Parkinson's DiseasePhase 2BeyoNDNCT02726386
A Long Term Safety Study of ND0612 Administered as a Continuous SC Infusion in Advanced Parkinson's Disease
A Phase 2 study testing ND0612 in people with Parkinson's Disease, run by NeuroDerm Ltd. at 57 sites in 9 countries.
Trial summary
This is a multi-center, international, open-label, safety study of ND0612, a solution of levodopa/carbidopa (LD/CD) delivered via a pump system as a continuous SC infusion in subjects with advanced Parkinson's Disease (PD). 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?
- ND0612
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 214 participants
- Where
- 57 sitesin 9 countries
- Study dates
- 4 May 2016to Feb 2027
- 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Cohort 1.
- Subject is able to, and has signed an Institutional Review Board/Ethics Committee (IRB/EC)-approved informed consent form (ICF).
- Subject has completed the treatment period of study ND0612H-006 not more than one month prior to enrolling in ND0612H-012.
- Willing and able to administer the SC infusion alone or with the assistance of a study partner and able to comply with the study specific procedures.
- Cohort 2.
- Male and female PD subjects of any race aged at least 30 years who sign an IRB/EC-approved ICF.
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- PD diagnosis consistent with the UK Brain Bank Criteria.
- Modified Hoehn \& Yahr scale in "ON" state of stage ≤3.
- Taking at least 4 doses/day of LD/DDI (or at least 3 doses/day of Rytary) and taking, or have attempted to take, at least one other PD treatment for at least 30 days.
- Subjects must be stable on their anti-PD medications for at least 30 days before Day 1.
- Subjects may have had prior exposure to SC apomorphine injections/infusion but must have stopped continuous apomorphine administration at least 4 weeks before the screening visit. Treatment with apomorphine is prohibited during the entire ND0612 treatment period.
- Must have a minimum of 2 hrs of "OFF" time per day with predictable early morning "OFF" periods as estimated by the subject.
- Must have predictable and well defined early morning "OFF" periods with a good response to LD for treatment of the early morning "OFF" in the judgement of the investigator.
- Mini Mental State Examination (MMSE) score ≥26.
- No clinically significant medical, psychiatric or laboratory abnormalities which the investigator judges would be unsafe or non-compliant in the study.
- Female subjects must be surgically sterile (hysterectomy, bilateral oophorectomy, or tubal ligation), postmenopausal (defined as cessation of menses for at least 1 year), or willing to practice a highly effective method of contraception. All female participants must be non-lactating and non-pregnant and have a negative urine pregnancy test at Screening and at Baseline. Female subjects of childbearing potential must practice a highly effective method of contraception (e.g., oral contraceptives, intrauterine devices, partner with vasectomy), 1 month before enrollment, for the duration of the study, and 3 months after the last dose of study drug. Alternatively, true abstinence is acceptable when it is in line with the subject's preferred and usual lifestyle. If a subject is usually not sexually active but becomes active, the subject and sexual partner must comply with the contraceptive requirements detailed above.
- Willing and able to administer the SC infusion alone or with the assistance of a study partner after a screening period of up to 40 days and willing and able to comply with study requirements.
- Subjects should have a named study partner.
Who cannot join
- Cohort 1 and 2. Previously unable to tolerate ND0612 and/or have experienced intolerable adverse drug reactions associated with its use, regardless of the dosing regimen administered.
- Cohort 2.
- Atypical or secondary parkinsonism.
- Acute psychosis or hallucinations in past 6 months.
- Any relevant medical, surgical, or psychiatric condition, laboratory value, or concomitant medication which, in the opinion of the Investigator makes the subject unsuitable for study entry or potentially unable to complete all aspects of the study.
- Any malignancy in the 5 years prior to randomization (excluding basal cell carcinoma of the skin or cervical carcinoma in situ that have been successfully treated).
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- Positive serum serology for Hepatitis B Virus (HBV), Hepatitis C Virus (HCV) or Human Immunodeficiency Virus (HIV) at the Screening visit.
