ClinicalTrials.gg
CompletedNCT03541356THOR201Updated Aug 12, 2020Results posted

Therapeutic Potential for Intranasal Levodopa in Parkinson's Disease -Off Reversal

A Phase 2 interventional study of Placebo and L-dopa 35 mg in Parkinson's Disease, sponsored by Impel Pharmaceuticals. Completed at 5 sites in Australia. Open to participants aged 40 Years to 80 Years. Per ClinicalTrials.gov, last updated 2020-08-12.

Sponsored by Impel Pharmaceuticals · Phase 2, Interventional, and Treatment

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Phase
Phase 2
Study type
Interventional
Enrollment
32
Allocation
Randomized
Ages
40 Years to 80 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 51 studies testing levodopa in Parkinson Disease — 3 open to participants now, 3 under way, none of them phase 3. Levodopa · Parkinson Disease.

Enrollment
35th of 50
32 · median 56
Started
2018
the only one that year
Phase 2
9 of 51
none open now
Registered
44th of 51
by date

Among the 51 studies testing levodopa in Parkinson Disease, this one is the 35th largest by enrollment of the 50 interventional ones that give a count, is the only one that started in 2018, is one of 9 in phase 2, and was the 44th 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

3 of the 51 studies testing levodopa in Parkinson Disease are open now, in 2 countries. Recruiting first, the newest first:

By country, each count listing its studies:

All 3 open studies →

About levodopa

Levodopa: first FDA approval 1970 (LARODOPA), first EMA approval 2003. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 750 Parkinson Disease studies recruiting now, 312 (42%) set no upper age limit and 127 (17%) stop at 75 or younger; 64 take children under 18; 190 take healthy volunteers.

This study: 40 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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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 51 studies testing levodopa in Parkinson Disease, or all of them as a file.
02

Study summary

A Phase IIa, Randomized, Double Blind, Placebo Controlled, Single Dose, Safety and Pharmacokinetic/Pharmacodynamic Study of INP103 (POD L-dopa) Administered in the Presence of Decarboxylase Inhibitor to L-dopa Responsive Parkinson's Disease Patients

Read the detailed description

This is a Phase IIa randomized, double-blind, placebo-controlled, single dose study to compare the safety, tolerability and PK/PDyn of intranasal L-dopa following administration of INP103 in the presence of L-dopa decarboxylase inhibitor (DCI) during an OFF episode.

03

Conditions studied

  • Parkinson's Disease

Browse trials for

Keywords

  • Parkinsons
  • L-dopa
  • levodopa
  • ON
  • OFF
  • PD
  • POD device
  • I231
  • benserazide
  • Precision olfactory delivery
  • MDS-UPDRS
  • Carbidopa
  • DCI
  • Decarboxylase Inhibitor
04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Adult males and females, 40 to 80 years of age (inclusive) at the time of Screening (Visit1)
  2. Diagnosed with Idiopathic PD (by UK Brain Bank Criteria) with Modified Hoehn \& Yahr (H\&Y) Stage I-III during an ON period at Visit 1
  3. Subjects who are prone to (and recognize) OFF episodes (when their usual PD medication has worn off)
  4. Shown to be responsive to L-dopa medication (≥ 30% improvement in MDS-UPDRS Part III Motor Examination score) as assessed during the Screening period (Visit 2)
  5. On a stable dose of L-dopa containing medication for at least 2 weeks prior to Visit 1 (up to 1200 mg/day) with no single dose exceeding 250 mg. All other anti-PD medication (e.g. dopamine agonists [DAs], monoamine oxidase-B inhibitor (MAOB-I) or catechol-O-methyl transferase (COMT) inhibitors ARE allowed if the subject has been on a stable dose for at least 30 days prior to Visit 1.
  6. Willing to omit their (usual) PD drugs (e.g. usual regular anti-PD medication including any L-dopa containing medication, DAs and/or COMT inhibitors and any required anti-OFF treatment) from 22:00 pm the evening prior to study dosing until 120 minutes post study treatment dosing.

    Cohorts 1, 2 and 3 ONLY WILL take oral benserazide 25 mg on arrival at the research site (at 60 ± 5 minutes before dosing with INP103 or placebo).

    Cohort 4 will omit oral benserazide and subjects may be dosed once OFF episode has been confirmed and all baseline assessments have been completed.

