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Parkinson's DiseasePhase 3APEX-PDNCT00880620

A Study To Evaluate The Safety And Efficacy Of IPX066 In Subjects With Parkinson's Disease

A Phase 3 study testing IPX066 95 mg LD, IPX066 145 mg LD and IPX066 195 mg LD in people with Parkinson's Disease, run by Impax Laboratories, LLC at 60 sites in 7 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This study examines the efficacy of three doses of IPX066 as compared to placebo in Parkinson's disease. Read more about this study

Who is it for?
Ages 30 years and older
Conditions the study is for
Parkinson's Disease
What is being tested?
IPX066 95 mg LD, IPX066 145 mg LD and IPX066 195 mg LD
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
381 participants
Where
60 sitesin 7 countries
Study dates
Apr 2009to Nov 2010
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 30 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Able to understand and willing to voluntarily sign an informed consent form (ICF) and Health Insurance Portability and Accountability Act (HIPAA) authorization or local equivalent if applicable.
  • Diagnosed with idiopathic PD.
  • LD-naïve: defined as subjects not exposed to LD or catechol-O-methyl transferase inhibitors for more than 30 days and the exposure is not within 4 weeks prior to study enrollment.
  • If currently taking anticholinergic therapy, amantadine, or a monoamine oxidase type B (MAO-B) inhibitor, maintains a stable regimen for at least 4 weeks prior to Baseline, and agrees to maintain the stable regimen throughout study participation.
  • Agrees to use a medically acceptable method of contraception throughout the study and for 1 month after completing the study.
  • Able and willing to comply with the protocol, including availability for all scheduled clinic visits and telephone calls.

Who cannot join

  • Pregnant or breastfeeding.
  • Diagnosed with atypical Parkinsonism or any known secondary parkinsonian syndrome.
  • Prior functional neurosurgical treatment for PD or if such procedures are anticipated during study participation.
  • Use of nonselective MAO inhibitors.
  • Use of dopamine agonists within 30 days prior to Screening.
  • Unable to tolerate a placebo regimen, in the Investigator's opinion.
Show all 13Show fewer
  • Treatment of psychosis with any antipsychotic.
  • History of seizure or epilepsy.
  • Active or prior medical condition or prior surgical procedure that would interfere with LD absorption.
  • History of narrow-angle glaucoma.
  • Subjects with a history of malignant melanoma.
  • History of myocardial infarction with residual atrial, nodal, or ventricular arrhythmias, upper gastrointestinal hemorrhage, or neuroleptic malignant syndrome.
  • Received any investigational medications during the 30 days prior to Screening.

Trial locations and contacts

60 sites in 7 countries.

60 sites in 7 countries

United States27 sites
  • Quest Research Institute

    Bingham Farms, Michigan, 48025

  • University of Alabama at Birmingham, Dept. of Neurology

    Birmingham, Alabama, 35233

  • Idaho Elks Rehabilitation Hospital

    Boise, Idaho, 83702

  • Boston University School of Medicine

    Boston, Massachusetts, 02118

  • Bradenton Research Center, Inc.

    Bradenton, Florida, 34205

  • Rush University Medical Center, Dept. of Neurological Sciences

    Chicago, Illinois, 60612

  • Duke University Medical Center Movement Disorders Center

    Durham, North Carolina, 27705

  • Collaborative NeuroScience Network, Inc.

    Garden Grove, California, 92845

  • Struthers Parkinson's Center

    Golden Valley, Minnesota, 55427

  • Sunrise Clinical Research, Inc.

