Safety and Efficacy Study of SYN115 in Parkinson's Patients Using Levodopa to Treat End of Dose Wearing Off

NCT ID: NCT01283594

Last Updated: 2019-01-17

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/PHASE3

Total Enrollment

420 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-03-31

Study Completion Date

2012-10-31

Brief Summary

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The purpose of this research study is to test the effect of SYN115 compared to placebo (a "sugar pill" that looks like SYN115 but does not include active drug) on movement during the "on" and "off" states as well as other symptoms that some patients with Parkinson's disease experience. This study will also look at whether or not patients with Parkinson's disease experience "side-effects" with SYN115.

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

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Tozadenant (SYN115) 60 mg BID

Tozadenant tablets, white-coated, modified-oval tablets manufactured in 60 mg dosage strengths.

Group Type EXPERIMENTAL

Tozadenant (SYN115) 60 mg BID

Intervention Type DRUG

Tozadenant tablets, white-coated, modified-oval tablets manufactured in 60 mg dosage strengths.

Total daily doses include 60 mg BID.

Levodopa (L-dopa)

Intervention Type DRUG

One intravenous infusion of L-dopa to reach approximately 600 ng/ ml plasma concentration.

Tozadenant (SYN115) 120 mg BID

Tozadenant tablets, white-coated, modified-oval tablets manufactured in 60 mg dosage strengths.

Group Type EXPERIMENTAL

Levodopa (L-dopa)

Intervention Type DRUG

One intravenous infusion of L-dopa to reach approximately 600 ng/ ml plasma concentration.

Tozadenant (SYN115) 120 mg BID

Intervention Type DRUG

Tozadenant tablets, white-coated, modified-oval tablets manufactured in 60 mg dosage strengths.

Total daily doses include 120 mg BID.

Tozadenant (SYN115) 180 mg BID

Tozadenant tablets, white-coated, modified-oval tablets manufactured in 60 mg dosage strengths.

Group Type EXPERIMENTAL

Levodopa (L-dopa)

Intervention Type DRUG

One intravenous infusion of L-dopa to reach approximately 600 ng/ ml plasma concentration.

Tozadenant (SYN115) 180 mg BID

Intervention Type DRUG

Tozadenant tablets, white-coated, modified-oval tablets manufactured in 60 mg dosage strengths.

Total daily doses include 180 mg BID.

Tozadenant (SYN115) 240 mg BID

Tozadenant tablets, white-coated, modified-oval tablets manufactured in 60 mg dosage strengths.

Group Type EXPERIMENTAL

Tozadenant (SYN115) 240 mg BID

Intervention Type DRUG

Tozadenant tablets, white-coated, modified-oval tablets manufactured in 60 mg dosage strengths.

Total daily doses include 240 mg BID.

Levodopa (L-dopa)

Intervention Type DRUG

One intravenous infusion of L-dopa to reach approximately 600 ng/ ml plasma concentration.

Sugar Pill

White-coated, modified-oval placebo tablets.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

White-coated, modified-oval placebo tablets.

Levodopa (L-dopa)

Intervention Type DRUG

One intravenous infusion of L-dopa to reach approximately 600 ng/ ml plasma concentration.

Interventions

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Tozadenant (SYN115) 240 mg BID

Tozadenant tablets, white-coated, modified-oval tablets manufactured in 60 mg dosage strengths.

Total daily doses include 240 mg BID.

Intervention Type DRUG

Tozadenant (SYN115) 60 mg BID

Tozadenant tablets, white-coated, modified-oval tablets manufactured in 60 mg dosage strengths.

Total daily doses include 60 mg BID.

Intervention Type DRUG

Placebo

White-coated, modified-oval placebo tablets.

Intervention Type DRUG

Levodopa (L-dopa)

One intravenous infusion of L-dopa to reach approximately 600 ng/ ml plasma concentration.

Intervention Type DRUG

Tozadenant (SYN115) 120 mg BID

Tozadenant tablets, white-coated, modified-oval tablets manufactured in 60 mg dosage strengths.

Total daily doses include 120 mg BID.

Intervention Type DRUG

Tozadenant (SYN115) 180 mg BID

Tozadenant tablets, white-coated, modified-oval tablets manufactured in 60 mg dosage strengths.

Total daily doses include 180 mg BID.

Intervention Type DRUG

Other Intervention Names

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L-dopa

Eligibility Criteria

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Inclusion Criteria

* Meet Parkinson's Disease (PD) diagnosis consistent with UK PD diagnostic criteria
* Meet Hoehn and Yahr PD stage
* Good response to levodopa
* Stable regimen of anti-parkinson medications
* Are able to complete a Parkinson's disease diary
* If of childbearing potential(male and female), use an acceptable method of birth control
* Able and willing to sign an IRB/IEC approved informed consent
* Able and willing to understand study requirements, follow study instructions, attend all visits and undergo all planned tests.

