ClinicalTrials.gg
RecruitingNCT07839793FLORAUpdated Sep 24, 2026

A 12-Week Study of Flexilev With the OraFID Device and App in Parkinson's Patients

A Phase 4 interventional study of OraFID dosing device, Levodopa/Carbidopa minitablets delivered via OraFID dosing device in PARKINSON DISEASE (Disorder), sponsored by Navamedic AB. Recruiting at 5 sites in Sweden. Open to participants aged 30 Years and older. Per ClinicalTrials.gov, last updated 2026-09-24.

Sponsored by Navamedic AB · Phase 4, Interventional, and Device feasibility

From the registry’s dates

  • Registered 3 months after the study started (first participant enrolled May 2026, registered Sep 2026).
  • Started May 2026; still recruiting 5 months later.

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Phase
Phase 4
Study type
Interventional
Enrollment
58
Allocation
Not applicable
Ages
30 Years and older
Sex
All
01

Where this study stands

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

Among 79 studies in Parkinson Disease with a site in Sweden — 14 open to participants now, 18 under way, none of them phase 3. Parkinson Disease · Sweden.

Planned enrollment
38th of 61
58 · median 89
Started
2026
with 3 others
Phase 4
7 of 79
1 open now
Primary completion
2027-03
later than 7 of 17 live
Registered
79th of 79
by date

Among the 79 studies in Parkinson Disease with a site in Sweden, this one is the 38th largest by planned enrollment of the 61 interventional ones that give a count, is one of 4 that started in 2026, is one of 7 in phase 4, reaches primary completion later than 7 of the 17 other live ones, and was the 79th registered.

Parkinson Disease

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

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Open to participants now

14 of the 79 studies in Parkinson Disease with a site in Sweden are open now. Recruiting first, the newest first:

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All 14 open studies →

A study can be open while its sites in Sweden have not opened yet or have stopped. Only those recruiting at a site in Sweden →

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: 30 Years and older · all sexes · no healthy volunteers.

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02

Study summary

Flexilev is a Parkinson's disease medicine made of small, dissolvable tablets containing low doses of levodopa and carbidopa, allowing doses to be adjusted in small, precise steps. OraFID is a new mechanical device that dispenses the exact number of tablets needed, with better than 99% accuracy, in amounts from 1 to 20 tablets. An optional companion app, Levilog, reminds patients when to take their dose and records how much medicine (tablets and milligrams) was taken.

This 12-week study will mainly assess how acceptable this treatment routine is and how well patients stick with it when using Flexilev with the OraFID device and app. It will also evaluate the treatment's efficacy, safety, and tolerability.

Read the detailed description

This is an open-label, observational, up to 12-week study evaluating patients' experience with Flexilev minitablets delivered through the OraFID dosing device and the Levilog reminder app.

Participants first complete an up-to-two-week run-in period, during which their current treatment is recorded and eligibility is assessed. Eligible patients then switch to Flexilev delivered by OraFID, are trained on the device and app, and receive an individualized dosing schedule based on their doctor's evaluation and prior treatment. Other daytime levodopa medications are stopped during the study, though slow-release levodopa is allowed at night; levodopa infusions are not permitted.

Within a week of starting treatment, patients receive a follow-up phone call to confirm or adjust the dosing schedule and check for any safety or device/app issues. This is followed by a 12-week treatment period, with phone check-ins at weeks 4 and 8 and an in-person visit at week 12. Dose adjustments are permitted throughout the study if needed.

03

Conditions studied

  • PARKINSON DISEASE (Disorder)

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Keywords

  • Parkinson's Disease, Levodopa, Carbidopa, Flexilev, OraFID, Precision dosing, Individualized dosing, Dose titration, Minitablets
04

Who can participate

Ages eligible
30 Years and older
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

  • Male or female subjects, 30 years of age or older at the time of screening, with a diagnosis of idiopathic PD that is levodopa-responsive
  • Have a minimum of 4 levodopa dosing occasions per day
  • Stable medication within the last 4 weeks
  • Be judged by the investigator to be eligible for Flexilev treatment.
  • Subject (or caregiver, if applicable) demonstrates the understanding and correct use of the OraFID delivery system, as assessed by the investigator or designee.
  • Subject (or caretaker on behalf of the subject) is willing to use Patients Own Reporting module in the Parkinson registry and is willing to answer all questionnaires.
  • Have a smartphone (either patient or caregiver)
  • Ability to consent and comply with study specific procedures
  • Able to read and write in Swedish

Exclusion criteria

Exclusion Criteria:

  • Inability of subject or caregiver to use the device
  • Female patients who are pregnant or breast-feeding or who wish to become pregnant during the period of the clinical study and for three months later.
  • Female patients of childbearing age (less than 24 months after the last menstrual cycle) who do not use adequate .
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.

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.

05

Study design

Phase
Phase 4
Primary purpose
Device feasibility
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
58 participants (estimated)

Study arms

  • Experimental
    Flexilev with OraFID and App

    Participants receive individualized Flexilev (levodopa/carbidopa) minitablet treatment delivered via the OraFID dosing device, with an optional Levilog reminder app to support dosing compliance, over a 12-week treatment period.

