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| Name | Class |
|---|---|
| Michael J. Fox Foundation for Parkinson's Research | OTHER |
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The study had three distinct parts and is described as follows:
Part 1:
Part 2:
• To evaluate the long-term safety and clinical utility of IPX066 under open-label conditions in eligible subjects who successfully completed Part 1 of the study.
Part 3:
• To further evaluate the long-term safety of IPX066 in eligible subjects who successfully completed Part 2.
Part 1: This study was a multicenter, open-label study. Subjects were to be converted from their previous CD-LD treatment to IPX066 over a 6-week period. Up to 40 subjects were to be enrolled in the study. Enrollment was defined as subjects who received study drug in Part 1 - Visit 1. Subjects were to be entered into one of two cohorts.
Approximately 24 subjects were to enroll in Cohort 1 (non-OPDM subjects) and up to 16 subjects at selected sites were to enroll in Cohort 2 (OPDM subjects). For the subjects enrolled in Cohort 2, along with the OPDM measurements, PK blood samples were also to be collected.
Part 2: Following the successful completion of Part 1 of the study, eligible subjects could participate in Part 2, a 6-month open-label extension study.
Part 3: Following the successful completion of Part 2 of the study, eligible subjects could participate in Part 3, an additional 6-month open-label extension study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| IPX066 | Experimental | Subjects were to receive individualized IPX066 doses orally in an open-label manner using four dosage strengths. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| IPX066 | Drug | Subjects were converted from their current treatment to IPX066 over a 6-week period. Experimental Drug Product: IPX066 (carbidopa-levodopa) extended-release capsules |
| Measure | Description | Time Frame |
|---|---|---|
| Patient Global Impression (PGI) | At Part 1 Week 6, Part 2 Month 3 and Month 6 or at Early Termination, the subjects rated the change in their condition with IPX066 treatment from their condition prior to Part 1 Visit 1(Baseline) using Patient Global Impression (PGI) 7-point scale. 1=very much worse and 7=very much improved. | 6 months |
| Clinical Global Impression (CGI) | Clinician-reported satisfaction outcome of IPX066 using Clinical Global Impression (PGI) 7-point scale. At Part 1 Week 6; Part 2 Month 3, and Month 6 or at Early Termination, the Investigator rated how much a subject's overall condition had changed since Part 1 Visit 1 (Baseline) using 7-point scale. 1=very much worse and 7=very much improved. | 6 months |
| Parkinson's Disease Questionnaire-8 (PDQ-8) | Change from Baseline in Parkinson's disease Questionnaire-8 (PDQ-8) at End of Study or early discontinuation. The PDQ-8 is a self-reported questionnaire consisting of 8 questions regarding the subject's disease symptoms, each item ranging from 0 to 4, and the responses consist of 0=Never, 1=Occasionally, 2=Sometimes, 3=Often, and 4=Always or cannot do at all, total score ranging from 0 (never have problems/issues) to 32 (always have problems or cannot do at all). | 6 months |
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Inclusion Criteria:
Diagnosed with idiopathic PD without any known cause for Parkinsonism.
At least 30 years old at the time of PD diagnosis.
Currently being treated with:
Concomitant therapy with amantadine, anticholinergics, selective monoamine oxidase (MAO) type B inhibitors (e.g., selegiline, rasagiline) or dopamine agonists is allowed as long as the doses and regimens have been stable for at least 4 weeks prior to Screening and the therapy is intended to be constant throughout the course of the study.
Agrees to use a medically acceptable method of contraception throughout the study and for 1 month after completing the study.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Impax Study Director | Impax Laboratories, LLC | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Alabama at Birmingham | Birmingham | Alabama | 35233 | United States | ||
| Coastal Neurological Medical Group |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28131167 | Derived | Tetrud J, Nausieda P, Kreitzman D, Liang GS, Nieves A, Duker AP, Hauser RA, Farbman ES, Ellenbogen A, Hsu A, Kell S, Khanna S, Rubens R, Gupta S. Conversion to carbidopa and levodopa extended-release (IPX066) followed by its extended use in patients previously taking controlled-release carbidopa-levodopa for advanced Parkinson's disease. J Neurol Sci. 2017 Feb 15;373:116-123. doi: 10.1016/j.jns.2016.11.047. Epub 2016 Nov 23. |
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Date first subject enrolled: August 19, 2011 Date last subject completed: March 20, 2013
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| ID | Title | Description |
|---|---|---|
| FG000 | IPX066 | extended-release CD-LD |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Part 1: Dose Conversion |
|
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|
| La Jolla |
| California |
| 92037 |
| United States |
| The Parkinson's Institute | Sunnyvale | California | 94085 | United States |
| Renstar Medical Research | Ocala | Florida | 34471 | United States |
| Quest Research Institute | Bingham Farms | Michigan | 48025 | United States |
| University of Nevada School of Medicine | Las Vegas | Nevada | 89102 | United States |
| Parkinson's Disease and Movement Disorders Center of Long Island | Commack | New York | 11725 | United States |
| Wisconsin Institute for Neurologic and Sleep Disorders | Milwaukee | Wisconsin | 53233 | United States |
| COMPLETED |
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| NOT COMPLETED |
|
| Part 2: Open-Label Extension |
|
| Part 3: Open-Label Extension |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | All Study Participants | Subjects converted from their previous CD-LD treatment to IPX066 over a 6-week period. Following the successful completion of Part 1 of the study, eligible subjects could participate in Part 2, a 6-month open-label extension study. Following the successful completion of Part 2 of the study, eligible subjects could participate in Part 3, an additional 6-month open-label extension study. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants | Participants |
