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Effect of BIA 6-512 at Steady-state on the Levodopa Pharmacokinetics With a Single-dose of Levodopa/Benserazide 200/50 mg or With a Single-dose of Levodopa/Benserazide 200/50 mg Plus a Single-dose of Nebicapone 150 mg

Primary Purpose

Parkinson Disease

Status
Completed
Phase
Phase 1
Locations
Portugal
Study Type
Interventional
Intervention
Placebo
BIA 6-512
Madopar® 250
Nebicapone
Sponsored by
Bial - Portela C S.A.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Parkinson Disease

Eligibility Criteria

18 Years - 45 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Male or female subjects aged between 18 and 45 years, inclusive.
  • Subjects of body mass index (BMI) between 19 and 30 kg/m2, inclusive.
  • Subjects who were healthy as determined by pre-study medical history, physical examination, vital signs, complete neurological examination and 12-lead ECG.
  • Subjects who had negative tests for HBsAg, anti-HCVAb and HIV-1 and HIV-2 Ab at screening
  • Subjects who had clinical laboratory test results clinically acceptable at screening and admission.
  • Subjects who had a negative screen for alcohol and drugs of abuse at screening and admission.
  • Subjects who were non-smokers or who smoked ≤ 10 cigarettes or equivalent per day.
  • Subjects who were able and willing to gave written informed consent.
  • (If female) She was not of childbearing potential by reason of surgery or, if of childbearing potential, she used one of the following methods of contraception: double barrier, intrauterine device or abstinence.
  • (If female) She had a negative urine pregnancy test at screening and admission.

Exclusion Criteria:

  • Subjects who had a clinically relevant history or presence of respiratory, gastrointestinal, renal, hepatic, haematological, lymphatic, neurological, cardiovascular, psychiatric, musculoskeletal, genitourinary, immunological, dermatological, endocrine, connective tissue diseases or disorders.
  • Subjects who had a clinically relevant surgical history.
  • Subjects who had a clinically relevant family history.
  • Subjects who had a history of relevant atopy.
  • Subjects who had a history of relevant drug hypersensitivity.
  • Subjects who had a history of alcoholism or drug abuse.
  • Subjects who consumed more than 14 units of alcohol a week.
  • Subjects who had a significant infection or known inflammatory process on screening or admission.
  • Subjects who had acute gastrointestinal symptoms (e.g., nausea, vomiting, diarrhoea, heartburn) at the time of screening or admission.
  • Subjects who had used medicines within 2 weeks of admission that may affect the safety or other study assessments, in the investigator's opinion.
  • Subjects who had previously participated in a clinical trial with BIA 6-512.
  • Subjects who had used any investigational drug or participated in any clinical trial within 6 months prior to screening.
  • Subjects who had participated in more than 2 clinical trials within the 12 months prior to screening.
  • Subjects who had donated or received any blood or blood products within the 3 months prior to screening.
  • Subjects who were vegetarians, vegans or have medical dietary restrictions.
  • Subjects who cannot communicate reliably with the investigator.
  • Subjects who were unlikely to co-operate with the requirements of the study.
  • Subjects who were unwilling or unable to give written informed consent.
  • (If female) She was pregnant or breast-feeding.
  • (If female) She was of childbearing potential and she did not use an effective contraceptive method (double-barrier, intra-uterine device or abstinence) or she used oral contraceptives.

Sites / Locations

  • Human Pharmacology Unit (UFH) - BIAL - Portela & Cª, SA

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Group 1: BIA 6-512 25 mg or placebo

Group 2: BIA 6-512 50 mg or placebo

Group 3: BIA 6-512 75 mg or placebo

Group 4: BIA 6-512 100 mg or placebo

Arm Description

Subjects were administered with those investigational products at approximately 8-h intervals, starting in the morning (approximately at 8h00) of Day 1 and finishing in the morning of Day 5 (last dose). On Day 4, concomitantly with the BIA 6-512/Placebo morning dose, one tablet of Madopar® 250 was administered. On Day 5, concomitantly with the BIA 6-512/Placebo morning dose, one tablet of Madopar® 250 and one tablet of nebicapone 150 mg were administered