    Hollywood, Florida, 23021

  • Baylor College of Medicine, Parkinson's Disease Center

    Houston, Texas, 77030

  • Landon Center on Aging, Dept. of Neurology, Parkinson's Disease Center

    Kansas City, Kansas, 66160-7314

  • Coastal Neurological Medical Group

    La Jolla, California, 92037

  • Coordinated Clinical Research

    La Jolla, California, 92037

  • Wisconsin Institute for Neurologic and Sleep Disorders

    Milwaukee, Wisconsin, 53233

  • UMDNJ Robert Wood Johnson Medical Center, Department of Neurology

    New Brunswick, New Jersey, 08901

  • Yale Neurology Clinics, Temple Medical Center

    New Haven, Connecticut, 06510

  • Mount Sinai School of Medicine

    New York, New York, 10029

  • Columbia University

    New York, New York, 10032

  • Renstar Medical Research

    Ocala, Florida, 34471

  • HOPE Research Institute, LLC

    Phoenix, Arizona, 85050

  • Charlotte Neurological Services

    Port Charlotte, Florida, 33952

  • Suncoast Neuroscience Associates, Inc.

    St. Petersburg, Florida, 33713

  • The Parkinson's Institute

    Sunnyvale, California, 94085

  • State University of New York Upstate Medical University, Dept. of Neurology

    Syracuse, New York, 13210

  • University of South Florida

    Tampa, Florida, 33612

  • University of Toledo

    Toledo, Ohio, 43614

Other trials in United States

Ukraine9 sites
  • Neurology department of Regional hospital named after Mechnikov

    Dnipro, 49005

  • Department of Psychiatry and Medical Psychology of Donetsk National Medical University

    Donetsk, 83037

  • Department of Neurological Diseases and Medical Genetic of Donetsk National Medical University

    Donetsk, 83099

  • 1st neurology department of Central Clinical Hospital of Ukrzaliznytsya

    Kharkiv, Kharkiv

  • Institute of Gerontology Parkinson's Disease Center

    Kiev, 04114

  • Neurology department of Lviv regional clinical hospital

    Lviv, 79010

  • Neurology department of Medical Dental Academy based on Poltava regional hospital

    Poltava, 36000

  • Neurology department of Vinnitsa Medical University

    Vinnitsa, 21018

  • Neurology department, Zaporozhye State Medical University

    Zaporizhzhya, 69035

Other trials in Ukraine

Canada8 sites
  • Movement Disorders Clinic, Glenrose Rehabilitation Hospital

    Edmonton, Alberta, T5G 0B7

  • London Health Science Center

    London, Ontario, N6A 5A5

  • Parkinson's and Neurodegenerative Disorders Clinic

    Ottawa, Ontario, K1G 4G3

  • Ottawa Hospital Civic Site

    Ottawa, Ontario, K1Y 4E9

  • Memory and Motor Skills Clinic

    Québec, Quebec, G1R 3X5

  • University of Sherbrooke

    Sherbrooke, Quebec, J1H 5N4

  • Toronto Western Hospital

    Toronto, Ontario, M5T 2S8

  • Saint Boniface Clinic

    Winnipeg, Manitoba, R3J2H7

Other trials in Canada

Romania7 sites
  • Psychiatry and Neurology Hospital, Neurology Department

    Brasov, 500123

  • Colentina Clinical Hospital Bucharest, II Neurology Department

    Bucharest, 020125

  • County Emergency Clinical Hospital Cluj-Napoca, I Neurology Clinic

    Cluj-Napoca, 400012

  • CFR Clinical Hospital Constanta

    Constanța, 900123

  • Clinical Rehabilitation Hospital Iasi, Neurology Department

    Iași

  • County Clinical Emergency Hospital, Targu Mures, II Neurology Department,

    Târgu Mureş, 540136

  • County Clinical Emergency Hospital Timisoara

    Timișoara, 300736

Other trials in Romania

Lithuania5 sites
  • Kaunas Medical University Hospital

    Kaunas, LT-50009

  • Siauliai Regional Hospital

    Šiauliai, LT- 76231

  • Vilnius University Emergency Hospital

    Vilnius, LT-04130

  • Vilnius University Centre of Gerontology and Rehabilitation

    Vilnius, LT-08420

  • Vilnius University Hospital Santariskiu klinikos

    Vilnius, LT-08661

Other trials in Lithuania

Estonia2 sites
  • East Tallinn Central Hospital

    Tallinn, 10138

  • West Tallin Central Hopsital

    Tallinn, 10617

Other trials in Estonia

Latvia2 sites
  • P.Stradina university hospital

    Riga, 1002

  • Gailezers hospital

    Riga

Other trials in Latvia

About this study

Official title: A Placebo-Controlled Study To Evaluate The Safety And Efficacy Of IPX066 In Subjects With Parkinson's Disease

This study examines the efficacy of three doses of IPX066 as compared to placebo in Parkinson's disease.

