Trial Outcomes & Findings for A Long Term Safety Study of ND0612 Administered as a Continuous SC Infusion in Advanced Parkinson's Disease (NCT NCT02726386)
NCT ID: NCT02726386
Last Updated: 2025-05-30
Results Overview
Long-term safety (systemic and local) assessment will be based on adverse events (AEs), with a focus on adverse events of special interest (AESI), i.e., infusion site reactions, cases of hypersensitivity, polyneuropathy.
ACTIVE_NOT_RECRUITING
PHASE2
214 participants
Baseline to Month 12
2025-05-30
Participant Flow
Participant milestones
| Measure |
24-hour Dosing Regimen
Continuous SC infusion over 24 hours: fixed day rate of up to 0.64 mL/h for 18 hours, followed by a night rate of 0.08 mL/h for 6 hours to deliver a total daily dose of up to 720/90 mg of levodopa/carbidopa.
All patients who had been previously assigned to the 24-hour group in the prior study continued on this dosing regimen; patients who had previously been assigned to the 14-hour daytime regimen were switched to the 24-hour regimen.
ND0612: ND0612, a solution of levodopa/carbidopa (LD/CD) delivered continuously subcutaneously (SC) via an infusion pump system
|
16-hour Dosing Regimen
Continuous SC infusion for over 16 hours: fixed rate of 0.75 mL/h to deliver a total infusion dose of 720/90 mg of levodopa/carbidopa over 16 hours.
The device is removed at night and patients in this group also receive a morning oral dose of levodopa/carbidopa upon awakening.
ND0612: ND0612, a solution of levodopa/carbidopa (LD/CD) delivered continuously subcutaneously (SC) via an infusion pump system
|
|---|---|---|
|
Overall Study
STARTED
|
90
|
124
|
|
Overall Study
COMPLETED
|
52
|
68
|
|
Overall Study
NOT COMPLETED
|
38
|
56
|
Reasons for withdrawal
| Measure |
24-hour Dosing Regimen
Continuous SC infusion over 24 hours: fixed day rate of up to 0.64 mL/h for 18 hours, followed by a night rate of 0.08 mL/h for 6 hours to deliver a total daily dose of up to 720/90 mg of levodopa/carbidopa.
All patients who had been previously assigned to the 24-hour group in the prior study continued on this dosing regimen; patients who had previously been assigned to the 14-hour daytime regimen were switched to the 24-hour regimen.
ND0612: ND0612, a solution of levodopa/carbidopa (LD/CD) delivered continuously subcutaneously (SC) via an infusion pump system
|
16-hour Dosing Regimen
Continuous SC infusion for over 16 hours: fixed rate of 0.75 mL/h to deliver a total infusion dose of 720/90 mg of levodopa/carbidopa over 16 hours.
The device is removed at night and patients in this group also receive a morning oral dose of levodopa/carbidopa upon awakening.
ND0612: ND0612, a solution of levodopa/carbidopa (LD/CD) delivered continuously subcutaneously (SC) via an infusion pump system
|
|---|---|---|
|
Overall Study
Adverse Event
|
17
|
20
|
|
Overall Study
Withdrawal by Subject
|
14
|
28
|
|
Overall Study
Other reasons
|
7
|
8
|
Baseline Characteristics
A Long Term Safety Study of ND0612 Administered as a Continuous SC Infusion in Advanced Parkinson's Disease
Baseline characteristics by cohort
| Measure |
24-hour Dosing Regimen
n=90 Participants
Continuous SC infusion over 24 hours: fixed day rate of up to 0.64 mL/h for 18 hours, followed by a night rate of 0.08 mL/h for 6 hours to deliver a total daily dose of up to 720/90 mg of levodopa/carbidopa.
All patients who had been previously assigned to the 24-hour group in the prior study continued on this dosing regimen; patients who had previously been assigned to the 14-hour daytime regimen were switched to the 24-hour regimen.