  7. If female and of must agree to use adequate (see Section 4.4) during the study
  8. Able and willing to attend the necessary visits at the study centre
  9. Willing to provide voluntary written signed prior to entry into the study

Exclusion criteria

Exclusion Criteria:

  1. Severe dyskinesia (defined as per MDS-UPDRS) during a 'normal day' that would significantly interfere with the subject's ability to perform study assessments
  2. In receipt of L-dopa containing medication at > 1200 mg/day
  3. History of significant psychotic episode(s) within the previous 12 months in the opinion of the Investigator, or currently receiving anti-psychotic medication at a moderate dose (quetiapine >50 mg/day, risperidone >1 mg/day or olanzapine >2.5 mg/day)
  4. (MMSE) ≤ 25 as documented within the previous 36 months or as assessed by Investigator during Screening
  5. History of suicidal ideation or attempted suicide within previous 12 months
  6. Narrow-angle glaucoma
  7. Presence of skin lesions that, in the opinion of the Investigator, may be cancerous
  8. Females who are pregnant, planning a pregnancy or lactating
  9. Subjects with any underlying physical condition that, in the opinion of the Investigator, would make it unlikely that the subject will comply with or be able to complete the study requirements
  10. Use of any medication likely to interact with benserazide, carbidopa or INP103 (see Appendix 5)
  11. Laboratory test abnormalities at Screening (Visit 1) deemed by the Investigator.
  12. History or presence of alcoholism or drug abuse within the 2 years prior to INP103 or placebo dosing
  13. Administration of an product in another trial within 30 days or 5 half-lives (whichever is longer) prior to INP103 or placebo dosing
  14. Significant nasal congestion, physical blockage in either nostril, or significantly deviated nasal septum as evaluated by the PI or other suitably trained healthcare professional
  15. Subjects who have previously shown to L-dopa or benserazide (for Cohorts 1, 2 and 3), or L-dopa or carbidopa (for Cohort 4) or any of their
Terms in these criteria, in plain language(8)

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.

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.

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.

MMSE and MoCA

Short tests of memory and thinking, each scored out of 30. Lower scores suggest more difficulty; criteria give a range, either to include people with memory problems or to leave them out.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

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.

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.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
32 participants (actual)

Study arms

  • Placebo comparator
    Placebo

    Combination Product: Placebo

  • Active comparator
    L-dopa 35 mg

    Combination Product: L-dopa 35 mg

  • Active comparator
    L-dopa 70 mg

    Combination Product: L-dopa 70mg

  • Active comparator
    L-dopa 140 mg

    Combination Product: L-dopa 140 mg

  • Active comparator
    L-dopa 70 mg/carbidopa 7 mg

    Combination Product: L-dopa 70mg/carbidopa 7mg

Interventions

  • Combination productPlacebo

    Delivered via the I231 POD (Precision Olfactory Delivery) device

  • Combination productL-dopa 35 mg

    Delivered via the I231 POD (Precision Olfactory Delivery) device via one puff to one nostril

  • Combination productL-dopa 70mg

    Delivered via the I231 POD (Precision Olfactory Delivery) device with two puffs, one to each nostril

  • Combination productL-dopa 140 mg

    Delivered via the I231 POD (Precision Olfactory Delivery) device with four puffs, two to each nostril

  • Combination productL-dopa 70mg/carbidopa 7mg

    Drug page: Levodopa

    Delivered via the I231 POD (Precision Olfactory Delivery) device with two puffs, one to each nostril

06

What researchers measure

Primary outcomes

  1. Number of Participants With Treatment Emergent Adverse Events

    Assessment of treatment emergent adverse events after single dosing with INP103 (L-dopa or L-dopa/carbidopa)

    Time frame: 7 days

Secondary outcomes

  1. AUC0-2hr for L-dopa

    Area under the Plasma Concentration-time Curve for L-dopa from Time = 0 to Time = 2 hours post dose. For the L-dopa 35 mg, L-dopa 70 mg, L-dopa 140 mg plasma samples were taken at pre-dose, 30, 60, 90 and 120 minutes post-dose. For the L-dopa 70 mg/carbidopa 7 mg treatment arm, plasma samples were taken at pre-dose, 5, 10, 15, 30, 45, 60, 90 and 120 minutes post-dose.

    Time frame: For L-dopa 35 mg, 70 mg, 140 mg plasma samples were taken at pre-dose, 30, 60, 90 and 120 minutes post-dose. For L-dopa 70 mg/carbidopa 7 mg, plasma samples were taken at pre-dose, 5, 10, 15, 30, 45, 60, 90 and 120 min

  2. Cmax of L-dopa

    Maximum Observed Plasma Concentration of L-dopa from Time = 0 to Time = 2 hours post dose. For the L-dopa 35 mg, L-dopa 70 mg, L-dopa 140 mg plasma samples were taken at pre-dose, 30, 60, 90 and 120 minutes post-dose. For the L-dopa 70 mg/carbidopa 7 mg treatment arm, plasma samples were taken at pre-dose, 5, 10, 15, 30, 45, 60, 90 and 120 minutes post-dose.

