NCT00099268

Brief Summary

The CELC200A2401 study has been designed in order to evaluate the hypothesis that administering the combination carbidopa/levodopa/entacapone at the time that levodopa therapy is initiated results in a decrease in the risk of the development of motor complications for patients with Parkinson's disease.

Trial Health

98
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
747

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Sep 2004

Typical duration for phase_3

Geographic Reach
14 countries

73 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

September 1, 2004

Completed
3 months until next milestone

First Submitted

Initial submission to the registry

December 10, 2004

Completed
Same day until next milestone

First Posted

Study publicly available on registry

December 10, 2004

Completed
3.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2008

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2008

Completed
2.3 years until next milestone

Results Posted

Study results publicly available

March 8, 2011

Completed
Last Updated

April 23, 2012

Status Verified

April 1, 2012

Enrollment Period

4.2 years

First QC Date

December 10, 2004

Results QC Date

December 15, 2010

Last Update Submit

April 19, 2012

Conditions

Keywords

Parkinson's disease, levodopa therapy, dyskinesia

Outcome Measures

Primary Outcomes (1)

  • Time to First Occurrence of Dyskinesia

    Dyskinesia was assessed by a blinded rater at each visit. Time to dyskinesia was defined as the visit at which the rater first answered "yes" to the following question: "In your opinion, does this patient have dyskinesia?" Time to dyskinesia was estimated by Kaplan-Meier product limit estimate that takes into consideration patients who did not experience dyskinesia by censoring them at the end of the study.

    Treatment duration for an individual patient varied between a minimum of 134 weeks for those patients recruited last and a maximum of 208 weeks for those patients recruited first

Secondary Outcomes (5)

  • Change From Baseline in Unified Parkinson's Disease Rating Scale (UPDRS) Total Score (Parts II and III)

    Baseline, Week 6 and Week 130

  • Occurrence of Wearing-off

    Baseline to Week 134

  • Time to First Occurrence of Wearing-off

    Baseline to end of study (134-208 weeks of treatment)

  • Occurrence of Dyskinesia

    Baseline to Week 208

  • Change From Baseline in Health-related Quality of Life Assessed Using the 39-item Parkinson's Disease Questionnaire (PDQ-39)

    Baseline to Week 156

Study Arms (2)

Carbidopa/levodopa/entacapone

EXPERIMENTAL

Patients received Carbidopa/levodopa/entacapone tablets. The study was designed as a flexible dose trial (200-1000 mg/day levodopa). The target dose was 400 mg/day levodopa administered orally as 4 equal doses 4 times a day with 3.5-hour dosing intervals for a treatment period of 134 to 208 weeks.

Drug: Carbidopa/levodopa/entacapone

Immediate release carbidopa/levodopa

ACTIVE COMPARATOR

Patients received Immediate release carbidopa/levodopa tablets. The study was designed as a flexible dose trial (200-1000 mg/day levodopa). The target dose was 400 mg/day levodopa administered orally as 4 equal doses 4 times a day with 3.5-hour dosing intervals for a treatment period of 134 to 208 weeks.

Drug: Immediate release carbidopa/levodopa

Interventions

Carbidopa/Levodopa/Entacapone 12.5/50/200 mg and 25/100/200 mg capsules.

Also known as: Stalevo
Carbidopa/levodopa/entacapone

Immediate release carbidopa/levodopa 12.5/50 mg and 25/100 mg capsules.

Also known as: Sinemet
Immediate release carbidopa/levodopa

Eligibility Criteria

Age30 Years - 70 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Clinical diagnosis of idiopathic Parkinson's disease
  • Diagnosis of Parkinson's disease for no more than 5 years

You may not qualify if:

  • History, signs, or symptoms of atypical or secondary parkinsonism
  • Presence at baseline of drug-related wearing-off symptoms, dyskinesia or other motor complications
  • Levodopa exposure of more than 30 days or anytime within 8 weeks prior to visit 1

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (73)

