Idiopathic Parkinson's DiseasePhase 3NCT02352363
Randomized Safety Study of CVT-301 Compared to an Observational Control Group
A Phase 3 study testing CVT-301 and Observational cohort in people with Idiopathic Parkinson's Disease, run by Acorda Therapeutics at 76 sites in 14 countries.
Trial summary
This study is a 12-month, open-label, randomized, multicenter study which will evaluate the safety and efficacy of CVT-301 for the treatment of up to 5 OFF episodes per day in Parkinson's Disease (PD) patients experiencing motor fluctuations (OFF episodes) and will include a concurrent observational cohort of PD… Read more about this study
- Who is it for?
- Ages 30 to 85 years
- Conditions the study is for
- Idiopathic Parkinson's Disease
- What is being tested?
- CVT-301 and Observational cohort
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 408 participants
- Where
- 76 sitesin 14 countries
- Study dates
- Mar 2015to May 2017
- 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 to 85 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Has signed and dated an Internal Review Board/Independent Ethics Committee (IRB/IEC)-approved informed consent form before any protocol-specific screening procedures are performed.
- Women of child-bearing potential must use protocol-defined contraceptive measures and must have a negative serum human chorionic gonadotropin (hCG) test at screening. These patients must be willing to remain on their current form of contraception for the duration of the study.
- Patients who have idiopathic PD (i.e., not induced by drugs or other diseases) as defined by fulfilling Steps 1 and 2 of the United Kingdom (UK) Brain Bank criteria, diagnosed after the age of 30 years.
- Patients who are classified as Stage 1 to 3 (in the ON state) on the modified Hoehn and Yahr scale for staging of PD severity.
- Patients who have experienced motor fluctuations for a minimum of 2 hours of average daily OFF time per waking day (excluding early morning OFF time) by self-report and confirmed by the PD Diary (on 3 consecutive days) during the screening period.
Who cannot join
- Patients who have dyskinesia of a severity that would significantly interfere with their ability to participate or perform study procedures.
- Pregnant or lactating females or females wishing to become pregnant.
- Patients who have any known contraindication to the use of levodopa (LD), including a history of malignant melanoma or a history of narrow-angle glaucoma.
- Patients who have had previous surgery for PD (including but not limited to deep brain stimulation [DBS] or cell transplantation).
- Patients with a history of psychotic symptoms requiring treatment, or suicide ideation or attempt within the prior 12 months.
Trial locations and contacts
76 sites in 14 countries.
76 sites in 14 countries
United States14 sites
Acorda Site #7133
Atlanta, Georgia, 30342
Acorda Site #7134
Atlanta, Georgia, 30342
Acorda Site #7150
Baton Rouge, Louisiana, 70810
Acorda Site #7131
Decatur, Georgia, 30033
Acorda Site #7140
Des Moines, Iowa, 50309
Acorda Site # 7142
Fountain Valley, California, 92708
Acorda Site #7138
Honolulu, Hawaii, 96734
Acorda Site #7137
Ormond Beach, Florida, 32174
Acorda Site #7139
Panorama City, California, 91402
Acorda Site #7145
Scottsdale, Arizona, 85258
Acorda Site #7135
St. Petersburg, Florida, 33713
Acorda Site #7141
Sunnyvale, California, 94085
Acorda Site #7130
Sunrise, Florida, 33351
Acorda Site #7148
Toledo, Ohio, 43614
Germany9 sites
Acorda Site #7041
Achim, 28832
Acorda Site #7043
