Trial Outcomes & Findings for Study of BIA 9-1067 to Investigate Its Effect on Levodopa Pharmacokinetic (NCT NCT01519284)

NCT ID: NCT01519284

Last Updated: 2015-08-20

Results Overview

Cmax - Maximum plasma concentration of levodopa following a single oral administration of Sinemet® 100/25 on Day 8, and 5 mg, 15 mg and 30 mg BIA 9-1067 once-daily (QD), 200 mg entacapone thrice-daily (TID), and placebo, for 8 days

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

82 participants

Primary outcome timeframe

8 days

Results posted on

2015-08-20

Participant Flow

Participant milestones

Participant milestones
Measure
Group 1
Placebo at all the dosing times
Group 2
Day 1 to 7: BIA 9-1067 5 mg: 7 AM dose Placebo: 8 AM; 4 PM; 12 PM dose Day 8: BIA 9-1067 5 mg: 7 AM dose Placebo+ levodopa/carbidopa 100/25 mg: 8 AM dose
Group 3
Day 1 to 7: BIA 9-1067 15 mg: 7 AM dose Placebo: 8 AM; 4 PM; 12 PM dose Day 8: BIA 9-1067 15 mg: 7 AM dose Placebo+ levodopa/carbidopa 100/25 mg: 8 AM dose
Group 4
Day 1 to 7: BIA 9-1067 30 mg: 7 AM dose Placebo: 8 AM; 4 PM; 12 PM dose Day 8: BIA 9-1067 30 mg: 7 AM dose Placebo + levodopa/carbidopa 100/25 mg: 8 AM dose
Group 5
Day 1 to 7: Placebo: 7 AM dose; Entacapone 200 mg: 8 AM; 4 PM; 12 PM dose Day 8: Placebo: 7 AM dose Entacapone 200 mg + levodopa/carbidopa 100/25 mg: 8 AM dose
Overall Study
STARTED
16
16
18
16
16
Overall Study
COMPLETED
16
16
16
16
16
Overall Study
NOT COMPLETED
0
0
2
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Study of BIA 9-1067 to Investigate Its Effect on Levodopa Pharmacokinetic

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group 1
n=16 Participants
Placebo at all the dosing times Placebo: placebo (four times a day)
Group 2
n=16 Participants
Day 1 to 7: BIA 9-1067 5 mg: 7 AM dose Placebo: 8 AM; 4 PM; 12 PM dose Day 8: BIA 9-1067 5 mg: 7 AM dose Placebo+ levodopa/carbidopa 100/25 mg: 8 AM dose BIA 9-1067 5 mg: BIA 9-1067 OPC, Opicapone 5 mg Placebo: placebo (four times a day) levodopa/carbidopa: standard release levodopa/carbidopa 100/25 mg (single-dose)
Group 3
n=18 Participants
Day 1 to 7: BIA 9-1067 15 mg: 7 AM dose Placebo: 8 AM; 4 PM; 12 PM dose Day 8: BIA 9-1067 15 mg: 7 AM dose Placebo+ levodopa/carbidopa 100/25 mg: 8 AM dose Placebo: placebo (four times a day) levodopa/carbidopa: standard release levodopa/carbidopa 100/25 mg (single-dose) BIA 9-1067 15 mg: BIA 9-1067 OPC, Opicapone 15 mg
Group 4
n=16 Participants
Day 1 to 7: BIA 9-1067 30 mg: 7 AM dose Placebo: 8 AM; 4 PM; 12 PM dose Day 8: BIA 9-1067 30 mg: 7 AM dose Placebo + levodopa/carbidopa 100/25 mg: 8 AM dose Placebo: placebo (four times a day) levodopa/carbidopa: standard release levodopa/carbidopa 100/25 mg (single-dose) BIA 9-1067 30 mg: BIA 9-1067 OPC, Opicapone 30 mg
Group 5
n=16 Participants
Day 1 to 7: Placebo: 7 AM dose; Entacapone 200 mg: 8 AM; 4 PM; 12 PM dose Day 8: Placebo: 7 AM dose Entacapone 200 mg + levodopa/carbidopa 100/25 mg: 8 AM dose Entacapone: Entacapone 200 mg Placebo: placebo (four times a day) levodopa/carbidopa: standard release levodopa/carbidopa 100/25 mg (single-dose)
Total
n=82 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=10 Participants
Age, Categorical
Between 18 and 65 years
16 Participants
n=5 Participants
16 Participants
n=7 Participants
18 Participants
n=5 Participants
16 Participants
n=4 Participants
16 Participants
n=21 Participants
82 Participants
n=10 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=10 Participants
Sex: Female, Male
Female
8 Participants
n=5 Participants
8 Participants
n=7 Participants
9 Participants
n=5 Participants
8 Participants
n=4 Participants
8 Participants
n=21 Participants
41 Participants
n=10 Participants
Sex: Female, Male
Male
8 Participants
n=5 Participants
8 Participants
n=7 Participants
9 Participants
n=5 Participants
8 Participants
n=4 Participants
8 Participants
n=21 Participants
41 Participants
n=10 Participants

