Trial Outcomes & Findings for The Effect of BIA 9-1067 at Steady-state on the Levodopa Pharmacokinetics (NCT NCT02170376)

NCT ID: NCT02170376

Last Updated: 2016-09-20

Results Overview

Cmax - Maximum plasma concentration of levodopa (mean pharmacokinetic parameter) following first oral administration of 100/25 mg levodopa/carbidopa on Day 12 with 25, 50 and 75 mg OPC or placebo and 200 mg Entacapone.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

80 participants

Primary outcome timeframe

pre-first dose and at 0.5, 1.0, 1.5, 2.0, 3.0, 4.0 and 5.0 h post-first and -second levodopa/carbidopa administration, and at 0.5, 1.0, 1.5, 2.0, 3.0, 4.0, 5.0, 8.0 and 14.0 h post-third levodopa/carbidopa administration

Results posted on

2016-09-20

Participant Flow

Participant milestones

Participant milestones
Measure
Group 1: Placebo Then Entacapone/Levodopa
Placebo once-daily for 11 days 200 mg entacapone concomitantly with levodopa/carbidopa on Day 12 Entacapone: Entacapone (ENT), over-encapsulated tablet 200 mg Placebo: PLC, placebo Levodopa/carbidopa: Levodopa/carbidopa, tablet 100/25 mg
Group 2: BIA 25 mg Then Placebo/Levodopa/Carbidopa
25 mg BIA 9-1067 once-daily for 11 days Placebo concomitantly with levodopa/carbidopa on Day 12 BIA 9-1067: BIA 9-1067 25 mg and 50 mg Placebo: PLC, placebo Levodopa/carbidopa: Levodopa/carbidopa, tablet 100/25 mg
Group 3: BIA 50 mg Then Placebo/Levodopa/Carbidopa
50 mg 9-1067 once-daily for 11 days Placebo concomitantly with levodopa/carbidopa on Day 12 BIA 9-1067: BIA 9-1067 25 mg and 50 mg Placebo: PLC, placebo Levodopa/carbidopa: Levodopa/carbidopa, tablet 100/25 mg
Group 4: BIA 75 mg Then Placebo/Levodopa/Carbidopa
75 mg 9-1067 once-daily for 11 days placebo concomitantly with levodopa/carbidopa on Day 12 BIA 9-1067: BIA 9-1067 25 mg and 50 mg Placebo: PLC, placebo Levodopa/carbidopa: Levodopa/carbidopa, tablet 100/25 mg
Group 5: Placebo Then Levodopa/Carbidopa
placebo once-daily for 11 days placebo concomitantly with levodopa/carbidopa on Day 12 Placebo: PLC, placebo Levodopa/carbidopa: Levodopa/carbidopa, tablet 100/25 mg
Overall Study
STARTED
16
16
16
16
16
Overall Study
Pharmacokinetic Population
16
15
16
16
16
Overall Study
COMPLETED
16
15
16
16
16
Overall Study
NOT COMPLETED
0
1
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