    Time frame: For L-dopa 35 mg, 70 mg, 140 mg plasma samples were taken at pre-dose, 30, 60, 90 and 120 minutes post-dose. For L-dopa 70 mg/carbidopa 7 mg, plasma samples were taken at pre-dose, 5, 10, 15, 30, 45, 60, 90 and 120 minutes post-dose.

  3. Tmax of L-dopa

    Time to Reach the Maximum Plasma Concentration (Cmax) of L-dopa

    Time frame: For L-dopa 35 mg, 70 mg, 140 mg plasma samples were taken at pre-dose, 30, 60, 90 and 120 minutes post-dose. For L-dopa 70 mg/carbidopa 7 mg, plasma samples were taken at pre-dose, 5, 10, 15, 30, 45, 60, 90 and 120 minutes post-dose.

  4. Mean Change From Baseline in MDS-UPDRS Score Over 2 Hours for C1, C2, C3 and Change From Baseline at 30, 60, 90, 120 Minutes for C4, in MDS-UPDRS Part III Score

    MDS-UPDRS is a clinimetric assessment of subjective and objective symptoms and signs of Parkinson's disease created by the Movement Disorder Society with high internal consistency. MDS-UPDRS retains the four-scale structure with a reorganization of the various subscales. The subscale used in this study is Part III, motor examination (18 items). The subscale has 0-4 ratings, where 0 = normal, 1 = slight, 2 = mild, 3 = moderate, and 4 = severe. Maximum score is 132, minimum is zero. High score means worse outcome. For the L-dopa 35 mg, L-dopa 70 mg, L-dopa 140 mg treatment groups, assessment occurred at pre-dose, 15, 30, 45, 60, 90 and 120 minutes post-dose. For the L-dopa 70 mg/carbidopa 7 mg treatment arm, assessment occurred at pre-dose, 30, 60, 90 and 120 minutes post-dose.

    Time frame: For L-dopa 35 mg, 70 mg, 140 mg, assessment occurred at pre-dose, 15, 30, 45, 60, 90 and 120 minutes post-dose. For L-dopa 70 mg/carbidopa 7 mg, assessment occurred at pre-dose, 30, 60, 90 and 120 minutes post-dose.

  5. Time to Response (Defined as Improvement of 30% in MDS-UPDRS Part III Score From Baseline)

    MDS-UPDRS is a clinimetric assessment of subjective and objective symptoms and signs of Parkinson's disease created by the Movement Disorder Society with high internal consistency. MDS-UPDRS retains the four-scale structure with a reorganization of the various subscales. The subscale used in this study is Part III, motor examination (18 items). The subscale now has 0-4 ratings, where 0 = normal, 1 = slight, 2 = mild, 3 = moderate, and 4 = severe.

    Time frame: 2 hours

  6. Cumulative Number of Responders (Defined as Improvement of 30% in MDS-UPDRS Part III Score From Baseline)

    MDS-UPDRS is a clinimetric assessment of subjective and objective symptoms and signs of Parkinson's disease created by the Movement Disorder Society with high internal consistency. MDS-UPDRS retains the four-scale structure with a reorganization of the various subscales. The subscale used in this study is Part III, motor examination (18 items). The subscale now has 0-4 ratings, where 0 = normal, 1 = slight, 2 = mild, 3 = moderate, and 4 = severe.

    Time frame: From time = 0 to 2 hours post-dose

  7. Area Under the Curve (AUC) of Change From Baseline in MDS-UPDRS Part III Scores

    MDS-UPDRS is a clinimetric assessment of subjective and objective symptoms and signs of Parkinson's disease created by the Movement Disorder Society with high internal consistency. MDS-UPDRS retains the four-scale structure with a reorganization of the various subscales. The subscale used in this study is Part III, motor examination (18 items). The subscale now has 0-4 ratings, where 0 = normal, 1 = slight, 2 = mild, 3 = moderate, and 4 = severe.

    Time frame: For L-dopa 35 mg, 70 mg, 140 mg, assessments were made at pre-dose, 15, 30, 45, 60, 90, 120 minutes post-dose. For L-dopa 70 mg/carbidopa 7 mg, assessments were made at pre-dose, 50, 60, 90, 120 minutes post-dose.

  8. Mean Maximum Change From Baseline in MDS-UPDRS Part III Score

    MDS-UPDRS is a clinimetric assessment of subjective and objective symptoms and signs of Parkinson's disease created by the Movement Disorder Society with high internal consistency. MDS-UPDRS retains the four-scale structure with a reorganization of the various subscales. The subscale used in this study is Part III, motor examination (18 items). The subscale now has 0-4 ratings, where 0 = normal, 1 = slight, 2 = mild, 3 = moderate, and 4 = severe. The total of the subscales has a maximum value of 132 and a minimum value of zero. Lower scores indicate better motor function. A negative change from baseline indicates improved motor function.

