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The purpose of the study was to To investigate whether the administration of BIA 6-512 (25 mg, 50 mg, 75 mg and 100 mg) at steady-state affects the pharmacokinetics of levodopa when administered in combination with a single-dose of immediate release levodopa/benserazide 200/50 mg or with a single-dose of immediate release levodopa/benserazide 200/50 mg plus a single-dose of entacapone 200 mg.
Single centre, double-blind, randomised, placebo-controlled, rising multiple-dose study in four sequential groups of healthy male and female subjects. Eligible subjects were admitted to the Human Pharmacology Unit (UFHBIAL - Portela & Cª, SA) on the day prior to receiving the first study medication. Starting in the morning of Day 1 (first dose), subjects received BIA 6-512/Placebo thrice-daily until the morning of Day 5 (last dose). Concomitantly with the morning dose of BIA 6-512/Placebo, on Day 4 a levodopa/benserazide 200/50 mg (Madopar® 250) single-dose was administered. On Day 5, a Madopar® 250 single-dose and a entacapone 200 mg (Comtan®) single-dose were administered concomitantly with the morning dose of BIA 6-512/Placebo. In the morning of Day 4 and Day 5, products were administered in fasting of at least 8 hours and subjects remained fasted until 2 h post-dose. Subjects were resident in the UFH from admission (Day 0) until at least 24 h post last dose (Day 6); then, they were discharged and returned for the follow-up visit.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Placebo | Experimental | Subjects were administered with those investigational products at approximately 8-h intervals, starting in the morning (approximately at 8h00) of Day 1 and finishing in the morning of Day 5 (last dose). On Day 4, concomitantly with the Placebo morning dose, one tablet of Madopar® 250 was administered. On Day 5, concomitantly with the Placebo morning dose, one tablet of Madopar® 250 and one tablet of Comtan® were administered. |
|
| BIA 6-512 25 mg | Experimental | Subjects were administered with those investigational products at approximately 8-h intervals, starting in the morning (approximately at 8h00) of Day 1 and finishing in the morning of Day 5 (last dose). On Day 4, concomitantly with the BIA 6-512 25 mg morning dose, one tablet of Madopar® 250 was administered. On Day 5, concomitantly with the BIA 6-512 25 mg morning dose, one tablet of Madopar® 250 and one tablet of Comtan® were administered. |
|
| BIA 6-512 50 mg | Experimental | Subjects were administered with those investigational products at approximately 8-h intervals, starting in the morning (approximately at 8h00) of Day 1 and finishing in the morning of Day 5 (last dose). On Day 4, concomitantly with the BIA 6-512 50 mg morning dose, one tablet of Madopar® 250 was administered. On Day 5, concomitantly with the BIA 6-512 50 mg morning dose, one tablet of Madopar® 250 and one tablet of Comtan® were administered. |
|
| BIA 6-512 75 mg |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Placebo | Drug | 1 capsule of placebo [to be taken orally, with 240 mL of potable water] |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Day 4 - Maximum observed plasma drug concentration (Cmax) | BIA 6-512, levodopa, 3-OMD and entacapone pharmacokinetic parameters on day 4 | pre-dose, ¼, ½, ¾, 1, 1½, 2, 3, 4, 6, 8 and 16 hours post-dose |
| Day 4 - Time of occurrence of Cmax (tmax) | BIA 6-512, levodopa, 3-OMD and entacapone pharmacokinetic parameters on day 4 | pre-dose, ¼, ½, ¾, 1, 1½, 2, 3, 4, 6, 8 and 16 hours post-dose |
| Day 4 - Area under the plasma concentration-time curve (AUC) from time zero to the last sampling time at which concentrations were at or above the limit of quantification (AUC0-t) | BIA 6-512, levodopa, 3-OMD and entacapone pharmacokinetic parameters on day 4 | pre-dose, ¼, ½, ¾, 1, 1½, 2, 3, 4, 6, 8 and 16 hours post-dose |
| Day 4 - AUC from time zero to 8 h post-dose (AUC0-τ) | BIA 6-512, levodopa, 3-OMD and entacapone pharmacokinetic parameters on day 4 | pre-dose, ¼, ½, ¾, 1, 1½, 2, 3, 4, 6, 8 and 16 hours post-dose |