ND0612: ND0612, a solution of levodopa/carbidopa (LD/CD) delivered continuously subcutaneously (SC) via an infusion pump system
|
16-hour Dosing Regimen
n=124 Participants
Continuous SC infusion for over 16 hours: fixed rate of 0.75 mL/h to deliver a total infusion dose of 720/90 mg of levodopa/carbidopa over 16 hours.
The device is removed at night and patients in this group also receive a morning oral dose of levodopa/carbidopa upon awakening.
ND0612: ND0612, a solution of levodopa/carbidopa (LD/CD) delivered continuously subcutaneously (SC) via an infusion pump system
|
Total
n=214 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Continuous
|
64.2 years
STANDARD_DEVIATION 8.9 • n=5 Participants
|
63.9 years
STANDARD_DEVIATION 8.9 • n=7 Participants
|
64.0 years
STANDARD_DEVIATION 8.9 • n=5 Participants
|
|
Age, Customized
Age (years) · <65 years
|
43 Participants
n=5 Participants
|
63 Participants
n=7 Participants
|
106 Participants
n=5 Participants
|
|
Age, Customized
Age (years) · ≥65 years
|
47 Participants
n=5 Participants
|
61 Participants
n=7 Participants
|
108 Participants
n=5 Participants
|
|
Sex: Female, Male
Female
|
32 Participants
n=5 Participants
|
40 Participants
n=7 Participants
|
72 Participants
n=5 Participants
|
|
Sex: Female, Male
Male
|
58 Participants
n=5 Participants
|
84 Participants
n=7 Participants
|
142 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Ethnicity · Caucasian
|
86 Participants
n=5 Participants
|
116 Participants
n=7 Participants
|
202 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Ethnicity · Other
|
4 Participants
n=5 Participants
|
8 Participants
n=7 Participants
|
12 Participants
n=5 Participants
|
|
BMI
|
27.0 kg/m^2
STANDARD_DEVIATION 5.5 • n=5 Participants
|
27.2 kg/m^2
STANDARD_DEVIATION 5.9 • n=7 Participants
|
27.1 kg/m^2
STANDARD_DEVIATION 5.7 • n=5 Participants
|
|
BMI
<20 kg/m2
|
11 Participants
n=5 Participants
|
11 Participants
n=7 Participants
|
22 Participants
n=5 Participants
|
|
BMI
≥20 kg/m2
|
79 Participants
n=5 Participants
|
113 Participants
n=7 Participants
|
192 Participants
n=5 Participants
|
|
Modified Hoehn & Yahr
<2
|
4 Participants
n=5 Participants
|
5 Participants
n=7 Participants
|
9 Participants
n=5 Participants
|
|
Modified Hoehn & Yahr
2
|
37 Participants
n=5 Participants
|
52 Participants
n=7 Participants
|
89 Participants
n=5 Participants
|
|
Modified Hoehn & Yahr
2.5
|
17 Participants
n=5 Participants
|
32 Participants
n=7 Participants
|
49 Participants
n=5 Participants
|
|
Modified Hoehn & Yahr
3
|
32 Participants
n=5 Participants
|
35 Participants
n=7 Participants
|
67 Participants
n=5 Participants
|
|
MMSE total score
|
28.8 Points
STANDARD_DEVIATION 1.2 • n=5 Participants
|
28.8 Points
STANDARD_DEVIATION 1.2 • n=7 Participants
|
28.8 Points
STANDARD_DEVIATION 1.2 • n=5 Participants
|
|
Time since PD diagnosis
|
10.6 years
STANDARD_DEVIATION 5.3 • n=5 Participants
|
7.9 years
STANDARD_DEVIATION 3.8 • n=7 Participants
|
9.0 years
STANDARD_DEVIATION 4.7 • n=5 Participants
|
|
Time since onset of fluctuations
|
5.3 years
STANDARD_DEVIATION 4.3 • n=5 Participants
|
5.2 years
STANDARD_DEVIATION 4.2 • n=7 Participants
|
5.3 years
STANDARD_DEVIATION 4.2 • n=5 Participants
|
|
Total daily levodopa dose
|
1090 mg
STANDARD_DEVIATION 623 • n=5 Participants
|
1004 mg
STANDARD_DEVIATION 540 • n=7 Participants
|
1040 mg
STANDARD_DEVIATION 577 • n=5 Participants
|
|
Total daily levodopa frequency