    Time frame: From time = 0 to 2 hours post-dose

  9. Subjective Time to "ON" as Evaluated by the Investigator

    Investigators will evaluate subjects' fluctuations in motor functions at 15, 30, 45, 60, 90, 120, and 240 minutes post-dose to determine if they are "ON".

    Time frame: 4 hours

  10. Assessment of Time to "ON" as Evaluated by Subject Self-assessment

    Subjects were asked to provide self-assessments at 15, 30, 45, 60, 90, 120, and 240 minutes post-dose as to whether they considered themselves to be "ON".

    Time frame: 4 hours

  11. AUC0-2h for Carbidopa

    Area under the concentration time curve for carbidopa

    Time frame: Plasma samples were taken at pre-dose, 5, 10, 15, 30, 45, 60, 90 and 120 minutes post-dose and AUC calculated from these from time 0 to 120 minutes.

  12. Cmax of Carbidopa

    Maximum concentration of carbidopa

    Time frame: For L-dopa 70 mg/carbidopa 7 mg, plasma samples were taken at pre-dose, 5, 10, 15, 30, 45, 60, 90 and 120 minutes post-dose.

  13. Tmax of Carbidopa

    Time to reach the maximum concentration of carbidopa

    Time frame: For L-dopa 70 mg/carbidopa 7 mg, plasma samples were taken at pre-dose, 5, 10, 15, 30, 45, 60, 90 and 120 minutes post-dose.

  14. Duration of Response, Where Response is Defined as an Improvement of 30% in MDS-UPDRS Part III Score From Baseline.

    MDS-UPDRS is a clinimetric assessment of subjective and objective symptoms and signs of Parkinson's disease created by the Movement Disorder Society with high internal consistency. MDS-UPDRS retains the four-scale structure with a reorganization of the various subscales. The subscale used in this study is Part III, motor examination (18 items). The subscale has 0-4 ratings, where 0 = normal, 1 = slight, 2 = mild, 3 = moderate, and 4 = severe. Maximum score is 132, minimum is zero. High score means worse outcome.

    Time frame: 2 hours

07

Results

Posted Aug 12, 2020

Participant flow

Parkinson's disease patients at movement disorder clinics in Australia

Participant flow — Overall Study
MilestonePlaceboL-dopa 35 mgL-dopa 70 mgL-dopa 140 mgL-dopa 70 mg/Carbidopa 7 mg
Started86666
Completed86666
Not completed00000

Outcome measures

PrimaryNumber of Participants With Treatment Emergent Adverse Events

Assessment of treatment emergent adverse events after single dosing with INP103 (L-dopa or L-dopa/carbidopa)

Time frame:
7 days
Reported as:
Count of participants · Participants
Number of Participants With Treatment Emergent Adverse Events
ParticipantsPlaceboL-dopa 35 mgL-dopa 70 mgL-dopa 140 mgL-dopa 70 mg/Carbidopa 7 mg
Number of Participants With Treatment Emergent Adverse Events55345
SecondaryAUC0-2hr for L-dopa

Area under the Plasma Concentration-time Curve for L-dopa from Time = 0 to Time = 2 hours post dose. For the L-dopa 35 mg, L-dopa 70 mg, L-dopa 140 mg plasma samples were taken at pre-dose, 30, 60, 90 and 120 minutes post-dose. For the L-dopa 70 mg/carbidopa 7 mg treatment arm, plasma samples were taken at pre-dose, 5, 10, 15, 30, 45, 60, 90 and 120 minutes post-dose.

Time frame:
For L-dopa 35 mg, 70 mg, 140 mg plasma samples were taken at pre-dose, 30, 60, 90 and 120 minutes post-dose. For L-dopa 70 mg/carbidopa 7 mg, plasma samples were taken at pre-dose, 5, 10, 15, 30, 45, 60, 90 and 120 min
Reported as:
Mean · hours*ng/mL
AUC0-2hr for L-dopa
hours*ng/mLL-dopa 35 mgL-dopa 70 mgL-dopa 140 mgL-dopa 70 mg/Carbidopa 7 mg
AUC0-2hr for L-dopa240.71 ± 117.819463.49 ± 260.093725.29 ± 456.566552.75 ± 177.979
SecondaryCmax of L-dopa

Maximum Observed Plasma Concentration of L-dopa from Time = 0 to Time = 2 hours post dose. For the L-dopa 35 mg, L-dopa 70 mg, L-dopa 140 mg plasma samples were taken at pre-dose, 30, 60, 90 and 120 minutes post-dose. For the L-dopa 70 mg/carbidopa 7 mg treatment arm, plasma samples were taken at pre-dose, 5, 10, 15, 30, 45, 60, 90 and 120 minutes post-dose.

