Trial Outcomes & Findings for Augmenting Effects of L-DOPS With Carbidopa and Entacapone (NCT NCT00547911)

NCT ID: NCT00547911

Last Updated: 2014-07-17

Results Overview

Blood samples were obtained at baseline and after drug administration at 1 hour, 2 hours, 3 hours, 6 hours, 24 hours, and 48 hours to assess plasma droxidopa (LDOPS) concentrations.

Recruitment status

TERMINATED

Study phase

PHASE1/PHASE2

Target enrollment

14 participants

Primary outcome timeframe

Up to 48 hours after receiving drug(s)

Results posted on

2014-07-17

Participant Flow

Participant milestones

Participant milestones
Measure
LDOPS + Placebo; LDOPS + CAR; LDOPS + ENT
There are three interventions that every subject orally received over the duration of the study; 400 mg of droxidopa (LDOPS) + 200 mg placebo, 400 mg of droxidopa (LDOPS) + 200 mg carbidopa (CAR), and 400 mg of droxidopa (LDOPS) + 200 mg entacapone (ENT). The order of the three interventions was randomly assigned prior to drug administration and each intervention was followed by a wash out period of at least two days to clear previous intervention from subject's systems. This arm received the three interventions in the order of: LDOPS + Placebo, followed by LDOPS + CAR, and lastly LDOPS + ENT.
LDOPS + Placebo; LDOPS + Ent; LDOPS + CAR
There are three interventions that every subject orally received over the duration of the study; 400 mg of droxidopa (LDOPS) + 200 mg placebo, 400 mg of droxidopa (LDOPS) + 200 mg carbidopa (CAR), and 400 mg of droxidopa (LDOPS) + 200 mg entacapone (ENT). The order of the three interventions was randomly assigned prior to drug administration and each intervention was followed by a wash out period of at least two days to clear previous intervention from subject's systems. This arm received the three interventions in the order of: LDOPS + Placebo, followed by LDOPS + ENT, and lastly LDOPS + CAR.
LDOPS + CAR; LDOPS + Placebo; LDOPS + ENT
There are three interventions that every subject orally received over the duration of the study; 400 mg of droxidopa (LDOPS) + 200 mg placebo, 400 mg of droxidopa (LDOPS) + 200 mg carbidopa (CAR), and 400 mg of droxidopa (LDOPS) + 200 mg entacapone (ENT). The order of the three interventions was randomly assigned prior to drug administration and each intervention was followed by a wash out period of at least two days to clear previous intervention from subject's systems. This arm received the three interventions in the order of: LDOPS + CAR, followed by LDOPS + Placebo, and lastly LDOPS + ENT.
LDOPS + CAR; LDOPS + ENT; LDOPS + Placebo
There are three interventions that every subject orally received over the duration of the study; 400 mg of droxidopa (LDOPS) + 200 mg placebo, 400 mg of droxidopa (LDOPS) + 200 mg carbidopa (CAR), and 400 mg of droxidopa (LDOPS) + 200 mg entacapone (ENT). The order of the three interventions was randomly assigned prior to drug administration and each intervention was followed by a wash out period of at least two days to clear previous intervention from subject's systems. This arm received the three interventions in the order of: LDOPS + CAR, followed by LDOPS + ENT, and lastly LDOPS + Placebo.
LDOPS + ENT; LDOPS + Placebo; LDOPS + CAR
There are three interventions that every subject orally received over the duration of the study; 400 mg of droxidopa (LDOPS) + 200 mg placebo, 400 mg of droxidopa (LDOPS) + 200 mg carbidopa (CAR), and 400 mg of droxidopa (LDOPS) + 200 mg entacapone (ENT). The order of the three interventions was randomly assigned prior to drug administration and each intervention was followed by a wash out period of at least two days to clear previous intervention from subject's systems. This arm received the three interventions in the order of: LDOPS + ENT, followed by LDOPS + Placebo, and lastly LDOPS + CAR.
LDOPS + ENT; LDOPS + CAR; LDOPS + Placebo
There are three interventions that every subject orally received over the duration of the study; 400 mg of droxidopa (LDOPS) + 200 mg placebo, 400 mg of droxidopa (LDOPS) + 200 mg carbidopa (CAR), and 400 mg of droxidopa (LDOPS) + 200 mg entacapone (ENT). The order of the three interventions was randomly assigned prior to drug administration and each intervention was followed by a wash out period of at least two days to clear previous intervention from subject's systems. This arm received the three interventions in the order of: LDOPS + ENT, followed by LDOPS + CAR, and lastly LDOPS + Placebo.
