A Phase 2 interventional study of Sinemet and IPX203 in Advanced Parkinson's Disease, sponsored by Impax Laboratories, LLC. Completed at 11 sites in United States. Open to participants aged 40 Years to 100 Years. Per ClinicalTrials.gov, last updated 2022-06-06.
Sponsored by Impax Laboratories, LLC · Phase 2, Interventional, and Treatment
Primary Objective:
To compare the pharmacokinetics (PK) of single and multiple doses of IPX203 with Immediate release carbidopa-levodopa (IR CD-LD) in subjects with advanced Parkinson's disease (PD).
Secondary Objectives:
To compare the pharmacodynamics of single and multiple doses of IPX203 with IR CD-LD.
To compare the efficacy of IPX203 with IR CD-LD following multiple doses.
To evaluate the safety of IPX203.
IPX203 is an investigational product containing CD-LD.
IPX203-B16-01 Study Design:
A randomized, open-label, rater-blinded, multicenter, 2-treatment, 2-period, multiple-dose crossover study.
Approximately 30 qualified IR CD-LD-experienced advanced PD subjects will be randomized.
The study duration will be approximately 8 weeks, including the screening period.
4,487 studies on the registry are indexed under Parkinson Disease; 1,082 are open to participants now.
This study's enrollment of 28 is below the median of 40 across 3,294 interventional studies indexed under Parkinson Disease.
Browse Parkinson Disease studies →Impax Laboratories, LLC is the lead sponsor of 20 studies on the registry; 1 is open to participants now.
Of its 8 completed or terminated interventional studies of FDA-regulated products, 2 (25%) have results posted.
Counted across the registry records on this site, refreshed daily.
Eligibility will be determined at screening and Visit 1 of the study.
Inclusion Criteria:
Exclusion Criteria:
Participants first received IPX203 ER CD-LD Capsules for 15 days After a Washout Period of 7 days; participants then received Sinemet (IR CD-LD) Tablet for 15 days Study drug doses were determined based on the subject's prestudy IR CD-LD regimen The typical IPX203 dosing regimen was 3 times a day, dosed approximately every 7 to 8 hours.
Drug: Sinemet · Drug: IPX203
Participants first received Sinemet Capsules for 15 days After a Washout Period of 7 days; participants then received IPX203 ER CD-LD Capsules for 15 days Study drug doses were determined based on the subject's prestudy IR CD-LD regimen The typical IPX203 dosing regimen was 3 times a day, dosed approximately every 7 to 8 hours.
Drug: Sinemet · Drug: IPX203
Immediate Release Tablet containing carbidopa-levodopa flexible dosing
Also known as: IR CD-LD Tablets
Extended Release capsules containing carbidopa-levodopa flexible dosing
Also known as: IPX203 ER CD-LD Capsules
Levodopa Cmax Following First Dose on Day 1
Single Dose predose and 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 5.5, 6, 6.5, 7, 7.5, and 8 hours postdose
Time frame: Day 1
Levodopa Tmax Following First Dose on Day 1
Single Dose predose and 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 5.5, 6, 6.5, 7, 7.5, and 8 hours postdose
Time frame: Day 1
Levodopa t1/2 Following First Dose on Day 1
Single Dose predose and 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 5.5, 6, 6.5, 7, 7.5, and 8 hours postdose
Time frame: Day 1
Levodopa AUCt Following First Dose on Day 1
Single Dose predose and 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 5.5, 6, 6.5, 7, 7.5, and 8 hours postdose
Time frame: Day 1
Levodopa AUCinf Following First Dose on Day 1
Single Dose predose and 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 5.5, 6, 6.5, 7, 7.5, and 8 hours postdose