|
5.9 Times per day
STANDARD_DEVIATION 2.2 • n=5 Participants
|
5.1 Times per day
STANDARD_DEVIATION 1.7 • n=7 Participants
|
5.5 Times per day
STANDARD_DEVIATION 2.0 • n=5 Participants
|
|
Concomitant medications
Dopamine agonists
|
52 Participants
n=5 Participants
|
58 Participants
n=7 Participants
|
110 Participants
n=5 Participants
|
|
Concomitant medications
MAO-B inhibitors
|
37 Participants
n=5 Participants
|
44 Participants
n=7 Participants
|
81 Participants
n=5 Participants
|
|
Concomitant medications
COMT inhibitors
|
28 Participants
n=5 Participants
|
24 Participants
n=7 Participants
|
52 Participants
n=5 Participants
|
|
Concomitant medications
Amantadine
|
25 Participants
n=5 Participants
|
30 Participants
n=7 Participants
|
55 Participants
n=5 Participants
|
PRIMARY outcome
Timeframe: Baseline to Month 12Population: Safety set
Long-term safety (systemic and local) assessment will be based on adverse events (AEs), with a focus on adverse events of special interest (AESI), i.e., infusion site reactions, cases of hypersensitivity, polyneuropathy.
Outcome measures
| Measure |
24-hour Dosing Regimen
n=90 Participants
Continuous SC infusion over 24 hours: fixed day rate of up to 0.64 mL/h for 18 hours, followed by a night rate of 0.08 mL/h for 6 hours to deliver a total daily dose of up to 720/90 mg of levodopa/carbidopa.
All patients who had been previously assigned to the 24-hour group in the prior study continued on this dosing regimen; patients who had previously been assigned to the 14-hour daytime regimen were switched to the 24-hour regimen.
ND0612: ND0612, a solution of levodopa/carbidopa (LD/CD) delivered continuously subcutaneously (SC) via an infusion pump system
|
16-hour Dosing Regimen
n=124 Participants
Continuous SC infusion for over 16 hours: fixed rate of 0.75 mL/h to deliver a total infusion dose of 720/90 mg of levodopa/carbidopa over 16 hours.
The device is removed at night and patients in this group also receive a morning oral dose of levodopa/carbidopa upon awakening.
ND0612: ND0612, a solution of levodopa/carbidopa (LD/CD) delivered continuously subcutaneously (SC) via an infusion pump system
|
|---|---|---|
|
Adverse Events (Long-term Safety)
Drug-related TEAEs
|
65 Participants
|
78 Participants
|
|
Adverse Events (Long-term Safety)
Death
|
0 Participants
|
1 Participants
|
|
Adverse Events (Long-term Safety)
Any TEAE
|
78 Participants
|
105 Participants
|
|
Adverse Events (Long-term Safety)
Infusion site TEAEs
|
55 Participants
|
66 Participants
|
|
Adverse Events (Long-term Safety)
Serious TEAEs
|
17 Participants
|
14 Participants
|
PRIMARY outcome
Timeframe: Baseline to Month 12Population: Intention-to-Treat (ITT) set
Tolerability will be assessed based on the percentage of subjects that complete the 12-month treatment period of the study and the percentage of subjects who discontinue from the 12-month treatment period due to an AE.
Outcome measures
| Measure |
24-hour Dosing Regimen
n=90 Participants
Continuous SC infusion over 24 hours: fixed day rate of up to 0.64 mL/h for 18 hours, followed by a night rate of 0.08 mL/h for 6 hours to deliver a total daily dose of up to 720/90 mg of levodopa/carbidopa.
All patients who had been previously assigned to the 24-hour group in the prior study continued on this dosing regimen; patients who had previously been assigned to the 14-hour daytime regimen were switched to the 24-hour regimen.