Overall Study
STARTED
2
2
2
2
3
3
Overall Study
COMPLETED
2
2
2
1
3
3
Overall Study
NOT COMPLETED
0
0
0
1
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
LDOPS + Placebo; LDOPS + CAR; LDOPS + ENT
There are three interventions that every subject orally received over the duration of the study; 400 mg of droxidopa (LDOPS) + 200 mg placebo, 400 mg of droxidopa (LDOPS) + 200 mg carbidopa (CAR), and 400 mg of droxidopa (LDOPS) + 200 mg entacapone (ENT). The order of the three interventions was randomly assigned prior to drug administration and each intervention was followed by a wash out period of at least two days to clear previous intervention from subject's systems. This arm received the three interventions in the order of: LDOPS + Placebo, followed by LDOPS + CAR, and lastly LDOPS + ENT.
LDOPS + Placebo; LDOPS + Ent; LDOPS + CAR
There are three interventions that every subject orally received over the duration of the study; 400 mg of droxidopa (LDOPS) + 200 mg placebo, 400 mg of droxidopa (LDOPS) + 200 mg carbidopa (CAR), and 400 mg of droxidopa (LDOPS) + 200 mg entacapone (ENT). The order of the three interventions was randomly assigned prior to drug administration and each intervention was followed by a wash out period of at least two days to clear previous intervention from subject's systems. This arm received the three interventions in the order of: LDOPS + Placebo, followed by LDOPS + ENT, and lastly LDOPS + CAR.
LDOPS + CAR; LDOPS + Placebo; LDOPS + ENT
There are three interventions that every subject orally received over the duration of the study; 400 mg of droxidopa (LDOPS) + 200 mg placebo, 400 mg of droxidopa (LDOPS) + 200 mg carbidopa (CAR), and 400 mg of droxidopa (LDOPS) + 200 mg entacapone (ENT). The order of the three interventions was randomly assigned prior to drug administration and each intervention was followed by a wash out period of at least two days to clear previous intervention from subject's systems. This arm received the three interventions in the order of: LDOPS + CAR, followed by LDOPS + Placebo, and lastly LDOPS + ENT.
LDOPS + CAR; LDOPS + ENT; LDOPS + Placebo
There are three interventions that every subject orally received over the duration of the study; 400 mg of droxidopa (LDOPS) + 200 mg placebo, 400 mg of droxidopa (LDOPS) + 200 mg carbidopa (CAR), and 400 mg of droxidopa (LDOPS) + 200 mg entacapone (ENT). The order of the three interventions was randomly assigned prior to drug administration and each intervention was followed by a wash out period of at least two days to clear previous intervention from subject's systems. This arm received the three interventions in the order of: LDOPS + CAR, followed by LDOPS + ENT, and lastly LDOPS + Placebo.
LDOPS + ENT; LDOPS + Placebo; LDOPS + CAR
There are three interventions that every subject orally received over the duration of the study; 400 mg of droxidopa (LDOPS) + 200 mg placebo, 400 mg of droxidopa (LDOPS) + 200 mg carbidopa (CAR), and 400 mg of droxidopa (LDOPS) + 200 mg entacapone (ENT). The order of the three interventions was randomly assigned prior to drug administration and each intervention was followed by a wash out period of at least two days to clear previous intervention from subject's systems. This arm received the three interventions in the order of: LDOPS + ENT, followed by LDOPS + Placebo, and lastly LDOPS + CAR.
LDOPS + ENT; LDOPS + CAR; LDOPS + Placebo
There are three interventions that every subject orally received over the duration of the study; 400 mg of droxidopa (LDOPS) + 200 mg placebo, 400 mg of droxidopa (LDOPS) + 200 mg carbidopa (CAR), and 400 mg of droxidopa (LDOPS) + 200 mg entacapone (ENT). The order of the three interventions was randomly assigned prior to drug administration and each intervention was followed by a wash out period of at least two days to clear previous intervention from subject's systems. This arm received the three interventions in the order of: LDOPS + ENT, followed by LDOPS + CAR, and lastly LDOPS + Placebo.
Overall Study
Adverse Event
0
0
0
1
0
0

