ClinicalTrials.gg
TerminatedNCT03250117Updated May 6, 2023Results posted

Relative Bioavailability Study of Ropinirole Implants in Parkinson's Patients on L-Dopa Switched From Oral Ropinirole

A Phase 1/2 interventional study of Ropinirole oral product and Ropinirole Implant in Parkinson Disease, sponsored by Titan Pharmaceuticals. Terminated at 3 sites in United States. Open to participants aged 30 Years to 80 Years. Per ClinicalTrials.gov, last updated 2023-05-06.

Sponsored by Titan Pharmaceuticals · Phase 1/2, Interventional, and Treatment

Why this study was terminated
This study was terminated for reasons not related to efficacy or safety

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Phase
Phase 1/2
Study type
Interventional
Enrollment
6
Allocation
Non-randomized
Ages
30 Years to 80 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 12 studies testing ropinirole in Parkinson Disease — none open to participants now, none under way, none of them phase 3. ropinirole · Parkinson Disease.

Enrollment
12th of 12
6 · median 108
Started
2017
the only one that year
Phase 1/2
Only one
of the 12
Registered
12th of 12
by date
Lead sponsor
1 of 12
Titan Pharmaceuticals

Among the 12 studies testing ropinirole in Parkinson Disease, this one is the 12th largest by enrollment, is the only one that started in 2017, is the only one in phase 1/2, and was the 12th registered.

Parkinson Disease

4,576 studies on the registry are indexed under Parkinson Disease; 1,087 are open to participants now.

Browse Parkinson Disease studies →

Open to participants now

None of the 12 studies testing ropinirole in Parkinson Disease is open now. The open studies under Parkinson Disease, anywhere →

About ropinirole

ropinirole: first FDA approval 1997 (REQUIP). What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 749 Parkinson Disease studies recruiting now, 311 (42%) set no upper age limit and 127 (17%) stop at 75 or younger; 64 take children under 18; 189 take healthy volunteers.

This study: 30 Years to 80 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Download CSVNarrow it in search →With an account: the 12 studies testing ropinirole in Parkinson Disease as a file.
02

Study summary

Subjects stable on L-Dopa and oral ropinirole will have their ropinirole replaced with the Ropinirole Implant(s). The Ropinirole Implant was designed using the ProNeura™ implant technology where the implant is inserted under the skin. This study will measure how much ropinirole is released in the blood during 12 weeks of ropinirole implant treatment, and evaluate the side effects of this new formulation.

03

Conditions studied

  • Parkinson Disease

Keywords

  • Parkinson Disease
  • Dyskinesia
  • ropinirole
  • implant
  • ProNeura
  • movement disorders
  • dopamine agonist
  • extended-release
  • Parkinsonian disorders
  • brain diseases
  • central nervous system diseases
  • Neurodegenerative Diseases
  • Antiparkinson agents
  • Anti-dyskinesia agents
  • dopamine agents
  • neurotransmitter agents
  • REQUIP
  • subdermal
04

Who can participate

Ages eligible
30 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  • Voluntarily provided
  • Meet diagnostic criteria for idiopathic Parkinson's Disease
  • On L-Dopa and oral ropinirole
  • If female of , willing to practice from time of informed consent to Follow-Up Visit

Key Exclusion Criteria:

  • Pregnant, breastfeeding, or planning to become pregnant
  • Active epilepsy within the past year
  • Severe dementia or cognitive impairment
  • Donated or lost > 400 mL of blood within 1 month prior to Screening
  • History of alcohol or substance use disorder within the prior 12 months
  • Recent episodes of moderate to severe dizziness or syncope
  • Definite or suspected to ropinirole or ethylene vinyl acetate
  • Used any other drug within 60 days or 5 half-lives prior to Screening, or plan to take any such drug any time during the study
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
6 participants (actual)

Study arms

  • Experimental
    Cohort 1

    Requip; One Ropinirole Implant

    Drug: Ropinirole oral product · Drug: Ropinirole Implant

  • Experimental
    Cohort 2

    Requip; Two Ropinirole Implants

    Drug: Ropinirole oral product · Drug: Ropinirole Implant

  • Experimental
    Cohort 3

    Requip; Three Ropinirole Implants

    Drug: Ropinirole oral product · Drug: Ropinirole Implant

  • Experimental
    Cohort 4

    Requip; Four Ropinirole Implants

    Drug: Ropinirole oral product · Drug: Ropinirole Implant

Interventions

06

What researchers measure

Primary outcomes

  1. AUC0-24 Hours of Ropinirole

    Area under the plasma drug concentration-time curve of ropinirole

    Time frame: 0-24 hours

  2. Total Number of Adverse Events Across Participants

    Safety and tolerability of ropinirole implant(s) presented as the total number of adverse events experienced by the analysis population.

