A Pilot Comparative Bioavailability Study of Levodopa Administered Via Levodopa Cyclops™ Relative to INBRIJA®
Parkinson, Parkinson Disease, Parkinson's Disease and Parkinsonism
About this trial
This is an interventional treatment trial for Parkinson focused on measuring Cyclops™, Levodopa Cyclops™, Cyclops, Inhaled levodopa, OFF episodes, motor fluctuations
Eligibility Criteria
Inclusion Criteria: Male or female subject Age between 18 and 55 years (inclusive the date of signing informed consent) Female subject who IS NOT of reproductive potential. A female subject who is NOT of reproductive potential is defined as one who: (i) has reached natural menopause (defined as at least 6 months of spontaneous amenorrhea with serum follicle-stimulating hormone [FSH] levels in the postmenopausal range as determined by the local laboratory, or 12 months of spontaneous amenorrhea); (ii) is 6 weeks post-surgical bilateral oophorectomy with or without hysterectomy; or (iii) has undergone bilateral tubal ligation. Spontaneous amenorrhea does not include cases for which there is an underlying disease that causes amenorrhea (e.g. anorexia nervosa) Female subject who IS of reproductive potential and uses reliable contraception method and/or is willing to use adequate birth control methods starting from the time of consent through 30 days after the last dose of study therapy List of medically accepted contraceptive methods (used at least 4 weeks prior screening visit and not to be changed for the duration of the study): Combination of a barrier method and spermicides (film, jelly, foam): e.g. female/ male condoms with spermicides, as well as diaphragm/ cervical cap/ contraceptive sponge with spermicides. Hormonal methods: combined estrogen/progestin injectable and oral contraceptives; progestin injectable and oral contraceptives; implants (Nexplanon®), vaginal ring (NuvaRing®), skin patch (Xulane®) and contraceptive injection (Depo-Provera®). Intrauterine devices (IUD): inert or copper IUD (ParaGard®), hormonal IUD (Mirena®, Skyla®, Kyleena®). Physically and mentally healthy as judged by means of medical and standard laboratory examination Non-smokers or ex-smokers (stopped at least 6 months ago) with a smoking history of ≤5 pack-year equivalents (1 pack-year equivalent is equal to smoking 1 pack per day for 1 year) and non-users of othernicotine containing products, confirmed by urine cotinine test BMI within the range (including the borders) of 18.0 to 30.0 kg/m2 Normal spirometry values at screening (forced expiratory volume in one second [FEV1] and forced vital capacity [FVC] between 80% and 120% of the average value regarding age, height, gender and ethnicity (acc. to ECCS/ERS)1 Informed consent given in written form according to chapter 5.4 of clinical trial protocol Exclusion Criteria: Participation in another clinical trial at same time or within 90 days before screening visit (calculated from the date of the final examination of the previous study) Randomization into the present trial more than once Pregnant and/or nursing women. Positive pregnancy test Weight of less than 40 kg Blood donation or blood loss including plasmapheresis of >500 mL within 90 days before screening visit History of drug abuse or use of illegal drugs: use of soft drugs, e.g. marihuana within 6 months before screening visit or hard drugs, e.g. cocaine, amphetamines, phencyclidine within 1 year before screening visit Alcohol abuse, i.e. regular use of more than 2 units of alcohol per day or 10 units per week or a history of alcoholism (one unit of alcohol equals 250 mL beer, 125 mL wine or 25 mL spirits) or recovered alcoholics Regular consumption of beverages or food containing methylxanthines (e.g. coffee, tea, cola, caffeine containing sodas, chocolate) equivalent to more than 500 mg methylxanthines per day Positive drug screening Positive alcohol test History of significant multiple and/or severe allergies (including latex allergy, asthma or bronchial hyperreactivity), or has had an anaphylactic reaction or significant intolerability to prescription or non-prescription drugs or food Any history of drug hypersensitivity (especially to the active ingredient levodopa of the Test and Reference IMPs and to the active ingredient carbidopa of the AxMP) or intolerance to any sugar (e.g. fructose, glucose, or lactose) Presence or a history of clinically significant cardiovascular, renal, hepatic, pulmonary, metabolic, endocrine, hematological, gastrointestinal, neurological, psychiatric or other diseases Clinically significant illness within 4 weeks before screening visit Major surgery of the gastrointestinal tract except for appendectomy Any chronic disease which might interfere with resorption, distribution, metabolism or excretion of the drug History of difficulty in swallowing Positive serologic findings for human immunodeficiency virus (HIV) antibodies, hepatitis B surface antigen (HBsAg), and/or hepatitis C virus (HCV) antibodies Administration of depot injectable solutions or medications with a halflife >1 week (including study medications) within 6 months before screening visit Intake of enzyme-inducing, organotoxic or long half-life drugs within 4 weeks before screening visit Intake or administration of any systemic or topical medication (including OTC medication and especially intake of antacids e.g. aluminum hydroxide, magnesium hydroxide, and simethicone or herbal medication e.g. St. John's wort, kava kava) within 2 weeks before screening visit Medication with drugs known to alter the major organs or systems such as barbiturates, phenothiazines, cimetidine, omeprazole etc. within 60 days before screening visit Systolic blood pressure outside the range of 100 to 135 mmHg and/or diastolic blood pressure outside the range of 60 to 90 mmHg Pulse rate outside the range of 50 to 90 beats/min Respiratory rate outside the range of 12-16 breaths/min Axillary body temperature outside the interval of 35.5 to 37.1°C Any clinically significant abnormality of the resting ECG (12-lead) Laboratory values outside normal range with clinical relevance Special diet due to any reason, e.g. vegetarians Subjects who are known or suspected: not to comply with the study directives not to be reliable or trustworthy not to be capable of understanding and evaluating the information given to them as part of the formal information policy (informed consent), in particular regarding the risks and discomfort to which they would agree to be exposed to be in such a precarious financial situation that they no longer weigh up the possible risks of their participation and the unpleasantness they may be involved in subject is in custody or submitted to an institution due to a judicial
Sites / Locations
- Bed space for short term stay at Diagnostic & Consultative Centre 'Ascendent' Ltd.
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
Experimental
Active Comparator
Test 1 - Levodopa Cyclops™ 45 mg
Test 2 - Levodopa Cyclops™ 90 mg
Test 3 - Levodopa Cyclops™ 135 mg
Reference - Inbrija® 84 mg
1 pre-filled single-use Levodopa Cyclops™ (= 45 mg levodopa)
2 pre-filled single-use Levodopa Cyclops™ devices (= 90 mg levodopa)
3 pre-filled single-use Levodopa Cyclops™ devices (= 135 mg levodopa)
2 Inbrija® capsules (42 mg levodopa per capsule) from the Arcus® dry powder inhaler