PRIMARY outcome

Timeframe: 8 days

Cmax - Maximum plasma concentration of levodopa following a single oral administration of Sinemet® 100/25 on Day 8, and 5 mg, 15 mg and 30 mg BIA 9-1067 once-daily (QD), 200 mg entacapone thrice-daily (TID), and placebo, for 8 days

Outcome measures

Outcome measures
Measure
Group 1
n=16 Participants
Placebo at all the dosing times
Group 2
n=16 Participants
Day 1 to 7: BIA 9-1067 5 mg: 7 AM dose Placebo: 8 AM; 4 PM; 12 PM dose Day 8: BIA 9-1067 5 mg: 7 AM dose Placebo+ levodopa/carbidopa 100/25 mg: 8 AM dose
Group 3
n=16 Participants
Day 1 to 7: BIA 9-1067 15 mg: 7 AM dose Placebo: 8 AM; 4 PM; 12 PM dose Day 8: BIA 9-1067 15 mg: 7 AM dose Placebo+ levodopa/carbidopa 100/25 mg: 8 AM dose
Group 4
n=16 Participants
Day 1 to 7: BIA 9-1067 30 mg: 7 AM dose Placebo: 8 AM; 4 PM; 12 PM dose Day 8: BIA 9-1067 30 mg: 7 AM dose Placebo + levodopa/carbidopa 100/25 mg: 8 AM dose
Group 5
n=16 Participants
Day 1 to 7: Placebo: 7 AM dose; Entacapone 200 mg: 8 AM; 4 PM; 12 PM dose Day 8: Placebo: 7 AM dose Entacapone 200 mg + levodopa/carbidopa 100/25 mg: 8 AM dose
Cmax - Maximum Plasma Concentration of Levodopa
1076 ng/mL
Standard Deviation 292.7
1106 ng/mL
Standard Deviation 420.3
943 ng/mL
Standard Deviation 325.3
981 ng/mL
Standard Deviation 488.5
928 ng/mL
Standard Deviation 245

SECONDARY outcome

Timeframe: 8 days

Tmax - Time to Reach maximum plasma concentration of levodopa following a single oral administration of Sinemet® 100/25 on Day 8, and 5 mg, 15 mg and 30 mg BIA 9-1067 once-daily (QD), 200 mg entacapone thrice-daily (TID), and placebo, for 8 days.