The Effect of BIA 9-1067 at Steady-state on the Levodopa Pharmacokinetics

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group 1
n=16 Participants
Placebo once-daily for 11 days 200 mg entacapone concomitantly with levodopa/carbidopa on Day 12 Entacapone: Entacapone (ENT), over-encapsulated tablet 200 mg Placebo: PLC, placebo Levodopa/carbidopa: Levodopa/carbidopa, tablet 100/25 mg
Group 2
n=16 Participants
25 mg BIA 9-1067 once-daily for 11 days Placebo concomitantly with levodopa/carbidopa on Day 12 BIA 9-1067: BIA 9-1067 25 mg and 50 mg Placebo: PLC, placebo Levodopa/carbidopa: Levodopa/carbidopa, tablet 100/25 mg
Group 3
n=16 Participants
50 mg 9-1067 once-daily for 11 days Placebo concomitantly with levodopa/carbidopa on Day 12 BIA 9-1067: BIA 9-1067 25 mg and 50 mg Placebo: PLC, placebo Levodopa/carbidopa: Levodopa/carbidopa, tablet 100/25 mg
Group 4
n=16 Participants
75 mg 9-1067 once-daily for 11 days placebo concomitantly with levodopa/carbidopa on Day 12 BIA 9-1067: BIA 9-1067 25 mg and 50 mg Placebo: PLC, placebo Levodopa/carbidopa: Levodopa/carbidopa, tablet 100/25 mg
Group 5
n=16 Participants
placebo once-daily for 11 days placebo concomitantly with levodopa/carbidopa on Day 12 Placebo: PLC, placebo Levodopa/carbidopa: Levodopa/carbidopa, tablet 100/25 mg
Total
n=80 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=8 Participants
Age, Categorical
Between 18 and 65 years
16 Participants
n=5 Participants
16 Participants
n=7 Participants
16 Participants
n=5 Participants
16 Participants
n=4 Participants
16 Participants
n=21 Participants
80 Participants
n=8 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=8 Participants
Sex: Female, Male
Female
8 Participants
n=5 Participants
8 Participants
n=7 Participants
8 Participants
n=5 Participants
8 Participants
n=4 Participants
8 Participants
n=21 Participants
40 Participants
n=8 Participants
Sex: Female, Male
Male
8 Participants
n=5 Participants
8 Participants
n=7 Participants
8 Participants
n=5 Participants
8 Participants
n=4 Participants
8 Participants
n=21 Participants
40 Participants
n=8 Participants

PRIMARY outcome

Timeframe: pre-first dose and at 0.5, 1.0, 1.5, 2.0, 3.0, 4.0 and 5.0 h post-first and -second levodopa/carbidopa administration, and at 0.5, 1.0, 1.5, 2.0, 3.0, 4.0, 5.0, 8.0 and 14.0 h post-third levodopa/carbidopa administration

Cmax - Maximum plasma concentration of levodopa (mean pharmacokinetic parameter) following first oral administration of 100/25 mg levodopa/carbidopa on Day 12 with 25, 50 and 75 mg OPC or placebo and 200 mg Entacapone.

Outcome measures

Outcome measures
Measure
Placebo
n=16 Participants
Placebo: PLC, placebo
OPC 25 mg
n=15 Participants
OPC: BIA 9-1067 25 mg
OPC 50 mg
n=16 Participants
OPC: BIA 9-1067 50 mg
OPC 75 mg
n=16 Participants
OPC: BIA 9-1067 25 mg and 50 mg
ENT 200 mg
n=16 Participants
Entacapone (ENT), over-encapsulated tablet 200 mg
Cmax - Maximum Plasma Concentration of Levodopa
Post First Dose
1047 ng/mL
Standard Deviation 340
1203 ng/mL
Standard Deviation 453
1030 ng/mL
Standard Deviation 400
1057 ng/mL
Standard Deviation 335
876 ng/mL
Standard Deviation 328
Cmax - Maximum Plasma Concentration of Levodopa
Post Second Dose
1550 ng/mL
Standard Deviation 542
1619 ng/mL
Standard Deviation 762
1974 ng/mL
Standard Deviation 847
2113 ng/mL
Standard Deviation 868
1437 ng/mL
Standard Deviation 569
Cmax - Maximum Plasma Concentration of Levodopa
Post Third Dose
1268 ng/mL
Standard Deviation 532
1393 ng/mL
Standard Deviation 627
1346 ng/mL
Standard Deviation 337
1658 ng/mL
Standard Deviation 435
1303 ng/mL
Standard Deviation 518

PRIMARY outcome

Timeframe: pre-first dose and at 0.5, 1.0, 1.5, 2.0, 3.0, 4.0 and 5.0 h post-first and -second levodopa/carbidopa administration, and at 0.5, 1.0, 1.5, 2.0, 3.0, 4.0, 5.0, 8.0 and 14.0 h post-third levodopa/carbidopa administration