Time frame: Day 1
Levodopa Bioavailability Relative to IR CD/LD Following First Dose on Day 1
Single Dose predose and 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 5.5, 6, 6.5, 7, 7.5, and 8 hours postdose
Time frame: Day 1
Carbidopa Cmax Following First Dose on Day 1
Single Dose predose and 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 5.5, 6, 6.5, 7, 7.5, and 8 hours postdose
Time frame: Day 1
Carbidopa Tmax Following First Dose on Day 1
Single Dose predose and 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 5.5, 6, 6.5, 7, 7.5, and 8 hours postdose
Time frame: Day 1
Carbidopa t1/2 Following First Dose on Day 1
Single Dose predose and 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 5.5, 6, 6.5, 7, 7.5, and 8 hours postdose
Time frame: Day 1
Carbidopa AUCt Following First Dose on Day 1
Single Dose predose and 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 5.5, 6, 6.5, 7, 7.5, and 8 hours postdose
Time frame: Day 1
Carbidopa AUCinf Following First Dose on Day 1
Single Dose predose and 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 5.5, 6, 6.5, 7, 7.5, and 8 hours postdose
Time frame: Day 1
Carbidopa Bioavailability Relative to IR CD/LD Following First Dose on Day 1
Single Dose predose and 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 5.5, 6, 6.5, 7, 7.5, and 8 hours postdose
Time frame: Day 1
Levodopa Cmax Following First Dose on Day 15
Multiple Dose predose and at 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 6, 7, 8, and 10 hours postdose.
Time frame: Day 15
Levodopa Tmax Following First Dose on Day 15
Multiple Dose predose and at 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 6, 7, 8, and 10 hours postdose.
Time frame: Day 15
Levodopa AUCtau Following First Dose on Day 15
Multiple Dose predose and at 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 6, 7, 8, and 10 hours postdose.
Time frame: Day 15
Carbidopa Cmax Following First Dose on Day 15
Multiple Dose predose and at 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 6, 7, 8, and 10 hours postdose.
Time frame: Day 15
Carbidopa Tmax Following First Dose on Day 15
Multiple Dose predose and at 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 6, 7, 8, and 10 hours postdose.
Time frame: Day 15
Carbidopa AUCtau Following First Dose on Day 15
Multiple Dose predose and at 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 6, 7, 8, and 10 hours postdose.
Time frame: Day 15
A total of 39 subjects were screened at 10 study sites between November 8, 2016 and August 1, 2017
| Milestone | IPX203 First Then Sinemet | Sinemet First Then IPX203 |
|---|---|---|
| Started | 15 | 13 |
| Completed | 14 | 13 |
| Not completed | 1 | 0 |
| Withdrew: Adverse event | 1 | 0 |
| Milestone | IPX203 First Then Sinemet | Sinemet First Then IPX203 |
|---|---|---|
| Started | 14 | 13 |
| Completed | 14 | 13 |
| Not completed | 0 | 0 |
| Milestone | IPX203 First Then Sinemet | Sinemet First Then IPX203 |
|---|---|---|
| Started | 14 | 13 |
| Completed | 14 | 13 |
| Not completed | 0 | 0 |
Single Dose predose and 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 5.5, 6, 6.5, 7, 7.5, and 8 hours postdose
| ng/mL | IPX203 | Sinemet |
|---|---|---|
| Levodopa Cmax Following First Dose on Day 1 | 2857.56 ± 1204.506 | 2173.30 ± 1240.774 |
Single Dose predose and 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 5.5, 6, 6.5, 7, 7.5, and 8 hours postdose
| hour | IPX203 | Sinemet |
|---|---|---|
| Levodopa Tmax Following First Dose on Day 1 | 2.07 ± 0.997 | 0.94 ± 0.560 |