Outcome measures

Outcome measures
Measure
Group 1
n=16 Participants
Placebo at all the dosing times
Group 2
n=16 Participants
Day 1 to 7: BIA 9-1067 5 mg: 7 AM dose Placebo: 8 AM; 4 PM; 12 PM dose Day 8: BIA 9-1067 5 mg: 7 AM dose Placebo+ levodopa/carbidopa 100/25 mg: 8 AM dose
Group 3
n=16 Participants
Day 1 to 7: BIA 9-1067 15 mg: 7 AM dose Placebo: 8 AM; 4 PM; 12 PM dose Day 8: BIA 9-1067 15 mg: 7 AM dose Placebo+ levodopa/carbidopa 100/25 mg: 8 AM dose
Group 4
n=16 Participants
Day 1 to 7: BIA 9-1067 30 mg: 7 AM dose Placebo: 8 AM; 4 PM; 12 PM dose Day 8: BIA 9-1067 30 mg: 7 AM dose Placebo + levodopa/carbidopa 100/25 mg: 8 AM dose
Group 5
n=16 Participants
Day 1 to 7: Placebo: 7 AM dose; Entacapone 200 mg: 8 AM; 4 PM; 12 PM dose Day 8: Placebo: 7 AM dose Entacapone 200 mg + levodopa/carbidopa 100/25 mg: 8 AM dose
Tmax - Time to Reach Maximum Plasma Concentration of Levodopa
0.75 hours
Interval 0.25 to 1.0
0.75 hours
Interval 0.25 to 1.0
0.75 hours
Interval 0.25 to 3.0
0.75 hours
Interval 0.25 to 1.0
0.75 hours
Interval 0.25 to 1.0

SECONDARY outcome

Timeframe: 8 days

AUC0-t - Area under the plasma concentration-time curve (AUC) of levodopa from time zero to the last sampling time following a single oral administration of Sinemet® 100/25 on Day 8, and 5 mg, 15 mg and 30 mg BIA 9-1067 once-daily (QD), 200 mg entacapone thrice-daily (TID), and placebo, for 8 days

Outcome measures

Outcome measures
Measure
Group 1
n=16 Participants
Placebo at all the dosing times
Group 2
n=16 Participants
Day 1 to 7: BIA 9-1067 5 mg: 7 AM dose Placebo: 8 AM; 4 PM; 12 PM dose Day 8: BIA 9-1067 5 mg: 7 AM dose Placebo+ levodopa/carbidopa 100/25 mg: 8 AM dose
Group 3
n=16 Participants
Day 1 to 7: BIA 9-1067 15 mg: 7 AM dose Placebo: 8 AM; 4 PM; 12 PM dose Day 8: BIA 9-1067 15 mg: 7 AM dose Placebo+ levodopa/carbidopa 100/25 mg: 8 AM dose
Group 4
n=16 Participants
Day 1 to 7: BIA 9-1067 30 mg: 7 AM dose Placebo: 8 AM; 4 PM; 12 PM dose Day 8: BIA 9-1067 30 mg: 7 AM dose Placebo + levodopa/carbidopa 100/25 mg: 8 AM dose
Group 5
n=16 Participants
Day 1 to 7: Placebo: 7 AM dose; Entacapone 200 mg: 8 AM; 4 PM; 12 PM dose Day 8: Placebo: 7 AM dose Entacapone 200 mg + levodopa/carbidopa 100/25 mg: 8 AM dose
AUC0-t - Area Under the Plasma Concentration-time Curve (AUC) of Levodopa From Time Zero to the Last Sampling Time at Which the Drug Concentration Was at or Above the Lower Limit of Quantification.
1578 ng.h/mL
Standard Deviation 320.3
1785 ng.h/mL
Standard Deviation 574.8
2102 ng.h/mL
Standard Deviation 569.6
2202 ng.h/mL
Standard Deviation 605.6
2146 ng.h/mL
Standard Deviation 538.6

SECONDARY outcome

Timeframe: 8 days

AUC0-∞ - Area under the plasma concentration-time curve (AUC) of levodopa from time zero to infinity.

