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CompletedNCT01026428Updated Mar 29, 2013

A Study to Assess the Effect of Safinamide on Levodopa Pharmacokinetics

A Phase 1/2 interventional study of Safinamide + Levodopa and Placebo + Levodopa in Idiopathic Parkinson's Disease, sponsored by Newron Pharmaceuticals SPA. Completed at 2 sites in Italy. Open to participants aged 30 Years and older. Per ClinicalTrials.gov, last updated 2013-03-29.

Sponsored by Newron Pharmaceuticals SPA · Phase 1/2 and Interventional

Phase
Phase 1/2
Study type
Interventional
Enrollment
24
Allocation
Randomized
Ages
30 Years and older
Sex
All
01

Study summary

The objective of this study is to investigate the effect of safinamide on levodopa blood levels, both after single and multiple dosing of safinamide . A further objective of the study is to assess the safety and tolerability of safinamide when given together with levodopa in the applied regimen.

For that purpose, all study participants will undergo intensive blood sampling for investigation of levodopa levels and various tolerability examinations, such as the measurement of vital signs (blood pressure, pulse, body temperature), recording of ECGs and questioning to find out how the study participants are feeling. Furthermore, blood samples will be drawn and urine tests will be performed repeatedly for safety purpose during the course of the study.

The results of this clinical trial may be used for the drug registration of safinamide in the future.

Read the detailed description

Treatments are given in a crossover design.

02

Conditions studied

  • Idiopathic Parkinson's Disease

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Keywords

  • safinamide
  • levodopa
  • drug -drug interaction
  • pharmacokinetics
  • Patients diagnosed with idiopathic Parkinson's disease, levodopa-responsive, treated with a stable dose of levodopa/carbidopa
03

In context

Parkinson Disease

4,484 studies on the registry are indexed under Parkinson Disease; 1,081 are open to participants now.

This study's enrollment of 24 is below the median of 40 across 3,293 interventional studies indexed under Parkinson Disease.

Browse Parkinson Disease studies →

Lead sponsor

Newron Pharmaceuticals SPA is the lead sponsor of 22 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
30 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Gender: male or female
  2. Age: 30 years
  3. Body Mass Index (BMI): 18 - 32 kg/m2
  4. Diagnosed with idiopathic Parkinson's disease, with Hoehn and Yahr (H\&Y) of I-III
  5. Levodopa-responsive patients treated with a stable dose of levodopa/carbidopa
  6. Electrocardiogram recording (12 leads) normal or with abnormalities which are not hazardous to the patient according to the opinion of the investigator.
  7. Negative beta-HCG test and not lactating (females). Women who are of childbearing potential must be using acceptable methods of contraception and should be informed of the potential risks associated with becoming pregnant while enrolled within a clinical research study. Accepted forms of contraception are: i.e. intrauterine device and a barrier method, combined oral contraceptives and a barrier method, or double-barrier method throughout the study. Female volunteers who are post -menopausal or surgically sterile may be enrolled
  8. Ability to maintain an accurate and complete dosing diary, with the help of a caregiver, recording doses of levodopa and study medication taken at home All parameters will be determined within three weeks prior to first dosing. Subjects must have given written informed consent before any study-related activities are carried out

Exclusion criteria

Exclusion Criteria:

To be eligible for inclusion in this study the subjects must not meet any of the following criteria:

  1. Co-administration of other drugs causing dopamine release (e.g. reserpine) or affecting levodopa metabolism (e.g COMT inhibitors except AADC inhibitors) or any other medication clinically contraindicated with MAO B inhibitors or with levodopa/carbidopa Note: Use of Selective serotonin reuptake inhibitors [SSRI] and selective noradrenalin reuptake inhibitors [SNRI] will be permitted, provided the dose is kept as low as possible and remains stable throughout the trial.
  2. Co-administration of other MAO inhibitors (e.g. selegiline, rasagiline)
  3. The patient is in a late stage of Parkinson's disease, and is experiencing severe, disabling peak-dose or biphasic dyskinesia and/or unpredictable or widely swinging fluctuations in their symptoms
  4. Any indication of forms of Parkinsonism, other than idiopathic Parkinson's disease.
  5. Treatment with any agent known to inhibit or induce drug-metabolizing enzymes (e.g., barbiturates, St John's Wort etc.) within 4 weeks prior study treatment
  6. Concomitant oral iron treatment
  7. History of hypersensitivity or contraindications to MAO-B inhibitors or levodopa
  8. Clinically relevant allergies (especially hypersensitivity toward any medicinal drugs)
  9. Significant hepatic impairment
  10. Significant renal impairment
  11. Diseases or surgeries of the gastrointestinal tract which could influence the gastrointestinal absorption and/or motility
  12. Diagnosis of Human Immunodeficiency Virus (HIV), or acute Hepatitis B or C
  13. Clinically relevant disease which in the investigator's opinion would exclude the subject from the study, such as significant cardiovascular and lung diseases, narrow-angle glaucoma or endocrinological diseases such as hyperthyroidism or pheochromocytoma
  14. A neoplastic disorder, which is either currently active or has been in remission for less than one year.
  15. Active psychiatric disease (e.g, schizophrenia, psychotic depression)
  16. History of melanoma or current cancer disease and undiagnosed, but melanoma suspicious skin lesion
  17. Signs for dementia which could interfere with the compliance to the study as judged by the investigator
  18. Ophthalmologic history including any of the following conditions: albino subjects, family history of hereditary retinal disease, progressive and/or severe diminution of visual acuity (i.e., 20/70), retinitis pigmentosa, retinal pigmentation due to any cause, any active retinopathy or ocular inflammation (uveitis), or diabetic retinopathy.
  19. Consumption of important quantities of coffee or tea corresponding to more than 600 mg caffeine/day, or tobacco smoking (more than 10 cigarettes per day)
  20. Diet considerably deviating from normal nutritional patterns (e.g. vegan; diets with very high protein content [Atkins])
  21. Participation in another clinical study within 30 days prior to the planned first drug administration
  22. Alcohol and drug abuse (during the past three years)
  23. Transfusion of blood or plasma derivatives within 3 month prior to the planned first drug administration
  24. Blood donation within 90 days before the start of the clinical study
  25. Signs and symptoms suggestive of transmissible spongiform encephalopathy, or family members who suffer(ed) from such.
05

Study design

Phase
Phase 1 / Phase 2
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
24 participants (actual)

Study arms

  • Experimental
    Safinamide + Levodopa

    Drug: Safinamide + Levodopa

  • Placebo comparator
    Placebo + Levodopa

    Other: Placebo + Levodopa

Interventions

  • DrugSafinamide + Levodopa

    Treatment A: 100mg safinamide once daily administration for 6 days + immediate release levodopa formulation (100 mg levodopa + 25 mg carbidopa = Nacom®).

  • OtherPlacebo + Levodopa

    Treatment B: Placebo matching 100mg safinamide once daily administration for 6 days + immediate release levodopa formulation (100 mg levodopa + 25 mg carbidopa = Nacom®).

06

What researchers measure

Primary outcomes

  1. AUC and Cmax of Levodopa

    Time frame: Main pharmacocinetics measurements will be taken at Day 1 and 6 of each period.

Secondary outcomes

  1. tmax, CL, t1/2 of Levodopa

    Time frame: Main pharmacocinetics measurements will be taken at Day 1 and 6 of each period.

07

Study locations

2 sites
  • Research Site
    Casino, Italy
  • Research Site
    Roma, Italy
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 29, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01026428
Lead sponsor
Newron Pharmaceuticals SPA
Responsible party
Sponsor
First posted
Dec 4, 2009
Start date
Sep 2009
Primary completion
Jul 2010
Last update
Mar 29, 2013

Study contacts

Sonja Krösser, PhD
study director · Merck KGaA, Darmstadt, Germany

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jan 2012. You cannot join it, but the record below documents what was studied.

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