University of Alabama at Birmingham

Birmingham, Alabama, 35233, United States

Location

Mayo Clinic

Scottsdale, Arizona, 85259, United States

Location

Coastal Neurological Medical Group

La Jolla, California, 92037, United States

Location

Keck School of Medicine, Division of Movement Disorders

Los Angeles, California, 90033, United States

Location

Reed Neurological Research Center

Los Angeles, California, 90095-1769, United States

Location

The Parkinson's Institute

Sunnyvale, California, 94085, United States

Location

Molecular NeuroImaging, LLC

New Haven, Connecticut, 06510, United States

Location

Parkinson's Disease and Movement Disorder Center

Boca Raton, Florida, 33486, United States

Location

University of Miami

Miami, Florida, 33136, United States

Location

Charlotte Neurological Service

Port Charlotte, Florida, 33952, United States

Location

University of South Florida

Tampa, Florida, 33606, United States

Location

Wesley Woods Health Center

Atlanta, Georgia, 30329, United States

Location

Medical College of Georgia

Augusta, Georgia, 30912, United States

Location

Northwestern University Medical School

Chicago, Illinois, 60611, United States

Location

Rush University Medical Center

Chicago, Illinois, 60612, United States

Location

Landon Center on Aging

Kansas City, Kansas, 66160, United States

Location

Ochsner Clinic Foundation

New Orleans, Louisiana, 70121, United States

Location

Boston University School of Medicine

Boston, Massachusetts, 02118, United States

Location

Clinical Neuroscience Center

Southfield, Michigan, 48034, United States

Location

Parkinson's Disease and Movement Disorder Center of Albany Medical

Albany, New York, 12208, United States

Location

Parkinson's Disease and Movement Disorders Center of Long Island

Commack, New York, 11725, United States

Location

Mount Sinai School of Medicine

New York, New York, 10029, United States

Location

Columbia University, Neurological Institute

New York, New York, 10032-3784, United States

Location

University of Rochester

Rochester, New York, 14618, United States

Location

Duke University Medical Center Movement Disorders Center

Durham, North Carolina, 27705, United States

Location

Pennsylvania Neurology Institute

Philadelphia, Pennsylvania, 19107, United States

Location

NeuroHealth, Inc.

Warwick, Rhode Island, 02886, United States

Location

Semmes-Murphey Clinic

Memphis, Tennessee, 38104, United States

Location

University of Texas Southwestern Medical Center at Dallas

Dallas, Texas, 75390-9016, United States

Location

Baylor College of Medicine, Parkinson's Disease Center

Houston, Texas, 77030, United States

Location

Wisconsin Institute for Neurologic and Sleep Disorders

Milwaukee, Wisconsin, 53233, United States

Location

Novartis Investigative Site

Innsbruck, Austria

Location

Novartis Investigative Site

Antwerp, Belgium

Location

Novartis Investigative Site

Bruges, Belgium

Location

Novartis Investigative Site

Edmonton, Alberta, Canada

Location

Novartis Investigative Site

London, Ontario, Canada

Location

Novartis Investigative Site

Toronto, Ontario, Canada

Location

Novartis Investigative Site

Montreal, Quebec, Canada

Location

Novartis Investigative Site

Helsinki, Finland

Location

Novartis Investigative Site

Kuopio, Finland

Location

Novartis Investigative Site

Mikkeli, Finland

Location

Novartis Investigative Site

Oulu, Finland

Location

Novartis Investigative Site

Pori, Finland

Location

Novartis Investigative Site

Lille, France

Location

Novartis Investigative Site

Nantes, France

Location

Novartis Investigative Site

Paris, France

Location

Novartis Investigative Site

Toulouse, France

Location

Novartis Investigative Site

Berlin, Germany

Location

Novartis Investigative Site

Bochum, Germany

Location

Novartis Investigative Site

Dresden, Germany

Location

Novartis Investigative Site

Marburg, Germany

Location

Novartis Investigative Site

Tübingen, Germany

Location

Novartis Investigative Site

Ioannina, Greece

Location

Novartis Investigative Site

Thessaloniki, Greece

Location

Novartis Investigative Site

Catania, Italy

Location

Novartis Investigative Site

Chieti Scalo, Italy

Location

Novartis Investigative Site

Lido di Camaiore, Italy

Location

Novartis Investigative Site

Napoli, Italy

Location

Novartis Investigative Site

Pozzilli, Italy

Location

Novartis Investigative Site

Roma, Italy

Location

Novartis Investigative Site

Barcelona, Spain

Location

Novartis Investigative Site

Madrid, 28035, Spain

Location

Novartis Investigative Site

Jönköping, Sweden

Location

Novartis Investigative Site

Linköping, Sweden

Location

Novartis Investigative Site

Norrköping, Sweden

Location

Novartis Investigative Site

Stockholm, Sweden

Location

Novartis Investigative Site

Lausanne, Switzerland

Location

Novartis Investigative Site

Zurich, Switzerland

Location

Novartis Investigative Site

Istanbul, Turkey (Türkiye)

Location

Novartis Investigative Site

Birmingham, United Kingdom

Location

Novartis Investigative Site

Glasgow, United Kingdom

Location

Novartis Investigative Site

London, United Kingdom

Location

Novartis Investigative Site

Newcastle upon Tyne, United Kingdom

Location

Related Publications (1)

  • Stocchi F, Rascol O, Kieburtz K, Poewe W, Jankovic J, Tolosa E, Barone P, Lang AE, Olanow CW. Initiating levodopa/carbidopa therapy with and without entacapone in early Parkinson disease: the STRIDE-PD study. Ann Neurol. 2010 Jul;68(1):18-27. doi: 10.1002/ana.22060.

MeSH Terms

Conditions

Parkinson DiseaseDyskinesias

Interventions

StalevoLevodopacarbidopa, levodopa drug combination

Condition Hierarchy (Ancestors)

Parkinsonian DisordersBasal Ganglia DiseasesBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesMovement DisordersSynucleinopathiesNeurodegenerative DiseasesNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

DihydroxyphenylalanineCatecholaminesAminesOrganic ChemicalsCatecholsPhenolsBenzene DerivativesHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsPhenylalanineAmino Acids, AromaticAmino Acids, CyclicAmino AcidsAmino Acids, Peptides, and ProteinsTyrosine

Results Point of Contact

Title
Study Director
Organization
Novartis Pharmaceuticals

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY

Study Record Dates

First Submitted

December 10, 2004

First Posted

December 10, 2004

Study Start

September 1, 2004

Primary Completion

November 1, 2008

Study Completion

November 1, 2008

Last Updated

April 23, 2012

Results First Posted

March 8, 2011

Record last verified: 2012-04

Locations