Tmax - Time to Reach maximum plasma concentration of levodopa (mean pharmacokinetic parameter) following first oral administration of 100/25 mg levodopa/carbidopa on Day 12 with 25, 50 and 75 mg OPC or placebo and 200 mg Entacapone

Outcome measures

Outcome measures
Measure
Placebo
n=16 Participants
Placebo: PLC, placebo
OPC 25 mg
n=15 Participants
OPC: BIA 9-1067 25 mg
OPC 50 mg
n=16 Participants
OPC: BIA 9-1067 50 mg
OPC 75 mg
n=16 Participants
OPC: BIA 9-1067 25 mg and 50 mg
ENT 200 mg
n=16 Participants
Entacapone (ENT), over-encapsulated tablet 200 mg
Tmax - Time of Occurrence of Maximum Plasma Concentration
Post First Dose
1.31 hours
Standard Deviation 0.854
1.13 hours
Standard Deviation 0.790
1.34 hours
Standard Deviation 1.01
1.28 hours
Standard Deviation 0.515
1.13 hours
Standard Deviation 0.695
Tmax - Time of Occurrence of Maximum Plasma Concentration
Post Second Dose
0.875 hours
Standard Deviation 0.465
1.20 hours
Standard Deviation 0.862
1.06 hours
Standard Deviation 0.892
1.19 hours
Standard Deviation 0.854
0.906 hours
Standard Deviation 0.491
Tmax - Time of Occurrence of Maximum Plasma Concentration
Post Third Dose
1.69 hours
Standard Deviation 0.964
1.33 hours
Standard Deviation 0.699
1.34 hours
Standard Deviation 0.65
1.31 hours
Standard Deviation 0.854
1.59 hours
Standard Deviation 0.861

PRIMARY outcome

Timeframe: pre-first dose and at 0.5, 1.0, 1.5, 2.0, 3.0, 4.0 and 5.0 h post-first and -second levodopa/carbidopa administration, and at 0.5, 1.0, 1.5, 2.0, 3.0, 4.0, 5.0, 8.0 and 14.0 h post-third levodopa/carbidopa administration

AUC0-∞ of levodopa (mean pharmacokinetic parameter) following first oral administration of 100/25 mg levodopa/carbidopa on Day 12 with 25, 50 and 75 mg OPC or placebo and 200 mg Entacapone.

Outcome measures

Outcome measures
Measure
Placebo
n=16 Participants
Placebo: PLC, placebo
OPC 25 mg
n=15 Participants
OPC: BIA 9-1067 25 mg
OPC 50 mg
n=16 Participants
OPC: BIA 9-1067 50 mg
OPC 75 mg
n=16 Participants
OPC: BIA 9-1067 25 mg and 50 mg
ENT 200 mg
n=16 Participants
Entacapone (ENT), over-encapsulated tablet 200 mg
AUC0-∞ - Area Under the Concentration-time Curve From Time Zero up to Infinity With Extrapolation of the Terminal Phase
Post First Dose
2305 ng.h/mL
Standard Deviation 391
3732 ng.h/mL
Standard Deviation 1418
3363 ng.h/mL
Standard Deviation 1042
3998 ng.h/mL
Standard Deviation 1275
2752 ng.h/mL
Standard Deviation 540
AUC0-∞ - Area Under the Concentration-time Curve From Time Zero up to Infinity With Extrapolation of the Terminal Phase
Post Second Dose
3070 ng.h/mL
Standard Deviation 396
4967 ng.h/mL
Standard Deviation 2003
5727 ng.h/mL
Standard Deviation 1495
6213 ng.h/mL
Standard Deviation 1440
4367 ng.h/mL
Standard Deviation 1463
AUC0-∞ - Area Under the Concentration-time Curve From Time Zero up to Infinity With Extrapolation of the Terminal Phase
Post Third Dose
3299 ng.h/mL
Standard Deviation 433
5614 ng.h/mL
Standard Deviation 2467
5912 ng.h/mL
Standard Deviation 1478
7177 ng.h/mL
Standard Deviation 1835
4707 ng.h/mL
Standard Deviation 363