- Prior neurosurgical procedure for PD, or Duodopa treatment
- Subjects with a history of drug abuse or alcoholism within the past 12 months.
- Clinically significant ECG rhythm abnormalities.
- Renal or liver dysfunction that may alter drug metabolism including: serum creatinine >1.3 mg/dL, serum aspartate aminotransferase (AST) or alanine aminotransferase (ALT) >2 x upper limit of normal (ULN), total serum bilirubin >2.5 mg/dL.
- Current participation in a clinical trial with an investigational product or past participation within the last 30 days before Day 1.
Trial locations and contacts
57 sites in 9 countries.
57 sites in 9 countries
United States26 sites
University of Colorado Denver
Aurora, Colorado, 80045
University of Maryland, Neurology
Baltimore, Maryland, 21201
Parkinson's Disease and Movement Disorder Center of Boca Raton
Boca Raton, Florida, 33486-2359
Northwestern University
Chicago, Illinois, 60611
University of Cincinnati
Cincinnati, Ohio, 45267
Unity Point Health
Des Moines, Iowa, 50309
Rocky Mountain Movement Disorders Center
Englewood, Colorado, 80113-2776
QUEST Research Institute
Farmington Hills, Michigan, 48334
The Parkinsons and Movement Disorder Institute
Fountain Valley, California, 92708-5153
Neuro Pain Medical Center
Fresno, California, 93710
MD Clinical
Hallandale, Florida, 33009
Infinity Clinical Research, LLC
Hollywood, Florida, 33021
University of Florida Health at Jacksonville
Jacksonville, Florida, 32209
Clinical Trials Inc.
Little Rock, Arkansas, 72205-6421
Neurology Associates, PA
Maitland, Florida, 32751-4723
Xenoscience
Phoenix, Arizona, 85004
Parkinsons Disease Treatment Center of Southwest Florida
Port Charlotte, Florida, 33980
Synergy Trials
Richmond, Virginia, 23226
Pyramid Clinical Research
Somerset, New Jersey, 08873-3448
Premier Research
Spokane, Washington, 99202-1461
Suncoast Neuroscience Associates
St. Petersburg, Florida, 33713-8844
Infinity Clinical Research, LLC
Sunrise, Florida, 33351
USF Health Parkinson's Disease and Movement Disorders
Tampa, Florida, 33613
The Movement Disorder Clinic of Oklahoma
Tulsa, Oklahoma, 74136
Sentara Neuroscience Institute
Virginia Beach, Virginia, 23456-0168
Henry Ford Hospital
West Bloomfield, Michigan, 48322-3013
France7 sites
Centre Hospitalier d'Aix
Aix-en-Provence, 13616
CHU d'Amiens, Hopital Sud
Amiens, 80054
Hopital Neurologique Pierre Wertheimer
Bron, 69677
Hôpital Gabriel Montpied
Clermont-Ferrand, 63003
Hopital Roger Salengro
Lille, 59037
Hopital de la Timone
Marseille, 13385
CHU de Poitiers
Poitiers, 86021
Germany6 sites
Kliniken Beelitz GmbH
Beelitz-Heilstätten, 14547
St. Josefs Hospital
Bochum, 44791
Klinikum-Bremerhaven Reinkenheide
Bremerhaven, 27574
Universitaetsklinikum Carl Gustav Carus an der Technischen Universitaet Dresden
Dresden, 1307
Klinik Haag
Haag in Oberbayern, 83527
Universitaets-und Rehabilitationskliniken Ulm
Ulm, 89081
Israel5 sites
Barzilai MC
Ashkelon, 7830604
Hadassah Medical Center, Ein-Kerem Campus
Jerusalem, 91120
Rabin Medical Center
Petah Tikva, 49100
Chaim Sheba Medical Center
Ramat Gan, 56520
Sourasky Medical Center
Tel Aviv, 64239
Italy4 sites
University Foundation
Chieti, 66100
AOU Pisa
Pisa, 56126
IRCCS San Raffaele Pisana
Rome, 00163
IRCCS Hospital San Camillo Venice
Venice, 30126
Czechia3 sites
NEUROHK, s.r.o.
