Study of Efficacy, Safety and Tolerability of Levodopa-Carbidopa Intestinal Gel in Levodopa-Responsive Parkinson's Subjects

NCT ID: NCT00660387

Last Updated: 2015-01-16

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

35 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-12-31

Study Completion Date

2011-10-31

Brief Summary

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The primary objective of this study was to demonstrate the superiority of levodopa - carbidopa intestinal gel over treatment with optimized oral levodopa/carbidopa during 12 weeks.

Detailed Description

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Study S187.3.001 (NCT00357994) and Study S187.3.002 (NCT00660387) were 2 identically designed, Phase 3, 12-week, randomized, double-blind, double-dummy, parallel-group, multicenter studies recruiting subjects from distinct sites. These studies evaluated the efficacy, safety, and tolerability of levodopa-carbidopa intestinal gel (LCIG) in the treatment of levodopa-responsive subjects with advanced PD who had persistent severe motor fluctuations, despite optimized treatment with oral levodopa-carbidopa, concomitant with other available antiparkinsonian medications. Participants were randomized to either LCIG active gel + placebo capsules or levodopa-carbidopa immediate release (IR) active capsules + placebo gel. Both treatment arms received the percutaneous endoscopic gastrostomy with jejunal extension (PEG-J) procedure for gel administration, active LCIG or placebo gel. Data from these 2 studies were combined for analysis. The decision to combine the study data for analysis was made before enrollment was completed for both studies.

Conditions

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Advanced Parkinson's Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Levodopa-Carbidopa Intestinal Gel (LCIG) + Placebo Capsules

Participants were randomized to LCIG (levodopa, 20 mg/mL and carbidopa monohydrate, 5 mg/mL) and placebo capsules. Participants received the percutaneous endoscopic gastrostomy with jejunal extension (PEG-J) procedure for gel administration of LCIG.

Group Type EXPERIMENTAL

Levodopa carbidopa intestinal gel (LCIG)

Intervention Type DRUG

infusion should be kept within a range of 0.5-10 mL/hour (10-200 mg levodopa/hour) and is usually 2-6 mL/hour (40-120 mg levodopa/hour)

Placebo (PBO) oral capsules

Intervention Type DRUG

CADD-Legacy® 1400 ambulatory infusion pump

Intervention Type DEVICE

PEG tube

Intervention Type DEVICE

percutaneous endoscopic gastrostomy tube

J-tube

Intervention Type DEVICE

jejunal tube

Placebo Gel + Levodopa-Carbidopa Capsules

Participants were randomized to placebo intestinal gel and oral levodopa-carbidopa (levodopa, 100 mg and carbidopa, 25 mg) Immediate Release (IR) capsules. Participants received the percutaneous endoscopic gastrostomy with jejunal extension (PEG-J) procedure for gel administration of placebo.

Group Type ACTIVE_COMPARATOR

Placebo Gel

Intervention Type DRUG

Levodopa-carbidopa (LC) oral encapsulated immediate release (IR) tablets

Intervention Type DRUG

CADD-Legacy® 1400 ambulatory infusion pump

Intervention Type DEVICE

PEG tube

Intervention Type DEVICE

percutaneous endoscopic gastrostomy tube

J-tube

Intervention Type DEVICE

jejunal tube

Interventions

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Levodopa carbidopa intestinal gel (LCIG)

infusion should be kept within a range of 0.5-10 mL/hour (10-200 mg levodopa/hour) and is usually 2-6 mL/hour (40-120 mg levodopa/hour)

Intervention Type DRUG

Placebo Gel

Intervention Type DRUG

Levodopa-carbidopa (LC) oral encapsulated immediate release (IR) tablets

Intervention Type DRUG

Placebo (PBO) oral capsules

Intervention Type DRUG

CADD-Legacy® 1400 ambulatory infusion pump

Intervention Type DEVICE

PEG tube

percutaneous endoscopic gastrostomy tube

Intervention Type DEVICE

J-tube

jejunal tube

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Idiopathic Parkinson's disease (PD) according to United Kingdom Parkinson's Disease Society (UKPDS) Brain Bank Criteria
* Levodopa-responsive participants who demonstrate some identifiable 'on response,' established by Investigator observation
* Demonstrate severe motor fluctuations in spite of individually optimized treatment and where therapy options are indicated