| Day 4 - Apparent terminal elimination half-life, calculated from ln 2/λz (t1/2) | BIA 6-512, levodopa, 3-OMD and entacapone pharmacokinetic parameters on day 4 | pre-dose, ¼, ½, ¾, 1, 1½, 2, 3, 4, 6, 8 and 16 hours post-dose |
| Day 4 - Area under the plasma concentration versus time curve from time zero to infinity (AUC0-∞) | BIA 6-512, levodopa, 3-OMD and entacapone pharmacokinetic parameters on day 4 | pre-dose, ¼, ½, ¾, 1, 1½, 2, 3, 4, 6, 8 and 16 hours post-dose |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Human Pharmacology Unit (UFH) - BIAL - Portela & Cª, SA | S. Mamede Do Coronado | 4745-457 | Portugal |
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| ID | Term |
|---|---|
| D010300 | Parkinson Disease |
| ID | Term |
|---|---|
| D020734 | Parkinsonian Disorders |
| D001480 | Basal Ganglia Diseases |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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| ID | Term |
|---|---|
| D000077185 | Resveratrol |
| C071192 | entacapone |
| ID | Term |
|---|---|
| D000081225 | Stilbestrols |
| D013267 | Stilbenes |
| D001597 | Benzylidene Compounds |
| D001555 | Benzene Derivatives |
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| Experimental |
Subjects were administered with those investigational products at approximately 8-h intervals, starting in the morning (approximately at 8h00) of Day 1 and finishing in the morning of Day 5 (last dose). On Day 4, concomitantly with the BIA 6-512 75 mg morning dose, one tablet of Madopar® 250 was administered. On Day 5, concomitantly with the BIA 6-512 75 mg morning dose, one tablet of Madopar® 250 and one tablet of Comtan® were administered. |
|
| BIA 6-512 100 mg | Experimental | Subjects were administered with those investigational products at approximately 8-h intervals, starting in the morning (approximately at 8h00) of Day 1 and finishing in the morning of Day 5 (last dose). On Day 4, concomitantly with the BIA 6-512 100 mg morning dose, one tablet of Madopar® 250 was administered. On Day 5, concomitantly with the BIA 6-512 100 mg morning dose, one tablet of Madopar® 250 and one tablet of Comtan® were administered. |
|
| BIA 6-512 |
| Drug |
1 capsule of BIA 6-512 25mg or 1 capsule of BIA 6-512 50 mg or 1 capsule of BIA 6-512 75 mg or 1 capsule of BIA 6-512 100 mg [to be taken orally, with 240 mL of potable water] |
|
|
| Madopar® 250 | Drug | Levodopa/benserazide immediate release tablets 200mg/50mg [to be taken orally, with 240 mL of potable water] |
|
| Comtan® | Drug | Entacapone 200 mg tablets [to be taken orally, with 240 mL of potable water] |
|
| Day 5 - Maximum observed plasma drug concentration (Cmax) | pre-dose, ¼, ½, ¾, 1, 1½, 2, 3, 4, 6, 8, 16 and 24 hours post-dose |
| Day 5 - Time of occurrence of Cmax (tmax) | BIA 6-512, levodopa, 3-OMD and entacapone pharmacokinetic parameters on day 5 | pre-dose, ¼, ½, ¾, 1, 1½, 2, 3, 4, 6, 8, 16 and 24 hours post-dose |
| Day 5 - Area under the plasma concentration-time curve (AUC) from time zero to the last sampling time at which concentrations were at or above the limit of quantification (AUC0-t) | BIA 6-512, levodopa, 3-OMD and entacapone pharmacokinetic parameters on day 5 | pre-dose, ¼, ½, ¾, 1, 1½, 2, 3, 4, 6, 8, 16 and 24 hours post-dose |
| Day 5 - AUC from time zero to 8 h post-dose (AUC0-τ) | BIA 6-512, levodopa, 3-OMD and entacapone pharmacokinetic parameters on day 5 | pre-dose, ¼, ½, ¾, 1, 1½, 2, 3, 4, 6, 8, 16 and 24 hours post-dose |
| Day 5 - Apparent terminal elimination half-life, calculated from ln 2/λz (t1/2) | BIA 6-512, levodopa, 3-OMD and entacapone pharmacokinetic parameters on day 5 | pre-dose, ¼, ½, ¾, 1, 1½, 2, 3, 4, 6, 8, 16 and 24 hours post-dose |
| Day 5 - Area under the plasma concentration versus time curve from time zero to infinity (AUC0-∞) | BIA 6-512, levodopa, 3-OMD and entacapone pharmacokinetic parameters on day 5 | pre-dose, ¼, ½, ¾, 1, 1½, 2, 3, 4, 6, 8, 16 and 24 hours post-dose |
| D009422 | Nervous System Diseases |
| D009069 | Movement Disorders |
| D000080874 | Synucleinopathies |
| D019636 | Neurodegenerative Diseases |
| D006841 |
| Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D059808 | Polyphenols |
| D010636 | Phenols |