Baseline Characteristics

Augmenting Effects of L-DOPS With Carbidopa and Entacapone

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Healthy Volunteer
n=2 Participants
Subjects in good general health
Pure Autonomic Failure
n=7 Participants
Subjects with Pure Autonomic Failure
Multiple System Atrophy
n=2 Participants
Subjects with autonomic failure and a history of Multiple System Atrophy
Parkinson's Disease
n=3 Participants
Subjects with autonomic failure and a history of Parkinson's Disease
Total
n=14 Participants
Total of all reporting groups
Age, Continuous
53.5 years
STANDARD_DEVIATION 1.5 • n=5 Participants
68.6 years
STANDARD_DEVIATION 8.1 • n=7 Participants
57.0 years
STANDARD_DEVIATION 0 • n=5 Participants
65.0 years
STANDARD_DEVIATION 7.1 • n=4 Participants
64.0 years
STANDARD_DEVIATION 8.8 • n=21 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
2 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
4 Participants
n=21 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
5 Participants
n=7 Participants
1 Participants
n=5 Participants
2 Participants
n=4 Participants
10 Participants
n=21 Participants

PRIMARY outcome

Timeframe: Up to 48 hours after receiving drug(s)

Population: Data for Healthy Volunteers and all Patient groups was combined for analysis due to the low N-value because of premature study termination, which is further described in the "Limitations and Caveats" section. In addition, some subject data was unable to be analyzed due to unreliable measurements.

Blood samples were obtained at baseline and after drug administration at 1 hour, 2 hours, 3 hours, 6 hours, 24 hours, and 48 hours to assess plasma droxidopa (LDOPS) concentrations.

Outcome measures

Outcome measures
Measure
LDOPS + Placebo
n=13 Participants
Orally received 400 mg of droxidopa after 200 mg of placebo
LDOPS + CAR
n=13 Participants
Orally received 400 mg of droxidopa after 200 mg of carbidopa
LDOPS + ENT
n=14 Participants
Orally received 400 mg of droxidopa after 200 mg of entacapone
Plasma LDOPS Concentrations After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
Baseline
0 nmol/L
Standard Error 0
0.003 nmol/L
Standard Error 0.003
0.897 nmol/L
Standard Error 0.753
Plasma LDOPS Concentrations After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
1 Hour
2246 nmol/L
Standard Error 611
1731 nmol/L
Standard Error 440
2068 nmol/L
Standard Error 413
Plasma LDOPS Concentrations After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
2 Hour
7067 nmol/L
Standard Error 1955
7077 nmol/L
Standard Error 1324
9114 nmol/L
Standard Error 1962
Plasma LDOPS Concentrations After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
3 Hour
8695 nmol/L
Standard Error 1659
9059 nmol/L
Standard Error 1447
12008 nmol/L
Standard Error 2294
Plasma LDOPS Concentrations After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
6 Hour
6843 nmol/L
Standard Error 1080
7242 nmol/L
Standard Error 1749
7172 nmol/L
Standard Error 891
Plasma LDOPS Concentrations After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
24 Hour
211 nmol/L
Standard Error 103
188 nmol/L
Standard Error 51
331 nmol/L
Standard Error 203
Plasma LDOPS Concentrations After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
48 Hour
8 nmol/L
Standard Error 4
7 nmol/L
Standard Error 2
6 nmol/L
Standard Error 1

PRIMARY outcome

Timeframe: Up to 48 hours after receiving drug(s)

Population: Data for Healthy Volunteers and all Patient groups was combined for analysis due to the low N-value because of premature study termination, which is further described in the "Limitations and Caveats" section. In addition, some subject data was unable to be analyzed due to unreliable measurements.

Blood samples were obtained at baseline and after drug administration at 1 hour, 2 hours, 3 hours, 6 hours, 24 hours, and 48 hours to assess plasma norepinephrine concentrations.