Beelitz-Heilstätten, 14547
Acorda Site #7049
Berlin, 12163
Acorda Site #7050
Bochum, 44791
Acorda Site #7048
Bremerhaven, 27574
Acorda Site #7047
Cologne, 50937
Acorda Site #7046
Marburg, 35043
Acorda Site #7042
Munich, 80804
Acorda Site #7044
Ulm, 89081
Spain9 sites
Acorda Site #7116
Barcelona, 08026
Acorda Site #7111
Barcelona, 08028
Acorda Site #7120
Barcelona, 08035
Acorda Site #7119
Barcelona, 08036
Acorda Site #7113
Burgos, 09006
Acorda Site #7115
Donostia / San Sebastian, 20009
Acorda Site #7118
Madrid, 28006
Acorda Site #7114
Madrid, 28046
Acorda Site #7112
Sant Cugat del Vallès, Barcelona, 08195
Poland8 sites
Acorda Site #7085
Gdansk, 80-462
Acorda Site #7084
Katowice, 40-588
Acorda Site #7083
Kracow, 08026
Acorda Site #7086
Krakow, 30-349
Acorda Site #7087
Krakow, 31-505
Acorda Site #7082
Lodz, 90-130
Acorda Site #7081
Warsaw, 01-868
Acorda Site #7088
Warsaw, 02-097
France7 sites
Acorda Site #7036
Amiens, 80054Cedex1
Acorda Site #7037
Bordeaux, 33000
Acorda Site #7034
Marseille, 13385
Acorda Site #7031
Montpellier, 34295
Acorda Site #7033
Nîmes, 30029
Acorda Site #7032
Strasbourg, 67098
Acorda Site #7035
Toulouse, 31059
Czechia5 sites
Acorda Site #7024
Choceň, 12163
Acorda Site #7025
Ostrava, 70852
Acorda Site #7021
Pardubice, 27574
Acorda Site #7022
Prague, 10000
Acorda Site #7023
Rychnov nad Kněžnou, 516 01
Romania5 sites
Acorda Site #7094
Brasov, 500283
Acorda Site #7092
Brasov, 500365
Acorda Site #7093
Bucharest, 12051
Acorda Site #7091
Constanța, 900591
Acorda Site #7095
Târgu Mureş, 540136
Israel4 sites
Acorda Site #7062
Jerusalem, 91120
Acorda Site #7064
Petah Tikva, 49100
Acorda Site #7061
Ramat Gan, 5265601
Acorda Site #7063
Tel Aviv, 64239
Austria3 sites
Acorda Site #7004
Innsbruck, 64239
Acorda Site #7002
Linz, 04021
Acorda Site #7003
Vienna, 01220
Belgium3 sites
Acorda Site #7011
Brussels, 01200
Acorda Site #7012
Edegem, B-2650
Acorda Site #7013
Ghent, 09000
Serbia3 sites
Acorda Site #7101
Belgrade, 11000
Acorda Site #7102
Belgrade, 11000
Acorda Site #7103
Kragujevac, 34000
United Kingdom3 sites
Acorda Site #7123
Cambridge, CB2 0QQ
Acorda Site #7121
Glasgow, G51 4TF
Acorda Site #7122
London, W6 8RF
Hungary2 sites
Acorda Site #7053
Budapest, 01033
Acorda Site #7051
Budapest, 01135
About this study
Official title: A Phase 3, Randomized Study Investigating the Safety of CVT-301 (Levodopa Inhalation Powder) in Parkinson's Disease (PD) Patients With Motor Response Fluctuations (OFF Phenomena) Compared to an Observational Cohort Control
This study is a 12-month, open-label, randomized, multicenter study which will evaluate the safety and efficacy of CVT-301 for the treatment of up to 5 OFF episodes per day in Parkinson's Disease (PD) patients experiencing motor fluctuations (OFF episodes) and will include a concurrent observational cohort of PD patients managed using the usual standards of care.
Read the detailed description
A randomized, double-blind, placebo-controlled, Phase 2b study in patients with PD (CVT-301-003) demonstrated clinically important, and statistically significant CVT-301-associated improvements in motor function at doses of 35 and 50 mg LD FPD, compared with placebo, as measured by the Unified Parkinson's Disease Rating Scale (UPDRS) motor assessment (Part 3); furthermore, CVT-301 was generally safe and well tolerated. A Phase 3, randomized, placebo-controlled study designed to assess the efficacy and safety of 35 mg and 50 mg FPD as an adjunct to a CD/LD regimen in the treatment of OFF symptoms over 12 weeks (CVT-301-004) was conducted in parallel with this study.
