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Active, not recruitingNCT04006210BouNDlessUpdated May 21, 2025

Efficacy, Safety and Tolerability Study of ND0612 vs. Oral Immediate Release Levodopa/Carbidopa (IR-LD/CD) in Subjects With Parkinson's Disease Experiencing Motor Fluctuations

A Phase 3 interventional study of ND0612 Solution for SC infusion and Placebo for SC infusion in Parkinson's Disease, sponsored by NeuroDerm Ltd.. Active, not recruiting at 103 sites in 16 countries. Open to participants aged 30 Years and older. Per ClinicalTrials.gov, last updated 2025-05-21.

Sponsored by NeuroDerm Ltd. · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
381
Allocation
Randomized
Ages
30 Years and older
Sex
All
01

Study summary

This is a multi-center, randomized, double-blind, double-dummy, active controlled clinical Study. Following a screening period, eligible subjects will be enrolled to an open-label oral IR-LD/CD adjustment period; then an open-label ND0612 conversion period; then after optimization periods subjects will be randomized to receive either ND0612 or its matching Placebo with IR-LD/CD.

Subjects can continue to an optional open-label extension period.

Read the detailed description

This is a phase III multi-center, randomized, active-controlled, double-blind, double-dummy (DBDD), parallel group clinical trial, investigating the efficacy, safety, and tolerability of continuous subcutaneous (SC) ND0612 infusion in comparison to oral IR-LD/CD in subjects with Parkinson's disease (PD) experiencing motor fluctuations.

This study is comprised of 6 periods:

  1. a Screening Period;
  2. an open-label oral IR-LD/CD Adjustment Period;
  3. an open-label ND0612 Conversion Period;
  4. a randomized DBDD active-controlled Maintenance Period;
  5. an optional open-label Treatment Extension; and
  6. a Safety Follow-up Period.
02

Conditions studied

  • Parkinson's Disease

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03

In context

Parkinson Disease

4,487 studies on the registry are indexed under Parkinson Disease; 1,082 are open to participants now.

This study's enrollment of 381 is above the median of 40 across 3,294 interventional studies indexed under Parkinson Disease.

Browse Parkinson Disease studies →

Lead sponsor

NeuroDerm Ltd. is the lead sponsor of 14 studies on the registry; none are 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. Male and female patients, aged ≥30 years.
  2. PD diagnosis consistent with the United Kingdom Brain Bank Criteria.
  3. Modified Hoehn \& Yahr score ≤3 during "ON" state.
  4. Average of ≥2.5 hours of OFF time (≥2 hours "OFF" time every day) during waking hours as confirmed by patient diary over 3 days.
  5. Taking ≥4 levodopa doses/day (≥3 doses/day of extended release LD/dopa-decarboxylase inhibitor, e.g., Rytary®) at a total daily dose of ≥400mg.

Exclusion criteria

Exclusion Criteria:

  1. Atypical or secondary parkinsonism.
  2. Severe disabling dyskinesias, based on Investigator's discretion.
  3. Previous neurosurgery for PD.
  4. Use of duodenal levodopa infusion (LCIG) or apomorphine infusion.
  5. Use of the following medications: subcutaneous apomorphine injections, sublingual apomorphine, or inhaled levodopa within 4 weeks.
  6. Previous participation in ND0612 studies.
  7. History of significant skin conditions or disorders.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
381 participants (actual)

Study arms

  • Experimental
    ND0612 Group

    ND0612 continuous SC infusion + Active IR-LD/CD (grey capsules) + Placebo IR-LD/CD (white capsules). Randomized DBDD Maintenance Treatment for 12 weeks.

    Combination Product: ND0612 Solution for SC infusion · Drug: Oral IR-LD/CD · Drug: Placebo for Oral IR-LD/CD

  • Active comparator
    IR-LD/CD Group

    Placebo for ND0612 continuous SC infusion + Placebo IR-LD/CD (grey capsules) + Active IR-LD/CD (white capsules). Randomized DBDD Maintenance Treatment for 12 weeks.

