Infusion of Apomorphine: Long-term Safety Study

NCT ID: NCT02339064

Last Updated: 2025-06-19

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

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

99 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-02-28

Study Completion Date

2025-12-31

Brief Summary

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This is a Phase 3, multicenter, open-label, safety and tolerability study of continuous apomorphine infusion in subjects with advanced Parkinson's Disease (PD) whose motor fluctuations remain unsatisfactory with levodopa (or levodopa/carbidopa) and at least one other class of drugs or mode of therapy for PD.

Detailed Description

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This Phase 3, multicenter, open-label study will assess the long-term safety and tolerability of continuous subcutaneous infusion of apomorphine in advanced Parkinson's disease (PD) patients whose motor fluctuations remain unsatisfactory with levodopa (or levodopa/carbidopa) and at least one other class of drugs or mode of therapy for PD.

Further, this study will assess the clinical effectiveness of continuous apomorphine subcutaneous infusion in reducing "off" time in advanced PD patients and to assess the clinical effectiveness of continuous subcutaneous infusion of apomorphine in improving "on" time without resulting in an increase in troublesome dyskinesias.

Conditions

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Idiopathic Parkinson's Disease

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Apomorphine infusion

Continuous subcutaneous apomorphine infusion

Group Type EXPERIMENTAL

apomorphine infusion

Intervention Type DRUG

Treatment with apomorphine provided by continuous subcutaneous infusion using a portable external electronic pump device

Interventions

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apomorphine infusion

Treatment with apomorphine provided by continuous subcutaneous infusion using a portable external electronic pump device

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Advanced idiopathic PD consistent with UK Parkinson's Disease Society Brain Bank Clinical Diagnostic Criteria
* Overall motor control is unsatisfactory in the opinion of the Investigator and subject despite optimized treatment with available therapies, which must include a stable regimen of daily maintenance levodopa (or levodopa/carbidopa), and at least one of the following other classes of therapies:
* Dopamine agonists (note: APOKYN intermittent injection is not to be considered here)
* Monoamine oxidase B \[MAO B\] inhibitors
* Catechol-O-methyltransferase (COMT) inhibitors
* Deep brain stimulation (DBS)
* Levodopa/carbidopa intestinal gel surgery (Duopa, Duodopa)
* Other - amantadine at doses of up to 400 mg per day)
* Experiences "off" periods averaging ≥3.0 hours per waking day
* Other criteria will be discussed in detail with potential subjects by site Investigator

Exclusion Criteria

* Planned surgical intervention for the treatment of Parkinson's disease during participation in the study
* History of hypersensitivity to apomorphine hydrochloride or any of the ingredients of APOKYN PFS, including sodium metabisulfite
* Known, suspected, or planned pregnancy or lactation.
* Recent history (within the previous 12 months) of alcohol or substance abuse
* History of impulsive/compulsive behaviors primarily associated with the use of dopamine agonists
* History of previously treated or current diagnosis of malignant melanoma
* Exhibits certain signs and symptoms of cardiovascular disease
* Other criteria will be discussed in detail with potential subjects by site Investigator
Minimum Eligible Age

30 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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MDD US Operations, LLC a subsidiary of Supernus Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Gianpiera Ceresoli-Borroni, PhD

Role: STUDY_DIRECTOR

Supernus Pharmaceuticals, Inc.

Locations

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Phoenix, Arizona, United States

Site Status

Loma Linda, California, United States

Site Status

Los Angeles, California, United States

Site Status

Los Angeles, California, United States

Site Status

Aurora, Colorado, United States

Site Status

Englewood, Colorado, United States

Site Status

Boca Raton, Florida, United States

Site Status

Atlanta, Georgia, United States

Site Status

Augusta, Georgia, United States

Site Status

Chicago, Illinois, United States

Site Status

Chicago, Illinois, United States

Site Status

Kansas City, Kansas, United States

Site Status

West Bloomfield, Michigan, United States

Site Status

Albany, New York, United States

Site Status

Cincinnati, Ohio, United States

Site Status

Portland VA Medical Center

Portland, Oregon, United States

Site Status

Philadelphia, Pennsylvania, United States

Site Status

Kirkland, Washington, United States

Site Status

Countries

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United States

Other Identifiers

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USWM-AP2-3000

Identifier Type: -

Identifier Source: org_study_id

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