Time frame:
For L-dopa 35 mg, 70 mg, 140 mg plasma samples were taken at pre-dose, 30, 60, 90 and 120 minutes post-dose. For L-dopa 70 mg/carbidopa 7 mg, plasma samples were taken at pre-dose, 5, 10, 15, 30, 45, 60, 90 and 120 minutes post-dose.
Reported as:
Mean · ng/mL
Cmax of L-dopa
ng/mLL-dopa 35 mgL-dopa 70 mgL-dopa 140 mgL-dopa 70 mg/Carbidopa 7 mg
Cmax of L-dopa185.80 ± 78.144362.68 ± 195.265643.65 ± 462.469445.75 ± 183.746
SecondaryTmax of L-dopa

Time to Reach the Maximum Plasma Concentration (Cmax) of L-dopa

Time frame:
For L-dopa 35 mg, 70 mg, 140 mg plasma samples were taken at pre-dose, 30, 60, 90 and 120 minutes post-dose. For L-dopa 70 mg/carbidopa 7 mg, plasma samples were taken at pre-dose, 5, 10, 15, 30, 45, 60, 90 and 120 minutes post-dose.
Reported as:
Mean · minutes
Tmax of L-dopa
minutesL-dopa 35 mgL-dopa 70 mgL-dopa 140 mgL-dopa 70 mg/Carbidopa 7 mg
Tmax of L-dopa60.17 ± 37.95066.00 ± 38.73570.00 ± 15.50592.00 ± 27.481
SecondaryMean Change From Baseline in MDS-UPDRS Score Over 2 Hours for C1, C2, C3 and Change From Baseline at 30, 60, 90, 120 Minutes for C4, in MDS-UPDRS Part III Score

MDS-UPDRS is a clinimetric assessment of subjective and objective symptoms and signs of Parkinson's disease created by the Movement Disorder Society with high internal consistency. MDS-UPDRS retains the four-scale structure with a reorganization of the various subscales. The subscale used in this study is Part III, motor examination (18 items). The subscale has 0-4 ratings, where 0 = normal, 1 = slight, 2 = mild, 3 = moderate, and 4 = severe. Maximum score is 132, minimum is zero. High score means worse outcome. For the L-dopa 35 mg, L-dopa 70 mg, L-dopa 140 mg treatment groups, assessment occurred at pre-dose, 15, 30, 45, 60, 90 and 120 minutes post-dose. For the L-dopa 70 mg/carbidopa 7 mg treatment arm, assessment occurred at pre-dose, 30, 60, 90 and 120 minutes post-dose.

Time frame:
For L-dopa 35 mg, 70 mg, 140 mg, assessment occurred at pre-dose, 15, 30, 45, 60, 90 and 120 minutes post-dose. For L-dopa 70 mg/carbidopa 7 mg, assessment occurred at pre-dose, 30, 60, 90 and 120 minutes post-dose.
Reported as:
Mean · score on a scale
Mean Change From Baseline in MDS-UPDRS Score Over 2 Hours for C1, C2, C3 and Change From Baseline at 30, 60, 90, 120 Minutes for C4, in MDS-UPDRS Part III Score
score on a scalePlaceboL-dopa 35 mgL-dopa 70 mgL-dopa 140 mgL-dopa 70 mg/Carbidopa 7 mg
15 minutes-3.5 ± 3.89-4.5 ± 4.460.8 ± 9.20-9.0 ± 6.16NA ± NA
30 minutes-8.5 ± 6.52-6.7 ± 4.89-8.5 ± 9.09-12.7 ± 7.79-3.7 ± 3.83
45 minutes-13.5 ± 7.09-4.7 ± 4.03-12.8 ± 11.05-13.7 ± 8.91NA ± NA
60 minutes-12.5 ± 7.87-6.8 ± 4.54-15.7 ± 9.58-13.5 ± 8.29-0.8 ± 10.63
90 minutes-10.8 ± 9.35-10.3 ± 13.56-15.5 ± 10.03-9.0 ± 5.76-3.7 ± 10.76
120 minutes-8.8 ± 10.61-11.0 ± 9.47-13.8 ± 11.97-7.2 ± 9.09-3.2 ± 9.22
SecondaryTime to Response (Defined as Improvement of 30% in MDS-UPDRS Part III Score From Baseline)

MDS-UPDRS is a clinimetric assessment of subjective and objective symptoms and signs of Parkinson's disease created by the Movement Disorder Society with high internal consistency. MDS-UPDRS retains the four-scale structure with a reorganization of the various subscales. The subscale used in this study is Part III, motor examination (18 items). The subscale now has 0-4 ratings, where 0 = normal, 1 = slight, 2 = mild, 3 = moderate, and 4 = severe.