Outcome measures

Outcome measures
Measure
LDOPS + Placebo
n=13 Participants
Orally received 400 mg of droxidopa after 200 mg of placebo
LDOPS + CAR
n=13 Participants
Orally received 400 mg of droxidopa after 200 mg of carbidopa
LDOPS + ENT
n=14 Participants
Orally received 400 mg of droxidopa after 200 mg of entacapone
Plasma Norepinephrine Concentrations After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
Baseline
0.87 nmol/L
Standard Error 0.19
0.85 nmol/L
Standard Error 0.15
1.08 nmol/L
Standard Error 0.23
Plasma Norepinephrine Concentrations After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
1 Hour
0.89 nmol/L
Standard Error 0.14
0.87 nmol/L
Standard Error 0.16
1.06 nmol/L
Standard Error 0.16
Plasma Norepinephrine Concentrations After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
2 Hour
1.17 nmol/L
Standard Error 0.15
0.98 nmol/L
Standard Error 0.19
1.49 nmol/L
Standard Error 0.16
Plasma Norepinephrine Concentrations After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
3 Hour
1.27 nmol/L
Standard Error 0.15
1.12 nmol/L
Standard Error 0.19
1.69 nmol/L
Standard Error 0.16
Plasma Norepinephrine Concentrations After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
6 Hour
1.26 nmol/L
Standard Error 0.18
0.98 nmol/L
Standard Error 0.19
1.62 nmol/L
Standard Error 0.13
Plasma Norepinephrine Concentrations After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
24 Hour
0.85 nmol/L
Standard Error 0.16
0.89 nmol/L
Standard Error 0.15
1.09 nmol/L
Standard Error 0.19
Plasma Norepinephrine Concentrations After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
48 Hour
0.70 nmol/L
Standard Error 0.13
0.85 nmol/L
Standard Error 0.16
0.84 nmol/L
Standard Error 0.15

PRIMARY outcome

Timeframe: Up to 48 hours after receiving drug(s)

Population: Data for Healthy Volunteers and all Patient groups was combined for analysis due to the low N-value because of premature study termination, which is further described in the "Limitations and Caveats" section. In addition, some subject data was unable to be analyzed due to unreliable measurements.

Blood samples were obtained at baseline and after drug administration at 1 hour, 2 hours, 3 hours, 6 hours, 24 hours, and 48 hours to assess plasma droxymandelic acid (DHMA) concentrations.

Outcome measures

Outcome measures
Measure
LDOPS + Placebo
n=13 Participants
Orally received 400 mg of droxidopa after 200 mg of placebo
LDOPS + CAR
n=9 Participants
Orally received 400 mg of droxidopa after 200 mg of carbidopa
LDOPS + ENT
n=11 Participants
Orally received 400 mg of droxidopa after 200 mg of entacapone
Plasma DHMA Concentrations After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
6 Hour
15.7 nmol/L
Standard Error 4.3
1.74 nmol/L
Standard Error 0.33
33.03 nmol/L
Standard Error 10.91
Plasma DHMA Concentrations After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
48 Hour
0.9 nmol/L
Standard Error 0.4
3.00 nmol/L
Standard Error 0.58
0.90 nmol/L
Standard Error 0.47
Plasma DHMA Concentrations After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
Baseline
0.1 nmol/L
Standard Error 0.1
1.66 nmol/L
Standard Error 0.48
0.97 nmol/L
Standard Error 0.40
Plasma DHMA Concentrations After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
1 Hour
4.0 nmol/L
Standard Error 1.0
2.54 nmol/L
Standard Error 0.49
4.58 nmol/L
Standard Error 1.37
Plasma DHMA Concentrations After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
2 Hour
10.1 nmol/L
Standard Error 5.7
1.52 nmol/L
Standard Error 0.49
15.04 nmol/L
Standard Error 3.76
Plasma DHMA Concentrations After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
3 Hour
11.0 nmol/L
Standard Error 5.1
1.70 nmol/L
Standard Error 0.28
19.91 nmol/L
Standard Error 4.59
Plasma DHMA Concentrations After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
24 Hour
1.4 nmol/L
Standard Error 0.8
3.24 nmol/L
Standard Error 0.54
2.21 nmol/L
Standard Error 1.11

PRIMARY outcome

Timeframe: Up to 48 hours after receiving drug(s)

Population: Data for Healthy Volunteers and all Patient groups was combined for analysis due to the low N-value because of premature study termination, which is further described in the "Limitations and Caveats" section. In addition, some subject data was unable to be analyzed due to unreliable measurements.