- Conditions
- Idiopathic Parkinson's Disease
- Being tested
- CVT-301, Observational cohort
- Keywords
- Parkinson's Disease, Motor fluctuations, levodopa, inhaled drugs, OFF episodes
- Medical subject headings
- Parkinson Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CVT-301Drug
Also called Inhaled levodopa
Observational cohortOther
| Study group | Role | What they receive |
|---|---|---|
| CVT-301 | Experimental | Capsules of Levodopa Inhalational Powder (LIP) used up to 5 times per day for OFF episodes, for up to 54 weeks duration. Receives: Drug: CVT-301 |
| Observational Cohort | Other | Standard of care. Patients in both the CVT-301 treatment group and the observational cohort will be managed with their standard PD treatment throughout the study. Receives: Other: Observational cohort |
What is being measured
The primary outcome is the main question the study is designed to answer.
Pulmonary Safety Assessed by Forced Expiratory Volume in 1 Second [FEV1]
To characterize the pulmonary safety, as assessed by spirometry (forced expiratory volume in 1 second [FEV1], over a 12 month period.
Measured: Month 12 reported
Pulmonary Safety Assessed by Forced Vital Capacity [FVC].
To characterize the pulmonary safety, as assessed by spirometry (forced vital capacity).
Measured: Month 12 reported
Pulmonary Safety Assessed by Forced Expiratory Volume in 1 Second / Forced Vital Capacity Ratio.
To characterize the pulmonary safety, as assessed by spirometry (forced expiratory volume in 1 second / forced vital capacity ratio).
Measured: Month 12 reported
Secondary outcomes (1)
Diffusion Capacity of the Lungs for Carbon Monoxide (DLco).
To describe the effects of CVT-301 on diffusion capacity of the lungs for carbon monoxide (DLco) over a 12-month period.
Measured: Month 12 reported
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Feb 2015 (estimated)
- Study startMar 2015
- Primary completionMay 2017
- Study completionMay 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Idiopathic Parkinson's DiseaseStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- None (open label)
- Enrolment
- 408 participants (actual)
Sponsor and investigators
- Lead sponsor
- Acorda Therapeutics
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Charles Oh, MD, Study director, Acorda Therapeutics
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02352363
- Sponsor's protocol ID
- CVT-301-005
- Status last verified
- May 2019
- First submitted
- 26 Jan 2015
- Last updated
- 28 May 2019
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Kaminsky DA, Grosset DG, Kegler-Ebo DM, Cangiamilla S, Klingler M, Zhao P, Oh C. Natural history of lung function over one year in patients with Parkinson's disease. Respir Med. 2021 Jun;182:106396. doi: 10.1016/j.rmed.2021.106396. Epub 2021 Apr 16.
PubMed 33866196
Study at a glance
From the registry record, last updated by the sponsor on 28 May 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Randomized Study Investigating the Safety of CVT-301 (Levodopa Inhalation Powder) in Parkinson's Disease (PD) Patients With Motor Response Fluctuations (OFF Phenomena) Compared to an Observational Cohort Control
- ClinicalTrials.gov ID
- NCT02352363
- Acronym / sponsor ID
- CVT-301-005
- Conditions
- Idiopathic Parkinson's Disease
- Keywords
- Parkinson's Disease, Motor fluctuations, levodopa, inhaled drugs, OFF episodes
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 408 participants (actual)
- Lead sponsor
- Acorda TherapeuticsIndustry (pharma, biotech, devices)
- Study start
- Mar 2015
- Primary completion
- May 2017 (actual)
- Study completion
- May 2017 (actual)
- First posted
- 2 Feb 2015 (estimated)
- Results
- Posted 10 Jul 2018
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is a 12-month, open-label, randomized, multicenter study which will evaluate the safety and efficacy of CVT-301 for the treatment of up to 5 OFF episodes per day in Parkinson's Disease (PD) patients experiencing motor fluctuations (OFF episodes) and will include a concurrent observational cohort of PD patients managed using the usual standards of care.