Subjects were administered with those investigational products at approximately 8-h intervals, starting in the morning (approximately at 8h00) of Day 1 and finishing in the morning of Day 5 (last dose). On Day 4, concomitantly with the BIA 6-512/Placebo morning dose, one tablet of Madopar® 250 was administered. On Day 5, concomitantly with the BIA 6-512/Placebo morning dose, one tablet of Madopar® 250 and one tablet of nebicapone 150 mg were administered

Subjects were administered with those investigational products at approximately 8-h intervals, starting in the morning (approximately at 8h00) of Day 1 and finishing in the morning of Day 5 (last dose). On Day 4, concomitantly with the BIA 6-512/Placebo morning dose, one tablet of Madopar® 250 was administered. On Day 5, concomitantly with the BIA 6-512/Placebo morning dose, one tablet of Madopar® 250 and one tablet of nebicapone 150 mg were administered

Subjects were administered with those investigational products at approximately 8-h intervals, starting in the morning (approximately at 8h00) of Day 1 and finishing in the morning of Day 5 (last dose). On Day 4, concomitantly with the BIA 6-512/Placebo morning dose, one tablet of Madopar® 250 was administered. On Day 5, concomitantly with the BIA 6-512/Placebo morning dose, one tablet of Madopar® 250 and one tablet of nebicapone 150 mg were administered

Outcomes

Primary Outcome Measures

Day 4 - Maximum observed plasma drug concentration (Cmax)
Pharmacokinetic parameters of BIA 6-512, levodopa, and nebicapone on day 4
Day 4 - Time of occurrence of Cmax (tmax)
Pharmacokinetic parameters of BIA 6-512, levodopa, and nebicapone on day 4
Day 4 - Area under the plasma concentration-time curve (AUC) from time zero to the last sampling time at which concentrations were at or above the limit of quantification (AUC0-t)
Pharmacokinetic parameters of BIA 6-512, levodopa, and nebicapone on day 4
Day 4 - AUC from time zero to 8 h post-dose (AUC0-τ)
Pharmacokinetic parameters of BIA 6-512, levodopa, and nebicapone on day 4
Day 4 - Area under the plasma concentration versus time curve from time zero to infinity (AUC0-∞)
Pharmacokinetic parameters of BIA 6-512, levodopa, and nebicapone on day 4
Day 4 - Apparent terminal elimination half-life, calculated from ln 2/λz (t1/2)
Pharmacokinetic parameters of BIA 6-512, levodopa, and nebicapone on day 4
Day 5 - Maximum observed plasma drug concentration (Cmax)
Pharmacokinetic parameters of BIA 6-512, levodopa, and nebicapone on day 5
Day 5 - Time of occurrence of Cmax (tmax)
Pharmacokinetic parameters of BIA 6-512, levodopa, and nebicapone on day 5
Day 5 - Area under the plasma concentration-time curve (AUC) from time zero to the last sampling time at which concentrations were at or above the limit of quantification (AUC0-t)
Pharmacokinetic parameters of BIA 6-512, levodopa, and nebicapone on day 5
Day 5 - AUC from time zero to 8 h post-dose (AUC0-τ)
Pharmacokinetic parameters of BIA 6-512, levodopa, and nebicapone on day 5
Day 5 - Area under the plasma concentration versus time curve from time zero to infinity (AUC0-∞)
Pharmacokinetic parameters of BIA 6-512, levodopa, and nebicapone on day 5
Day 5 - Apparent terminal elimination half-life, calculated from ln 2/λz (t1/2)
Pharmacokinetic parameters of BIA 6-512, levodopa, and nebicapone on day 5

Secondary Outcome Measures

Full Information

First Posted
March 27, 2017
Last Updated
March 27, 2017
Sponsor
Bial - Portela C S.A.
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1. Study Identification

Unique Protocol Identification Number
NCT03097211
Brief Title
Effect of BIA 6-512 at Steady-state on the Levodopa Pharmacokinetics With a Single-dose of Levodopa/Benserazide 200/50 mg or With a Single-dose of Levodopa/Benserazide 200/50 mg Plus a Single-dose of Nebicapone 150 mg
Official Title
A Double-blind, Randomised, Placebo-controlled, Rising Multiple Dose Study in Healthy Volunteers to Investigate the Effect of BIA 6-512 at Steady-state on the Levodopa Pharmacokinetics When Administered in Combination With a Single-dose of Levodopa/Benserazide 200/50 mg or With a Single-dose of Levodopa/Benserazide 200/50 mg Plus a Single-dose of Nebicapone 150 mg
Study Type
Interventional

