NCT01070628

Brief Summary

The purpose of this study is to confirm that the dose levels and dosing frequency utilising the new Stalevo strengths would result into more stable levodopa plasma levels. Therefore, it is anticipated that when lower dose of Stalevo is administered after the first higher dose of Stalevo, this would result in equally high levodopa maximum concentration values (Cmax) after each dose throughout the day compared to Cmax after the first dose.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
20

participants targeted

Target at P25-P50 for phase_1

Timeline
Completed

Started Dec 2009

Shorter than P25 for phase_1

Geographic Reach
1 country

1 active site

Status
completed

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

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

November 23, 2009

Completed
8 days until next milestone

Study Start

First participant enrolled

December 1, 2009

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2010

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 1, 2010

Completed
17 days until next milestone

First Posted

Study publicly available on registry

February 18, 2010

Completed
Last Updated

August 13, 2010

Status Verified

August 1, 2010

Enrollment Period

2 months

First QC Date

November 23, 2009

Last Update Submit

August 12, 2010

Conditions

Keywords

Pharmacokinetic

Outcome Measures

Primary Outcomes (1)

  • To demonstrate that reduced Stalevo strengths 75 mg and 125 mg following initial 100 mg and 150 mg strengths, will not increase Cmax of levodopa compared to Stalevo or levodopa/carbidopa dosing using equal strengths during the day.

    2-11 weeks

Secondary Outcomes (1)

  • Cmin, AUCo-tau

    each subject 3 PK days between 1-6 days

Study Arms (2)

Stalevo (levodopa/carbidopa/entacapone)

EXPERIMENTAL

125mg or 75mg of levodopa during treatment period 1 in groups 1 and 2 respectively. 150mg or 100mg of levodopa during treatment period 2 in groups 1 and 2 respectively.

Drug: Stalevo (levodopa/ carbidopa/ entacapone)

Sinemet (levodopa/carbidopa)

ACTIVE COMPARATOR

150mg or 100mg of levodopa during treatment period 3 in study groups 1 and 2 respectively

Drug: Sinemet (levodopa/carbidopa)

Interventions

150mg, 125 mg, 100mg, 75mg of levodopa q.i.d. in 3.5 h interval

Also known as: Stalevo
Stalevo (levodopa/carbidopa/entacapone)

150 or 100 mg levodopa q.i.d. in 3.5 hr interval

Also known as: Sinemet
Sinemet (levodopa/carbidopa)

Eligibility Criteria

Age18 Years - 70 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Written informed consent (IC) obtained.
  • Good general health ascertained by detailed medical history, and laboratory and physical examinations.
  • Finnish speaking males or females, 18-70 years of age inclusive.
  • Normal weight defined as body mass index (BMI) 18.5-30.0 kg/m2 (inclusive) (BMI = weight/height2).
  • Weight at least 50.0 kg.
  • Regular intestinal transit (no recent history of recurrent constipation, diarrhoea, or other intestinal problems).

You may not qualify if:

  • Evidence of a clinically significant cardiovascular, renal, hepatic, haematological, gastrointestinal, pulmonary, metabolic-endocrine, neurological, urogenital or psychiatric disease as judged by the investigator.
  • Any condition requiring regular concomitant treatment (including vitamins and herbal products) or likely to need any concomitant treatment during the study. As an exception, contraceptives or 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 electrocardiogram \[ECG\]) and vital signs) that may interfere with the interpretation of test results or cause a health risk for the subject if he/she participates in the study, as judged by the investigator.
  • Orthostatic hypotension; systolic and diastolic BP and heart rate HR after 3 minutes in supine position and after 3 minutes of standing:
  • decrease of ≥ 20 mmHg for systolic BP
  • decrease of ≥ 10 mmHg for diastolic BP.
  • Strong tendency to motion sickness.
  • Known hypersensitivity to the active substance(s) or to any of the excipients of the drug.
  • Pregnant or lactating females.
  • Females of childbearing potential if they are not using proper contraception (hormonal contraception, intrauterine device (IUD) or surgical sterilization, spermicidal foam/Vagitorie, condom on male partner). Double methods (mentioned above) of contraception is needed during the study. (Note: women of childbearing potential with no current sexual relationship can be included without contraception according to the judgement of the investigator).
  • Recent or current (suspected) drug abuse or positive result in the drug abuse test.
  • Recent or current alcohol abuse (regular drinking more than 21 units per week for males and more than 16 units per week for 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 stay at the study centre.
  • Use of caffeine containing beverages more than 600 mg of caffeine/day and/or inability to refrain from the use of caffeine containing beverages while at the study centre.
  • +5 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Phase I Unit, Orion Pharma

Espoo, 02101, Finland

Location

MeSH Terms

Conditions

Parkinson Disease

Interventions

StalevoLevodopaCarbidopaentacaponecarbidopa, levodopa drug combination

Condition Hierarchy (Ancestors)

Parkinsonian DisordersBasal Ganglia DiseasesBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesMovement DisordersSynucleinopathiesNeurodegenerative Diseases

Intervention Hierarchy (Ancestors)

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

Study Officials

  • Kimmo Ingman

    Orion Corporation, Orion Pharma

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 1
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
CROSSOVER
Sponsor Type
INDUSTRY

Study Record Dates

First Submitted

November 23, 2009

First Posted

February 18, 2010

Study Start

December 1, 2009

Primary Completion

February 1, 2010

Study Completion

February 1, 2010

Last Updated

August 13, 2010

Record last verified: 2010-08

Locations