PRIMARY outcome

Timeframe: pre-first dose and at 0.5, 1.0, 1.5, 2.0, 3.0, 4.0 and 5.0 h post-first and -second levodopa/carbidopa administration, and at 0.5, 1.0, 1.5, 2.0, 3.0, 4.0, 5.0, 8.0 and 14.0 h post-third levodopa/carbidopa administration

AUC0-t - of levodopa (mean pharmacokinetic parameter) following first oral administration of 100/25 mg levodopa/carbidopa on Day 12 with 25, 50 and 75 mg OPC or placebo and 200 mg Entacapone.

Outcome measures

Outcome measures
Measure
Placebo
n=16 Participants
Placebo: PLC, placebo
OPC 25 mg
n=15 Participants
OPC: BIA 9-1067 25 mg
OPC 50 mg
n=16 Participants
OPC: BIA 9-1067 50 mg
OPC 75 mg
n=16 Participants
OPC: BIA 9-1067 25 mg and 50 mg
ENT 200 mg
n=16 Participants
Entacapone (ENT), over-encapsulated tablet 200 mg
AUC0-t - Area Under the Plasma Concentration Versus Time Curve From Time Zero to the Time (t) Corresponding to the Last Quantifiable Concentration.
Post First Dose
1985 ng.h/mL
Standard Deviation 346
2665 ng.h/mL
Standard Deviation 867
2383 ng.h/mL
Standard Deviation 699
2829 ng.h/mL
Standard Deviation 794
2041 ng.h/mL
Standard Deviation 671
AUC0-t - Area Under the Plasma Concentration Versus Time Curve From Time Zero to the Time (t) Corresponding to the Last Quantifiable Concentration.
Post Second Dose
2774 ng.h/mL
Standard Deviation 353
3678 ng.h/mL
Standard Deviation 1455
4151 ng.h/mL
Standard Deviation 1070
4597 ng.h/mL
Standard Deviation 1041
3445 ng.h/mL
Standard Deviation 1128
AUC0-t - Area Under the Plasma Concentration Versus Time Curve From Time Zero to the Time (t) Corresponding to the Last Quantifiable Concentration.
Post Third Dose
3123 ng.h/mL
Standard Deviation 447
5391 ng.h/mL
Standard Deviation 2444
5685 ng.h/mL
Standard Deviation 1466
6928 ng.h/mL
Standard Deviation 1797
4366 ng.h/mL
Standard Deviation 1426

PRIMARY outcome

Timeframe: pre-first dose and at 0.5, 1.0, 1.5, 2.0, 3.0, 4.0 and 5.0 h post-first and -second levodopa/carbidopa administration, and at 0.5, 1.0, 1.5, 2.0, 3.0, 4.0, 5.0, 8.0 and 14.0 h post-third levodopa/carbidopa administration

AUC0-5 - of levodopa (mean pharmacokinetic parameter) following first oral administration of 100/25 mg levodopa/carbidopa on Day 12 with 25, 50 and 75 mg OPC or placebo and 200 mg Entacapone.

Outcome measures

Outcome measures
Measure
Placebo
n=16 Participants
Placebo: PLC, placebo
OPC 25 mg
n=15 Participants
OPC: BIA 9-1067 25 mg
OPC 50 mg
n=16 Participants
OPC: BIA 9-1067 50 mg
OPC 75 mg
n=16 Participants
OPC: BIA 9-1067 25 mg and 50 mg
ENT 200 mg
n=16 Participants
Entacapone (ENT), over-encapsulated tablet 200 mg
AUC0-5 - AUC Over 5 Hours
Post First Dose
1985 ng.h/mL
Standard Deviation 346
2665 ng.h/mL
Standard Deviation 867
2383 ng.h/mL
Standard Deviation 699
2829 ng.h/mL
Standard Deviation 794
2042 ng.h/mL
Standard Deviation 669
AUC0-5 - AUC Over 5 Hours
Post Second Dose
2774 ng.h/mL
Standard Deviation 353
3678 ng.h/mL
Standard Deviation 1455
4151 ng.h/mL
Standard Deviation 1070
4597 ng.h/mL
Standard Deviation 1041
3446 ng.h/mL
Standard Deviation 1125
AUC0-5 - AUC Over 5 Hours
Post Third Dose
2719 ng.h/mL
Standard Deviation 492
3802 ng.h/mL
Standard Deviation 1549
3940 ng.h/mL
Standard Deviation 1022
4882 ng.h/mL
Standard Deviation 1246
3468 ng.h/mL
Standard Deviation 1108

