Open Label Continuation Treatment Study With Levodopa-Carbidopa Intestinal Gel in Advanced Parkinson's Disease

NCT ID: NCT00660673

Last Updated: 2022-12-02

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

262 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-11-13

Study Completion Date

2021-11-30

Brief Summary

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The primary objective of this study is to provide continued access to levodopa-carbidopa intestinal gel (LCIG), to participants who have already participated in an open-label efficacy and safety study with the same treatment (Study S187.3.003 \[NCT00360568\] or Study S187.3.004 \[NCT00335153\]).

Detailed Description

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Conditions

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Advanced Parkinson's Disease

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Levodopa-Carbidopa Intestinal Gel

Initial dosing is based on the dosing regimen that the participant received during the previous LCIG study. Dosing is individually optimized and can be adjusted at any time during the study as clinically indicated. The total dose/day of LCIG is composed of 3 individually adjusted doses. The morning dose is administered as a bolus infusion, usually 5 to 10 mL (100 to 200 mg levodopa). The maintenance dose is adjustable in steps of 2 mg/hour (0.1 mL/hour), within a range of 1 to 10 mL/hour (20 to 200 mg levodopa/hour) and is usually 2 to 6 mL/hour (40 to 120 mg levodopa/hour). Participants will be allowed to self-administer extra doses of LCIG to address immediate medical needs, normally 0.5 to 2.0 mL.

Participants will receive LCIG until it is commercially available.

Group Type EXPERIMENTAL

Levodopa-Carbidopa Intestinal Gel (LCIG)

Intervention Type DRUG

LCIG for upper-intestinal infusion is a suspension of levodopa (20 mg/mL) and carbidopa (5 mg/mL) in an aqueous gel that is dispensed in a medication cassette reservoir containing 100 mL of LCIG.

CADD-Legacy® 1400 ambulatory infusion pump

Intervention Type DEVICE

Portable infusion pump (CADD-Legacy Pump Model 1400) connected to the LCIG medication cassette reservoir.

Percutaneous Endoscopic Gastrostomy with jejunal extension tube (PEG-J)

Intervention Type DEVICE

All participants previously had a PEG-J placed in one of the prior LCIG studies.

Interventions

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Levodopa-Carbidopa Intestinal Gel (LCIG)

LCIG for upper-intestinal infusion is a suspension of levodopa (20 mg/mL) and carbidopa (5 mg/mL) in an aqueous gel that is dispensed in a medication cassette reservoir containing 100 mL of LCIG.

Intervention Type DRUG

CADD-Legacy® 1400 ambulatory infusion pump

Portable infusion pump (CADD-Legacy Pump Model 1400) connected to the LCIG medication cassette reservoir.

Intervention Type DEVICE

Percutaneous Endoscopic Gastrostomy with jejunal extension tube (PEG-J)

All participants previously had a PEG-J placed in one of the prior LCIG studies.

Intervention Type DEVICE

Other Intervention Names

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Carbidopa-Levodopa Enteral Suspension (CLES) Duopa® Duodopa®

Eligibility Criteria

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Inclusion Criteria

* The participant should have completed participation in Study S187.3.003 or S187.3.004; and, in the opinion of the Principal Investigator, would benefit from long-term treatment with LCIG.
* For Canada, participants will be allowed to participate in the S187.3.005 study with a minimum of 6 months of exposure to LCIG in the S187.3.004 study.
* The participant must be able to understand the nature of the study and must provide written informed consent prior to the conduct of any study related procedures. If the participant does not have the capacity to provide informed consent, full informed consent must be obtained from the participant's legally authorized representative. Consenting will be performed according to local regulations.

Exclusion Criteria

* Medical, laboratory, psychiatric, or surgical issues deemed by the investigator to be clinically significant and which could interfere with the participant's participation in the study.
Minimum Eligible Age

30 Years

Maximum Eligible Age

99 Years

Eligible Sex

Accepts Healthy Volunteers

No

Sponsors

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IQVIA, formerly Quintiles

UNKNOWN

Sponsor Role collaborator

AbbVie

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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ABBVIE INC.

Role: STUDY_DIRECTOR

AbbVie

Locations

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University of Alabama at Birmingham /ID# 49941

