A Study to Assess the PK and Pharmacodynamics of IPX203 in Patients With Advanced Parkinson's Disease

NCT ID: NCT02271503

Last Updated: 2019-11-06

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

26 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-11-30

Study Completion Date

2016-08-31

Brief Summary

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This is a randomized, open-label, rater-blinded, multicenter, 3-treatment, 3 period, single-dose crossover study. Approximately 51 qualified immediate-release (IR) CD-LD-experienced advanced Parkinson's disease patients will be randomized to 1 of 3 dosing sequences.

Objectives:

* Assess the pharmacodynamics and pharmacokinetics (PK) of IPX203 (carbidopa and levodopa) in subjects with advanced Parkinson's disease.
* Characterize the safety of IPX203 in subjects with advanced Parkinson's disease.

Detailed Description

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IPX203 contains two different drugs called levodopa and carbidopa in one capsule.

* levodopa turns into a material called 'dopamine' in your brain. The dopamine helps to improve the symptoms of your Parkinson's disease.
* carbidopa belongs to a group of medicines called 'aromatic amino acid decarboxylase inhibitors'. It helps levodopa work more effectively by slowing the speed at which levodopa is broken down in your body.

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

DOUBLE

Investigators Outcome Assessors

Study Groups

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Sequence 1

Subject received a single dose of IPX203 180 mg and/or IPX203 270mg in Period 1, a single dose of CD-LD IR in Period 2, and a single dose of Rytary 145 mg and/or Rytary 195 mg in Period 3.

Group Type OTHER

CD-LD IR

Intervention Type DRUG

CD-LD IR containing 25 mg carbidopa and 100 mg levodopa

IPX203 180 mg

Intervention Type DRUG

IPX203 containing 45 mg carbidopa and180 mg levodopa

IPX203 270 mg

Intervention Type DRUG

IPX203 containing 67.5 mg carbidopa and 270 mg levodopa

Rytary 195 mg

Intervention Type DRUG

Rytary 48.75Mg-195Mg Extended-Release Capsule

Rytary 145 mg

Intervention Type DRUG

Rytary 36.25Mg-145Mg Extended-Release Capsule

Sequence 2

Subject received a single dose of a single dose of CD-LD IR in Period 1, a single dose of Rytary 145 mg and/or Rytary 195 mg in Period 2, and a single dose of IPX203 180 mg and/or IPX203 270mg in Period 3.

Group Type OTHER

CD-LD IR

Intervention Type DRUG

CD-LD IR containing 25 mg carbidopa and 100 mg levodopa

IPX203 180 mg

Intervention Type DRUG

IPX203 containing 45 mg carbidopa and180 mg levodopa

IPX203 270 mg

Intervention Type DRUG

IPX203 containing 67.5 mg carbidopa and 270 mg levodopa

Rytary 195 mg

Intervention Type DRUG

Rytary 48.75Mg-195Mg Extended-Release Capsule

Rytary 145 mg

Intervention Type DRUG

Rytary 36.25Mg-145Mg Extended-Release Capsule

Sequence 3

Subject received a single dose of a single dose of Rytary 145 mg and/or Rytary 195 mg in Period 1, a single dose of IPX203 180 mg and/or IPX203 270mg in Period 2, and a single dose of CD-LD IR in Period 3.

Group Type OTHER

CD-LD IR

Intervention Type DRUG

CD-LD IR containing 25 mg carbidopa and 100 mg levodopa

IPX203 180 mg

Intervention Type DRUG

IPX203 containing 45 mg carbidopa and180 mg levodopa

IPX203 270 mg

Intervention Type DRUG

IPX203 containing 67.5 mg carbidopa and 270 mg levodopa

Rytary 195 mg

Intervention Type DRUG

Rytary 48.75Mg-195Mg Extended-Release Capsule

Rytary 145 mg

Intervention Type DRUG

Rytary 36.25Mg-145Mg Extended-Release Capsule

Interventions

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CD-LD IR

CD-LD IR containing 25 mg carbidopa and 100 mg levodopa

Intervention Type DRUG

IPX203 180 mg

IPX203 containing 45 mg carbidopa and180 mg levodopa

Intervention Type DRUG

IPX203 270 mg

IPX203 containing 67.5 mg carbidopa and 270 mg levodopa

Intervention Type DRUG

Rytary 195 mg

Rytary 48.75Mg-195Mg Extended-Release Capsule

Intervention Type DRUG

Rytary 145 mg

Rytary 36.25Mg-145Mg Extended-Release Capsule

Intervention Type DRUG

Other Intervention Names

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Sinemet CD-LD ER 180 mg CD-LD ER 270 mg

Eligibility Criteria

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Inclusion Criteria

Male or female subjects diagnosed with idiopathic PD with motor complications, who are currently being treated chronically with stable regimens of CD-LD.

Requiring at least 400 mg but not more than 1600 mg LD per day during the waking hours; and at least 100 mg but not more than 250 mg LD from IR CD-LD for the first morning dose.

Dosing frequency of IR CD-LD of at least 4 times daily excluding nighttime dosing.

Have an average of at least 2 hours per day "off" time during the waking hours and at least 1 hour "off" time per day, based on the PD diary collected for 3 consecutive days prior to Visit 1.

Exclusion Criteria

Have used first morning dose of controlled-release (CR) CD-LD or Rytary for at least 4 weeks prior to Visit 1.

Female subjects who are currently breastfeeding or lactating.

Had prior functional neurosurgical treatment for PD (ablation or deep brain stimulation) or if such procedure(s) are planned or anticipated during the study period.

Allergic to study drugs

History of medical conditions or of a prior surgical procedure that would interfere with LD absorption, such as gastrectomy or small-bowel resection.

History of peptic ulcer disease or upper gastrointestinal hemorrhage.

History of narrow angle glaucoma.

History of myocardial infarction with residual atrial, nodal, or ventricular arrhythmias; neuroleptic malignant syndrome; or nontraumatic rhabdomyolysis.

History of psychosis.

Employees or family members of the Investigator, study site, or Sponsor.

Subjects who, in the opinion of the clinical investigator, should not participate in the study.

Based on clinical assessment, subject does not adequately comprehend the terminology needed to complete the PD diary.
Minimum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Impax Laboratories, LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Impax Study Director

Role: STUDY_DIRECTOR

Impax Laboratories, LLC

Locations

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Muhammad Ali Movement Disorder Center (MAMDC)

Phoenix, Arizona, United States

Site Status

Clinical Trials, Inc.

Little Rock, Arkansas, United States

Site Status

The Parkinson's and Movement Disorder Institute

Fountain Valley, California, United States

Site Status

Parkinson's Disease and Movement Disorders Center of Boca Raton

Boca Raton, Florida, United States

Site Status

Collier Neurologic Specialists

Naples, Florida, United States

Site Status

University of South Florida Parkinson's Disease and Movement Disorder Center

Tampa, Florida, United States

Site Status

Georgia Regents University

Augusta, Georgia, United States

Site Status

QUEST Research Institute

Farmington Hills, Michigan, United States

Site Status

Duke University Movement Disorders Clinic

Durham, North Carolina, United States

Site Status

University Hospitals Case Medical Center

Cleveland, Ohio, United States

Site Status

Premier Clinical Research

Spokane, Washington, United States

Site Status

Countries

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United States

Other Identifiers

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IPX203-B14-02

Identifier Type: -

Identifier Source: org_study_id

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