    Time frame: 0-12 weeks

Secondary outcomes

  1. AUC0-24 Hours of N-despropyl Ropinirole

    Area under the plasma drug concentration-time curve of N-despropyl ropinirole

    Time frame: 0-24 hours

  2. AUC0-24 Hours of 7-hydroxy Ropinirole

    Area under the plasma drug concentration-time curve of 7-hydroxy ropinirole

    Time frame: 0-24 hours

  3. Mean Change From Baseline in MDS-UPDRS Total Score

    Efficacy of ropinirole implants presented as the mean change from baseline in MDS-UPDRS total score. Movement Disorder Society-Sponsored Revision of the Unified Parkinson's Disease Scale \[MDS-UPDRS\] is a questionnaire and examination rating motor and non-motor experiences, and motor complications. Score is summed to range from 0 to 272. Higher score indicates more severe symptoms/outcome.

    Time frame: Baseline and Weeks 4, 8 and 12

  4. Mean Change From Baseline of Awake Time "On"

    Efficacy of ropinirole implants presented as mean change from baseline of awake time "on". Diaries were completed for 2 consecutive days prior to the visit, used to record motor state in half-hour intervals over a 24-hour period (during waking hours). "On" refers to when medication is providing benefit with regard to mobility, slowness and stiffness, regardless of dyskinesia. Daily totals for waking hours were normalized to a 16-hour waking day and averaged across the 2 days.

    Time frame: Baseline and Weeks 1, 2, 3, 4, 6, 8, 10, 12

  5. Mean Change From Baseline of Awake Time "Off"

    Efficacy of ropinirole implants presented as mean change from baseline of awake time "Off". Diaries were completed for 2 consecutive days prior to the visit, used to record motor state in half-hour intervals over a 24-hour period (during waking hours). "Off" refers to when medication has worn off and is no longer providing benefit with regard to mobility, slowness and stiffness. Daily totals for waking hours were normalized to a 16-hour waking day and averaged across the 2 days

    Time frame: Baseline and Weeks 1, 2, 3, 4, 6, 8, 10, 12

07

Results

Posted May 6, 2023
Limitations and caveats
This was a first-in-human study of ropinirole implants. The trial was terminated early at the request of the Sponsor, not for reasons of safety or efficacy.

Participant flow

Requip IR [7-10 Days]
Participant flow — Requip IR [7-10 Days]
MilestoneCohort 1Cohort 2Cohort 3Cohort 4
Started3000
Completed3000
Not completed0000
Ropinirole Implant 12 Weeks
Participant flow — Ropinirole Implant 12 Weeks
MilestoneCohort 1Cohort 2Cohort 3Cohort 4
Started3000
Completed2000
Not completed1000
Withdrew: At request of sponsor, regulatory agencies, or the irb1000

Outcome measures

PrimaryAUC0-24 Hours of Ropinirole

Area under the plasma drug concentration-time curve of ropinirole

Time frame:
0-24 hours

No measurements were reported for this outcome.

PrimaryTotal Number of Adverse Events Across Participants

Safety and tolerability of ropinirole implant(s) presented as the total number of adverse events experienced by the analysis population.

Time frame:
0-12 weeks
Reported as:
Number · Events
Total Number of Adverse Events Across Participants
EventsCohort 1
Total Number of Adverse Events Across Participants4
SecondaryAUC0-24 Hours of N-despropyl Ropinirole

Area under the plasma drug concentration-time curve of N-despropyl ropinirole

Time frame:
0-24 hours

No measurements were reported for this outcome.

SecondaryAUC0-24 Hours of 7-hydroxy Ropinirole

Area under the plasma drug concentration-time curve of 7-hydroxy ropinirole

Time frame:
0-24 hours

No measurements were reported for this outcome.

SecondaryMean Change From Baseline in MDS-UPDRS Total Score

Efficacy of ropinirole implants presented as the mean change from baseline in MDS-UPDRS total score. Movement Disorder Society-Sponsored Revision of the Unified Parkinson's Disease Scale \[MDS-UPDRS\] is a questionnaire and examination rating motor and non-motor experiences, and motor complications. Score is summed to range from 0 to 272. Higher score indicates more severe symptoms/outcome.

