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Parkinson's DiseasePhase 2ND0612/003NCT01883505

A Safety, Tolerability and Levodopa Pharmacokinetics Study of Repeated ND0612 in Parkinson's Disease Patients

A Phase 2 study testing ND0612 and Entacapone in people with Parkinson's Disease, run by NeuroDerm Ltd. at 3 sites in Israel.

Completed

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

Official record
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Trial summary

This is a randomized, placebo-controlled, double-blind, 2-period study evaluating the safety and pharmacokinetics (PK) of ND0612 in Parkinson's disease (PD) patients on an optimized oral levodopa (LD) regimen and experiencing ≥2 h/day of OFF time. Read more about this study

Who is it for?
Ages 30 to 80 years
Conditions the study is for
Parkinson's Disease
What is being tested?
ND0612 and Entacapone
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
30 participants
Where
3 sitesIsrael
Study dates
6 Jan 2014to 26 Apr 2015
Phase
Phase 2
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 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Men and women with idiopathic PD whose diagnosis was confirmed by presence of at least two of the cardinal signs (resting tremor, bradykinesia, rigidity) and lacking any other known or suspected cause of parkinsonism.
  • Patients who experienced motor fluctuations averaging at least two hours daily in the "OFF" state during the waking hours (including morning akinesia), corresponding to the end-of-dose deterioration phenomenon ("wearing off") confirmed by the baseline home diaries.
  • Modified Hoehn and Yahr stage < 5 in the "OFF" state.
  • Patients who were taking optimized LD/decarboxylase inhibitor therapy (based on the investigator's judgment) that was stable for at least 14 days prior to baseline. Patients were to receive at least three daily doses of LD (which could include a bedtime dose) with at least three hours between doses.
  • Patients treated with dopaminergic agonists and other anti-PD drugs were to be on stable doses for at least 30 days prior to baseline and those doses were to remain constant throughout the study period.
  • Women who were postmenopausal, surgically sterilized, or using adequate birth control. Women of childbearing potential were to have a negative pregnancy test (beta human chorionic gonadotropin [hCG] serum) at screening.
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  • Patients between the ages of 30 and 80.
  • Patients willing and able to give informed consent.
  • Patients and/or caregivers able to understand and follow instructions for use of SC delivery pump.
  • Patients who demonstrated the ability to keep accurate diaries of PD symptoms (ON-OFF diaries).

Who cannot join

  • Patients treated with controlled release formulation of LD/CD. (Note: Patients treated with Entacapone, Tolcapone, or Stalevo were allowed to participate in Period 1 but were excluded from Period 2 participation)
  • Patients with a clinically significant or unstable medical or surgical condition which would preclude safe and complete study participation. Such conditions may include gastrointestinal, cardiovascular, pulmonary, hepatic, renal, or metabolic diseases or malignancies as determined by medical history, physical exam, laboratory tests, or ECG.
  • History of melanoma or significant skin disorders.
  • Patients with significant cognitive impairment as defined by a MMSE score of < 25.
  • Patients treated with dopaminergic agonists, anticholinergics, monoamine oxidase (MAO)-B inhibitors, or antipsychotics that need dose adjustment in the 30 days prior to Study Baseline.
  • Patients with clinically significant psychiatric illness, including major depression (according to Diagnostic and Statistical Manual of Mental Disorders [DSM] IV criteria for major depressive episode) or other problems that might compromise their ability to provide consent or participate fully in the study.
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  • Patients with a history of alcohol or substance abuse within the past two years.
  • Patients who have taken experimental medications within 60 days prior to baseline.
  • Patients who have undergone a neurosurgical intervention for PD (e.g. pallidotomy, thalamotomy, transplantation, or deep brain stimulation procedures).
  • Patients with severe disabling dyskinesias.
  • Patients with hearing, visual or motor impairments that prevent them from using the pump or reacting effectively to errors.

Trial locations and contacts

3 sites in 1 country.