Birmingham, Alabama, United States

Site Status

The Research Center of Southern California /ID# 49928

Encinitas, California, United States

Site Status

The Parkinson's & Movement Disorder Institute - Fountain Valley /ID# 49915

Fountain Valley, California, United States

Site Status

Universtiy of Southern California /ID# 49913

Los Angeles, California, United States

Site Status

Colorado Neurological Institute /ID# 49927

Englewood, Colorado, United States

Site Status

Georgetown University Hospital /ID# 49931

Washington D.C., District of Columbia, United States

Site Status

Bradenton Research Center, Inc /ID# 49929

Bradenton, Florida, United States

Site Status

Neurologic Consultants, PA /ID# 49918

Fort Lauderdale, Florida, United States

Site Status

University of Florida - Archer /ID# 49935

Gainesville, Florida, United States

Site Status

University of Florida /ID# 49922

Jacksonville, Florida, United States

Site Status

Charlotte Neurological Service /ID# 49916

Port Charlotte, Florida, United States

Site Status

University of South Florida /ID# 49919

Tampa, Florida, United States

Site Status

Georgia Regents University /ID# 49938

Augusta, Georgia, United States

Site Status

Northwestern University Feinberg School of Medicine /ID# 49944

Chicago, Illinois, United States

Site Status

Rush University Medical Center /ID# 49930

Chicago, Illinois, United States

Site Status

University of Kentucky Chandler Medical Center /ID# 49940

Lexington, Kentucky, United States

Site Status

Louisiana State Univ HSC /ID# 49945

Shreveport, Louisiana, United States

Site Status

Univ Maryland School Medicine /ID# 49934

Baltimore, Maryland, United States

Site Status

Johns Hopkins University /ID# 49937

Baltimore, Maryland, United States

Site Status

Washington University-School of Medicine /ID# 49933

St Louis, Missouri, United States

Site Status

University of Nebraska Medical Center /ID# 49911

Omaha, Nebraska, United States

Site Status

North Shore University Hospital /ID# 49932

Manhasset, New York, United States

Site Status

The Mount Sinai Hospital /ID# 49942

New York, New York, United States

Site Status

Columbia Univ Medical Center /ID# 49943

New York, New York, United States

Site Status

Raleigh Neurology Associates /ID# 49923

Raleigh, North Carolina, United States

Site Status

Wake Forest Univ HS /ID# 49939

Winston-Salem, North Carolina, United States

Site Status

University of Cincinnati /ID# 49914

Cincinnati, Ohio, United States

Site Status

Cleveland Clinic Main Campus /ID# 76173

Cleveland, Ohio, United States

Site Status

University of Vermont Medical Center /ID# 49912

Burlington, Vermont, United States

Site Status

King County Public Hospital /ID# 49917

Kirkland, Washington, United States

Site Status

Froedtert Memorial Lutheran Hospital /ID# 49924

Milwaukee, Wisconsin, United States

Site Status

Westmead Hospital /ID# 50081

Westmead, New South Wales, Australia

Site Status

Royal Adelaide Hospital /ID# 50083

Adelaide, South Australia, Australia

Site Status

Austin Hospital /ID# 50082

Heidelberg, Victoria, Australia

Site Status

University of Alberta /ID# 78476

Edmonton, Alberta, Canada

Site Status

Toronto Western Hospital /ID# 75913

Toronto, Ontario, Canada

Site Status

CHUM - Notre-Dame Hospital /ID# 74513

Montreal, Quebec, Canada

Site Status

Fakultni Nemocnice u Svate Anny /ID# 50085

Brno, , Czechia

Site Status

Fakultni nemocnice Hradec Kralove /ID# 50088

Hradec Králové, , Czechia

Site Status

Pardubicka krajska nemocnice, a.s.

Pardubice, , Czechia

Site Status

Vseobecna fakultni nemocnice v Praze /ID# 50086

Prague, , Czechia

Site Status

Fakultni Nemocnice v Motole /ID# 50084

Prague, , Czechia

Site Status

Tel Aviv Sourasky Medical Center /ID# 50089

Tel Aviv, , Israel

Site Status

Waikato Hospital /ID# 50091

Hamilton, Waikato Region, New Zealand

Site Status

Auckland City Hospital /ID# 50093

Auckland, , New Zealand

Site Status

New Zealand Brain Research Institute/ID# 50090

Christchurch, , New Zealand

Site Status

Wellington Hospital /ID# 50092

Wellington, , New Zealand

Site Status

NZOZ Centrum Medyczne HCP /ID# 50094

Poznan, Greater Poland Voivodeship, Poland

Site Status

Miejskie Centrum Medyczne im. dr. Karola Jonschera w Lodzi /ID# 50096

Lodz, Łódź Voivodeship, Poland

Site Status

Hospitais da Universidade de Coimbra /ID# 50098

Coimbra, , Portugal

Site Status

Hospital de Santa Maria /ID# 50099

Lisbon, , Portugal

Site Status

Centro Hospitalar Universitario de Sao Joao, EPE /ID# 50101

Porto, , Portugal

Site Status

Scientific Research Medical Complex Your Health /ID# 50104

Kazan', , Russia

Site Status

Institution of the Russian Academy of Medical Sciences Scientific Centre of Neurology /ID# 50102

Moscow, , Russia

Site Status

Military Medical Academy n.a. Kirov /ID# 50103

Saint Petersburg, , Russia

Site Status

I.P. Pavlov First St. Petersburg State Medical University /ID# 50107

Saint Petersburg, , Russia

Site Status

City Clinical Hospital #40 /ID# 50106

Saint Petersburg, , Russia

Site Status

King Chulalongkorn Mem Hosp /ID# 50108

Bangkok, , Thailand

Site Status

Siriraj Hospital /ID# 50109

Bangkok, , Thailand

Site Status

The Walton Centre NHS Foundation /ID# 50003

Liverpool, , United Kingdom

Site Status

National Hospital for Neurology & Neurosurgery

London, , United Kingdom

Site Status

Countries

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United States Australia Canada Czechia Israel New Zealand Poland Portugal Russia Thailand United Kingdom

References

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Fernandez HH, Boyd JT, Fung VSC, Lew MF, Rodriguez RL, Slevin JT, Standaert DG, Zadikoff C, Vanagunas AD, Chatamra K, Eaton S, Facheris MF, Hall C, Robieson WZ, Benesh J, Espay AJ. Long-term safety and efficacy of levodopa-carbidopa intestinal gel in advanced Parkinson's disease. Mov Disord. 2018 Jul;33(6):928-936. doi: 10.1002/mds.27338. Epub 2018 Mar 23.

Reference Type RESULT
PMID: 29570853 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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Other Identifiers

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2008-001329-33

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

S187.3.005

Identifier Type: -

Identifier Source: org_study_id

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