Choceň, 565 01
Clintrial s.r.o.
Prague, 100 00
Vestra Clinics, s.r.o.
Rychnov nad Kněžnou, 516 01
Poland3 sites
Centrum Medyczne PLEJADY
Krakow, 30-363
Krakowska Akademia Neurologii Sp. z o.o.
Krakow, 31-505
Indywidualna Praktyka Lekarska prof. dr hab
Lublin, 20-016
Spain2 sites
Hospital Clinic de Barcelona
Barcelona, 08036
Hospital Universitario de la Princesa
Madrid, 28006
About this study
Official title: A Multicenter, International, Open-label, Safety Study of ND0612, a Solution of Levodopa/Carbidopa Delivered Via a Pump System as a Continuous Subcutaneous Infusion in Subjects With Advanced Parkinson's Disease
This is a multi-center, international, open-label, safety study of ND0612, a solution of levodopa/carbidopa (LD/CD) delivered via a pump system as a continuous SC infusion in subjects with advanced Parkinson's Disease (PD).
Read the detailed description
This is a multi-center, international, open-label, safety study of ND0612, a solution of LD/CD delivered via a pump system as a continuous SC infusion in subjects with advanced PD. Two cohorts of subjects are candidates for this study: subjects who completed treatment in study ND0612H-006 within one month prior to enrollment (Cohort 1) and ND0612 naïve subjects or subjects who completed treatment in a ND0612 clinical study more than one month before screening (Cohort 2). After screening procedures and confirmation of the inclusion/exclusion criteria, subjects and their study partners will be trained and assisted at their homes during the first week of treatment on the proper operation of the pump system. One mandatory home visit will be performed during the first week and then on a monthly basis during 12-months of treatment. Subjects will return for in-clinic visits at Week 1 and at Months 1, 2, 3, 4, 6, 9, and 12 for assessment of safety and efficacy variables. Subjects will be allowed to continue with study treatment for an optional treatment extension period of up to Month 102 and the clinic visits will be performed every 3 months to assess subject long-term safety. Safety follow-up visits will occur 1, 2, and 3 months after the last SC infusion of ND0612 or after early termination.
- Conditions
- Parkinson's Disease
- Being tested
- ND0612
- 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 ND0612H
ND0612, a solution of levodopa/carbidopa (LD/CD) delivered continuously subcutaneously (SC) via an infusion pump system
| Study group | Role | What they receive |
|---|---|---|
| 24-hour dosing regimen | Experimental | Continuous SC infusion over 24 hours: fixed day rate of up to 0.64 mL/h for 18 hours, followed by a night rate of 0.08 mL/h for 6 hours to deliver a total daily dose of up to 720/90 mg of levodopa/carbidopa.
All patients who had been previously assigned to the 24-hour group in the prior study continued on this dosing regimen; patients who had previously been assigned to the 14-hour daytime regimen were switched to the 24-hour regimen. Receives: Drug: ND0612 |
| 16-hour dosing regimen | Experimental | Continuous SC infusion for over 16 hours: fixed rate of 0.75 mL/h to deliver a total infusion dose of 720/90 mg of levodopa/carbidopa over 16 hours.
The device is removed at night and patients in this group also receive a morning oral dose of levodopa/carbidopa upon awakening. Receives: Drug: ND0612 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Adverse Events (Long-term Safety)
Long-term safety (systemic and local) assessment will be based on adverse events (AEs), with a focus on adverse events of special interest (AESI), i.e., infusion site reactions, cases of hypersensitivity, polyneuropathy.
