Efficacy and Safety of BIA 9-1067 in Idiopathic Parkinson's Disease Patients.

NCT ID: NCT01227655

Last Updated: 2015-10-19

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

427 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-03-31

Study Completion Date

2012-07-31

Brief Summary

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Parkinson's disease (PD) is a neurodegenerative disorder of unknown aetiology with an estimated incidence of 4.5-16/100,000 persons/year.

BIA 9-1067 is currently being developed by BIAL (Portela \& Cª,S.A.) to be used in addition to L-DOPA (Levodopa) /carbidopa or L-DOPA (Levodopa) / preparations in PD patients. Promising results have been obtained for BIA 9-1067 in previous studies.

Detailed Description

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This study aims to demonstrate the efficacy and safety of BIA 9-1067 used in addition to L-DOPA/DDCI to control the "wearing-off" phenomenon in patients with PD.

DDCI (DOPA decarboxylase inhibitors): benserazide and carbidopa

Conditions

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Parkinson's Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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BIA 9-1067 25 mg once daily (QD).

BIA 9-1067, OPC, Opicapone 25 mg once daily (QD).

Group Type EXPERIMENTAL

BIA 9-1067

Intervention Type DRUG

Capsules will be used.

Levodopa

Intervention Type DRUG

Carbidopa

Intervention Type DRUG

DOPA decarboxylase inhibitor (DDCI)

Benserazide

Intervention Type DRUG

DOPA decarboxylase inhibitor

BIA 9-1067 50 mg once daily (QD).

BIA 9-1067, OPC, Opicapone 50 mg once daily (QD).

Group Type EXPERIMENTAL

BIA 9-1067

Intervention Type DRUG

Capsules will be used.

Levodopa

Intervention Type DRUG

Carbidopa

Intervention Type DRUG

DOPA decarboxylase inhibitor (DDCI)

Benserazide

Intervention Type DRUG

DOPA decarboxylase inhibitor

Placebo

PLC, Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

comparator

Levodopa

Intervention Type DRUG

Carbidopa

Intervention Type DRUG

DOPA decarboxylase inhibitor (DDCI)

Benserazide

Intervention Type DRUG

DOPA decarboxylase inhibitor

Interventions

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BIA 9-1067

Capsules will be used.

Intervention Type DRUG

Placebo

comparator

Intervention Type DRUG

Levodopa

Intervention Type DRUG

Carbidopa

DOPA decarboxylase inhibitor (DDCI)

Intervention Type DRUG

Benserazide

DOPA decarboxylase inhibitor

Intervention Type DRUG

Other Intervention Names

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Opicapone placebo; PLC L-Dopa

Eligibility Criteria

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Inclusion Criteria

1. Able to comprehend and willing to sign an informed consent form.
2. Male and female subjects between 30 and 83 years old, inclusive.
3. Diagnosed with idiopathic PD according to the UK Parkinson's Disease Society Brain Bank Clinical Diagnostic Criteria for at least 3 years.
4. Disease severity Stages I-III (modified Hoehn \&Yahr staging) at ON.
5. Treated with L-DOPA/DDCI for at least 1 year with clear clinical improvement.
6. Treated with 3 to 8 daily doses of L-DOPA/DDCI, which can include a slow-release formulation.
7. On a stable regimen of L-DOPA/DDCI and other anti-PD drugs for at least 4 weeks before screening.
8. Signs of "wearing-off" phenomenon (end-of-dose deterioration) for a minimum of 4 weeks before screening with average total daily OFF time while awake of at least 1.5 hours, excluding the early morning pre-first dose OFF, despite optimal anti-PD therapy (based on the investigator's judgment.

Exclusion Criteria

1. Non-idiopathic PD (atypical parkinsonism, secondary \[acquired or symptomatic\] parkinsonism, Parkinson-plus syndrome).
2. Dyskinesia disability score \>3 in the Unified Parkinson's Disease Rating Scale UPDRS) Sub-section IV A, item 33.
3. Severe and/or unpredictable OFF periods.
4. Treatment with prohibited medication: entacapone, tolcapone, neuroleptics, venlafaxine, MAO inhibitors (except selegiline up to 10 mg/day in oral formulation or 1.25 mg/day in buccal absorption formulation or rasagiline up to 1mg/day), or antiemetics with antidopaminergic action (except domperidone) within the month before screening.
5. Treatment with apomorphine within the month before screening or likely to be needed at any time during the study.
6. Dosage change of concomitant anti-PD medication within 4 weeks of screening.
7. Previous or planned (during the entire study duration, including the OL period)deep brain stimulation.
8. Previous stereotactic surgery (e.g. pallidotomy, thalamotomy) for PD or with planned stereotactic surgery during the study period.
9. Any investigational medicinal product within the 3 months (or within 5 half-lives, whichever is longer) before screening.
10. Any medical condition that might place the subject at increased risk or interfere with assessments.
Minimum Eligible Age

30 Years

Maximum Eligible Age

83 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bial - Portela C S.A.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Bial - Portela & Cª, S.A.

S. Mamede Do Coronado, , Portugal

Site Status

Countries

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Portugal

References

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Lees AJ, Ferreira J, Rascol O, Poewe W, Rocha JF, McCrory M, Soares-da-Silva P; BIPARK-2 Study Investigators. Opicapone as Adjunct to Levodopa Therapy in Patients With Parkinson Disease and Motor Fluctuations: A Randomized Clinical Trial. JAMA Neurol. 2017 Feb 1;74(2):197-206. doi: 10.1001/jamaneurol.2016.4703.

Reference Type DERIVED
PMID: 28027332 (View on PubMed)

Other Identifiers

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2010-022366-27

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

BIA-91067-302

Identifier Type: OTHER

Identifier Source: secondary_id

BIA-91067-302

Identifier Type: -

Identifier Source: org_study_id

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