Read the detailed description

A randomized, double-blind, placebo-controlled, fixed-dose, parallel-arm study of three doses of IPX066 versus placebo.

Total of 427 subjects were screened and 381 were randomized and received one of the four treatment groups (1) placebo (N=92), (2) IPX066 145 mg LD (N=87) (3) IPX066 245 mg LD (N=104) (4) IPX066 390 mg LD (N=98) three times a day.

Study duration is approximately 30 weeks for each subject including 4 weeks of titration (up to 3 weeks of dose escalation and I week of stabilization for safe escalation to the allocated dose), and 26 weeks of maintenance.

During the titration phase:

The following dose strengths were used to titrate up to the final three strengths that were assigned to the three IPX066 treatment arms.

IPX066 95 mg LD capsule containing 95 mg LD and 23.75 mg CD. IPX066 145 mg LD capsule containing 145 mg LD and 36.25 mg CD. IPX066 195 mg LD capsule containing 195 mg LD and 48.75 mg CD. IPX066 245 mg LD capsule containing 245 mg LD and 61.25 mg CD.

During the maintenance phase:

IPX066 145 mg LD treatment arm received 145 mg LD and 36.25 mg CD. IPX066 245 mg LD treatment arm received 245 mg LD and 61.25 mg CD. IPX066 390 mg LD treatment arm received 390 mg LD and 97.50 mg CD.

Primary efficacy outcome measure was change from baseline in the sum of UPDRS Part II and Part III scores at the end of study or last value reported if subject discontinued prematurely.

Summary of Change From Baseline to End of Study in Mean Parkinson's Disease Questionnaire-39 (PDQ-39) Score.

Being tested
Placebo, IPX066 95 mg LD, IPX066 145 mg LD, IPX066 195 mg LD, IPX066 245 mg LD
Keywords
Parkinson's disease
Medical subject headings
Parkinson Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PlaceboDrug