ND0612: ND0612, a solution of levodopa/carbidopa (LD/CD) delivered continuously subcutaneously (SC) via an infusion pump system
|
16-hour Dosing Regimen
n=124 Participants
Continuous SC infusion for over 16 hours: fixed rate of 0.75 mL/h to deliver a total infusion dose of 720/90 mg of levodopa/carbidopa over 16 hours.
The device is removed at night and patients in this group also receive a morning oral dose of levodopa/carbidopa upon awakening.
ND0612: ND0612, a solution of levodopa/carbidopa (LD/CD) delivered continuously subcutaneously (SC) via an infusion pump system
|
|---|---|---|
|
Percentages of Subjects Who Complete the 12-month Treatment Period or Discontinue Due to AE (Tolerability)
Completed the 12-month treatment period
|
52 Participants
|
68 Participants
|
|
Percentages of Subjects Who Complete the 12-month Treatment Period or Discontinue Due to AE (Tolerability)
Discontinued due to AE
|
17 Participants
|
20 Participants
|
SECONDARY outcome
Timeframe: Month 12 to Month 102Long-term safety (systemic and local) and tolerability will be based on AEs, with a focus on AESI, i.e., infusion site reactions, cases of hypersensitivity, polyneuropathy.
Outcome measures
Outcome data not reported
OTHER_PRE_SPECIFIED outcome
Timeframe: Baseline to Month 12Exploratory endpoint. "ON" time without troublesome dyskinesia is defined as the sum of "ON" time without dyskinesia and "ON" time with non-troublesome dyskinesia. Daily "ON" time without troublesome dyskinesia will be assessed based on home "ON/OFF" diaries and normalized to 16 hours of awake time.
Outcome measures
Outcome data not reported
OTHER_PRE_SPECIFIED outcome
Timeframe: Baseline to Month 12Exploratory endpoint. Daily "OFF" time will be assessed based on home "ON/OFF" diaries and normalized to 16 hours of awake time.
Outcome measures
Outcome data not reported
OTHER_PRE_SPECIFIED outcome
Timeframe: Baseline to Month 12Exploratory endpoint. Total daily dose of oral Levodopa (LD)/Dopa-Decarboxylase Inhibitor (DDI).
Outcome measures
Outcome data not reported
OTHER_PRE_SPECIFIED outcome
Timeframe: Baseline to Month 12Exploratory endpoint. A responder is defined as a subject that experiences ≥50% reduction in "OFF" time from Baseline. Improvement of ≥50% in "OFF" time will be assessed based on home "ON/OFF" diaries and normalized to 16 hours of awake time.
Outcome measures
Outcome data not reported
OTHER_PRE_SPECIFIED outcome
Timeframe: Baseline to Month 12Exploratory endpoint. Daily "ON" time with troublesome dyskinesia will be assessed based on home "ON/OFF" diaries in a subset of subjects who had more than 1 hour of troublesome dyskinesia at baseline. It will be normalized to 16 hours of awake time.
Outcome measures
Outcome data not reported
OTHER_PRE_SPECIFIED outcome
Timeframe: Baseline to Month 12Exploratory endpoint. Quality of Life in Parkinson's Disease (PDQ)-39 is a 39-item, self-administered questionnaire with 8 discrete dimensions (mobility, activities of daily living, emotional well-being, stigma, social support, cognition, communication, and bodily discomfort.). The PDQ-39 Summary Index is the sum of the dimension scores divided by the number of dimensions. Higher scores indicate a worse quality of life.
Outcome measures
Outcome data not reported
OTHER_PRE_SPECIFIED outcome
Timeframe: Baseline to Month 12Exploratory endpoint. The perception of general quality of life (QoL) will be rated by the subjects using the EuroQoL 5-dimensions 5-severity levels (EQ-5D-5L) questionnaire. The EQ-5D-5L consists of 2 pages, the EQ-5D-5L descriptive system and the EQ Visual Analogue Scale (VAS). The descriptive system comprises 5 dimensions (mobility, self care, usual activities, pain/discomfort, anxiety/depression). Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems, and extreme problems. The EQ VAS records the respondent's self-rated health on a 20 cm vertical VAS with endpoints labelled 'the best health you can imagine' and 'the worst health you can imagine'. Decrease in the 5-dimensions scores and increase in EQ VAS score will indicate improvement.