2. Study Status

Record Verification Date
March 2017
Overall Recruitment Status
Completed
Study Start Date
July 17, 2006 (Actual)
Primary Completion Date
October 20, 2006 (Actual)
Study Completion Date
October 20, 2006 (undefined)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Bial - Portela C S.A.

4. Oversight

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

5. Study Description

Brief Summary
The purpose of this study was to determine whether the administration of BIA 6-512 (25 mg, 50 mg, 75 mg and 100 mg) at steady-state affects the pharmacokinetics of levodopa when administered in combination with a single-dose of immediate release levodopa/benserazide 200/50 mg or with a single-dose of immediate release levodopa/benserazide 200/50 mg plus a single-dose of nebicapone 150 mg.
Detailed Description
Single centre, double-blind, randomised, placebo-controlled, rising multiple dose study in four sequential groups of healthy male and female subjects. Eligible subjects were admitted to the Human Pharmacology Unit (UFH)on the day prior to receiving the first study medication. Starting in the morning of Day 1 (first dose), subjects received BIA 6-512/Placebo thrice daily until the morning of Day 5 (last dose). Concomitantly with the morning dose of BIA 6-512/Placebo on Day 4, a levodopa/benserazide 200/50 mg (Madopar® 250) single-dose was administered. On Day 5, a Madopar® 250 single-dose and a nebicapone 150 mg single-dose were administered concomitantly with the morning dose of BIA 6-512/Placebo. In the morning of Day 4 and Day 5, products were administered in fasting conditions of at least 8 hours and subjects remained fasted until 2 h post-dose. Subjects were resident in the UFH from admission (Day 0) until at least 24 h post last dose (Day 6); then, they were discharged and returned for the follow-up 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 1
Interventional Study Model
Sequential Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
38 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group 1: BIA 6-512 25 mg or placebo
Arm Type
Experimental
Arm Description
Subjects were administered with those investigational products at approximately 8-h intervals, starting in the morning (approximately at 8h00) of Day 1 and finishing in the morning of Day 5 (last dose). On Day 4, concomitantly with the BIA 6-512/Placebo morning dose, one tablet of Madopar® 250 was administered. On Day 5, concomitantly with the BIA 6-512/Placebo morning dose, one tablet of Madopar® 250 and one tablet of nebicapone 150 mg were administered
Arm Title
Group 2: BIA 6-512 50 mg or placebo
Arm Type
Experimental
Arm Description
Subjects were administered with those investigational products at approximately 8-h intervals, starting in the morning (approximately at 8h00) of Day 1 and finishing in the morning of Day 5 (last dose). On Day 4, concomitantly with the BIA 6-512/Placebo morning dose, one tablet of Madopar® 250 was administered. On Day 5, concomitantly with the BIA 6-512/Placebo morning dose, one tablet of Madopar® 250 and one tablet of nebicapone 150 mg were administered
Arm Title
Group 3: BIA 6-512 75 mg or placebo
Arm Type
Experimental
Arm Description
Subjects were administered with those investigational products at approximately 8-h intervals, starting in the morning (approximately at 8h00) of Day 1 and finishing in the morning of Day 5 (last dose). On Day 4, concomitantly with the BIA 6-512/Placebo morning dose, one tablet of Madopar® 250 was administered. On Day 5, concomitantly with the BIA 6-512/Placebo morning dose, one tablet of Madopar® 250 and one tablet of nebicapone 150 mg were administered
Arm Title
Group 4: BIA 6-512 100 mg or placebo
Arm Type
Experimental
Arm Description