    Placebo

  • IPX066 95 mg LDDrug

    Also called CD-LD ER 95 mg

    IPX066 capsule containing 95 mg LD/23.75 mg CD

  • IPX066 145 mg LDDrug

    Also called CD-LD ER 145 mg

    IPX066 capsule containing 145 mg LD/36.25 mg CD

  • IPX066 195 mg LDDrug

    Also called CD-LD ER 195 mg

    IPX066 capsule containing 195 mg LD/48.75 mg CD

  • IPX066 245 mg LDDrug

    Also called CD-LD ER 245 mg

    IPX066 capsule containing 245 mg LD/61.25 mg CD

Study groups in NCT00880620
Study groupRoleWhat they receive
PlaceboPlacebo comparatorOne Placebo capsule was given TID for the first 21 days. Two placebo capsules were given TID on days 22 till end of study (week 30).
Receives: Drug: Placebo
IPX066 145 mg LDExperimentalOne IPX066 95 mg LD was given TID on days 1-3. One IPX066 145 mg LD was given TID on days 4-21. One IPX066 145 mg LD and one placebo capsule were given TID on days 22 till end of study (week 30).
Receives: Drug: Placebo; Drug: IPX066 95 mg LD; Drug: IPX066 145 mg LD
IPX066 245 mg LDExperimentalOne IPX066 95 mg LD was given TID on days 1-3. One IPX066 145 mg LD was given TID on days 4-7. One IPX066 195 mg LD was given TID on days 8-14. One IPX066 245 mg LD was given TID on days 15-21. One IPX066 245 mg LD and one placebo capsule were given TID on days 22 till end of study (week 30).
Receives: Drug: Placebo; Drug: IPX066 95 mg LD; Drug: IPX066 145 mg LD; Drug: IPX066 195 mg LD; Drug: IPX066 245 mg LD
IPX066 390 mg LDExperimentalOne IPX066 95 mg LD was given TID on days 1-3. One IPX066 145 mg LD was given TID on days 4-7. One IPX066 195 mg LD was given TID on days 8-14. One IPX066 245 mg LD was given TID on days 15-21. Two IPX066 195 mg LD capsules were given TID on days 22 till end of study (week 30).
Receives: Drug: IPX066 95 mg LD; Drug: IPX066 145 mg LD; Drug: IPX066 195 mg LD; Drug: IPX066 245 mg LD

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline in the Sum of UPDRS Part II + UPDRS Part III at Week 30

    Analysis of the Change from Baseline in the sum of the Unified Parkinson's Disease Rating Scale (UPDRS) Part II (Activities of Daily Living) + UPDRS Part III (Motor Examination) at Week 30 (End of Study).

    Unified Parkinson's Disease Rating Scale (UPDRS) - Four Parts Higher score values represent a worse outcome.

    Subscales II and III were summed:

    Part I: Mentation, Behavior and Mood - 4 questions 1-4 Score range: 1-16 Part II: Activities of Daily Living - 13 questions 5-17 Score range: 0-52 Part III: Motor Examination - 19 questions 18-31 and 25 total assessments Score range: 0-100 Part IV: Complications of Therapy (In the past week) - 11 questions Score range: 0-25

    Measured: Week 30

Secondary outcomes (1)
  1. Summary of Change From Baseline to End of Study in Mean Parkinson's Disease Questionnaire-39 (PDQ-39) Score

    Change from Baseline in Parkinson's disease Questionnaire 39 (PDQ-39) at Weeks 4, 9, 16, 23 and 30 or early discontinuation was collected. The PDQ-39 is a self-reported questionnaire consisting of 39 questions regarding the subjects mobility and the responses consist of "Never" (better in outcome), (value 0), "Occasionally" (value 1), "Sometimes" (value 2), , "Often" (value 3), and "Always" (value 4), (worse in outcome). The minimum possible score is "0" and the maximum is "156". The outcome measure calculated was the change from baseline to end of study in mean PDQ-39 score. Negative values indicate a better result.

    Measured: Baseline and Week 30 (or End of Study)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Apr 2009 (estimated)
  2. Study startApr 2009
  3. Primary completionOct 2010
  4. Study completionNov 2010

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
381 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00880620
Sponsor's protocol ID
IPX066-B08-05
Acronym
APEX-PD
Status last verified
Aug 2017
First submitted
3 Apr 2009
Last updated
29 Oct 2019
Data monitoring committee
No
Individual data sharing
No

Publications

  • Pahwa R, Lyons KE, Hauser RA, Fahn S, Jankovic J, Pourcher E, Hsu A, O'Connell M, Kell S, Gupta S; APEX-PD Investigators. Randomized trial of IPX066, carbidopa/levodopa extended release, in early Parkinson's disease. Parkinsonism Relat Disord. 2014 Feb;20(2):142-8. doi: 10.1016/j.parkreldis.2013.08.017. Epub 2013 Sep 5.

    PubMed 24055014

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing IPX066 95 mg LD, IPX066 145 mg LD and IPX066 195 mg LD in people with Parkinson's Disease, run by Impax Laboratories, LLC at 60 sites in 7 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 29 Oct 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 60 sites in United States, Ukraine, Canada, Romania, Lithuania and 2 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 22 Feb 2016). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change From Baseline in the Sum of UPDRS Part II + UPDRS Part III at Week 30 (time frame: Week 30). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00880620, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Oct 2019.

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