Blood samples were obtained at baseline and after drug administration at 1 hour, 2 hours, 3 hours, 6 hours, 24 hours, and 48 hours to assess plasma dihydroxyphenylglycol (DHPG) concentrations.

Outcome measures

Outcome measures
Measure
LDOPS + Placebo
n=13 Participants
Orally received 400 mg of droxidopa after 200 mg of placebo
LDOPS + CAR
n=14 Participants
Orally received 400 mg of droxidopa after 200 mg of carbidopa
LDOPS + ENT
n=14 Participants
Orally received 400 mg of droxidopa after 200 mg of entacapone
Plasma DHPG Concentrations After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
Baseline
3.4 nmol/L
Standard Error 0.4
3.4 nmol/L
Standard Error 0.4
3.5 nmol/L
Standard Error 0.3
Plasma DHPG Concentrations After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
1 Hour
4.1 nmol/L
Standard Error 0.6
3.5 nmol/L
Standard Error 0.4
8.0 nmol/L
Standard Error 1.2
Plasma DHPG Concentrations After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
2 Hour
5.4 nmol/L
Standard Error 0.9
3.3 nmol/L
Standard Error 0.5
16.6 nmol/L
Standard Error 2.3
Plasma DHPG Concentrations After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
3 Hour
6.1 nmol/L
Standard Error 0.8
3.6 nmol/L
Standard Error 0.6
19.3 nmol/L
Standard Error 3.2
Plasma DHPG Concentrations After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
6 Hour
5.7 nmol/L
Standard Error 0.8
3.5 nmol/L
Standard Error 0.8
10.7 nmol/L
Standard Error 1.6
Plasma DHPG Concentrations After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
24 Hour
3.4 nmol/L
Standard Error 0.5
3.8 nmol/L
Standard Error 0.4
4.1 nmol/L
Standard Error 0.4
Plasma DHPG Concentrations After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
48 Hour
3.4 nmol/L
Standard Error 0.4
3.7 nmol/L
Standard Error 0.5
3.8 nmol/L
Standard Error 0.3

SECONDARY outcome

Timeframe: Up to 24 hours after receiving drug(s)

Population: Data for Healthy Volunteers and all Patient groups was combined for analysis due to the low N-value because of premature study termination, which is further described in the "Limitations and Caveats" section. In addition, some subject data was unable to be analyzed due to unreliable measurements.

Systolic blood pressure was assessed at baseline and after drug administration at 1 hour, 2 hours, 3 hours, 6 hours, and 24 hours.

Outcome measures

Outcome measures
Measure
LDOPS + Placebo
n=13 Participants
Orally received 400 mg of droxidopa after 200 mg of placebo
LDOPS + CAR
n=14 Participants
Orally received 400 mg of droxidopa after 200 mg of carbidopa
LDOPS + ENT
n=13 Participants
Orally received 400 mg of droxidopa after 200 mg of entacapone
Systolic Blood Pressures After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
Baseline
140 mmHg
Standard Error 7
143 mmHg
Standard Error 6
139 mmHg
Standard Error 5
Systolic Blood Pressures After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
1 Hour
148 mmHg
Standard Error 8
144 mmHg
Standard Error 7
149 mmHg
Standard Error 8
Systolic Blood Pressures After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
2 Hour
163 mmHg
Standard Error 10
144 mmHg
Standard Error 11
158 mmHg
Standard Error 10
Systolic Blood Pressures After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
3 Hour
165 mmHg
Standard Error 10
148 mmHg
Standard Error 8
161 mmHg
Standard Error 12
Systolic Blood Pressures After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
6 Hour
161 mmHg
Standard Error 9
146 mmHg
Standard Error 8
159 mmHg
Standard Error 9
Systolic Blood Pressures After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
24 Hour
149 mmHg
Standard Error 7
143 mmHg
Standard Error 6
144 mmHg
Standard Error 7

SECONDARY outcome

Timeframe: Up to 24 hours after receiving drug(s)

Population: Data for Healthy Volunteers and all Patient groups was combined for analysis due to the low N-value because of premature study termination, which is further described in the "Limitations and Caveats" section. In addition, some subject data was unable to be analyzed due to unreliable measurements.