Outcome measures
Outcome data not reported
OTHER_PRE_SPECIFIED outcome
Timeframe: Baseline to Month 12Exploratory endpoint. The Unified Parkinson's disease rating scale (UPDRS) is an Investigator-used rating tool to follow the longitudinal course of Parkinson's disease. The UPDRS Part II (activity of daily living) score was calculated as the sum of the individual UPDRS items 5-17. The Part II score is the sum of the answers to the 13 questions that comprise Part II, each of which are measured on a 5-point scale (i.e., 0 is normal and 4 indicates a severe abnormality). Higher scores correlate with greater impairments for daily activities.
Outcome measures
Outcome data not reported
OTHER_PRE_SPECIFIED outcome
Timeframe: Baseline to Month 12Exploratory endpoint. Clinical Global Impression (CGI) Severity (CGI-S) and Improvement (CGI-I) are rated by the investigator or designee. CGI-S employs a 7-point scale with 1 being "not at all ill" and 7 being "among the most severely ill subjects" for severity rating. The CGI-I employs a 7-point scale with 1 being "very much improved" and 7 being "very much worse" for improvement rating.
Outcome measures
Outcome data not reported
OTHER_PRE_SPECIFIED outcome
Timeframe: Baseline to Month 12Exploratory endpoint. Subjects Global Impression of Improvement (SGI-I) is rated by the subject. The SGI-I employs a 7-point scale with 1 being "very much improved" and 7 being "very much worse" for improvement rating.
Outcome measures
Outcome data not reported
OTHER_PRE_SPECIFIED outcome
Timeframe: Baseline to Month 12Exploratory endpoint. The quality of night sleep is rated by the subjects using the Parkinson's Disease Sleep Scale (PDSS)-2, which includes questions addressing 15 commonly reported symptoms associated with sleep disturbance in PD. Higher scores indicate a lower quality of sleep, i.e., a reduction in the score indicates an improvement in sleep quality.
Outcome measures
Outcome data not reported
OTHER_PRE_SPECIFIED outcome
Timeframe: Baseline to Month 12Exploratory endpoint. The Unified Parkinson's Disease Rating Scale (UPDRS) is an Investigator-used rating tool to follow the longitudinal course of Parkinson's disease. UPDRS part III (motor) score is calculated as the sum of the individual UPDRS items 18-31, each of which are measured on a 5-point scale (i.e., 0 is normal and 4 indicates a severe abnormality). Higher scores correlate with greater motor impairment.
Outcome measures
Outcome data not reported
OTHER_PRE_SPECIFIED outcome
Timeframe: Baseline to Month 12Exploratory endpoint. Good "ON" time (or "ON" time without troublesome dyskinesia) is defined as the sum of "ON" time without dyskinesia and "ON" time with non-troublesome dyskinesia. For this endpoint, Good "ON" time and "OFF" time will be assessed based on home "ON/OFF" diaries during the first 3 hours since the subject is awake after 06:00 (6 am).
Outcome measures
Outcome data not reported
OTHER_PRE_SPECIFIED outcome
Timeframe: Baseline to Month 12Exploratory endpoint. Change in ND0612 total daily dose.
Outcome measures
Outcome data not reported
OTHER_PRE_SPECIFIED outcome
Timeframe: Baseline to Month 102Exploratory endpoint. Proportion of patients who reduced ND0612 total dose at any time during the study.
