbidopa Area under the plasma concentration versus time curve (AUC)
Explore AUC of carbidopa
3-OMD Area under the plasma concentration versus time curve (AUC)
Explore AUC of 3-OMD
Levodopa Peak-trough fluctuation (PTF)
Explore PTF of levodopa

Full Information

First Posted
June 10, 2015
Last Updated
January 13, 2016
Sponsor
Orion Corporation, Orion Pharma
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1. Study Identification

Unique Protocol Identification Number
NCT02554734
Brief Title
Pharmacokinetic Study in Healthy Volunteers
Acronym
NOCOFPK2
Official Title
Pharmacokinetics of Levodopa After Repeated Doses of Carbidopa, ODM-104 and Levodopa: an Open, Randomised Study With Crossover Design in Healthy Males and Females
Study Type
Interventional

2. Study Status

Record Verification Date
January 2016
Overall Recruitment Status
Completed
Study Start Date
August 2015 (undefined)
Primary Completion Date
November 2015 (Actual)
Study Completion Date
November 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Orion Corporation, Orion Pharma

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Phase I open, randomized cross-over pharmacokinetic study.
Detailed Description
The purpose of this study is to investigate the pharmacokinetics of levodopa, carbidopa, 3-OMD and ODM-104 after repeated doses of levodopa, carbidopa and ODM-104: an open, randomized, multicenter study with crossover design in healthy males and females.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Parkinson's Disease

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
15 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Levodopa standard carbidopa
Arm Type
Experimental
Arm Description
Levodopa, carbidopa, ODM-104
Arm Title
Levodopa modified carbidopa
Arm Type
Experimental
Arm Description
Levodopa, carbidopa, ODM-104
Arm Title
Stalevo
Arm Type
Active Comparator
Arm Description
Levodopa, carbidopa, entacapone
Intervention Type
Drug
Intervention Name(s)
levodopa, carbidopa, ODM-104
Other Intervention Name(s)
Sinemet
Intervention Type
Drug
Intervention Name(s)
levodopa, carbidopa, entacapone
Other Intervention Name(s)
Stalevo
Primary Outcome Measure Information:
Title
Levodopa Peak Plasma Concentration (Cmax) and fluctuation of levodopa Cmax/Cmin, tau
Description
Explore the Cmax of levodopa and fluctuation of levodopa Cmax/Cmin, tau
Time Frame
Blood samples collected frequently on day 7 for 24 hours.
Secondary Outcome Measure Information:
Title
Carbidopa Peak Plasma Concentration (Cmax)
Description
Explore Cmax of carbidopa
Time Frame
Blood samples collected frequently on day 7 for 24 hours.
Title
3-OMD Peak Plasma Concentration (Cmax)
Description
Explore Cmax of 3-OMD
Time Frame
Blood samples collected frequently on day 7 for 24 hours.
Title
Levodopa Cmax, tau
Description
Explore Cmax, tau of levodopa
Time Frame
Blood samples collected frequently on day 7 for 24 hours.
Title
Levodopa Cmin, tau
Description
Explore Cmin, tau of levodopa
Time Frame
Blood samples collected frequently on day 7 for 24 hours.
Title
Levodopa Area under the plasma concentration versus time curve (AUC)
Description
Explore AUC of levodopa
Time Frame
Blood samples collected frequently on day 7 for 24 hours.
Title
Carbidopa Area under the plasma concentration versus time curve (AUC)
Description
Explore AUC of carbidopa
Time Frame
Blood samples collected frequently on day 7 for 24 hours.
Title
3-OMD Area under the plasma concentration versus time curve (AUC)
Description
Explore AUC of 3-OMD
Time Frame
Blood samples collected frequently on day 7 for 24 hours.
Title
Levodopa Peak-trough fluctuation (PTF)
Description
Explore PTF of levodopa
Time Frame
Blood samples collected frequently on day 7 for 24 hours.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Written informed consent (IC) obtained Good general health ascertained by detailed medical history and physical examinations Finnish speaking males and females 18-65 years of age Normal weight defined as body mass index (BMI) 19-30 kg/m2 (BMI=weight/height m2) Weight at least 55 kg Regular intestinal transit (no recent history of recurrent constipation, diarrhea, or other intestinal problems, and no history of major gastrointestinal surgery) Sexually active study subjects, unless surgically sterile must adhere to a proper form of contraception (hormonal contraception or intrauterine device on female partner, and an additional barrier method used at least by one of the partners) from the first study treatment administration until 3 months after the end-of-study visit Exclusion Criteria: Evidence of clinically significant cardiovascular, renal, hepatic, haematological, gastrointestinal, pulmonary, metabolic-endocrine, neurological or psychiatric disease or cancer (except local non-melanoma skin cancer) within the previous 2 years. Family history (parents, siblings) of clinically significant cardiac conduction disease. Any condition requiring regular concomitant treatment (including vitamins and herbal products) or likely to need any concomitant treatment during the study. As an exception, paracetamol for occasional pain is allowed. Hormonal contraception and hormone replacement therapy are allowed. Intake of any medication that could affect the outcome of the study. Any clinically significant abnormal laboratory value or physical finding (including ECG and vital signs) that in the opinion of the investigator could interfere with the interpretation of study results or cause a health risk for the subject if he/she takes part in the study. Known hypersensitivity to the active substances or the excipients of the drugs. Pregnant or lactating females. History of vasovagal collapses or vagal reactions with unexplained reason within the previous 2 years or a tendency for vasovagal reactions during blood sampling. HR < 40 bpm or > 90 bpm in the supine position after 10 min rest at the screening visit. At the screening visit: systolic BP < 90 mmHg or > 150 mmHg in the supine position after 10 min rest diastolic BP < 50 mmHg or > 90 mmHg in the supine position after 10 min rest History of anaphylactic/anaphylactoid reactions. Strong tendency to motion sickness. Recent or current (suspected) drug abuse. Recent or current alcohol abuse; regular drinking of more than 21 units per week (males) or 16 units per week (females) (1 unit = 4 cl spirits or equivalent). Current use of nicotine containing products more than 5 cigarettes (or equivalent)/day and/or inability to refrain from the use of nicotine containing products during the study (from the screening visit to the end-of-study visit). Use of caffeine containing beverages more than 600 mg of caffeine/day and/or inability to refrain from using caffeine containing beverages 24 h before the first levodopa administration on the PK day (day 7) until collection of the 24 h PK sample in the morning of day 8. Blood donation or loss of a significant amount of blood within 90 days before the first study treatment administration. Participation in an investigational drug study or administration of an investigational drug within 90 days before the first study treatment administration. Veins unsuitable for repeated venipuncture or cannulation. Predictable poor compliance or inability to communicate well with the study centre personnel. Inability to participate in all treatment periods.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Mika Scheinin, MD
Organizational Affiliation
Clinical Research Services Turku CRST
Official's Role
Principal Investigator
Facility Information:
Facility Name
Clinical Research Services Turku CRST
City
Turku
Country
Finland

12. IPD Sharing Statement

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Pharmacokinetic Study in Healthy Volunteers

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