PRIMARY outcome

Timeframe: pre-first dose and at 0.5, 1.0, 1.5, 2.0, 3.0, 4.0 and 5.0 h post-first and -second levodopa/carbidopa administration, and at 0.5, 1.0, 1.5, 2.0, 3.0, 4.0, 5.0, 8.0 and 14.0 h post-third levodopa/carbidopa administration

t1/2 - Terminal plasma half-life of levodopa (mean pharmacokinetic parameter) following first oral administration of 100/25 mg levodopa/carbidopa on Day 12 with 25, 50 and 75 mg OPC or placebo and 200 mg Entacapone.

Outcome measures

Outcome measures
Measure
Placebo
n=16 Participants
Placebo: PLC, placebo
OPC 25 mg
n=15 Participants
OPC: BIA 9-1067 25 mg
OPC 50 mg
n=16 Participants
OPC: BIA 9-1067 50 mg
OPC 75 mg
n=16 Participants
OPC: BIA 9-1067 25 mg and 50 mg
ENT 200 mg
n=16 Participants
Entacapone (ENT), over-encapsulated tablet 200 mg
t1/2 - Terminal Plasma Half-life
Post First Dose
1.46 Hours
Standard Deviation 0.406
2.47 Hours
Standard Deviation 0.830
2.47 Hours
Standard Deviation 0.098
2.39 Hours
Standard Deviation 0.556
2.11 Hours
Standard Deviation 0.626
t1/2 - Terminal Plasma Half-life
Post Second Dose
1.41 Hours
Standard Deviation 0.136
2.23 Hours
Standard Deviation 0.385
2.46 Hours
Standard Deviation 0.312
2.23 Hours
Standard Deviation 0.513
2.09 Hours
Standard Deviation 0.486
t1/2 - Terminal Plasma Half-life
Post Third Dose
1.74 Hours
Standard Deviation 0.349
2.56 Hours
Standard Deviation 0.440
2.75 Hours
Standard Deviation 0.513
2.70 Hours
Standard Deviation 0.462
2.20 Hours
Standard Deviation 0.632