Measured: Baseline to Month 12
Percentages of Subjects Who Complete the 12-month Treatment Period or Discontinue Due to AE (Tolerability)
Tolerability will be assessed based on the percentage of subjects that complete the 12-month treatment period of the study and the percentage of subjects who discontinue from the 12-month treatment period due to an AE.
Measured: Baseline to Month 12
Secondary outcomes (1)
Adverse Events (Long-term Safety)
Long-term safety (systemic and local) and tolerability will be based on AEs, with a focus on AESI, i.e., infusion site reactions, cases of hypersensitivity, polyneuropathy.
Measured: Month 12 to Month 102
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Apr 2016 (estimated)
- Study start4 May 2016
- Primary completion9 Sep 2019
- Study completionFeb 2027 (estimated)
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 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 2
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 214 participants (actual)
Sponsor and investigators
- Lead sponsor
- NeuroDerm Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Laurence Salin, MD, Study director, NeuroDerm Ltd.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02726386
- Sponsor's protocol ID
- ND0612H-012
- Acronym
- BeyoND
- Status last verified
- May 2025
- First submitted
- 29 Mar 2016
- Last updated
- 30 May 2025
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Poewe W, Stocchi F, Arkadir D, Ebersbach G, Ellenbogen AL, Giladi N, Isaacson SH, Kieburtz K, LeWitt P, Olanow CW, Simuni T, Thomas A, Zlotogorski A, Adar L, Case R, Oren S, Fuchs Orenbach S, Rosenfeld O, Sasson N, Yardeni T, Espay AJ; BeyoND study group. Subcutaneous Levodopa Infusion for Parkinson's Disease: 1-Year Data from the Open-Label BeyoND Study. Mov Disord. 2021 Nov;36(11):2687-2692. doi: 10.1002/mds.28758. Epub 2021 Sep 8.
PubMed 34496081
Study at a glance
From the registry record, last updated by the sponsor on 30 May 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, International, Open-label, Safety Study of ND0612, a Solution of Levodopa/Carbidopa Delivered Via a Pump System as a Continuous Subcutaneous Infusion in Subjects With Advanced Parkinson's Disease
- ClinicalTrials.gov ID
- NCT02726386
- Acronym / sponsor ID
- BeyoND / ND0612H-012
- Conditions
- Parkinson's Disease
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 214 participants (actual)
- Lead sponsor
- NeuroDerm Ltd.Industry (pharma, biotech, devices)
- Study start
- 4 May 2016 (actual)
- Primary completion
- 9 Sep 2019 (actual)
- Study completion
- Feb 2027 (estimated)
- First posted
- 1 Apr 2016 (estimated)
- Results
- Posted 6 May 2023
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a multi-center, international, open-label, safety study of ND0612, a solution of levodopa/carbidopa (LD/CD) delivered via a pump system as a continuous SC infusion in subjects with advanced Parkinson's Disease (PD).
Detailed description
This is a multi-center, international, open-label, safety study of ND0612, a solution of LD/CD delivered via a pump system as a continuous SC infusion in subjects with advanced PD. Two cohorts of subjects are candidates for this study: subjects who completed treatment in study ND0612H-006 within one month prior to enrollment (Cohort 1) and ND0612 naïve subjects or subjects who completed treatment in a ND0612 clinical study more than one month before screening (Cohort 2). After screening procedures and confirmation of the inclusion/exclusion criteria, subjects and their study partners will be trained and assisted at their homes during the first week of treatment on the proper operation of the pump system. One mandatory home visit will be performed during the first week and then on a monthly basis during 12-months of treatment. Subjects will return for in-clinic visits at Week 1 and at Months 1, 2, 3, 4, 6, 9, and 12 for assessment of safety and efficacy variables. Subjects will be allowed to continue with study treatment for an optional treatment extension period of up to Month 102 and the clinic visits will be performed every 3 months to assess subject long-term safety. Safety follow-up visits will occur 1, 2, and 3 months after the last SC infusion of ND0612 or after early termination.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| 24-hour dosing regimen | Experimental | Drug: ND0612Continuous SC infusion over 24 hours: fixed day rate of up to 0.64 mL/h for 18 hours, followed by a night rate of 0.08 mL/h for 6 hours to deliver a total daily dose of up to 720/90 mg of levodopa/carbidopa. All patients who had been previously assigned to the 24-hour group in the prior study continued on this dosing regimen; patients who had previously been assigned to the 14-hour daytime regimen were switched to the 24-hour regimen. |
| 16-hour dosing regimen | Experimental | Drug: ND0612Continuous SC infusion for over 16 hours: fixed rate of 0.75 mL/h to deliver a total infusion dose of 720/90 mg of levodopa/carbidopa over 16 hours. The device is removed at night and patients in this group also receive a morning oral dose of levodopa/carbidopa upon awakening. |
Who may qualify
- Ages
- 30 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (18 listed)
- Cohort 1.
