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The purpose of this study was to determine 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 nebicapone 150 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 (UFH)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 nebicapone 150 mg 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 conditions 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 |
|---|---|---|---|
| Group 1: BIA 6-512 25 mg or 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 BIA 6-512/Placebo morning dose, one tablet of Madopar® 250 was administered. On Day 5, concomitantly with the BIA 6-512/Placebo morning dose, one tablet of Madopar® 250 and one tablet of nebicapone 150 mg were administered |
|
| Group 2: BIA 6-512 50 mg or 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 BIA 6-512/Placebo morning dose, one tablet of Madopar® 250 was administered. On Day 5, concomitantly with the BIA 6-512/Placebo morning dose, one tablet of Madopar® 250 and one tablet of nebicapone 150 mg were administered |
|
| Group 3: BIA 6-512 75 mg or 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 BIA 6-512/Placebo morning dose, one tablet of Madopar® 250 was administered. On Day 5, concomitantly with the BIA 6-512/Placebo morning dose, one tablet of Madopar® 250 and one tablet of nebicapone 150 mg were administered |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Placebo | Drug | Placebo capsules. Orally, with 240 mL of potable water. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Day 4 - Maximum observed plasma drug concentration (Cmax) | Pharmacokinetic parameters of BIA 6-512, levodopa, and nebicapone 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) | Pharmacokinetic parameters of BIA 6-512, levodopa, and nebicapone 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) | Pharmacokinetic parameters of BIA 6-512, levodopa, and nebicapone 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) | Pharmacokinetic parameters of BIA 6-512, levodopa, and nebicapone 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-∞) | Pharmacokinetic parameters of BIA 6-512, levodopa, and nebicapone 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) | Pharmacokinetic parameters of BIA 6-512, levodopa, and nebicapone 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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| Group 4: BIA 6-512 100 mg or 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 BIA 6-512/Placebo morning dose, one tablet of Madopar® 250 was administered. On Day 5, concomitantly with the BIA 6-512/Placebo morning dose, one tablet of Madopar® 250 and one tablet of nebicapone 150 mg were administered |
|
| BIA 6-512 | Drug | The investigational products consisted of capsules containing BIA 6-512 25 mg, 50 mg, 75 mg, 100 mg. Orally, with 240 mL of potable water. |
|
|
| Madopar® 250 | Drug | Levodopa/benserazide immediate release tablets 200mg/50mg. Orally, with 240 mL of potable water. |
|
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| Nebicapone | Drug | Nebicapone 150 mg tablets. Orally, with 240 mL of potable water. |
|
|
| Day 5 - Maximum observed plasma drug concentration (Cmax) | Pharmacokinetic parameters of BIA 6-512, levodopa, and nebicapone on day 5 | 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) | Pharmacokinetic parameters of BIA 6-512, levodopa, and nebicapone 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) | Pharmacokinetic parameters of BIA 6-512, levodopa, and nebicapone 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) | Pharmacokinetic parameters of BIA 6-512, levodopa, and nebicapone 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-∞) | Pharmacokinetic parameters of BIA 6-512, levodopa, and nebicapone 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) | Pharmacokinetic parameters of BIA 6-512, levodopa, and nebicapone on day 5 | pre-dose, ¼, ½, ¾, 1, 1½, 2, 3, 4, 6, 8, 16 and 24 hours post-dose |
| 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 |
|---|---|
| D000077185 | Resveratrol |
| C005177 | benserazide, levodopa drug combination |
| C433466 | nebicapone |
| ID | Term |
|---|---|
| D000081225 | Stilbestrols |
| D013267 | Stilbenes |
| D001597 | Benzylidene Compounds |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D059808 | Polyphenols |
| D010636 | Phenols |
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