Adverse Events

Group 1

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

Group 2

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Group 3

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Group 4

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Group 5

Serious events: 0 serious events
Other events: 11 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Group 1
n=16 participants at risk
Placebo once-daily for 11 days 200 mg entacapone concomitantly with levodopa/carbidopa on Day 12 Entacapone: Entacapone (ENT), over-encapsulated tablet 200 mg Placebo: PLC, placebo Levodopa/carbidopa: Levodopa/carbidopa, tablet 100/25 mg
Group 2
n=16 participants at risk
25 mg BIA 9-1067 once-daily for 11 days Placebo concomitantly with levodopa/carbidopa on Day 12 BIA 9-1067: BIA 9-1067 25 mg and 50 mg Placebo: PLC, placebo Levodopa/carbidopa: Levodopa/carbidopa, tablet 100/25 mg
Group 3
n=16 participants at risk
50 mg 9-1067 once-daily for 11 days Placebo concomitantly with levodopa/carbidopa on Day 12 BIA 9-1067: BIA 9-1067 25 mg and 50 mg Placebo: PLC, placebo Levodopa/carbidopa: Levodopa/carbidopa, tablet 100/25 mg
Group 4
n=16 participants at risk
75 mg 9-1067 once-daily for 11 days placebo concomitantly with levodopa/carbidopa on Day 12 BIA 9-1067: BIA 9-1067 25 mg and 50 mg Placebo: PLC, placebo Levodopa/carbidopa: Levodopa/carbidopa, tablet 100/25 mg
Group 5
n=16 participants at risk
placebo once-daily for 11 days placebo concomitantly with levodopa/carbidopa on Day 12 Placebo: PLC, placebo Levodopa/carbidopa: Levodopa/carbidopa, tablet 100/25 mg
Cardiac disorders
Atrioventricular Block Second Degree
6.2%
1/16
0.00%
0/16
0.00%
0/16
6.2%
1/16
0.00%
0/16
Cardiac disorders
Palpitations
6.2%
1/16
0.00%
0/16
0.00%
0/16
0.00%
0/16
0.00%
0/16
Ear and labyrinth disorders
Vertigo
0.00%
0/16
0.00%
0/16
6.2%
1/16
0.00%
0/16
0.00%
0/16
Gastrointestinal disorders
Abdominal Pain
6.2%
1/16
6.2%
1/16
6.2%
1/16
6.2%
1/16
6.2%
1/16
Gastrointestinal disorders
Diarrhoea
0.00%
0/16
0.00%
0/16
12.5%
2/16
0.00%
0/16
0.00%
0/16
Gastrointestinal disorders
Flatulence
0.00%
0/16
0.00%
0/16
0.00%
0/16
6.2%
1/16
0.00%
0/16
Gastrointestinal disorders
Nausea
31.2%
5/16
18.8%
3/16
50.0%
8/16
50.0%
8/16
25.0%
4/16
Gastrointestinal disorders
Odynophagia
0.00%
0/16
0.00%
0/16
0.00%
0/16
6.2%
1/16
0.00%
0/16
Gastrointestinal disorders
Vomiting
6.2%
1/16
18.8%
3/16
12.5%
2/16
18.8%
3/16
6.2%
1/16
Infections and infestations
Rhinitis
0.00%
0/16
0.00%
0/16
0.00%
0/16
6.2%
1/16
0.00%
0/16
Musculoskeletal and connective tissue disorders
Muscle Spasms
6.2%
1/16
6.2%
1/16
0.00%
0/16
0.00%
0/16
0.00%
0/16
Nervous system disorders
Dizziness
0.00%
0/16
6.2%
1/16
6.2%
1/16
0.00%
0/16
12.5%
2/16
Nervous system disorders
Headache
31.2%
5/16
12.5%
2/16
12.5%
2/16
6.2%
1/16
12.5%
2/16
Nervous system disorders
Somnolence
0.00%
0/16
0.00%
0/16
0.00%
0/16
0.00%
0/16
6.2%
1/16
Reproductive system and breast disorders
Dysmenorrhoea
0.00%
0/16
0.00%
0/16
6.2%
1/16
0.00%
0/16
12.5%
2/16
Skin and subcutaneous tissue disorders
Cold Sweat
0.00%
0/16
0.00%
0/16
6.2%
1/16
0.00%
0/16
0.00%
0/16
Respiratory, thoracic and mediastinal disorders
Pityriasis
0.00%
0/16
0.00%
0/16
0.00%
0/16
0.00%
0/16
6.2%
1/16
Skin and subcutaneous tissue disorders
Purpura
0.00%
0/16
0.00%
0/16
0.00%
0/16
0.00%
0/16
6.2%
1/16
Vascular disorders
Hot Flush
0.00%
0/16
0.00%
0/16
18.8%
3/16
12.5%
2/16
6.2%
1/16
Vascular disorders
Varicophlebitis
0.00%
0/16
0.00%
0/16
6.2%
1/16
0.00%
0/16
0.00%
0/16

Additional Information

Head of Clinical Research

Bial - Portela & CÂȘ, S.A.

Phone: +351 229 866 100

Results disclosure agreements

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

Restriction type: OTHER