Outcome measures

Outcome measures
Measure
Group 1
n=16 Participants
Placebo at all the dosing times
Group 2
n=16 Participants
Day 1 to 7: BIA 9-1067 5 mg: 7 AM dose Placebo: 8 AM; 4 PM; 12 PM dose Day 8: BIA 9-1067 5 mg: 7 AM dose Placebo+ levodopa/carbidopa 100/25 mg: 8 AM dose
Group 3
n=16 Participants
Day 1 to 7: BIA 9-1067 15 mg: 7 AM dose Placebo: 8 AM; 4 PM; 12 PM dose Day 8: BIA 9-1067 15 mg: 7 AM dose Placebo+ levodopa/carbidopa 100/25 mg: 8 AM dose
Group 4
n=16 Participants
Day 1 to 7: BIA 9-1067 30 mg: 7 AM dose Placebo: 8 AM; 4 PM; 12 PM dose Day 8: BIA 9-1067 30 mg: 7 AM dose Placebo + levodopa/carbidopa 100/25 mg: 8 AM dose
Group 5
n=16 Participants
Day 1 to 7: Placebo: 7 AM dose; Entacapone 200 mg: 8 AM; 4 PM; 12 PM dose Day 8: Placebo: 7 AM dose Entacapone 200 mg + levodopa/carbidopa 100/25 mg: 8 AM dose
AUC0-∞ - Area Under the Plasma Concentration-time Curve (AUC) of Levodopa From Time Zero to Infinity
1649 ng.h/mL
Standard Deviation 313.3
1873 ng.h/mL
Standard Deviation 571.3
2233 ng.h/mL
Standard Deviation 578.3
2381 ng.h/mL
Standard Deviation 623.8
2253 ng.h/mL
Standard Deviation 540.7

Adverse Events

Group 1

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Group 2

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Group 3

Serious events: 1 serious events
Other events: 10 other events
Deaths: 0 deaths

Group 4

Serious events: 0 serious events
Other events: 12 other events
Deaths: 0 deaths

Group 5

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Group 1
n=16 participants at risk
Placebo at all the dosing times
Group 2
n=16 participants at risk
Day 1 to 7: BIA 9-1067 5 mg: 7 AM dose Placebo: 8 AM; 4 PM; 12 PM dose Day 8: BIA 9-1067 5 mg: 7 AM dose Placebo+ levodopa/carbidopa 100/25 mg: 8 AM dose
Group 3
n=17 participants at risk
Day 1 to 7: BIA 9-1067 15 mg: 7 AM dose Placebo: 8 AM; 4 PM; 12 PM dose Day 8: BIA 9-1067 15 mg: 7 AM dose Placebo+ levodopa/carbidopa 100/25 mg: 8 AM dose
Group 4
n=16 participants at risk
Day 1 to 7: BIA 9-1067 30 mg: 7 AM dose Placebo: 8 AM; 4 PM; 12 PM dose Day 8: BIA 9-1067 30 mg: 7 AM dose Placebo + levodopa/carbidopa 100/25 mg: 8 AM dose
Group 5
n=16 participants at risk
Day 1 to 7: Placebo: 7 AM dose; Entacapone 200 mg: 8 AM; 4 PM; 12 PM dose Day 8: Placebo: 7 AM dose Entacapone 200 mg + levodopa/carbidopa 100/25 mg: 8 AM dose
Pregnancy, puerperium and perinatal conditions
spontaneous abortion
0.00%
0/16
0.00%
0/16
5.9%
1/17
0.00%
0/16
0.00%
0/16