Single Dose predose and 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 5.5, 6, 6.5, 7, 7.5, and 8 hours postdose
| hour | IPX203 | Sinemet |
|---|---|---|
| Levodopa t1/2 Following First Dose on Day 1 | 1.658 ± 0.4838 | 1.420 ± 0.3194 |
Single Dose predose and 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 5.5, 6, 6.5, 7, 7.5, and 8 hours postdose
| ng.h/mL | IPX203 | Sinemet |
|---|---|---|
| Levodopa AUCt Following First Dose on Day 1 | 12107.60 ± 5793.881 | 3747.61 ± 1819.141 |
Single Dose predose and 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 5.5, 6, 6.5, 7, 7.5, and 8 hours postdose
| ng.h/mL | IPX203 | Sinemet |
|---|---|---|
| Levodopa AUCinf Following First Dose on Day 1 | 13968.57 ± 7606.901 | 4308.37 ± 2123.057 |
Single Dose predose and 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 5.5, 6, 6.5, 7, 7.5, and 8 hours postdose
| Percentage | IPX203 | Sinemet |
|---|---|---|
| Levodopa Bioavailability Relative to IR CD/LD Following First Dose on Day 1 | 88.965 ± 21.7583 | 0 ± 0 |
Single Dose predose and 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 5.5, 6, 6.5, 7, 7.5, and 8 hours postdose
| ng/mL | IPX203 | Sinemet |
|---|---|---|
| Carbidopa Cmax Following First Dose on Day 1 | 500.35 ± 316.299 | 151.50 ± 103.225 |
Single Dose predose and 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 5.5, 6, 6.5, 7, 7.5, and 8 hours postdose
| hour | IPX203 | Sinemet |
|---|---|---|
| Carbidopa Tmax Following First Dose on Day 1 | 2.61 ± 0.655 | 2.07 ± 0.675 |
Single Dose predose and 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 5.5, 6, 6.5, 7, 7.5, and 8 hours postdose
| hour | IPX203 | Sinemet |
|---|---|---|
| Carbidopa t1/2 Following First Dose on Day 1 | 2.015 ± 0.5159 | 1.969 ± 0.7187 |
Single Dose predose and 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 5.5, 6, 6.5, 7, 7.5, and 8 hours postdose
| ng.h/mL | IPX203 | Sinemet |
|---|---|---|
| Carbidopa AUCt Following First Dose on Day 1 | 1940.51 ± 1095.449 | 436.63 ± 286.286 |
Single Dose predose and 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 5.5, 6, 6.5, 7, 7.5, and 8 hours postdose
| ng.h/mL | IPX203 | Sinemet |
|---|---|---|
| Carbidopa AUCinf Following First Dose on Day 1 | 2239.61 ± 1232.234 | 610.44 ± 407.305 |
Single Dose predose and 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 5.5, 6, 6.5, 7, 7.5, and 8 hours postdose
| Percentage | IPX203 | Sinemet |
|---|---|---|
| Carbidopa Bioavailability Relative to IR CD/LD Following First Dose on Day 1 | 117.442 ± 43.4176 | 0 ± 0 |
Multiple Dose predose and at 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 6, 7, 8, and 10 hours postdose.
| ng/mL | IPX203 | Sinemet |
|---|---|---|
| Levodopa Cmax Following First Dose on Day 15 | 2767.96 ± 1258.525 | 2356.85 ± 1178.628 |
Multiple Dose predose and at 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 6, 7, 8, and 10 hours postdose.
| hour | IPX203 | Sinemet |
|---|---|---|
| Levodopa Tmax Following First Dose on Day 15 | 1.91 ± 1.241 | 0.83 ± 0.439 |
Multiple Dose predose and at 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 6, 7, 8, and 10 hours postdose.
| ng.h/ML | IPX203 | Sinemet |
|---|---|---|
| Levodopa AUCtau Following First Dose on Day 15 | 11213.76 ± 4887.246 | 3879.39 ± 1744.328 |
Multiple Dose predose and at 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 6, 7, 8, and 10 hours postdose.
| ng/mL | IPX203 | Sinemet |
|---|---|---|
| Carbidopa Cmax Following First Dose on Day 15 | 478.66 ± 290.584 | 145.67 ± 82.541 |
Multiple Dose predose and at 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 6, 7, 8, and 10 hours postdose.
