A Study to Compare IPX066 and Carbidopa/Levodopa/Entacapone (CLE) Followed by an Open-Label Safety Study of IPX066

NCT ID: NCT01130493

Last Updated: 2019-10-29

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

110 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-05-31

Study Completion Date

2012-01-31

Brief Summary

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This is a study to compare the efficacy of IPX066 and CLE in subjects with advanced Parkinson's disease.

Detailed Description

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This is a randomized, double-blind, double-dummy, 2 treatment, 2-period crossover study followed by an open-label extension study period.

Conditions

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Parkinson's Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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IPX066-CLE-OLE

Dose conversion from CLE to IPX066, IPX066 (Part 1 Period 1), Open-label IPX066, CLE (Part 1 Period 2), OLE (Part 2)

Group Type OTHER

IPX066

Intervention Type DRUG

experimental product

CLE

Intervention Type DRUG

active comparator

CLE-IPX066-OLE

Dose conversion from CLE to IPX066, CLE (Part 1 Period 1), Open-label IPX066, IPX066 (Part 1 Period 2), OLE (Part 2)

Group Type OTHER

IPX066

Intervention Type DRUG

experimental product

CLE

Intervention Type DRUG

active comparator

Interventions

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IPX066

experimental product

Intervention Type DRUG

CLE

active comparator

Intervention Type DRUG

Other Intervention Names

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extended-release carbidopa-levodopa carbidopa/levodopa/entacapone

Eligibility Criteria

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Inclusion Criteria

1. Diagnosed with idiopathic Parkinson's Disease (PD).
2. At least 30 years old at the time of PD diagnosis.
3. Currently being treated with carbidopa/levodopa/entacapone (CLE) and on a stable regimen of conventional LD for at least 4 weeks and:

* Requiring a total daily levodopa (LD) dose of at least 400 mg
* Having a minimum dosing frequency of four times per day.
* Individual CD-LD or CLE doses that contain an LD dose which is a multiple of 50 mg.
4. Able to differentiate "on" state from "off" state.
5. Have predictable "off" periods.
6. Amantadine, anticholinergics, selective monoamine oxidase (MAO) type B inhibitors (e.g., selegiline, rasagiline) or dopamine agonists are allowed as long as the doses and regimens have been stable for at least 4 weeks prior to Screening and the therapy is intended to be constant throughout the course of the study.
7. Agrees to use a medically acceptable method of contraception throughout the study and for 1 month afterward.

Exclusion Criteria

1. Diagnosed with atypical Parkinsonism or any known secondary Parkinsonian syndrome.
2. Nonresponsive to LD therapy.
3. Prior functional neurosurgical treatment for PD (e.g., ablation or deep brain stimulation) or if such procedures are anticipated during study participation.
4. Received within 4 weeks of Screening or planning to take during participation in the clinical study: any controlled-release LD product, tolcapone, apomorphine, nonselective MAO inhibitors, or antipsychotics including neuroleptic agents for the purpose of treating psychosis or bipolar disorder.
5. Allergy or hypersensitivity to CD, LD, entacapone, riboflavin, Yellow Dye #5 (tartrazine), citrus fruit or grape juice.
6. History of or currently active psychosis.
7. Active or prior medical conditions such as peptic ulcers or prior surgical (e.g., bowel) procedures that would interfere with LD absorption.
8. Active or history of narrow-angle glaucoma.
9. History of malignant melanoma or a suspicious undiagnosed skin lesion.
10. History of myocardial infarction with residual atrial, nodal, or ventricular arrhythmias, upper gastrointestinal hemorrhage, or neuroleptic malignant syndrome or nontraumatic rhabdomyolysis.
11. Received any investigational medications during the 4 weeks prior to Screening.
12. Unable to swallow large pills (e.g., large vitamin pills).
13. Pregnant or breastfeeding.
14. Subjects who are unable to complete a symptom diary.
Minimum Eligible Age

30 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Impax Laboratories, LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Impax Study Director

Role: STUDY_DIRECTOR

Impax Laboratories, LLC

Locations

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Margolin Brain Institute

Fresno, California, United States

Site Status

The Parkinson's Institute in Sunnyvale

Sunnyvale, California, United States

Site Status

UM Movement Disorders Center

Miami, Florida, United States

Site Status

Charlotte Neurological Services

Port Charlotte, Florida, United States

Site Status

USF Parkinson's and Movement Disorders Center

Tampa, Florida, United States

Site Status

Quest Research Institute

Bingham Farms, Michigan, United States

Site Status

University Health Systems

Las Vegas, Nevada, United States

Site Status

Parkinson's Disease and Movement Disorders Center of Long Island

Commack, New York, United States

Site Status

Kingston Neurological Associates

Kingston, New York, United States

Site Status

University Neurology, Inc

Cincinnati, Ohio, United States

Site Status

Sentara Neurological Associates

Virginia Beach, Virginia, United States

Site Status

Booth Gardner Parkinson's Care Center

Kirkland, Washington, United States

Site Status

Hôpital Gabriel Montpied-Service de Neurologie A-

Clermont-Ferrand, , France

Site Status

Service de neurologie-Hôpital de la Timone-

Marseille, , France

Site Status

Praxis für Neurologie, Psychiatrie und Psychotherapie Achim

Achim, , Germany

Site Status

Praxis Dres. Bitter/Schumann

Bochum, , Germany

Site Status

Klinikum rechts der Isar der Technischen Universität München

München, , Germany

Site Status

Klinik für Neurologie, Stadtroda

Stadtroda, , Germany

Site Status

RKU, Neurologische Klinik der Universität Ulm

Ulm, , Germany

Site Status

Casa di Cura Villa Margherita

Arcugnano, , Italy

Site Status

San Raffaele Cassino, San Raffaele Cassino,

Cassino, , Italy

Site Status

Dipartimento di Oncologia e Neuroscienze, Università G. D'Annunzio

Chieti, , Italy

Site Status

Ospedale della Misericordia

Grosseto, , Italy

Site Status

IRCCS San Raffaele Pisana

Roma, , Italy

Site Status

Countries

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United States France Germany Italy

References

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Morgan JC, Dhall R, Rubens R, Khanna S, Gupta S. Dosing Patterns during Conversion to IPX066, Extended-Release Carbidopa-Levodopa (ER CD-LD), in Parkinson's Disease with Motor Fluctuations. Parkinsons Dis. 2018 Oct 22;2018:9763057. doi: 10.1155/2018/9763057. eCollection 2018.

Reference Type DERIVED
PMID: 30425824 (View on PubMed)

Other Identifiers

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IPX066-B09-06

Identifier Type: -

Identifier Source: org_study_id

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