Pharmacokinetic Study of CVT-301 (Levodopa Inhalation Powder)

NCT ID: NCT03887884

Last Updated: 2019-08-02

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

PHASE1

Total Enrollment

23 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-03-05

Study Completion Date

2019-06-28

Brief Summary

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This study will be an open-label, randomized, multi-center, 2-way crossover Pharmacokinetic PK evaluation of a single inhaled dose of CVT-301 84 mg and a single oral dose of carbidopa/levodopa CD/LD 25 mg/100 mg (Sinemet®) under fed conditions in Parkinson's Disease (PD) patients who regularly take CD/LD.

Detailed Description

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The study duration includes a screening period followed by an overnight stay in the center (4 days, 3 nights) to complete 2 treatments, including a 48-hour interval between the treatments, and a follow-up phone call 1-2 days after discharge from the center.

On each of two treatment days, subjects will consume a standard high fat meal and then receive either (A) a single inhaled dose of CVT-301 or (B) a single dose of oral CD/LD followed by Pharmacokinetic (PK) sampling for 4 hours. A crossover design will be used such that each subject receives both Treatment A and Treatment B over the 2 treatment days, randomized 1:1 to the treatment sequence AB or BA.

Conditions

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Parkinson's Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

It is a 2-way crossover Pharmacokinetic (PK) evaluation of a single inhaled dose of CVT-301 84 mg and a single oral dose of Carbidopa/levodopa (CD/LD) 25 mg/100 mg (Sinemet®) under fed conditions in Parkinson's Disease patients who regularly take CD/LD.
Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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CVT-301

Single inhaled dose of CVT-301 84 mg

Group Type EXPERIMENTAL

CVT-301

Intervention Type DRUG

Levodopa Inhalation Powder

Sinemet

Single oral dose of Carbidopa/Levodopa 25 mg/100 mg

Group Type ACTIVE_COMPARATOR

Sinemet

Intervention Type DRUG

Single oral dose of Carbidopa/Levodopa 25 mg/100 mg

Interventions

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CVT-301

Levodopa Inhalation Powder

Intervention Type DRUG

Sinemet

Single oral dose of Carbidopa/Levodopa 25 mg/100 mg

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Men and women between the ages of 30 and 85 years, inclusive.
* Have idiopathic PD (i.e., not induced by drugs or other diseases) as defined by fulfilling Steps 1 and 2 of the United Kingdom (UK) Brain Bank criteria, diagnosed after the age of 30 years.
* Classified as Stage 1 to 3 (in the ON state) on the modified Hoehn and Yahr scale for staging of PD severity.
* Stable on other non levodopa PD medications for at least 4 weeks prior to the Screening Visit.
* Subjects must have normal cognition as confirmed by a score of ≥ 25 on the Mini Mental State Examination (MMSE), performed in the ON state.
* Forced expiratory volume in one second (FEV1) ≥60% of predicted for race, age, sex, and height and FEV1/FVC (forced vital capacity) ratio ≥70%.
* Body Mass Index (BMI) between 18 - 32 kg/m2, inclusive.

Exclusion Criteria

* Any flu-like syndrome or other respiratory infections within 2 weeks prior to the Screening Visit.
* Chronic obstructive pulmonary disease (COPD), asthma, or other chronic respiratory disease within the last 5 years.
* History of any cancer in the past 5 years with the exception of successfully treated basal cell carcinoma.
* Narrow angle glaucoma or a history of peptic ulcer disease less than 1 year prior to screening.
* Previous surgery for PD (including but not limited to deep brain stimulation or cell transplantation).
* Current use of nicotine patch or tobacco-containing products including cigarettes, electronic cigarettes, cigars, chewing tobacco, pipe tobacco or snuff or use within 4 weeks prior to the Screening Visit, or expected use during the study.
* Marijuana smoking within 4 weeks prior to the Screening Visit, or expected smoking/inhalation during the study.
Minimum Eligible Age

30 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Acorda Therapeutics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Charles Oh, MD

Role: STUDY_DIRECTOR

Acorda Therapeutics

Locations

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Acorda Site #1003

Long Beach, California, United States

Site Status

Acorda Site #1005

Hallandale, Florida, United States

Site Status

Acorda Site #1002

Orlando, Florida, United States

Site Status

Acorda Site #1004

Atlanta, Georgia, United States

Site Status

Acorda Site #1001

Farmington Hills, Michigan, United States

Site Status

Countries

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United States

References

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Safirstein BE, Ellenbogen A, Zhao P, Henney HR 3rd, Kegler-Ebo DM, Oh C. Pharmacokinetics of Inhaled Levodopa Administered With Oral Carbidopa in the Fed State in Patients With Parkinson's Disease. Clin Ther. 2020 Jun;42(6):1034-1046. doi: 10.1016/j.clinthera.2020.04.004. Epub 2020 May 29.

Reference Type DERIVED
PMID: 32482490 (View on PubMed)

Other Identifiers

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CVT-301-012

Identifier Type: -

Identifier Source: org_study_id

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