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Not yet recruitingNCT07793461Updated Aug 28, 2026

Gastrointestinal Dopamine Decarboxylase and Levodopa Pharmacokinetics

A Phase 4 interventional study of Levodopa (L-dopa) in Parkinson's Disease, sponsored by Beth Israel Deaconess Medical Center. Not yet recruiting at 1 site in United States. Per ClinicalTrials.gov, last updated 2026-08-28.

Sponsored by Beth Israel Deaconess Medical Center · Phase 4, Interventional, and Basic science

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Phase
Phase 4
Study type
Interventional
Enrollment
40
Allocation
Non-randomized
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.

Planned enrollment
28th of 50
40 · median 56
Started
2027
the only one that year
Phase 4
17 of 51
3 open now
Registered
51st of 51
by date
Lead sponsor
1 of 51
Beth Israel Deaconess Medical Center

Among the 51 studies testing levodopa in Parkinson Disease, this one is the 28th largest by planned enrollment of the 50 interventional ones that give a count, is the only one that started in 2027, is one of 17 in phase 4, and was the 51st 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: 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

The main treatment for Parkinson's disease is a medication called levodopa. Levodopa has to be absorbed from the gut and travel to the brain to work, but a naturally occurring enzyme in the lining of the stomach, called dopamine decarboxylase (AADC), can break some of it down before it ever reaches the brain. We do not yet know whether people whose stomachs have more of this enzyme absorb less of their levodopa dose, have worsened gastrointestinal (GI) symptoms associated with levodopa intake, and whether that affects how well the medication controls their movement symptoms. This research may help doctors understand why levodopa works better in some people with Parkinson's disease than others, which could help improve treatment in future.

Read the detailed description

Patients will be asked to fast overnight prior to the study visit, including holding any doses of dopamine replacement therapy that they may be prescribed, including levodopa or equivalents, and any promotility agents, including cholinesterase inhibitors or peripherally-restricted dopamine antagonists (ie. Domperidone), that may impact gastric transit.

At the start of the study visit, patients will undergo a neurological exam by a study investigator blinded to which study group the patient belongs. Exams will be performed according to the Movement Disorder Society-Sponsored Revision of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Part III, a validated clinical score of motor impairment in Parkinson's disease (PD). They will also undergo a baseline blood draw (5.5 mLs) through an indwelling venous cannula in the antecubital vein. Immediately afterwards, a single oral dose of levodopa (100 mg) obtained through the BIDMC research pharmacy with a standard volume of water (100 mL). Repeat blood samples will be collected immediately after oral levodopa ingestion (T=0) and then repeated every ½ hour until T=4 hours for a total of 10 draws, including the baseline. The initial placement of indwelling venous cannula will mitigate the necessity for repeated venipuncture during the study visit. At each ½ hour interval, additionally, patients will undergo repeat MDS-UPDRS-III assessments. After the 4-hour study concludes, the patient will be allowed to consume any food they would like and can resume home medications as previously prescribed clinically. Blood samples will be centrifuged to separate plasma and immediately frozen at -80oC until analysis by an investigator blinded to which study group the patient belongs.

Separately, patients' prior clinically-obtained gastric biopsy blocks will be requested from BIDMC pathology (as otherwise discarded specimen) and stained for presence of AADC. This will not require any further time or visits from the patient themselves.

03

Conditions studied

  • Parkinson's Disease

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Keywords

  • parkinson's disease
  • levodopa
  • AADC
04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
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

  • Parkinson's disease
  • Gastric previously obtained during clinically-indicated EGD procedure
  • Taking dopamine replacement therapy currently

Exclusion criteria

Exclusion Criteria:

  • No history of Parkinson's disease
Terms in these criteria, in plain language(1)

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.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

05

Study design

Phase
Phase 4
Primary purpose
Basic science
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
40 participants (estimated)

Study arms

  • Experimental
    Elevated AADC

    Participants will be administered a single dose of levodopa at the start of the study period

    Drug: Levodopa (L-dopa)

  • Experimental
    Non-elevated AADC

    Participants will be administered a single dose of levodopa at the start of the study period

    Drug: Levodopa (L-dopa)

Interventions

  • levodopa will be administered to all participants in this single arm study

06

What researchers measure

Primary outcomes

  1. levodopa pharmacodynamics

    Peripheral levodopa levels will be assessed via blood draw to determine time (in minutes) to reach maximum concentration in the blood. Lower Tmax indicates quicker bioavailability.

    Time frame: 0-4 hours after oral levodopa ingestion.

Secondary outcomes

  1. The Movement Disorder Society-Sponsored Revision of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS) part III score

    Neurological symptoms will be assessed during study period. A lower score indicates less severe symptoms.

    Time frame: 0-4 hours after oral levodopa ingestion

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

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

Start is estimated for Jul 2027; primary completion for Jul 2030, 36 months later.

Of 41 non-industry phase 4 interventional studies under Parkinson Disease, half reached primary completion within 41 months of starting (the median), counting those still running; a quarter within 21 and three quarters within 75. This study's planned 36 months is below that.

Counting every sponsor, half of 56 studies reached it within 28 months; a quarter within 19 and three quarters within 65.

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

Registered
Aug 26, 2026
First posted
Aug 28, 2026
StartEst.
Jul 2027
Primary completionEst.
Jul 2030
CompletionEst.
Dec 2030
Last update
Aug 28, 2026
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 28, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07793461
Responsible party
Trisha Pasricha (Assistant Professor of Medicine, Beth Israel Deaconess Medical Center) — Principal investigator
First posted
Aug 28, 2026
Start date
Jul 2027 (estimated)
Primary completion
Jul 2030 (estimated)
Completion
Dec 2030 (estimated)
Last update
Aug 28, 2026

Study contacts

Trisha S Pasricha, MD, MPH
Contact
tpasrich@bidmc.harvard.edu
(617) 754-8888

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Levodopa

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