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Study to Assess Pharmacokinetics of Accordion Pill Carbidopa-Levodopa Compared to Immediate Release Carbidopa-Levodopa in Parkinson's Disease Patients

Primary Purpose

Parkinson Disease

Status
Unknown status
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Accordion Pill Carbidopa/Levodopa
Sinemet CR 25Mg-100Mg Extended-Release Tablet
Sponsored by
Intec Pharma Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Parkinson Disease

Eligibility Criteria

30 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. diagnosis of PD consistent with UK Brain Bank Criteria
  2. Stable dose of levodopa/carbidopa IR for at least 4 weeks prior to entry; taking at least 4 doses of IR levodopa during waking hours, and total daily dose of at least 400mg prior to initial screening
  3. Stable on all anti-PD medications for 30 days prior to screening. COMT inhibitors are held prior to PK studies on day 1 through day 8

Exclusion Criteria:

  1. Atypical or secondary parkinsonism
  2. clinically significant cardiac, pulmonary, hepatic, or renal disease or other condition which contraindicates participation in judgement of investigator
  3. severe dyskinesia as assessed by PI
  4. significant cognitive impairment
  5. Clinically significant psychiatric illness in opinion of PI
  6. history of small bowel or gastric surgery (including PEG-J placement for Duopa/Duodopa) or bowel obstruction, diagnosis of small bowel narrowing, diagnosis of Crohn's disease, frequent nausea or emesis regardless of etiology, and symptomatic gastroparesis.
  7. History of GI pathology of clinical significance as determined by PI
  8. Allergy to study drug or Yellow Dye #5 (tartrazine)
  9. Unable to swallow large pills
  10. Active GERD and regular use of PPIs
  11. Women who are pregnant or nursing or are of childbearing potential who are not willing to use a medically acceptable method of contraception

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Active Comparator

    Experimental

    Arm Label

    Sinemet

    AP CD/LD

    Arm Description

    Controlled Release 25/100

    Outcomes

    Primary Outcome Measures

    Variability in plasma levodopa concentration
    as assessed by levodopa fluctuation index (comparison of AP-CD/LD to IR-CD/LD

    Secondary Outcome Measures

    Variability in plasma levodopa concentration
    as assessed by Coefficient of variation (CV) (comparison of AP-CD/LD to IR-CD/LD)

    Full Information

    First Posted
    June 25, 2018
    Last Updated
    July 3, 2018
    Sponsor
    Intec Pharma Ltd.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03576638
    Brief Title
    Study to Assess Pharmacokinetics of Accordion Pill Carbidopa-Levodopa Compared to Immediate Release Carbidopa-Levodopa in Parkinson's Disease Patients
    Official Title
    An Open Label Phase 2 Study to Assess the Pharmacokinetics of the Accordion Pill Carbidopa-Levodopa Compared to Immediate Release Carbidopa-Levodopa in Patients With Parkinson's Disease
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    June 2018
    Overall Recruitment Status
    Unknown status
    Study Start Date
    July 2018 (Anticipated)
    Primary Completion Date
    January 2019 (Anticipated)
    Study Completion Date
    January 2019 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Intec Pharma Ltd.

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    Yes
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The purpose of this study is to assess the PK of AP-CD/LD given at dose of 50/500mg three times daily compared to CD/LD immediate release (Sinemet) 1.5 tablets of dose of 25/100 given 5 times per day in Parkinson's Disease patients.
    Detailed Description
    An open label, non randomized crossover phase 2 study to assess the PK of AP-CD/LD given at dose of 50/500mg three times daily compared to CD/LD immediate release (Sinemet) 1.5 tablets of dose of 25/100 given 5 times per day in Parkinson's Disease patients. The study will have a screening period followed by an overnight stay in clinic where Immediate release CD/LD (Sinemet) will be administered five times, approximately every three hours. At specified intervals, blood will be drawn for PK testing. On Days 2-7, subjects will be treated at home with AP CD/LD three times/day, approximately every five hours. Day 8 will be overnight stay in clinic for PK study. AP CD/LD 500mg TID will be dispensed to subjects with specified timelines for PK assessment. Each subject will return to clinic on day 15 for a safety followup visit.

    6. Conditions and Keywords

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

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Crossover Assignment
    Masking
    None (Open Label)
    Allocation
    Non-Randomized
    Enrollment
    12 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Sinemet
    Arm Type
    Active Comparator
    Arm Description
    Controlled Release 25/100
    Arm Title
    AP CD/LD
    Arm Type
    Experimental
    Intervention Type
    Drug
    Intervention Name(s)
    Accordion Pill Carbidopa/Levodopa
    Other Intervention Name(s)
    AP-CD/LD
    Intervention Description
    AP 50/500 TID days 2-7
    Intervention Type
    Drug
    Intervention Name(s)
    Sinemet CR 25Mg-100Mg Extended-Release Tablet
    Other Intervention Name(s)
    Sinemet CR
    Intervention Description
    25/100 1.5 pills five times/day
    Primary Outcome Measure Information:
    Title
    Variability in plasma levodopa concentration
    Description
    as assessed by levodopa fluctuation index (comparison of AP-CD/LD to IR-CD/LD
    Time Frame
    Pk blood sampling to be performed time 0 and every 30 minutes for 16 hours and again at 24 hours on days 1 and 8.
    Secondary Outcome Measure Information:
    Title
    Variability in plasma levodopa concentration
    Description
    as assessed by Coefficient of variation (CV) (comparison of AP-CD/LD to IR-CD/LD)
    Time Frame
    Pk blood sampling to be performed time 0 and every 30 minutes for 16 hours and again at 24 hours on days 1 and 8.

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    30 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: diagnosis of PD consistent with UK Brain Bank Criteria Stable dose of levodopa/carbidopa IR for at least 4 weeks prior to entry; taking at least 4 doses of IR levodopa during waking hours, and total daily dose of at least 400mg prior to initial screening Stable on all anti-PD medications for 30 days prior to screening. COMT inhibitors are held prior to PK studies on day 1 through day 8 Exclusion Criteria: Atypical or secondary parkinsonism clinically significant cardiac, pulmonary, hepatic, or renal disease or other condition which contraindicates participation in judgement of investigator severe dyskinesia as assessed by PI significant cognitive impairment Clinically significant psychiatric illness in opinion of PI history of small bowel or gastric surgery (including PEG-J placement for Duopa/Duodopa) or bowel obstruction, diagnosis of small bowel narrowing, diagnosis of Crohn's disease, frequent nausea or emesis regardless of etiology, and symptomatic gastroparesis. History of GI pathology of clinical significance as determined by PI Allergy to study drug or Yellow Dye #5 (tartrazine) Unable to swallow large pills Active GERD and regular use of PPIs Women who are pregnant or nursing or are of childbearing potential who are not willing to use a medically acceptable method of contraception
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Fabrizio Stocchi, MD, PhD
    Phone
    +39 0652252311
    Email
    fabrizio.stocchi@sanraffaele.it
    First Name & Middle Initial & Last Name or Official Title & Degree
    Fabrizio Stocchi, MD, PhD

    12. IPD Sharing Statement

    Learn more about this trial

    Study to Assess Pharmacokinetics of Accordion Pill Carbidopa-Levodopa Compared to Immediate Release Carbidopa-Levodopa in Parkinson's Disease Patients

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