Israel3 sites
  • Hadassah Medical Center

    Jerusalem

  • Rabin Medical Center

    Petah Tikva

  • Tel Aviv Medical Center

    Tel Aviv

Other trials in Israel

About this study

Official title: A Phase IIa Multicenter, Randomized, Double-blind, Placebo-controlled Study Followed by an Open-label Period, to Evaluate the Safety, Tolerability, and Levodopa Pharmacokinetics in Levodopa-treated Parkinson's Disease Patients With Motor Fluctuations, Administered With Repeated Subcutaneous ND0612

This is a randomized, placebo-controlled, double-blind, 2-period study evaluating the safety and pharmacokinetics (PK) of ND0612 in Parkinson's disease (PD) patients on an optimized oral levodopa (LD) regimen and experiencing ≥2 h/day of OFF time. Safety and tolerability, PK profile, pump usability, and the potential clinical effect of ND0612 will be explored in subjects with PD and motor fluctuations.

Read the detailed description

During Period 1, patients continued on their current standard of care (SoC) levodopa/carbidopa (LD/CD) and were randomized at 2:1 ratio to 14 days of adjunct treatment with ND0612 (daily LD/CD dose of 270/63 mg) or placebo infusion. During Period 2, patients were randomized to receive 7 days open-label treatment with ND0612 or ND0612 plus oral entacapone. Patients then entered a 4-week safety follow-up period.

Being tested
ND0612, Placebo, Entacapone
Keywords
Motor fluctuations, levodopa pharmacokinetics, levodopa and carbidopa solution, continuous subcutaneous delivery, ambulatory infusion pump
Medical subject headings
Parkinson Disease

What participants receive

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

  • ND0612Drug

    Also called Levodopa and carbidopa SC solution

    Subcutaneous infusion via CRONO ND pump

  • PlaceboDrug

    Also called Saline

    Subcutaneous infusion via CRONO ND pump

  • EntacaponeDrug

    200 mg oral tablet

Study groups in NCT01883505
Study groupRoleWhat they receive
Period 1. ND0612ExperimentalA 24h SC infusion of levodopa/carbidopa 270/63 mg daily in addition to the current standard of care treatment for 14 days
Receives: Drug: ND0612
Period 1. PlaceboPlacebo comparatorA 24h SC infusion of saline in addition to the current standard of care treatment for 14 days
Receives: Drug: Placebo
Period 2. ND0612ExperimentalA 24h SC infusion of levodopa/carbidopa 270/63 mg daily in addition to the current standard of care treatment for 7 days
Receives: Drug: ND0612
Period 2. ND0612 + EntacaponeExperimentalA 24h SC infusion of levodopa/carbidopa 270/63 mg daily in addition to the current standard of care treatment + Entacapone 200 mg 3 times/day (every 6 hours during waking hours) for 7 days
Receives: Drug: ND0612; Drug: Entacapone

What is being measured

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

  1. Maximum Dermal Rating Score: Draize Score

    Local safety of the infusion sites was comprehensively assessed approximately one hour after removal of the SC pump. Draize score is the sum of the erythema and eschar formation plus edema scores with 0 meaning no and 8 indicating the most severe erythema, eschar, and edema formation. The maximum dermal rating score was assessed in Period 1.

    Measured: 14 days (Period 1)

  2. Maximum Dermal Rating Score: Erythema and Eschar Formation

    Local safety of the infusion sites was comprehensively assessed approximately one hour after removal of the SC pump. Erythema was evaluated via the Draize score on a scale of 0 to 4, with 0 meaning no erythema to a maximum score of 4 representing the most severe erythema (beet redness to eschar formation). The maximum dermal rating score was assessed in Period 1.

    Measured: 14 days (Period 1)

  3. Maximum Dermal Rating Score: Edema

    Local safety of the infusion sites was comprehensively assessed approximately one hour after removal of the SC pump. Edema was evaluated via the Draize score on a scale of 0 to 4, with 0 meaning no edema to a maximum score of 4 representing the most severe edema (raised more than 1 mm and extending beyond the area of exposure). The maximum dermal rating score was assessed in Period 1.

    Measured: 14 days (Period 1)

  4. Maximum Dermal Rating Score: Presence of Nodules

    Local safety of the infusion sites was comprehensively assessed approximately one hour after removal of the SC pump. Evaluated via a scale of 0 to 3, with 0 meaning no nodule to a score of 3 representing severe (> 1 cm). The maximum dermal rating score was assessed in Period 1.