Outcome measures
Outcome data not reported
Adverse Events
24-hour Dosing Regimen
16-hour Dosing Regimen
Serious adverse events
| Measure |
24-hour Dosing Regimen
n=90 participants at risk
Continuous SC infusion over 24 hours: fixed day rate of up to 0.64 mL/h for 18 hours, followed by a night rate of 0.08 mL/h for 6 hours to deliver a total daily dose of up to 720/90 mg of levodopa/carbidopa.
All patients who had been previously assigned to the 24-hour group in the prior study continued on this dosing regimen; patients who had previously been assigned to the 14-hour daytime regimen were switched to the 24-hour regimen.
ND0612: ND0612, a solution of levodopa/carbidopa (LD/CD) delivered continuously subcutaneously (SC) via an infusion pump system
|
16-hour Dosing Regimen
n=124 participants at risk
Continuous SC infusion for over 16 hours: fixed rate of 0.75 mL/h to deliver a total infusion dose of 720/90 mg of levodopa/carbidopa over 16 hours.
The device is removed at night and patients in this group also receive a morning oral dose of levodopa/carbidopa upon awakening.
ND0612: ND0612, a solution of levodopa/carbidopa (LD/CD) delivered continuously subcutaneously (SC) via an infusion pump system
|
|---|---|---|
|
Cardiac disorders
Cardiac disorder
|
0.00%
0/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
0.81%
1/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
Endocrine disorders
Inappropriate antidiuretic hormone secretion
|
0.00%
0/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
0.81%
1/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
Gastrointestinal disorders
Gastrointestinal haemorrhage
|
0.00%
0/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
0.81%
1/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
Gastrointestinal disorders
Inguinal hernia strangulated
|
0.00%
0/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
0.81%
1/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
Gastrointestinal disorders
Subileus
|
0.00%
0/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
0.81%
1/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
General disorders
Infusion Site Hematoma
|
1.1%
1/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
0.00%
0/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
General disorders
Infusion site dermatitis
|
0.00%
0/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
0.81%
1/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
General disorders
Infusion site infection
|
3.3%
3/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
1.6%
2/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
Hepatobiliary disorders
Hepatic function abnormal
|
1.1%
1/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
0.00%
0/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
Immune system disorders
Hypersensitivity
|
1.1%
1/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
0.00%
0/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
Infections and infestations
Bacteraemia
|
0.00%
0/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
0.81%
1/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
Infections and infestations
Escherichia sepsis
|
0.00%
0/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
0.81%
1/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
Infections and infestations
Influenza
|
1.1%
1/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
0.00%
0/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
Infections and infestations
Pneumonia
|
0.00%
0/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
0.81%
1/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
Infections and infestations
Respiratory syncytial virus infection
|
0.00%
0/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
0.81%
1/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
Infections and infestations
Urinary tract infection
|
1.1%
1/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
0.81%
1/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
Injury, poisoning and procedural complications
Contusion
|
1.1%
1/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
0.00%
0/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
Injury, poisoning and procedural complications
Rib fracture
|
2.2%
2/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
0.00%
0/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
Injury, poisoning and procedural complications
Subdural haematoma
|
1.1%
1/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
0.00%
0/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
Injury, poisoning and procedural complications
Traumatic fracture
|
1.1%
1/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
0.00%
0/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
Musculoskeletal and connective tissue disorders
Back pain
|
0.00%
0/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
0.81%
1/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
Musculoskeletal and connective tissue disorders
Cervical spinal stenosis
|
1.1%
1/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
0.00%
0/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Pancreatic neoplasm
|
1.1%
1/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
0.00%
0/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
Nervous system disorders
Acute polyneuropathy
|
1.1%
1/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
0.00%
0/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
Nervous system disorders
Dyskinesia
|
0.00%
0/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
0.81%
1/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
Nervous system disorders
Dystonia
|
0.00%
0/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
0.81%
1/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
Nervous system disorders
Hyperkinesia
|
1.1%
1/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
0.00%
0/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
Nervous system disorders
Loss of consciousness
|
1.1%
1/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
0.00%