Other adverse events

Other adverse events
Measure
Group 1
n=16 participants at risk
Placebo at all the dosing times
Group 2
n=16 participants at risk
Day 1 to 7: BIA 9-1067 5 mg: 7 AM dose Placebo: 8 AM; 4 PM; 12 PM dose Day 8: BIA 9-1067 5 mg: 7 AM dose Placebo+ levodopa/carbidopa 100/25 mg: 8 AM dose
Group 3
n=17 participants at risk
Day 1 to 7: BIA 9-1067 15 mg: 7 AM dose Placebo: 8 AM; 4 PM; 12 PM dose Day 8: BIA 9-1067 15 mg: 7 AM dose Placebo+ levodopa/carbidopa 100/25 mg: 8 AM dose
Group 4
n=16 participants at risk
Day 1 to 7: BIA 9-1067 30 mg: 7 AM dose Placebo: 8 AM; 4 PM; 12 PM dose Day 8: BIA 9-1067 30 mg: 7 AM dose Placebo + levodopa/carbidopa 100/25 mg: 8 AM dose
Group 5
n=16 participants at risk
Day 1 to 7: Placebo: 7 AM dose; Entacapone 200 mg: 8 AM; 4 PM; 12 PM dose Day 8: Placebo: 7 AM dose Entacapone 200 mg + levodopa/carbidopa 100/25 mg: 8 AM dose
Cardiac disorders
Palpitations
6.2%
1/16
0.00%
0/16
0.00%
0/17
0.00%
0/16
6.2%
1/16
Eye disorders
Conjunctivitis
6.2%
1/16
0.00%
0/16
0.00%
0/17
0.00%
0/16
0.00%
0/16
Eye disorders
Edema eyelid
0.00%
0/16
6.2%
1/16
0.00%
0/17
0.00%
0/16
0.00%
0/16
Gastrointestinal disorders
Abdominal pain
0.00%
0/16
0.00%
0/16
5.9%
1/17
0.00%
0/16
0.00%
0/16
Gastrointestinal disorders
Abdominal pain upper
0.00%
0/16
0.00%
0/16
0.00%
0/17
0.00%
0/16
6.2%
1/16
Gastrointestinal disorders
Aerophagia
0.00%
0/16
0.00%
0/16
0.00%
0/17
6.2%
1/16
0.00%
0/16
Gastrointestinal disorders
Constipation
0.00%
0/16
6.2%
1/16
0.00%
0/17
6.2%
1/16
0.00%
0/16
Gastrointestinal disorders
Diarrhoea
0.00%
0/16
0.00%
0/16
0.00%
0/17
6.2%
1/16
0.00%
0/16
Gastrointestinal disorders
Dyspepsia
0.00%
0/16
0.00%
0/16
0.00%
0/17
6.2%
1/16
0.00%
0/16
Gastrointestinal disorders
Flatulence
0.00%
0/16
0.00%
0/16
5.9%
1/17
0.00%
0/16
0.00%
0/16
Gastrointestinal disorders
Nausea
6.2%
1/16
0.00%
0/16
0.00%
0/17
6.2%
1/16
6.2%
1/16
Gastrointestinal disorders
Rectal haemorrhage
0.00%
0/16
6.2%
1/16
0.00%
0/17
0.00%
0/16
0.00%
0/16
Gastrointestinal disorders
Vomiting
0.00%
0/16
0.00%
0/16
0.00%
0/17
6.2%
1/16
0.00%
0/16
General disorders
Application site haematoma
6.2%
1/16
0.00%
0/16
0.00%
0/17
0.00%
0/16
0.00%
0/16
General disorders
Catheter site phlebitis
0.00%
0/16
0.00%
0/16
0.00%
0/17
6.2%
1/16
0.00%
0/16
General disorders
Device breakage
0.00%
0/16
0.00%
0/16
5.9%
1/17
0.00%
0/16
0.00%
0/16
General disorders
Injection site haematoma
0.00%
0/16
0.00%
0/16
5.9%
1/17
0.00%
0/16
0.00%
0/16
Infections and infestations
Nasopharyngitis
0.00%
0/16
0.00%
0/16
5.9%
1/17
0.00%
0/16
0.00%
0/16
Infections and infestations
Pharyngitis
0.00%
0/16
6.2%
1/16
0.00%
0/17
0.00%
0/16
6.2%
1/16
Infections and infestations
Rhinitis
0.00%
0/16
0.00%
0/16
0.00%
0/17
0.00%
0/16
6.2%
1/16
Infections and infestations
Tooth infection
0.00%
0/16
0.00%
0/16
0.00%
0/17
0.00%
0/16
6.2%
1/16
Infections and infestations
