A Efficacy, Safety and Pharmacokinetic Study of XP21279 and Sinemet® in Parkinson's Disease Subjects

NCT ID: NCT01171313

Last Updated: 2021-02-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

35 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-07-31

Study Completion Date

2011-12-31

Brief Summary

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The purpose of the study is to assess the efficacy and safety of XP21279/Carbidopa in comparison to Sinemet as well as evaluate the pharmacokinetics (PK) of levodopa after administration of XP21279/Carbidopa and Sinemet and to explore exposure-response relationships in a subset of subjects.

Detailed Description

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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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Treatment sequence 1

Subjects will receive XP21279 and carbidopa, Sinemet, placebo for XP21279 and carbidopa, placebo for Sinemet in a randomized sequence.

Group Type EXPERIMENTAL

XP21279 and carbidopa (experimental)

Intervention Type DRUG

Eligible subjects entering the study will be randomized into 1 of 4 sequences where they will be dosed XP21279 and Carbidopa

Sinemet (comparator)

Intervention Type DRUG

Eligible subjects entering the study will be randomized into 1 of 4 sequences where they will be dosed Sinemet.

Placebo for XP21279 and carbidopa

Intervention Type DRUG

Eligible subjects entering the study will be randomized into 1 of 4 sequences where they will be dosed placebo for XP21279 and carbidopa

Placebo for Sinemet

Intervention Type DRUG

Eligible subjects entering the study will be randomized into 1 of 4 sequences where they will be dosed placebo for Sinemet

Treatment sequence 2

Subjects will receive XP21279 and carbidopa, Sinemet, placebo for XP21279 and carbidopa, placebo for Sinemet in a randomized sequence.

Group Type EXPERIMENTAL

XP21279 and carbidopa (experimental)

Intervention Type DRUG

Eligible subjects entering the study will be randomized into 1 of 4 sequences where they will be dosed XP21279 and Carbidopa

Sinemet (comparator)

Intervention Type DRUG

Eligible subjects entering the study will be randomized into 1 of 4 sequences where they will be dosed Sinemet.

Placebo for XP21279 and carbidopa

Intervention Type DRUG

Eligible subjects entering the study will be randomized into 1 of 4 sequences where they will be dosed placebo for XP21279 and carbidopa

Placebo for Sinemet

Intervention Type DRUG

Eligible subjects entering the study will be randomized into 1 of 4 sequences where they will be dosed placebo for Sinemet

Treatment sequence 3

Subjects will receive XP21279 and carbidopa, Sinemet, placebo for XP21279 and carbidopa, placebo for Sinemet in a randomized sequence.

Group Type EXPERIMENTAL

XP21279 and carbidopa (experimental)

Intervention Type DRUG

Eligible subjects entering the study will be randomized into 1 of 4 sequences where they will be dosed XP21279 and Carbidopa

Sinemet (comparator)

Intervention Type DRUG

Eligible subjects entering the study will be randomized into 1 of 4 sequences where they will be dosed Sinemet.

Placebo for XP21279 and carbidopa

Intervention Type DRUG

Eligible subjects entering the study will be randomized into 1 of 4 sequences where they will be dosed placebo for XP21279 and carbidopa

Placebo for Sinemet

Intervention Type DRUG

Eligible subjects entering the study will be randomized into 1 of 4 sequences where they will be dosed placebo for Sinemet

Treatment sequence 4

Subjects will receive XP21279 and carbidopa, Sinemet, placebo for XP21279 and carbidopa, placebo for Sinemet in a randomized sequence.

Group Type EXPERIMENTAL

XP21279 and carbidopa (experimental)

Intervention Type DRUG

Eligible subjects entering the study will be randomized into 1 of 4 sequences where they will be dosed XP21279 and Carbidopa

Sinemet (comparator)

Intervention Type DRUG

Eligible subjects entering the study will be randomized into 1 of 4 sequences where they will be dosed Sinemet.

Placebo for XP21279 and carbidopa

Intervention Type DRUG

Eligible subjects entering the study will be randomized into 1 of 4 sequences where they will be dosed placebo for XP21279 and carbidopa

Placebo for Sinemet

Intervention Type DRUG

Eligible subjects entering the study will be randomized into 1 of 4 sequences where they will be dosed placebo for Sinemet

Interventions

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XP21279 and carbidopa (experimental)

Eligible subjects entering the study will be randomized into 1 of 4 sequences where they will be dosed XP21279 and Carbidopa

Intervention Type DRUG

Sinemet (comparator)

Eligible subjects entering the study will be randomized into 1 of 4 sequences where they will be dosed Sinemet.

Intervention Type DRUG

Placebo for XP21279 and carbidopa

Eligible subjects entering the study will be randomized into 1 of 4 sequences where they will be dosed placebo for XP21279 and carbidopa

Intervention Type DRUG

Placebo for Sinemet

Eligible subjects entering the study will be randomized into 1 of 4 sequences where they will be dosed placebo for Sinemet

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Subjects must have predictable motor fluctuations of the wearing off type, defined by meeting the following criteria based on the on/off diaries recorded over 3 days in the Screening Period:

* Wearing-off in at least half (50%) of inter-dose intervals between the first and the last daily doses averaged over the 3 diary days, and
* An average daily "off" time of 2 hours after the first "on" of the day through awake time up to midnight.
2. Subjects must be on one of the following stable QID or 5 times daily regimens for at least 4 weeks prior to Screening: Sinemet® or carbidopa-levodopa, with a total daily dose ranging from 400 mg to 1000 mg of levodopa

Exclusion Criteria

1. History, signs, or symptoms suggesting the diagnosis of secondary or atypical Parkinsonism.
2. Subject has moderately or severely disabling dyskinesias for greater than 25% of the waking day
3. Subjects who have significant neurological symptoms not accounted for by Parkinson's disease
4. Subjects who are taking Sinemet® CR, Parcopa®, concomitant COMT inhibitors (i.e., entacapone or tolcapone), Stalevo®, or benserazide containing levodopa preparations Madopar® or Prolopa®.
Minimum Eligible Age

30 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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XenoPort, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Dan Chen, M.D.

Role: STUDY_DIRECTOR

XenoPort, Inc.

Locations

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XenoPort Clinical Site

Phoenix, Arizona, United States

Site Status

XenoPort Clinical Site

Little Rock, Arkansas, United States

Site Status

XenoPort Clinical Site

Long Beach, California, United States

Site Status

XenoPort Clinical Site

Sunnyvale, California, United States

Site Status

XenoPort Clinical Site

Naples, Florida, United States

Site Status

XenoPort Clinical Site

Tampa, Florida, United States

Site Status

XenoPort Clinical Site

Kansas City, Kansas, United States

Site Status

XenoPort Clinical Site

Bingham Farms, Michigan, United States

Site Status

XenoPort Clinical Site

West Bloomfield, Michigan, United States

Site Status

XenoPort Clinical Site

New Brunswick, New Jersey, United States

Site Status

XenoPort Clinical Site

Tulsa, Oklahoma, United States

Site Status

XenoPort Clinical Site

Houston, Texas, United States

Site Status

Countries

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United States

Other Identifiers

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XenoPort

Identifier Type: OTHER

Identifier Source: secondary_id

XP-C-069

Identifier Type: -

Identifier Source: org_study_id

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