    Combination Product: Placebo for SC infusion · Drug: Oral IR-LD/CD · Drug: Placebo for Oral IR-LD/CD

  • Other
    Oral IR-LD/CD Adjustment

    Active IR-LD/CD (white capsules). Open-label Treatment in Run-in 1 for 4-6 weeks.

    Drug: Oral IR-LD/CD

  • Other
    ND0612 Conversion

    ND0612 continuous SC infusion + Active IR-LD/CD (grey capsules). Open-label Treatment in Run-in 2 for 4-6 weeks.

    Combination Product: ND0612 Solution for SC infusion · Drug: Oral IR-LD/CD

  • Other
    Open-Label Extension

    ND0612 continuous SC infusion + Standard of care LD/dopa-decarboxylase inhibitor. Open-label Treatment in Extension for up to 54 months.

    Combination Product: ND0612 Solution for SC infusion

Interventions

  • Combination productND0612 Solution for SC infusion

    Levodopa/Carbidopa (LD/CD) solution administered SC via infusion pump

  • Combination productPlacebo for SC infusion

    Placebo solution administered SC via infusion pump

  • DrugOral IR-LD/CD

    Encapsulated LD/CD 100mg/25mg

    Also known as: IR-LD/CD

  • DrugPlacebo for Oral IR-LD/CD

    Encapsulated Placebo for LD/CD 100mg/25mg

    Also known as: Placebo for IR-LD/CD

06

What researchers measure

Primary outcomes

  1. The change in daily ON time without troublesome dyskinesia

    ON time without troublesome dyskinesia is the sum of ON time without dyskinesia and ON time with non-troublesome dyskinesia per patient diary

    Time frame: Baseline to the end of DBDD Maintenance Period (12 weeks)

Secondary outcomes

  1. The change in daily OFF time

    OFF time per patient diary

    Time frame: Baseline to the end of DBDD Maintenance Period (12 weeks)