    Device: OraFID dosing device, Levodopa/Carbidopa minitablets delivered via OraFID dosing device

Interventions

  • DeviceOraFID dosing device, Levodopa/Carbidopa minitablets delivered via OraFID dosing device

    Intervention Description Levodopa 5 mg/carbidopa 1.25 mg dispersible minitablets, individually dosed in 5 mg levodopa increments (1-20 tablets per dose) via the OraFID mechanical dispensing device, with an optional Levilog app for dosing reminders and adherence tracking.

06

What researchers measure

Primary outcomes

  1. Patient acceptability and satisfaction with the OraFID dosing device, self-reported via questionnaire

    Assessed using a patient-reported questionnaire evaluating acceptability, ease of use, and satisfaction with the OraFID dosing device.

    Time frame: 12 weeks

Secondary outcomes

  1. User opinion, usage, and ability to use the Levilog app

    Self-reported via questionnaire on app usage and usability

    Time frame: 12 weeks

  2. Time required per dispensation/treatment with the OraFID device

    Self-reported via questionnaire regarding the device

    Time frame: 12 weeks

  3. Compliance with the dosing schedule

    Data obtained from the Levilog app and drug accountability records

    Time frame: 12 weeks

  4. Compliance with the app, i.e., willingness to register doses

    Compliance and treatment data from Levilog app use, combined with self-reported data

    Time frame: 12 weeks

  5. Safety and acceptability of Flexilev delivered by OraFID and the app

    Assessed via adverse event and serious adverse event reporting, and study withdrawals

    Time frame: 12 weeks

  6. Overall acceptability of Flexilev/OraFID/App

    Self-reported via questionnaire regarding the device

    Time frame: 12 weeks

  7. User opinion of Flexilev treatment

    Self-reported via questionnaire regarding treatment

    Time frame: 12 weeks

  8. Change in non-motor symptoms

    Non-Motor Symptoms Questionnaire (NMSQ), self-reported

    Time frame: Baseline to week 12

  9. Change in depression symptoms

    Hospital Anxiety and Depression Scale (HADS-D), self-reported

    Time frame: Baseline to week 12

  10. Change in quality of life

    Parkinson's Disease Questionnaire (PDQ-8) and EQ-5D-5L (including VAS), self-reported

    Time frame: Baseline to week 12

  11. Change in symptom variation (On-Off phenomena)

    Self-reported OnOff Scale questionnaire

    Time frame: Baseline to week 12

  12. Change in average daily normalized "off" time

    Self-reported OnOff Scale questionnaire

    Time frame: Baseline to week 12

  13. Change in average daily normalized "on" time without troublesome dyskinesia

    Self-reported OnOff Scale questionnaire

    Time frame: Baseline to week 12

  14. Change in sleep quality

    Parkinson's Disease Sleep Scale (PDSS-2), self-reported

    Time frame: Baseline to week 12

  15. Motor function in daily life

    Unified Parkinson's Disease Rating Scale (UPDRS), physician-reported

    Time frame: 12 weeks

  16. Change in motor function (UPDRS Parts II and III)

    Movement Disorder Society - Unified Parkinson's Disease Rating Scale (UPDRS), physician-reported

    Time frame: Baseline to week 12

  17. Change in disease severity

    Clinical Impression of Severity Index for Parkinson's Disease (CISI-PD), physician-reported

    Time frame: Baseline to week 12

  18. Change in symptoms, treatment effects, and overall quality

    Patient-Reported Outcomes in Parkinson's Disease (PRO-PD), self-reported

    Time frame: Baseline to week 12

07

Study locations

2 of 5 sites recruiting
08

References and documents

Individual participant data

Plan to share: No — Individual participant data will not be shared, in order to protect participant privacy and in accordance with the data protection terms outlined in the study's informed consent.

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

Started May 2026 (actual). Primary completion is estimated for Mar 2027, 10 months after the start.

Of 56 phase 4 interventional studies under Parkinson Disease, half reached primary completion within 28 months of starting (the median), counting those still running; a quarter within 19 and three quarters within 65. This study's planned 10 months is below that.

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

Registered
Sep 18, 2026
First posted
Sep 24, 2026
StartActual
May 25, 2026
Primary completionEst.
Mar 31, 2027
CompletionEst.
Jun 30, 2027
Last update
Sep 24, 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 Sep 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07839793
Lead sponsor
Navamedic AB
Responsible party
Sponsor
First posted
Sep 24, 2026
Start date
May 25, 2026
Primary completion
Mar 31, 2027 (estimated)
Completion
Jun 30, 2027 (estimated)
Last update
Sep 24, 2026

Study contacts

Dag Nyholm, Professor
Contact
dag.nyholm@uu.se
0046186115003
Jack Spira, MD. Ph.D.
Contact
jack.spira@navamedic.com
0046722506272

Oversight

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

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