Diastolic blood pressure was assessed at baseline and after drug administration at 1 hour, 2 hours, 3 hours, 6 hours, and 24 hours.

Outcome measures

Outcome measures
Measure
LDOPS + Placebo
n=13 Participants
Orally received 400 mg of droxidopa after 200 mg of placebo
LDOPS + CAR
n=14 Participants
Orally received 400 mg of droxidopa after 200 mg of carbidopa
LDOPS + ENT
n=13 Participants
Orally received 400 mg of droxidopa after 200 mg of entacapone
Diastolic Blood Pressures After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
Baseline
80 mmHg
Standard Error 4
81 mmHg
Standard Error 4
78 mmHg
Standard Error 4
Diastolic Blood Pressures After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
1 Hour
85 mmHg
Standard Error 5
80 mmHg
Standard Error 5
85 mmHg
Standard Error 5
Diastolic Blood Pressures After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
2 Hour
86 mmHg
Standard Error 6
81 mmHg
Standard Error 6
91 mmHg
Standard Error 5
Diastolic Blood Pressures After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
3 Hour
88 mmHg
Standard Error 7
84 mmHg
Standard Error 5
91 mmHg
Standard Error 6
Diastolic Blood Pressures After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
6 Hour
89 mmHg
Standard Error 5
82 mmHg
Standard Error 5
89 mmHg
Standard Error 5
Diastolic Blood Pressures After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
24 Hour
84 mmHg
Standard Error 3
81 mmHg
Standard Error 4
81 mmHg
Standard Error 3

SECONDARY outcome

Timeframe: Up to 24 hours after receiving drug(s)

Population: Data for Healthy Volunteers and all Patient groups was combined for analysis due to the low N-value because of premature study termination, which is further described in the "Limitations and Caveats" section. In addition, some subject data was unable to be analyzed due to unreliable measurements.

Heart rate was assessed at baseline and after drug administration at 1 hour, 2 hours, 3 hours, 6 hours, and 24 hours.

Outcome measures

Outcome measures
Measure
LDOPS + Placebo
n=13 Participants
Orally received 400 mg of droxidopa after 200 mg of placebo
LDOPS + CAR
n=14 Participants
Orally received 400 mg of droxidopa after 200 mg of carbidopa
LDOPS + ENT
n=14 Participants
Orally received 400 mg of droxidopa after 200 mg of entacapone
Heart Rate After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
24 Hour
66 BPM
Standard Error 3
66 BPM
Standard Error 3
68 BPM
Standard Error 4
Heart Rate After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
Baseline
67 BPM
Standard Error 3
66 BPM
Standard Error 3
67 BPM
Standard Error 3
Heart Rate After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
1 Hour
65 BPM
Standard Error 3
68 BPM
Standard Error 4
65 BPM
Standard Error 2
Heart Rate After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
2 Hour
66 BPM
Standard Error 3
65 BPM
Standard Error 3
65 BPM
Standard Error 3
Heart Rate After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
3 Hour
68 BPM
Standard Error 4
64 BPM
Standard Error 3
64 BPM
Standard Error 3
Heart Rate After 400 mg of Droxidopa + 200 mg of Either Placebo, Carbidopa, or Entacapone
6 Hour
67 BPM
Standard Error 4
62 BPM
Standard Error 2
67 BPM
Standard Error 2