07

Study locations

103 sites
  • Xenoscience
    Phoenix, Arizona 85004, United States
  • University of Arkansas for Medical Sciences
    Little Rock, Arkansas 72205, United States
  • Cedar- Sinai Medical Center Department of Neurology
    Los Angeles, California 90048 -1804, United States
  • SC3 Research - Reseda
    Reseda, California 91335, United States
  • University of California San Francisco
    San Francisco, California 94115, United States
  • Rocky Mountain Movement Disorders Center
    Englewood, Colorado 80113, United States
  • Hartford Healthcare Chase Family Movement Disorders Center
    Vernon, Connecticut 06066, United States
  • Visionary Investigators Network
    Aventura, Florida 33180, United States
  • Parkinsons Disease and Movement Disorders Center of Boca Raton
    Boca Raton, Florida 33486-2359, United States
  • University of Florida Norman Fixel Institute for Neurological Diseases
    Gainesville, Florida 32608, United States
  • Neurology Associates PA
    Maitland, Florida 32751-4723, United States
  • USF Parkinson's Disease and Movement Disorders Center
    Tampa, Florida 33613, United States
  • Neurology One
    Winter Park, Florida 32792, United States
  • Emory University - Brain Health Center
    Atlanta, Georgia 30329, United States
  • NeuroStudies
    Decatur, Georgia 30033, United States
  • Hawaii Pacific Neuroscience
    Honolulu, Hawaii 96817, United States
  • Rush University Medical Center
    Chicago, Illinois 60612, United States
  • Unity Point Health
    Des Moines, Iowa 50309, United States
  • University of Kansas Medical Center
    Kansas City, Kansas 66160, United States
  • University of Kentucky, Neurology and Movement Disorder
    Lexington, Kentucky 40536-0284, United States
  • Oschner Medical Center
    New Orleans, Louisiana 70121, United States
  • Beth Israel Deaconess Medical Center
    Boston, Massachusetts 02215, United States
  • Michigan State University
    East Lansing, Michigan 48824, United States
  • QUEST Research Institute
    Farmington Hills, Michigan 48334-2980, United States
  • Henry Ford West Bloomfield Hospital
    West Bloomfield, Michigan 48322, United States
  • Rutgers-Robert Wood Johnson Medical School
    New Brunswick, New Jersey 08901, United States
  • Weill Cornell Medicine
    New York, New York 10021, United States
  • Mount Sinai Medical center Movement Disorders Center
    New York, New York 10029, United States
  • Duke University
    Durham, North Carolina 27705, United States
  • University of Cincinnati
    Cincinnati, Ohio 45219, United States
  • Cleveland Clinic
    Cleveland, Ohio 44195, United States
  • Corporal Michael J. Crescenz VA Medical Center
    Philadelphia, Pennsylvania 19101-4511, United States
  • Abington Neurological Associates LTD.
    Willow Grove, Pennsylvania 19090-1749, United States
  • Medical University of South Carolina
    Charleston, South Carolina 29425, United States
  • Neurology Consultants of Dallas
    Dallas, Texas 75243, United States
  • University of Vermont Medical Center
    Burlington, Vermont 05401, United States
  • University of Virginia
    Charlottesville, Virginia 22908-0816, United States
  • University of Wisconsin Madison
    Madison, Wisconsin 53705-2281, United States
  • Medical University Innsbruck
    Innsbruck, 6020, Austria
  • CHU de Tivoli
    La Louvière, 7100, Belgium
  • Neurologicka klinika Fakutni nemocnice sv. Anny v Brne
    Brno, 65691, Czechia
  • Axon Clinical s.r.o.
    Praha 5, 150 00, Czechia
  • Hopital Neurologique
    Bron, 69677, France
  • Hopital Gabriel Montpied
    Clermont-Ferrand, 63000, France
  • CHU Nantes-Hopital Laennec
    Nantes, 44800, France
  • CHU de Nice Hpital Pasteur
    Nice, 6002, France
  • Chu Caremeau
    Nimes, GARD 30000, France
  • Hopital Purpan
    Toulouse, 31059, France
  • University of Pecs, Clinical Center
    Pécs, 7623, Hungary
  • Shaare Zedek Medical Center
    Jerusalem, 9103102, Israel
  • Hadassah Medical Center, Ein Kerem
    Jerusalem, 9112001, Israel
  • Galilee Medical center- Nahariya
    Nahariya, 22100, Israel
  • Rabin Medical Center, Beilinson Hospital
    Petah Tikva, 49100, Israel
  • Chaim Sheba Medical Center
    Ramat Gan, 5265601, Israel