| hour | IPX203 | Sinemet |
|---|---|---|
| Carbidopa Tmax Following First Dose on Day 15 | 2.52 ± 0.74 | 2.20 ± 0.639 |
Multiple Dose predose and at 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 6, 7, 8, and 10 hours postdose.
| ng.h/mL | IPX203 | Sinemet |
|---|---|---|
| Carbidopa AUCtau Following First Dose on Day 15 | 1892.39 ± 1017.537 | 415.83 ± 279.487 |
Collected over 15 days for each intervention plus 1 week washout up to a total of 37 days. Non-serious events are listed at a 3% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| IPX203 | 0/28 (0%) | 1/28 (3.6%) | 10/28 (35.7%) |
| Sinemet | 0/27 (0%) | 0/27 (0%) | 2/27 (7.4%) |
| Washout Period | 0/28 (0%) | 1/28 (3.6%) | 0/28 (0%) |
| Event | IPX203 | Sinemet | Washout Period |
|---|---|---|---|
| HypertensionVascular disorders | 1/28 | 0/27 | 0/28 |
| DiarrhoreaGastrointestinal disorders | 0/28 | 0/27 | 1/28 |
| DehydrationMetabolism and nutrition disorders | 0/28 | 0/27 | 1/28 |
| Atrial FibrillationCardiac disorders | 0/28 | 0/27 | 1/28 |
| Event | IPX203 | Sinemet | Washout Period |
|---|---|---|---|
| DyskinesiaNervous system disorders | 5/28 | 0/27 | 0/28 |
| NauseaGastrointestinal disorders | 2/28 | 0/27 | 0/28 |
| DizzinessNervous system disorders | 2/28 | 0/27 | 0/28 |
| Abdominal PainGastrointestinal disorders | 0/28 | 1/27 | 0/28 |
| DiarrhoeaGastrointestinal disorders | 0/28 | 1/27 | 0/28 |
| Upper respiratiory track infectionInfections and infestations | 0/28 | 1/27 | 0/28 |
| Dry MouthGastrointestinal disorders | 1/28 | 0/27 | 0/28 |
| VomitingGastrointestinal disorders | 1/28 | 0/27 | 0/28 |
| BronchitisInfections and infestations | 1/28 | 0/27 | 0/28 |
| Urinary Tract infectionInfections and infestations | 1/28 | 0/27 | 0/28 |
Subjects who were enrolled and randomized to 1 of 2 treatment sequences
| Age, Categorical(Participants) | All Study Participants |
|---|---|
| <=18 years | 0 |
| Between 18 and 65 years | 13 |
| >=65 years | 15 |
| Age, Continuous(Years) | All Study Participants |
|---|---|
| Mean | 66.43 ± 10.057 |
| Sex: Female, Male(Participants) | All Study Participants |
|---|---|
| Gender — Female | 12 |
| Gender — Male | 16 |
| Ethnicity (NIH/OMB)(Participants) | All Study Participants |
|---|---|
| Hispanic or Latino | 1 |
| Not Hispanic or Latino | 27 |
| Unknown or Not Reported | 0 |
| Race (NIH/OMB)(Participants) | All Study Participants |
|---|---|
| American Indian or Alaska Native | 0 |
| Asian | 0 |
| Native Hawaiian or Other Pacific Islander | 0 |
| Black or African American | 0 |
| White | 26 |
| More than one race | 2 |
| Unknown or Not Reported | 0 |
| Region of Enrollment(Participants) | All Study Participants |
|---|---|
| United States | 28 |
| Age at Parkinson's disease onset(years) | All Study Participants |
|---|---|
| Mean | 58.9 ± 11.8 |
| Duration of Parkinson's disease(years) | All Study Participants |
|---|---|
| Mean | 7.5 ± 4.8 |
6 further baseline measures are reported on the registry.
Documents are hosted by the registry — open the source record to download them.
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Impax Laboratories, LLC