Adverse Events

LDOPS + Placebo; LDOPS + CAR; LDOPS + ENT

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

LDOPS + Placebo; LDOPS + Ent; LDOPS + CAR

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

LDOPS + CAR; LDOPS + Placebo; LDOPS + ENT

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

LDOPS + CAR; LDOPS + ENT; LDOPS + Placebo

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

LDOPS + ENT; LDOPS + Placebo; LDOPS + CAR

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

LDOPS + ENT; LDOPS + CAR; LDOPS + Placebo

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
LDOPS + Placebo; LDOPS + CAR; LDOPS + ENT
n=2 participants at risk
There are three interventions that every subject orally received over the duration of the study; 400 mg of droxidopa (LDOPS) + 200 mg placebo, 400 mg of droxidopa (LDOPS) + 200 mg carbidopa (CAR), and 400 mg of droxidopa (LDOPS) + 200 mg entacapone (ENT). The order of the three interventions was randomly assigned prior to drug administration and each intervention was followed by a wash out period of at least two days to clear previous intervention from subject's systems. This arm received the three interventions in the order of: LDOPS + Placebo, followed by LDOPS + CAR, and lastly LDOPS + ENT.
LDOPS + Placebo; LDOPS + Ent; LDOPS + CAR
n=2 participants at risk
There are three interventions that every subject orally received over the duration of the study; 400 mg of droxidopa (LDOPS) + 200 mg placebo, 400 mg of droxidopa (LDOPS) + 200 mg carbidopa (CAR), and 400 mg of droxidopa (LDOPS) + 200 mg entacapone (ENT). The order of the three interventions was randomly assigned prior to drug administration and each intervention was followed by a wash out period of at least two days to clear previous intervention from subject's systems. This arm received the three interventions in the order of: LDOPS + Placebo, followed by LDOPS + ENT, and lastly LDOPS + CAR.
LDOPS + CAR; LDOPS + Placebo; LDOPS + ENT
n=2 participants at risk
There are three interventions that every subject orally received over the duration of the study; 400 mg of droxidopa (LDOPS) + 200 mg placebo, 400 mg of droxidopa (LDOPS) + 200 mg carbidopa (CAR), and 400 mg of droxidopa (LDOPS) + 200 mg entacapone (ENT). The order of the three interventions was randomly assigned prior to drug administration and each intervention was followed by a wash out period of at least two days to clear previous intervention from subject's systems. This arm received the three interventions in the order of: LDOPS + CAR, followed by LDOPS + Placebo, and lastly LDOPS + ENT.
LDOPS + CAR; LDOPS + ENT; LDOPS + Placebo
n=2 participants at risk
There are three interventions that every subject orally received over the duration of the study; 400 mg of droxidopa (LDOPS) + 200 mg placebo, 400 mg of droxidopa (LDOPS) + 200 mg carbidopa (CAR), and 400 mg of droxidopa (LDOPS) + 200 mg entacapone (ENT). The order of the three interventions was randomly assigned prior to drug administration and each intervention was followed by a wash out period of at least two days to clear previous intervention from subject's systems. This arm received the three interventions in the order of: LDOPS + CAR, followed by LDOPS + ENT, and lastly LDOPS + Placebo.
LDOPS + ENT; LDOPS + Placebo; LDOPS + CAR
n=3 participants at risk
There are three interventions that every subject orally received over the duration of the study; 400 mg of droxidopa (LDOPS) + 200 mg placebo, 400 mg of droxidopa (LDOPS) + 200 mg carbidopa (CAR), and 400 mg of droxidopa (LDOPS) + 200 mg entacapone (ENT). The order of the three interventions was randomly assigned prior to drug administration and each intervention was followed by a wash out period of at least two days to clear previous intervention from subject's systems. This arm received the three interventions in the order of: LDOPS + ENT, followed by LDOPS + Placebo, and lastly LDOPS + CAR.
LDOPS + ENT; LDOPS + CAR; LDOPS + Placebo
n=3 participants at risk
There are three interventions that every subject orally received over the duration of the study; 400 mg of droxidopa (LDOPS) + 200 mg placebo, 400 mg of droxidopa (LDOPS) + 200 mg carbidopa (CAR), and 400 mg of droxidopa (LDOPS) + 200 mg entacapone (ENT). The order of the three interventions was randomly assigned prior to drug administration and each intervention was followed by a wash out period of at least two days to clear previous intervention from subject's systems. This arm received the three interventions in the order of: LDOPS + ENT, followed by LDOPS + CAR, and lastly LDOPS + Placebo.
Blood and lymphatic system disorders
Deep Vein Thrombosis followed by Pulmonary Embolism
0.00%
0/2 • Duration of the study
0.00%
0/2 • Duration of the study
0.00%
0/2 • Duration of the study
50.0%
1/2 • Duration of the study
0.00%
0/3 • Duration of the study
0.00%
0/3 • Duration of the study

Other adverse events

Adverse event data not reported

Additional Information

Dr. David Goldstein

National Institutes of Health

Phone: 301-496-1115

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place