Time frame:
2 hours
Reported as:
Median · minutes
Time to Response (Defined as Improvement of 30% in MDS-UPDRS Part III Score From Baseline)
minutesPlaceboL-dopa 35 mgL-dopa 70 mgL-dopa 140 mgL-dopa 70 mg/Carbidopa 7 mg
Time to Response (Defined as Improvement of 30% in MDS-UPDRS Part III Score From Baseline)45.0 (35.0 to NA)NA (40.0 to NA)54.0 (15.0 to NA)30.0 (15.0 to NA)NA (32.0 to NA)
SecondaryCumulative Number of Responders (Defined as Improvement of 30% in MDS-UPDRS Part III Score From Baseline)

MDS-UPDRS is a clinimetric assessment of subjective and objective symptoms and signs of Parkinson's disease created by the Movement Disorder Society with high internal consistency. MDS-UPDRS retains the four-scale structure with a reorganization of the various subscales. The subscale used in this study is Part III, motor examination (18 items). The subscale now has 0-4 ratings, where 0 = normal, 1 = slight, 2 = mild, 3 = moderate, and 4 = severe.

Time frame:
From time = 0 to 2 hours post-dose
Reported as:
Count of participants · Participants
Cumulative Number of Responders (Defined as Improvement of 30% in MDS-UPDRS Part III Score From Baseline)
ParticipantsPlaceboL-dopa 35 mgL-dopa 70 mgL-dopa 140 mgL-dopa 70 mg/Carbidopa 7 mg
15 minutes0012NA
30 minutes31151
45 minutes4135NA
60 minutes61452
90 minutes62553
120 minutes62553
SecondaryArea Under the Curve (AUC) of Change From Baseline in MDS-UPDRS Part III Scores

MDS-UPDRS is a clinimetric assessment of subjective and objective symptoms and signs of Parkinson's disease created by the Movement Disorder Society with high internal consistency. MDS-UPDRS retains the four-scale structure with a reorganization of the various subscales. The subscale used in this study is Part III, motor examination (18 items). The subscale now has 0-4 ratings, where 0 = normal, 1 = slight, 2 = mild, 3 = moderate, and 4 = severe.

Time frame:
For L-dopa 35 mg, 70 mg, 140 mg, assessments were made at pre-dose, 15, 30, 45, 60, 90, 120 minutes post-dose. For L-dopa 70 mg/carbidopa 7 mg, assessments were made at pre-dose, 50, 60, 90, 120 minutes post-dose.
Reported as:
Mean · change in score*minutes
Area Under the Curve (AUC) of Change From Baseline in MDS-UPDRS Part III Scores
change in score*minutesPlaceboL-dopa 35 mgL-dopa 70 mgL-dopa 140 mgL-dopa 70 mg/Carbidopa 7 mg
15 minutes-26.25 ± 29.144-33.50 ± 33.6977.00 ± 69.206-67.50 ± 46.233NA ± NA
30 minutes-237.63 ± 276.197-138.58 ± 138.105-50.50 ± 203.053-232.83 ± 153.638-230.08 ± 250.832
45 minutes-264.92 ± 178.969-201.92 ± 162.256-210.50 ± 334.216-426.83 ± 274.566NA ± NA
60 minutes-573.88 ± 371.782-296.50 ± 241.271-424.25 ± 464.545-630.58 ± 401.947-295.25 ± 412.042
90 minutes-919.75 ± 530.872-575.17 ± 486.241-896.67 ± 671.116-968.08 ± 587.629-362.75 ± 676.456
120 minutes-1215.75 ± 765.287-903.67 ± 804.196-1324.83 ± 863.122-1210.58 ± 714.512-465.25 ± 932.842
SecondaryMean Maximum Change From Baseline in MDS-UPDRS Part III Score

MDS-UPDRS is a clinimetric assessment of subjective and objective symptoms and signs of Parkinson's disease created by the Movement Disorder Society with high internal consistency. MDS-UPDRS retains the four-scale structure with a reorganization of the various subscales. The subscale used in this study is Part III, motor examination (18 items). The subscale now has 0-4 ratings, where 0 = normal, 1 = slight, 2 = mild, 3 = moderate, and 4 = severe. The total of the subscales has a maximum value of 132 and a minimum value of zero. Lower scores indicate better motor function. A negative change from baseline indicates improved motor function.