Subjects were administered with those investigational products at approximately 8-h intervals, starting in the morning (approximately at 8h00) of Day 1 and finishing in the morning of Day 5 (last dose). On Day 4, concomitantly with the BIA 6-512/Placebo morning dose, one tablet of Madopar® 250 was administered. On Day 5, concomitantly with the BIA 6-512/Placebo morning dose, one tablet of Madopar® 250 and one tablet of nebicapone 150 mg were administered
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo capsules. Orally, with 240 mL of potable water.
Intervention Type
Drug
Intervention Name(s)
BIA 6-512
Other Intervention Name(s)
Trans-resveratrol
Intervention Description
The investigational products consisted of capsules containing BIA 6-512 25 mg, 50 mg, 75 mg, 100 mg. Orally, with 240 mL of potable water.
Intervention Type
Drug
Intervention Name(s)
Madopar® 250
Other Intervention Name(s)
Levodopa/benserazide
Intervention Description
Levodopa/benserazide immediate release tablets 200mg/50mg. Orally, with 240 mL of potable water.
Intervention Type
Drug
Intervention Name(s)
Nebicapone
Other Intervention Name(s)
BIA 3-202
Intervention Description
Nebicapone 150 mg tablets. Orally, with 240 mL of potable water.
Primary Outcome Measure Information:
Title
Day 4 - Maximum observed plasma drug concentration (Cmax)
Description
Pharmacokinetic parameters of BIA 6-512, levodopa, and nebicapone on day 4
Time Frame
pre-dose, ¼, ½, ¾, 1, 1½, 2, 3, 4, 6, 8 and 16 hours post-dose.
Title
Day 4 - Time of occurrence of Cmax (tmax)
Description
Pharmacokinetic parameters of BIA 6-512, levodopa, and nebicapone on day 4
Time Frame
pre-dose, ¼, ½, ¾, 1, 1½, 2, 3, 4, 6, 8 and 16 hours post-dose.
Title
Day 4 - Area under the plasma concentration-time curve (AUC) from time zero to the last sampling time at which concentrations were at or above the limit of quantification (AUC0-t)
Description
Pharmacokinetic parameters of BIA 6-512, levodopa, and nebicapone on day 4
Time Frame
pre-dose, ¼, ½, ¾, 1, 1½, 2, 3, 4, 6, 8 and 16 hours post-dose.
Title
Day 4 - AUC from time zero to 8 h post-dose (AUC0-τ)
Description
Pharmacokinetic parameters of BIA 6-512, levodopa, and nebicapone on day 4
Time Frame
pre-dose, ¼, ½, ¾, 1, 1½, 2, 3, 4, 6, 8 and 16 hours post-dose.
Title
Day 4 - Area under the plasma concentration versus time curve from time zero to infinity (AUC0-∞)
Description
Pharmacokinetic parameters of BIA 6-512, levodopa, and nebicapone on day 4
Time Frame
pre-dose, ¼, ½, ¾, 1, 1½, 2, 3, 4, 6, 8 and 16 hours post-dose.
Title
Day 4 - Apparent terminal elimination half-life, calculated from ln 2/λz (t1/2)
Description
Pharmacokinetic parameters of BIA 6-512, levodopa, and nebicapone on day 4
Time Frame
pre-dose, ¼, ½, ¾, 1, 1½, 2, 3, 4, 6, 8 and 16 hours post-dose.
Title
Day 5 - Maximum observed plasma drug concentration (Cmax)
Description
Pharmacokinetic parameters of BIA 6-512, levodopa, and nebicapone on day 5
Time Frame
pre-dose, ¼, ½, ¾, 1, 1½, 2, 3, 4, 6, 8, 16 and 24 hours post-dose
Title
Day 5 - Time of occurrence of Cmax (tmax)
Description
Pharmacokinetic parameters of BIA 6-512, levodopa, and nebicapone on day 5
Time Frame
pre-dose, ¼, ½, ¾, 1, 1½, 2, 3, 4, 6, 8, 16 and 24 hours post-dose
Title
Day 5 - Area under the plasma concentration-time curve (AUC) from time zero to the last sampling time at which concentrations were at or above the limit of quantification (AUC0-t)
Description
Pharmacokinetic parameters of BIA 6-512, levodopa, and nebicapone on day 5
Time Frame
pre-dose, ¼, ½, ¾, 1, 1½, 2, 3, 4, 6, 8, 16 and 24 hours post-dose
Title
Day 5 - AUC from time zero to 8 h post-dose (AUC0-τ)
Description
Pharmacokinetic parameters of BIA 6-512, levodopa, and nebicapone on day 5
Time Frame
pre-dose, ¼, ½, ¾, 1, 1½, 2, 3, 4, 6, 8, 16 and 24 hours post-dose
Title
Day 5 - Area under the plasma concentration versus time curve from time zero to infinity (AUC0-∞)
Description
Pharmacokinetic parameters of BIA 6-512, levodopa, and nebicapone on day 5