| ||||||||||||||||||||
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||||||
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||||||
| Race (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||||||
| Region of Enrollment | Number | participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Patient Global Impression (PGI) | At Part 1 Week 6, Part 2 Month 3 and Month 6 or at Early Termination, the subjects rated the change in their condition with IPX066 treatment from their condition prior to Part 1 Visit 1(Baseline) using Patient Global Impression (PGI) 7-point scale. 1=very much worse and 7=very much improved. | Posted | Mean | Standard Deviation | units on a scale | 6 months |
|
|
| |||||||||||||||||||||||||||||||||||
| Primary | Clinical Global Impression (CGI) | Clinician-reported satisfaction outcome of IPX066 using Clinical Global Impression (PGI) 7-point scale. At Part 1 Week 6; Part 2 Month 3, and Month 6 or at Early Termination, the Investigator rated how much a subject's overall condition had changed since Part 1 Visit 1 (Baseline) using 7-point scale. 1=very much worse and 7=very much improved. | Posted | Mean | Standard Deviation | units on a scale | 6 months |
| |||||||||||||||||||||||||||||||||||||
| Primary | Parkinson's Disease Questionnaire-8 (PDQ-8) | Change from Baseline in Parkinson's disease Questionnaire-8 (PDQ-8) at End of Study or early discontinuation. The PDQ-8 is a self-reported questionnaire consisting of 8 questions regarding the subject's disease symptoms, each item ranging from 0 to 4, and the responses consist of 0=Never, 1=Occasionally, 2=Sometimes, 3=Often, and 4=Always or cannot do at all, total score ranging from 0 (never have problems/issues) to 32 (always have problems or cannot do at all). | Posted | Mean | Standard Deviation | units on a scale | 6 months |
|
58 weeks
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Part 1: Conversion | Subjects converted from their previous CD-LD treatment to IPX066 over a 6-week period. | 1 | 43 | 18 | 43 | ||
| EG001 | Part 2: Open-Label Extension 1 | Following the successful completion of Part 1 of the study, eligible subjects could participate in Part 2, a 6-month open-label extension study. | 5 | 32 | 17 | 32 | ||
| EG002 | Part 3: Open-Label Extension 2 | Following the successful completion of Part 2 of the study, eligible subjects could participate in Part 3, a 6-month open-label extension study. | 3 | 12 | 9 | 12 | ||
| EG003 | Overall | All treated subjects | 9 | 43 | 35 | 43 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Atrial Fibrillation | Cardiac disorders | MedDRA (10.0) | Systematic Assessment |
| |
| Parkinson's disease | Nervous system disorders | MedDRA (10.0) | Systematic Assessment |
| |
| Anxiety | Psychiatric disorders | MedDRA (10.0) | Systematic Assessment |
| |
| Sepsis | Infections and infestations | MedDRA (10.0) | Systematic Assessment |
| |
| Cerebrovascular accident | Nervous system disorders | MedDRA (10.0) | Systematic Assessment |
| |
| Back Pain | Musculoskeletal and connective tissue disorders | MedDRA (10.0) | Systematic Assessment |
| |
| Orthostatic Hypotension | Vascular disorders | MedDRA (10.0) | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Nausea | Gastrointestinal disorders | MedDRA (10.0) | Systematic Assessment |
| |
| Upper Respiratory Infection | Infections and infestations | MedDRA (10.0) | Systematic Assessment |
| |
| Drug Toxicity | Injury, poisoning and procedural complications | MedDRA (10.0) | Systematic Assessment |
| |
| Fall | Injury, poisoning and procedural complications | MedDRA (10.0) | Systematic Assessment |
| |
| Dyskinesia | Nervous system disorders | MedDRA (10.0) | Systematic Assessment |
| |
| Anxiety | Psychiatric disorders | MedDRA (10.0) | Systematic Assessment |
| |
| Depression | Psychiatric disorders | MedDRA (10.0) | Systematic Assessment |
| |
| Hallucination | Psychiatric disorders | MedDRA (10.0) | Systematic Assessment |
| |
| Renal Failure Acute | Renal and urinary disorders | MedDRA (10.0) | Systematic Assessment |
| |
| Dermatitis Contact | Skin and subcutaneous tissue disorders | MedDRA (10.0) | Systematic Assessment |
| |
| Orthostatic Hypotension | Vascular disorders | MedDRA (10.0) | Systematic Assessment |
|
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Michelle Landolfi, Senior Director, Regulatory Affairs | Impax Laboratories, Inc. | (510) 240-6496 | Michelle.Landolfi@impaxlabs.com |
| ID | Term |
|---|---|
| D010300 | Parkinson Disease |
| ID | Term |
|---|---|
| D020734 | Parkinsonian Disorders |
| D001480 | Basal Ganglia Diseases |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D009069 | Movement Disorders |
| D000080874 | Synucleinopathies |
| D019636 | Neurodegenerative Diseases |
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| ID | Term |
|---|---|
| C009265 | carbidopa, levodopa drug combination |
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| Unknown or Not Reported |
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| Native Hawaiian or Other Pacific Islander |
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| Black or African American |
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| White |
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| More than one race |
|
| Unknown or Not Reported |
|
|
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Following the successful completion of Part 1 of the study, eligible subjects could participate in Part 2, a 6-month open-label extension study. |
| OG004 | Part 1 or 2 Early Termination | Subjects converted from their previous CD-LD treatment to IPX066 over a 6-week period. Following the successful completion of Part 1 of the study, eligible subjects could participate in Part 2, a 6-month open-label extension study. |
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