Detailed description
A randomized, double-blind, placebo-controlled, Phase 2b study in patients with PD (CVT-301-003) demonstrated clinically important, and statistically significant CVT-301-associated improvements in motor function at doses of 35 and 50 mg LD FPD, compared with placebo, as measured by the Unified Parkinson's Disease Rating Scale (UPDRS) motor assessment (Part 3); furthermore, CVT-301 was generally safe and well tolerated. A Phase 3, randomized, placebo-controlled study designed to assess the efficacy and safety of 35 mg and 50 mg FPD as an adjunct to a CD/LD regimen in the treatment of OFF symptoms over 12 weeks (CVT-301-004) was conducted in parallel with this study.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| CVT-301 | Experimental | Drug: CVT-301Capsules of Levodopa Inhalational Powder (LIP) used up to 5 times per day for OFF episodes, for up to 54 weeks duration. |
| Observational Cohort | Other | Other: Observational cohortStandard of care. Patients in both the CVT-301 treatment group and the observational cohort will be managed with their standard PD treatment throughout the study. |
Who may qualify
- Ages
- 30 to 85 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Has signed and dated an Internal Review Board/Independent Ethics Committee (IRB/IEC)-approved informed consent form before any protocol-specific screening procedures are performed.
- Women of child-bearing potential must use protocol-defined contraceptive measures and must have a negative serum human chorionic gonadotropin (hCG) test at screening. These patients must be willing to remain on their current form of contraception for the duration of the study.
- Patients who have idiopathic PD (i.e., not induced by drugs or other diseases) as defined by fulfilling Steps 1 and 2 of the United Kingdom (UK) Brain Bank criteria, diagnosed after the age of 30 years.
- Patients who are classified as Stage 1 to 3 (in the ON state) on the modified Hoehn and Yahr scale for staging of PD severity.
- Patients who have experienced motor fluctuations for a minimum of 2 hours of average daily OFF time per waking day (excluding early morning OFF time) by self-report and confirmed by the PD Diary (on 3 consecutive days) during the screening period.
Key exclusion criteria (5 listed)
- Patients who have dyskinesia of a severity that would significantly interfere with their ability to participate or perform study procedures.
- Pregnant or lactating females or females wishing to become pregnant.
- Patients who have any known contraindication to the use of levodopa (LD), including a history of malignant melanoma or a history of narrow-angle glaucoma.
- Patients who have had previous surgery for PD (including but not limited to deep brain stimulation [DBS] or cell transplantation).
- Patients with a history of psychotic symptoms requiring treatment, or suicide ideation or attempt within the prior 12 months.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| CVT-301Also: Inhaled levodopa | Drug | CVT-301 |
| Observational cohort | Other | Observational Cohort |
Primary outcome
Pulmonary Safety Assessed by Forced Expiratory Volume in 1 Second [FEV1]
Time frame: Month 12 reported
To characterize the pulmonary safety, as assessed by spirometry (forced expiratory volume in 1 second [FEV1], over a 12 month period.
Pulmonary Safety Assessed by Forced Vital Capacity [FVC].
Time frame: Month 12 reported
To characterize the pulmonary safety, as assessed by spirometry (forced vital capacity).
Pulmonary Safety Assessed by Forced Expiratory Volume in 1 Second / Forced Vital Capacity Ratio.
Time frame: Month 12 reported
To characterize the pulmonary safety, as assessed by spirometry (forced expiratory volume in 1 second / forced vital capacity ratio).
1 secondary outcome
Diffusion Capacity of the Lungs for Carbon Monoxide (DLco).
Time frame: Month 12 reported
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 May 2019.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 33866196Kaminsky DA, Grosset DG, Kegler-Ebo DM, Cangiamilla S, Klingler M, Zhao P, Oh C. Natural history of lung function over one year in patients with Parkinson's disease. Respir Med. 2021 Jun;182:106396. doi: 10.1016/j.rmed.2021.106396. Epub 2021 Apr 16.
- Click here for more information about this study:CVT-301-005Link provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Charles Oh, MD study director
Acorda Therapeutics
76 sites in 14 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing CVT-301 and Observational cohort in people with Idiopathic Parkinson's Disease, run by Acorda Therapeutics at 76 sites in 14 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 5 inclusion and 5 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 28 May 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 76 sites in United States, Germany, Spain, Poland, France and 9 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. 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 10 Jul 2018). 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?
Pulmonary Safety Assessed by Forced Expiratory Volume in 1 Second [FEV1] (time frame: Month 12 reported). The study lists 3 primary outcomes in all. 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 NCT02352363, 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 28 May 2019.