0/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
Nervous system disorders
On and off phenomenon
|
2.2%
2/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
0.81%
1/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
Nervous system disorders
Parkinsonism hyperpyrexia syndrome
|
1.1%
1/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
0.00%
0/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
Nervous system disorders
Radiculopathy
|
1.1%
1/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
0.00%
0/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
Psychiatric disorders
Delusion
|
0.00%
0/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
0.81%
1/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
Psychiatric disorders
Impulse-control disorder
|
1.1%
1/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
0.00%
0/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
Psychiatric disorders
Paranoia
|
0.00%
0/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
0.81%
1/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
Respiratory, thoracic and mediastinal disorders
Paranasal sinus haematoma
|
1.1%
1/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
0.00%
0/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
|
1.1%
1/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
0.00%
0/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
Skin and subcutaneous tissue disorders
Panniculitis
|
1.1%
1/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
0.00%
0/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
Surgical and medical procedures
Gastrointestinal tube insertion
|
1.1%
1/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
0.00%
0/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
Other adverse events
| Measure |
24-hour Dosing Regimen
n=90 participants at risk
Continuous SC infusion over 24 hours: fixed day rate of up to 0.64 mL/h for 18 hours, followed by a night rate of 0.08 mL/h for 6 hours to deliver a total daily dose of up to 720/90 mg of levodopa/carbidopa.
All patients who had been previously assigned to the 24-hour group in the prior study continued on this dosing regimen; patients who had previously been assigned to the 14-hour daytime regimen were switched to the 24-hour regimen.
ND0612: ND0612, a solution of levodopa/carbidopa (LD/CD) delivered continuously subcutaneously (SC) via an infusion pump system
|
16-hour Dosing Regimen
n=124 participants at risk
Continuous SC infusion for over 16 hours: fixed rate of 0.75 mL/h to deliver a total infusion dose of 720/90 mg of levodopa/carbidopa over 16 hours.
The device is removed at night and patients in this group also receive a morning oral dose of levodopa/carbidopa upon awakening.
ND0612: ND0612, a solution of levodopa/carbidopa (LD/CD) delivered continuously subcutaneously (SC) via an infusion pump system
|
|---|---|---|
|
Gastrointestinal disorders
Nausea
|
3.3%
3/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
12.1%
15/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
General disorders
Fatigue
|
0.00%
0/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
5.6%
7/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
General disorders
Infusion site edema
|
5.6%
5/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
4.0%
5/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
General disorders
Infusion site erythema
|
10.0%
9/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
5.6%
7/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
General disorders
Infusion site eschar
|
2.2%
2/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
12.1%
15/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
General disorders
Infusion site hematoma
|
26.7%
24/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
24.2%
30/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
General disorders
Infusion site infection
|
14.4%
13/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
7.3%
9/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
General disorders
Infusion site nodule
|
34.4%
31/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
28.2%
35/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
General disorders
Infusion site pain
|
14.4%
13/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
12.1%
15/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
Infections and infestations
Urinary tract infection
|
7.8%
7/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
9.7%
12/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
Injury, poisoning and procedural complications
Fall
|
13.3%
12/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
6.5%
8/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
Musculoskeletal and connective tissue disorders
Back pain
|
5.6%
5/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
1.6%
2/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
Nervous system disorders
Dyskinesia
|
8.9%
8/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
5.6%
7/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
Psychiatric disorders
Anxiety
|
2.2%
2/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
6.5%
8/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
|
Psychiatric disorders
Depression
|
1.1%
1/90 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
6.5%
8/124 • Baseline to Month 12
TEAEs are defined as all AEs that started or worsened on or after the start of first study drug administration or within 28 days after the last study drug administration in the present study and up to 12 months.
|
Additional Information
Laurence Salin, MD, Senior Medical Director
NeuroDerm Ltd.
Results disclosure agreements
- Principal investigator is a sponsor employee The sponsor must review and approve any results of the study or abstracts for professional meetings prepared by the investigator(s). Published data must not compromise the objectives of the study. Data from individual study centers in multicenter studies must not be published separately.
- Publication restrictions are in place
Restriction type: OTHER