  • Tel Aviv Sourasky Medical Center
    Tel Aviv, 64239, Israel
  • Casa di Cura Villa Margherita
    Arcugnano, 36057, Italy
  • Centro Ricerca Parkinson San Raffaele Cassino
    Cassino, 03043, Italy
  • University Chieti CeSI MET Clinical research center-CRC
    Chieti, 66100, Italy
  • Ospedale di Grosseto, Azienda USL Toscana Sud Est
    Grosseto, 58100, Italy
  • Istituto Clinico Humanitas - IRCCS
    Milano, 20089, Italy
  • AOU University of Campania "Luigi Vanvitelli"
    Naples, 80138, Italy
  • IRCCS Fondazione C. Mondino
    Pavia, 27100, Italy
  • IRCCS San Raffaele Pisana
    Roma, RM 163, Italy
  • Policlinico Tor Vergata - UOSD Parkinson
    Rome, 00133, Italy
  • IRCCS Santa Lucia Foundation
    Rome, 179, Italy
  • University of Amsterdam
    Amsterdam, 1105, Netherlands
  • Krakowska Akademia Neurologii Sp. z o. o
    Krakow, 31-505, Poland
  • NeuroKlinika Gabinet Lekarski Prof. Andrzej Bogucki
    Lodz, 90-640, Poland
  • Neuro-Care SP z o. o.
    Siemianowice Śląskie, 41-100, Poland
  • Oddział Neurologii ul. L. Kondratowicza 8
    Warsaw, 03-242, Poland
  • Hospital Braga
    Braga, 4710-243, Portugal
  • CNS - Campus Neurologico Senior
    Torres Vedras, 256-280, Portugal
  • Kazan State Medical University
    Kazan, 420012, Russian Federation
  • Federal Siberian Scientic Clinical Center of FMBA
    Krasnoyarsk, 660037, Russian Federation
  • Novosibirsk regional specialized scientific-practical neurological center on the basis City Clinical Hospital 34
    Novosibirsk, 630054, Russian Federation
  • The first Saint-Petersburg State Medical University named after IP Pavlov
    St. Petersburg, 197022, Russian Federation
  • Siberian State Medical University
    Tomsk, 634050, Russian Federation
  • Nemocnica akad. L. Derera
    Bratislava, 833 05, Slovakia
  • Univerzitna nemocnica L. Pasteura Kosice
    Kosice, 04166, Slovakia
  • Hospital Universitario central de Asturias
    Oviedo, Asturias 33011, Spain
  • Hospital General Universitario de Elche, Edificio principal
    Alicante, 03203, Spain
  • Hospital Universitari de la Vall d'Hebron
    Barcelona, 08035, Spain
  • Hospital de La Santa Creu I Sant Pau
    Barcelona, 08041, Spain
  • Hospital Universitari General de Catalunya
    Barcelona, 08195, Spain
  • Hospital Universitario de Burgos
    Burgos, 09006, Spain
  • Complejo Hospitalario Ruber Juan Bravo
    Madrid, 28006, Spain
  • Hospital Universitario La Princesa
    Madrid, 28006, Spain
  • Hospital Universitario Gregorio Marañón
    Madrid, 28007, Spain
  • Hospital Universitario Ramon y Cajal
    Madrid, 28034, Spain
  • Hospital Clinico San Carlos
    Madrid, 28040, Spain
  • Hospital Universitario Infanta Sofia
    Madrid, 28702, Spain
  • Hospital Universitario Virgen del Rocío, Laboratorio 104.
    Sevilla, 41013, Spain
  • Hospital Universitario y Politcnico de La Fe
    Valencia, 46026, Spain
  • Clinic "Dopomoga Plus"
    Kyiv, 04111, Ukraine
  • Institute of Gerontolgoy - Parkinsons disease Treatment Centre
    Kyiv, 4114, Ukraine
  • Ukrainian Medical Stomatological Academy based on Poltava Regional Clinical Hospital n.a. M.V.Skliphosovskyy
    Poltava, 36011, Ukraine
  • Vinnytsia O.I. Yushchenko Regional Psychoneurology Hospital
    Vinnytsia, 21005, Ukraine
  • Municipal Non-commercial Institution '' City hospital #9" of Zaporizhzhya City Council
    Zaporozhye, 69065, Ukraine
  • King's College hospital
    London, SE5 9RT, United Kingdom
  • St Georges University Hospital
    London, SW17 0QT, United Kingdom

Showing the first 100 of 103 sites across 16 countries.

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References and documents

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 21, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04006210
Lead sponsor
NeuroDerm Ltd.
Responsible party
Sponsor
First posted
Jul 5, 2019
Start date
Sep 30, 2019
Primary completion
Nov 1, 2022
Completion
Feb 2027 (estimated)
Last update
May 21, 2025

Study contacts

Alberto J Espay, MD, MSc
principal investigator · University of Cincinnati OH, USA
Olivier Rascol, MD, PhD
principal investigator · Toulouse University Hospital, France

Oversight

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

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