Upper respiratory tract
0.00%
0/16
6.2%
1/16
0.00%
0/17
6.2%
1/16
0.00%
0/16
Infections and infestations
Urinary tract infection
0.00%
0/16
0.00%
0/16
0.00%
0/17
12.5%
2/16
0.00%
0/16
Injury, poisoning and procedural complications
Face injury
0.00%
0/16
6.2%
1/16
0.00%
0/17
0.00%
0/16
0.00%
0/16
Injury, poisoning and procedural complications
Post procedural complication
0.00%
0/16
0.00%
0/16
0.00%
0/17
6.2%
1/16
0.00%
0/16
Investigations
CK increased
0.00%
0/16
6.2%
1/16
0.00%
0/17
12.5%
2/16
0.00%
0/16
Investigations
Weight increased
0.00%
0/16
6.2%
1/16
0.00%
0/17
6.2%
1/16
0.00%
0/16
Metabolism and nutrition disorders
Anorexia
0.00%
0/16
6.2%
1/16
0.00%
0/17
0.00%
0/16
0.00%
0/16
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/16
0.00%
0/16
5.9%
1/17
6.2%
1/16
6.2%
1/16
Nervous system disorders
Dizziness
6.2%
1/16
0.00%
0/16
0.00%
0/17
0.00%
0/16
6.2%
1/16
Nervous system disorders
Headache
12.5%
2/16
0.00%
0/16
11.8%
2/17
12.5%
2/16
6.2%
1/16
Nervous system disorders
Migraine
0.00%
0/16
0.00%
0/16
0.00%
0/17
0.00%
0/16
6.2%
1/16
Nervous system disorders
Presyncope
0.00%
0/16
6.2%
1/16
0.00%
0/17
18.8%
3/16
0.00%
0/16
Nervous system disorders
Radiculopathy
0.00%
0/16
0.00%
0/16
5.9%
1/17
0.00%
0/16
0.00%
0/16
Nervous system disorders
Somnolence
0.00%
0/16
6.2%
1/16
0.00%
0/17
0.00%
0/16
0.00%
0/16
Pregnancy, puerperium and perinatal conditions
Pregnancy
0.00%
0/16
0.00%
0/16
5.9%
1/17
0.00%
0/16
0.00%
0/16
Psychiatric disorders
Acute stress disorder
6.2%
1/16
0.00%
0/16
0.00%
0/17
0.00%
0/16
0.00%
0/16
Psychiatric disorders
Anxiety
0.00%
0/16
0.00%
0/16
0.00%
0/17
0.00%
0/16
6.2%
1/16
Psychiatric disorders
Insomnia
0.00%
0/16
0.00%
0/16
0.00%
0/17
0.00%
0/16
6.2%
1/16
Renal and urinary disorders
Pollakiuria
6.2%
1/16
6.2%
1/16
0.00%
0/17
0.00%
0/16
0.00%
0/16
Reproductive system and breast disorders
Menstrual discomfort
0.00%
0/16
0.00%
0/16
5.9%
1/17
0.00%
0/16
0.00%
0/16
Respiratory, thoracic and mediastinal disorders
Epistaxis
0.00%
0/16
6.2%
1/16
0.00%
0/17
0.00%
0/16
0.00%
0/16
Respiratory, thoracic and mediastinal disorders
Nasal congestion
0.00%
0/16
6.2%
1/16
0.00%
0/17
0.00%
0/16
0.00%
0/16
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
0.00%
0/16
0.00%
0/16
0.00%
0/17
6.2%
1/16
0.00%
0/16
Skin and subcutaneous tissue disorders
Erythema
0.00%
0/16
0.00%
0/16
5.9%
1/17
0.00%
0/16
0.00%
0/16
Skin and subcutaneous tissue disorders
Macule
0.00%
0/16
6.2%
1/16
0.00%
0/17
0.00%
0/16
0.00%
0/16
Skin and subcutaneous tissue disorders
Pruritus
6.2%
1/16
0.00%
0/16
0.00%
0/17
0.00%
0/16
0.00%
0/16
Skin and subcutaneous tissue disorders
Skin reaction
0.00%
0/16
0.00%
0/16
5.9%
1/17
0.00%
0/16
0.00%
0/16

Additional Information

Head of Clinical Research

Bial - Portela & Cª, S.A.

Phone: +351 229 866 100

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place