Exclusion Criteria

* Diagnosis is unclear or a suspicion of other parkinsonian syndromes exists such as secondary parkinsonism
* Undergone surgery for the treatment of PD
* Contraindications to levodopa
* Subjects with any neurological deficit that may interfere with the study assessments
Minimum Eligible Age

30 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Quintiles, Inc.

INDUSTRY

Sponsor Role collaborator

AbbVie (prior sponsor, Abbott)

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Janet Benesh

Role: STUDY_DIRECTOR

AbbVie

Locations

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Site Reference ID/Investigator# 45931

Birmingham, Alabama, United States

Site Status

Site Reference ID/Investigator# 45910

Fountain Valley, California, United States

Site Status

Site Reference ID/Investigator# 45925

Oceanside, California, United States

Site Status

Site Reference ID/Investigator# 45912

Port Charlotte, Florida, United States

Site Status

Site Reference ID/Investigator# 45935

Chicago, Illinois, United States

Site Status

Site Reference ID/Investigator# 45930

Lexington, Kentucky, United States

Site Status

Site Reference ID/Investigator# 45934

New York, New York, United States

Site Status

Site Reference ID/Investigator# 45929

Winston-Salem, North Carolina, United States

Site Status

Site Reference ID/Investigator# 45908

Cincinnati, Ohio, United States

Site Status

Site Reference ID/Investigator# 45922

Cleveland, Ohio, United States

Site Status

Site Reference ID/Investigator# 45915

Kirkland, Washington, United States

Site Status

Site Reference ID/Investigator# 45904

Auckland, , New Zealand

Site Status

Site Reference ID/Investigator# 45902

Christchurch, , New Zealand

Site Status

Site Reference ID/Investigator# 45905

Hamilton, , New Zealand

Site Status

Countries

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United States New Zealand

References

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Shih TM, Sail KR, Jalundhwala YJ, Sullivan J, van Eijndhoven E, Zadikoff C, Marshall TS, Lakdawalla DN. The effect of functional status impairment on nursing home admission risk among patients with advanced Parkinson's disease. J Med Econ. 2020 Mar;23(3):297-307. doi: 10.1080/13696998.2019.1693383. Epub 2019 Nov 28.

Reference Type DERIVED
PMID: 31779508 (View on PubMed)

Lew MF, Slevin JT, Kruger R, Martinez Castrillo JC, Chatamra K, Dubow JS, Robieson WZ, Benesh JA, Fung VS. Initiation and dose optimization for levodopa-carbidopa intestinal gel: Insights from phase 3 clinical trials. Parkinsonism Relat Disord. 2015 Jul;21(7):742-8. doi: 10.1016/j.parkreldis.2015.04.022. Epub 2015 Apr 28.

Reference Type DERIVED
PMID: 25962554 (View on PubMed)

Olanow CW, Kieburtz K, Odin P, Espay AJ, Standaert DG, Fernandez HH, Vanagunas A, Othman AA, Widnell KL, Robieson WZ, Pritchett Y, Chatamra K, Benesh J, Lenz RA, Antonini A; LCIG Horizon Study Group. Continuous intrajejunal infusion of levodopa-carbidopa intestinal gel for patients with advanced Parkinson's disease: a randomised, controlled, double-blind, double-dummy study. Lancet Neurol. 2014 Feb;13(2):141-9. doi: 10.1016/S1474-4422(13)70293-X. Epub 2013 Dec 20.

Reference Type DERIVED
PMID: 24361112 (View on PubMed)

Related Links

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Other Identifiers

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2007-003814-32

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

S187.3.002

Identifier Type: -

Identifier Source: org_study_id

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