    Measured: 14 days (Period 1)

  5. Maximum Dermal Rating Score: Pruritus

    Local safety of the infusion sites was comprehensively assessed approximately one hour after removal of the SC pump. Evaluated on a scale of 0 to 3, with 0 meaning no pruritus to a maximum score of 3 representing severe pruritus. The maximum dermal rating score was assessed in Period 1.

    Measured: 14 days (Period 1)

  6. Maximum Dermal Rating Score: Staining

    Local safety of the infusion sites was comprehensively assessed approximately one hour after removal of the SC pump. The presence of staining at the infusion site was evaluated via a scale of 0 to 3, with 0 meaning none to a score of 3 representing severe. The maximum dermal rating score was assessed in Period 1.

    Measured: 14 days (Period 1)

  7. Maximum Dermal Rating Score: Pain

    Local safety of the infusion sites was comprehensively assessed approximately one hour after removal of the SC pump. Pain score was evaluated with a visual analog scale (VAS). The VAS was a horizontal line, 100 mm in length, anchored by word descriptors at each end; "no pain" = 0 mm to "very severe pain" = 100 mm. The patient marked on the line the point that they felt represented their current state. The maximum dermal rating score was assessed in Period 1.

    Measured: 14 days (Period 1)

  8. Total Oral LD Dose

    Total oral levodopa dose during PK sampling day

    Measured: Day 15 (Period 1) and Day 22 (Period 2)

  9. LD Cmin

    The lowest plasma concentration (Cmin) measured during a sampling period. Samples collected at 2 h and 1 h prior to the first morning oral LD dose, and every 30 min for 2 h then hourly until 10 h.

    Measured: Day 15 (Period 1) and Day 22 (Period 2)

  10. LD Cmax

    Maximum observed levodopa plasma concentration (Cmax). Samples collected at 2 h and 1 h prior to the first morning oral LD dose, and every 30 min for 2 h then hourly until 10 h.

    Measured: Day 15 (Period 1) and Day 22 (Period 2)

  11. LD AUC (0-10h)

    Area under the concentration-time curve (AUC) until 10 h. Samples collected at 2 h and 1 h prior to the first morning oral LD dose, and every 30 min for 2 h then hourly until 10 h.

    Measured: Day 15 (Period 1) and Day 22 (Period 2)

  12. Time LD Concentration >1000 ng/mL

    Time LD plasma concentrations were maintained above 1000 ng/mL. Samples collected at 2 h and 1 h prior to the first morning oral LD dose, and every 30 min for 2 h then hourly until 10 h.

    Measured: Day 15 (Period 1) and Day 22 (Period 2)

  13. LD Concentration FI

    LD plasma concentration Fluctuation index (FI) is a pharmacokinetic parameter defined as [Cmax-Cmin]/Caverage. Samples collected at 2 h and 1 h prior to the first morning oral LD dose, and every 30 min for 2 h then hourly until 10 h. Lower values are considered better to maintain the clinical response.

    Measured: Day 15 (Period 1) and Day 22 (Period 2)

Timeline

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

  1. First posted21 Jun 2013 (estimated)
  2. Study start6 Jan 2014
  3. Primary completion26 Apr 2015
  4. Study completion26 Apr 2015

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
2 arms in Period 1 (14 days, randomized double-blind) followed by 2 arms in Period 2 (7 days, randomized open-label)
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
30 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01883505
Sponsor's protocol ID
ND0612/003
Acronym
ND0612/003
Status last verified
Jul 2026
First submitted
9 Jun 2013
Last updated
9 Jul 2026
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing ND0612 and Entacapone in people with Parkinson's Disease, run by NeuroDerm Ltd. at 3 sites in Israel.

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 10 inclusion and 11 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 9 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in Israel. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 9 Jul 2026). 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?

Maximum Dermal Rating Score: Draize Score (time frame: 14 days (Period 1)). The study lists 13 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 9 Jul 2026.

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ND0612/003 Clinical Trial NCT01883505 | AzTrials