Exclusion Criteria

* Secondary or atypical Parkinson's
* Neurosurgical intervention for Parkinson's disease
* Treatment with apomorphine
* Treatment with anti-psychotic drugs
* Other abnormal findings on physical or neuro exam or history that in the opinion of the investigator would make subject unsuitable for the study or prejudice safety and efficacy evaluation
* MMSE less than 26
* Subjects with untreated or uncontrolled current episode of major depression
* Receipt of any anti-psychotic drugs greater than 1 month in the past 5 years or any exposure in past year (except for quetiapine at doses \<100mg per day)
* Women pregnant or lactating
* History of hepatitis, cholangitis
* Untreated or uncontrolled hypothyroidism or hyperthyroidism
* Drops in blood pressure requiring medication to maintain blood pressure
* Any clinically significant out of range laboratory evaluations
* Known sensitivity to the study medication or its components
* Suicide ideation or type 4 or type 5 on the Columbia suicide severity rating scale
* Finding of malignant melanoma on full body skin exam
* Impulse disorder conditions
Minimum Eligible Age

30 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Biotie Therapies Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Steve Bandak, MD

Role: STUDY_CHAIR

Biotie Therapies Inc.

Ann Neale, RN

Role: STUDY_DIRECTOR

Biotie Therapies Inc.

Locations

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Birmingham, Alabama, United States

Site Status

La Jolla, California, United States

Site Status

Loma Linda, California, United States

Site Status

Los Angeles, California, United States

Site Status

Oxnard, California, United States

Site Status

San Francisco, California, United States

Site Status

Denver, Colorado, United States

Site Status

Manchester, Connecticut, United States

Site Status

New Haven, Connecticut, United States

Site Status

Boca Raton, Florida, United States

Site Status

Gainesville, Florida, United States

Site Status

Miami, Florida, United States

Site Status

Tampa, Florida, United States

Site Status

Weston, Florida, United States

Site Status

Atlanta, Georgia, United States

Site Status

Augusta, Georgia, United States

Site Status

Boise, Idaho, United States

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Springfield, Illinois, United States

Site Status

Indianapolis, Indiana, United States

Site Status

Des Moines, Iowa, United States

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Kansas City, Kansas, United States

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Lexington, Kentucky, United States

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Baltimore, Maryland, United States

Site Status

West Bloomfield, Michigan, United States

Site Status

Minneapolis, Minnesota, United States

Site Status

Commack, New York, United States

Site Status

New York, New York, United States

Site Status

Durham, North Carolina, United States

Site Status

Cincinnati, Ohio, United States

Site Status

Cleveland, Ohio, United States

Site Status

Columbus, Ohio, United States

Site Status

Toledo, Ohio, United States

Site Status

Tulsa, Oklahoma, United States

Site Status

Allentown, Pennsylvania, United States

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Philadelphia, Pennsylvania, United States

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Charleston, South Carolina, United States

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Dallas, Texas, United States

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Houston, Texas, United States

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Roanoke, Virginia, United States

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Milwaukee, Wisconsin, United States

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Buenos Aires, , Argentina

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Santa Fe, , Argentina

Site Status

Edmonton, Alberta, Canada

Site Status

Halifax, Nova Scotia, Canada

Site Status

Ottawa, Ontario, Canada

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Montreal, Quebec, Canada

Site Status

Québec, Quebec, Canada

Site Status

Santiago, , Chile

Site Status

Valdivia, , Chile

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Brasov, , Romania

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Bucharest, , Romania

Site Status

Constanța, , Romania

Site Status

Târgu Mureş, , Romania

Site Status

Timișoara, , Romania

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Dnipropetrovsk, , Ukraine

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Donetsk, , Ukraine

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Kiev, , Ukraine

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Lviv, , Ukraine

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Poltava, , Ukraine

Site Status

Vinnytsia, , Ukraine

Site Status

Zaporizhzhya, , Ukraine

Site Status

Countries

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United States Argentina Canada Chile Romania Ukraine

References

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Hauser RA, Olanow CW, Kieburtz KD, Pourcher E, Docu-Axelerad A, Lew M, Kozyolkin O, Neale A, Resburg C, Meya U, Kenney C, Bandak S. Tozadenant (SYN115) in patients with Parkinson's disease who have motor fluctuations on levodopa: a phase 2b, double-blind, randomised trial. Lancet Neurol. 2014 Aug;13(8):767-76. doi: 10.1016/S1474-4422(14)70148-6. Epub 2014 Jul 6.

Reference Type DERIVED
PMID: 25008546 (View on PubMed)

Other Identifiers

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SYN115-CL02

Identifier Type: -

Identifier Source: org_study_id

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