Time frame:
From time = 0 to 2 hours post-dose
Reported as:
Mean · score on a scale
Mean Maximum Change From Baseline in MDS-UPDRS Part III Score
score on a scalePlaceboL-dopa 35 mgL-dopa 70 mgL-dopa 140 mgL-dopa 70 mg/Carbidopa 7 mg
Mean Maximum Change From Baseline in MDS-UPDRS Part III Score-15.5 ± 6.35-14.0 ± 11.15-20.3 ± 11.18-15.3 ± 8.12-7.5 ± 6.72
SecondarySubjective Time to "ON" as Evaluated by the Investigator

Investigators will evaluate subjects' fluctuations in motor functions at 15, 30, 45, 60, 90, 120, and 240 minutes post-dose to determine if they are "ON".

Time frame:
4 hours
Reported as:
Median · minutes
Subjective Time to "ON" as Evaluated by the Investigator
minutesPlaceboL-dopa 35 mgL-dopa 70 mgL-dopa 140 mgL-dopa 70 mg/Carbidopa 7 mg
Subjective Time to "ON" as Evaluated by the Investigator45.0 (30 to 240)240.0 (90 to NA)30.0 (15 to 240)30.0 (15 to 240)240.0 (30 to 240)
SecondaryAssessment of Time to "ON" as Evaluated by Subject Self-assessment

Subjects were asked to provide self-assessments at 15, 30, 45, 60, 90, 120, and 240 minutes post-dose as to whether they considered themselves to be "ON".

Time frame:
4 hours
Reported as:
Median · minutes
Assessment of Time to "ON" as Evaluated by Subject Self-assessment
minutesPlaceboL-dopa 35 mgL-dopa 70 mgL-dopa 140 mgL-dopa 70 mg/Carbidopa 7 mg
Assessment of Time to "ON" as Evaluated by Subject Self-assessment40.0 (15 to 240)240.0 (95 to NA)39.0 (15 to 240)30.0 (15 to 240)232.5 (31 to 240)
SecondaryAUC0-2h for Carbidopa

Area under the concentration time curve for carbidopa

Time frame:
Plasma samples were taken at pre-dose, 5, 10, 15, 30, 45, 60, 90 and 120 minutes post-dose and AUC calculated from these from time 0 to 120 minutes.
Reported as:
Mean · hours*ng/mL
AUC0-2h for Carbidopa
hours*ng/mLL-dopa 70 mg/Carbidopa 7 mg
AUC0-2h for Carbidopa114.80 ± 30.384
SecondaryCmax of Carbidopa

Maximum concentration of carbidopa

Time frame:
For L-dopa 70 mg/carbidopa 7 mg, plasma samples were taken at pre-dose, 5, 10, 15, 30, 45, 60, 90 and 120 minutes post-dose.
Reported as:
Mean · ng/mL
Cmax of Carbidopa
ng/mLL-dopa 70 mg/Carbidopa 7 mg
Cmax of Carbidopa80.23 ± 22.945
SecondaryTmax of Carbidopa

Time to reach the maximum concentration of carbidopa

Time frame:
For L-dopa 70 mg/carbidopa 7 mg, plasma samples were taken at pre-dose, 5, 10, 15, 30, 45, 60, 90 and 120 minutes post-dose.
Reported as:
Mean · minutes
Tmax of Carbidopa
minutesL-dopa 70 mg/Carbidopa 7 mg
Tmax of Carbidopa44.50 ± 13.882
SecondaryDuration of Response, Where Response is Defined as an Improvement of 30% in MDS-UPDRS Part III Score From Baseline.

MDS-UPDRS is a clinimetric assessment of subjective and objective symptoms and signs of Parkinson's disease created by the Movement Disorder Society with high internal consistency. MDS-UPDRS retains the four-scale structure with a reorganization of the various subscales. The subscale used in this study is Part III, motor examination (18 items). The subscale has 0-4 ratings, where 0 = normal, 1 = slight, 2 = mild, 3 = moderate, and 4 = severe. Maximum score is 132, minimum is zero. High score means worse outcome.