Time frame:
Baseline and Weeks 4, 8 and 12
Reported as:
Mean · units on a scale
Mean Change From Baseline in MDS-UPDRS Total Score
units on a scaleCohort 1
Week 44.0 ± 3.28
Week 810.6 ± 13.42
Week 127.3 ± 4.04
SecondaryMean Change From Baseline of Awake Time "On"

Efficacy of ropinirole implants presented as mean change from baseline of awake time "on". Diaries were completed for 2 consecutive days prior to the visit, used to record motor state in half-hour intervals over a 24-hour period (during waking hours). "On" refers to when medication is providing benefit with regard to mobility, slowness and stiffness, regardless of dyskinesia. Daily totals for waking hours were normalized to a 16-hour waking day and averaged across the 2 days.

Time frame:
Baseline and Weeks 1, 2, 3, 4, 6, 8, 10, 12
Reported as:
Mean · hours
Mean Change From Baseline of Awake Time "On"
hoursCohort 1
Week 10.80 ± 1.078
Week 21.11 ± 0.457
Week 31.70 ± 0.908
Week 40.77 ± 0.608
Week 60.66 ± 1.175
Week 80.11 ± 1.344
Week 100.93 ± 0.756
Week 120.58 ± 1.101
SecondaryMean Change From Baseline of Awake Time "Off"

Efficacy of ropinirole implants presented as mean change from baseline of awake time "Off". Diaries were completed for 2 consecutive days prior to the visit, used to record motor state in half-hour intervals over a 24-hour period (during waking hours). "Off" refers to when medication has worn off and is no longer providing benefit with regard to mobility, slowness and stiffness. Daily totals for waking hours were normalized to a 16-hour waking day and averaged across the 2 days

Time frame:
Baseline and Weeks 1, 2, 3, 4, 6, 8, 10, 12
Reported as:
Mean · hours
Mean Change From Baseline of Awake Time "Off"
hoursCohort 1
Week 1-1.36 ± 0.974
Week 2-1.67 ± 0.921
Week 3-2.26 ± 1.062
Week 4-1.33 ± 1.094
Week 6-1.22 ± 1.506
Week 8-0.83 ± 2.068
Week 10-1.77 ± 1.598
Week 12-1.43 ± 1.943

Adverse events

Collected over From signing of the ICF until 30 days following study drug treatment discontinuation, up to 22 weeks.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Cohort 10/3 (0%)0/3 (0%)2/3 (66.7%)
Most frequent other events
Most frequent other events
EventCohort 1
Implant site reactionGeneral disorders1/3
Freezing phenomenonNervous system disorders1/3
Affect labilityPsychiatric disorders1/3
Hallucination, visualPsychiatric disorders1/3

Baseline characteristics

Age, Continuous
Age, Continuous(years)Cohort 1
Mean52.7 (47 to 58)
Sex: Female, Male
Sex: Female, Male(Participants)Cohort 1
Female1
Male2
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Cohort 1
Hispanic or Latino0
Not Hispanic or Latino3
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Cohort 1
American Indian or Alaska Native0
Asian1
Native Hawaiian or Other Pacific Islander0
Black or African American1
White1
More than one race0
Unknown or Not Reported0
MDS-UPDRS Total Score
MDS-UPDRS Total Score(units on a scale)Cohort 1
Mean60.7 (23 to 97)
Awake Time "On"
Awake Time "On"(hours)Cohort 1
Mean11.54 (9.9 to 14.3)
Awake Time "Off"
Awake Time "Off"(hours)Cohort 1
Mean5.02 (3.4 to 6.1)
08

Study locations

3 sites
  • Orlando, Florida
    Orlando, Florida 32806, United States
  • Farmington Hills, Michigan
    Farmington Hills, Michigan 48334, United States
  • Kirkland, Washington
    Kirkland, Washington 98034, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Oct 2017 to primary completion in May 2018, 7 months.

Results were first posted in May 2023, 4 years 11 months after primary completion. A results delay was requested in Jan 2020.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 11, 2017
First posted
Aug 15, 2017
StartActual
Oct 10, 2017
Primary completionActual
May 22, 2018
CompletionActual
May 22, 2018
Results delay requested
Jan 23, 2020
Results first posted
May 6, 2023
Last update
May 6, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 6, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03250117
Lead sponsor
Titan Pharmaceuticals
Responsible party
Sponsor
First posted
Aug 15, 2017
Start date
Oct 10, 2017
Primary completion
May 22, 2018
Completion
May 22, 2018
Results posted
May 6, 2023
Last update
May 6, 2023

Study contacts

Dr. Kate Beebe DeVarney
study director · Titan Pharmaceuticals

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Apr 2023. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Ropinirole

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