Time Frame
pre-dose, ¼, ½, ¾, 1, 1½, 2, 3, 4, 6, 8, 16 and 24 hours post-dose
Title
Day 5 - Apparent terminal elimination half-life, calculated from ln 2/λz (t1/2)
Description
Pharmacokinetic parameters of BIA 6-512, levodopa, and nebicapone on day 5
Time Frame
pre-dose, ¼, ½, ¾, 1, 1½, 2, 3, 4, 6, 8, 16 and 24 hours post-dose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Male or female subjects aged between 18 and 45 years, inclusive. Subjects of body mass index (BMI) between 19 and 30 kg/m2, inclusive. Subjects who were healthy as determined by pre-study medical history, physical examination, vital signs, complete neurological examination and 12-lead ECG. Subjects who had negative tests for HBsAg, anti-HCVAb and HIV-1 and HIV-2 Ab at screening Subjects who had clinical laboratory test results clinically acceptable at screening and admission. Subjects who had a negative screen for alcohol and drugs of abuse at screening and admission. Subjects who were non-smokers or who smoked ≤ 10 cigarettes or equivalent per day. Subjects who were able and willing to gave written informed consent. (If female) She was not of childbearing potential by reason of surgery or, if of childbearing potential, she used one of the following methods of contraception: double barrier, intrauterine device or abstinence. (If female) She had a negative urine pregnancy test at screening and admission. Exclusion Criteria: Subjects who had a clinically relevant history or presence of respiratory, gastrointestinal, renal, hepatic, haematological, lymphatic, neurological, cardiovascular, psychiatric, musculoskeletal, genitourinary, immunological, dermatological, endocrine, connective tissue diseases or disorders. Subjects who had a clinically relevant surgical history. Subjects who had a clinically relevant family history. Subjects who had a history of relevant atopy. Subjects who had a history of relevant drug hypersensitivity. Subjects who had a history of alcoholism or drug abuse. Subjects who consumed more than 14 units of alcohol a week. Subjects who had a significant infection or known inflammatory process on screening or admission. Subjects who had acute gastrointestinal symptoms (e.g., nausea, vomiting, diarrhoea, heartburn) at the time of screening or admission. Subjects who had used medicines within 2 weeks of admission that may affect the safety or other study assessments, in the investigator's opinion. Subjects who had previously participated in a clinical trial with BIA 6-512. Subjects who had used any investigational drug or participated in any clinical trial within 6 months prior to screening. Subjects who had participated in more than 2 clinical trials within the 12 months prior to screening. Subjects who had donated or received any blood or blood products within the 3 months prior to screening. Subjects who were vegetarians, vegans or have medical dietary restrictions. Subjects who cannot communicate reliably with the investigator. Subjects who were unlikely to co-operate with the requirements of the study. Subjects who were unwilling or unable to give written informed consent. (If female) She was pregnant or breast-feeding. (If female) She was of childbearing potential and she did not use an effective contraceptive method (double-barrier, intra-uterine device or abstinence) or she used oral contraceptives.
Facility Information:
Facility Name
Human Pharmacology Unit (UFH) - BIAL - Portela & Cª, SA
City
S. Mamede do Coronado
ZIP/Postal Code
4745-457
Country
Portugal

12. IPD Sharing Statement

Plan to Share IPD
Undecided

Learn more about this trial

Effect of BIA 6-512 at Steady-state on the Levodopa Pharmacokinetics With a Single-dose of Levodopa/Benserazide 200/50 mg or With a Single-dose of Levodopa/Benserazide 200/50 mg Plus a Single-dose of Nebicapone 150 mg

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