Time frame:
2 hours
Reported as:
Mean · minutes
Duration of Response, Where Response is Defined as an Improvement of 30% in MDS-UPDRS Part III Score From Baseline.
minutesPlaceboL-dopa 35 mgL-dopa 70 mgL-dopa 140 mgL-dopa 70 mg/Carbidopa 7 mg
Duration of Response, Where Response is Defined as an Improvement of 30% in MDS-UPDRS Part III Score From Baseline.66.9 ± 48.3523.3 ± 36.7057.3 ± 42.7237.5 ± 42.2515.0 ± 25.10

Adverse events

Collected over 7 days. Non-serious events are listed at a 0.1% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo0/8 (0%)0/8 (0%)5/8 (62.5%)
L-dopa 35 mg0/6 (0%)0/6 (0%)5/6 (83.3%)
L-dopa 70 mg0/6 (0%)0/6 (0%)3/6 (50%)
L-dopa 140 mg0/6 (0%)0/6 (0%)4/6 (66.7%)
L-dopa 70 mg/Carbidopa 7 mg0/6 (0%)0/6 (0%)5/6 (83.3%)
Most frequent other events
Showing 10 of 28
Most frequent other events
EventPlaceboL-dopa 35 mgL-dopa 70 mgL-dopa 140 mgL-dopa 70 mg/Carbidopa 7 mg
headacheNervous system disorders0/82/60/60/60/6
upper respiratory tract infectionRespiratory, thoracic and mediastinal disorders0/81/61/61/60/6
rhinorrhoeaRespiratory, thoracic and mediastinal disorders0/80/61/61/60/6
sinus painRespiratory, thoracic and mediastinal disorders0/80/60/61/61/6
coughRespiratory, thoracic and mediastinal disorders0/80/60/61/60/6
dyspnoeaRespiratory, thoracic and mediastinal disorders0/80/60/60/61/6
nasal congestionRespiratory, thoracic and mediastinal disorders0/80/60/60/61/6
nasal drynessRespiratory, thoracic and mediastinal disorders0/80/60/61/60/6
nasal oedemaRespiratory, thoracic and mediastinal disorders0/80/60/60/61/6
paranasal sinus discomfortRespiratory, thoracic and mediastinal disorders0/80/60/60/61/6

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)PlaceboL-dopa 35 mgL-dopa 70 mgL-dopa 140 mgL-dopa 70 mg/Carbidopa 7 mgTotal
<=18 years000000
Between 18 and 65 years6313518
>=65 years2353114
Sex: Female, Male
Sex: Female, Male(Participants)PlaceboL-dopa 35 mgL-dopa 70 mgL-dopa 140 mgL-dopa 70 mg/Carbidopa 7 mgTotal
Female3222312
Male5444320
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)PlaceboL-dopa 35 mgL-dopa 70 mgL-dopa 140 mgL-dopa 70 mg/Carbidopa 7 mgTotal
Hispanic or Latino000000
Not Hispanic or Latino8666632
Unknown or Not Reported000000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)PlaceboL-dopa 35 mgL-dopa 70 mgL-dopa 140 mgL-dopa 70 mg/Carbidopa 7 mgTotal
American Indian or Alaska Native000000
Asian220004
Native Hawaiian or Other Pacific Islander000000
Black or African American000000
White6466628
More than one race000000
Unknown or Not Reported000000
Region of Enrollment
Region of Enrollment(participants)PlaceboL-dopa 35 mgL-dopa 70 mgL-dopa 140 mgL-dopa 70 mg/Carbidopa 7 mgTotal
Australia8666632
08

Study locations

5 sites
  • The Brain and Mind Centre / Scientia Clinical Research
    Sydney, New South Wales 2031, Australia
  • Q-Pharm
    Brisbane, Queensland, Australia
  • The Mater Hospital
    Brisbane, Queensland, Australia
  • The Alfred Hospital
    Melbourne, Victoria, Australia
  • Perron Institute
    Perth, Western Australia 6009, Australia
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 reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from May 2018 to primary completion in Jun 2019, 13 months.

Results were first posted in Aug 2020, 1 year 2 months after primary completion.

Of 96 industry-sponsored phase 2 interventional studies under Parkinson Disease, half reached primary completion within 19 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 33. This study's 13 months is below that.

Counting every sponsor, half of 201 studies reached it within 28 months; a quarter within 16 and three quarters within 44.

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

Registered
Apr 5, 2018
First posted
May 30, 2018
StartActual
May 8, 2018
Primary completionActual
Jun 11, 2019
CompletionActual
Jun 11, 2019
Results first posted
Aug 12, 2020
Last update
Aug 12, 2020
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 Aug 12, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03541356
Lead sponsor
Impel Pharmaceuticals
Responsible party
Sponsor
First posted
May 30, 2018
Start date
May 8, 2018
Primary completion
Jun 11, 2019
Completion
Jun 11, 2019
Results posted
Aug 12, 2020
Last update
Aug 12, 2020

Study contacts

Stephen B Shrewsbury, MD
study chair · Impel NeuroPharma, Seattle, WA (USA)
Terry O'Brien, MD/Prof
principal investigator · The Alfred Hospital, Melbourne, VIC (AUS)

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jul 2020. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Levodopa

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