- Subject is able to, and has signed an Institutional Review Board/Ethics Committee (IRB/EC)-approved informed consent form (ICF).
- Subject has completed the treatment period of study ND0612H-006 not more than one month prior to enrolling in ND0612H-012.
- Willing and able to administer the SC infusion alone or with the assistance of a study partner and able to comply with the study specific procedures.
- Cohort 2.
Key exclusion criteria (12 listed)
- Cohort 1 and 2. Previously unable to tolerate ND0612 and/or have experienced intolerable adverse drug reactions associated with its use, regardless of the dosing regimen administered.
- Cohort 2.
- Atypical or secondary parkinsonism.
- Acute psychosis or hallucinations in past 6 months.
- Any relevant medical, surgical, or psychiatric condition, laboratory value, or concomitant medication which, in the opinion of the Investigator makes the subject unsuitable for study entry or potentially unable to complete all aspects of the study.
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 |
|---|---|---|
| ND0612Also: ND0612HND0612, a solution of levodopa/carbidopa (LD/CD) delivered continuously subcutaneously (SC) via an infusion pump system | Drug | 16-hour dosing regimen, 24-hour dosing regimen |
Primary outcome
Adverse Events (Long-term Safety)
Time frame: Baseline to Month 12
Long-term safety (systemic and local) assessment will be based on adverse events (AEs), with a focus on adverse events of special interest (AESI), i.e., infusion site reactions, cases of hypersensitivity, polyneuropathy.
Percentages of Subjects Who Complete the 12-month Treatment Period or Discontinue Due to AE (Tolerability)
Time frame: Baseline to Month 12
Tolerability will be assessed based on the percentage of subjects that complete the 12-month treatment period of the study and the percentage of subjects who discontinue from the 12-month treatment period due to an AE.
1 secondary outcome
Adverse Events (Long-term Safety)
Time frame: Month 12 to Month 102
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 May 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 34496081Poewe W, Stocchi F, Arkadir D, Ebersbach G, Ellenbogen AL, Giladi N, Isaacson SH, Kieburtz K, LeWitt P, Olanow CW, Simuni T, Thomas A, Zlotogorski A, Adar L, Case R, Oren S, Fuchs Orenbach S, Rosenfeld O, Sasson N, Yardeni T, Espay AJ; BeyoND study group. Subcutaneous Levodopa Infusion for Parkinson's Disease: 1-Year Data from the Open-Label BeyoND Study. Mov Disord. 2021 Nov;36(11):2687-2692. doi: 10.1002/mds.28758. Epub 2021 Sep 8.
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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.
Laurence Salin, MD study director
NeuroDerm Ltd.
57 sites in 9 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing ND0612 in people with Parkinson's Disease, run by NeuroDerm Ltd. at 57 sites in 9 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 18 inclusion and 12 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: under way, not looking for participants, as of the sponsor's last update on 30 May 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 57 sites in United States, France, Germany, Israel, Italy and 4 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 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 6 May 2023). 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?
Adverse Events (Long-term Safety) (time frame: Baseline to Month 12). The study lists 2 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 NCT02726386, 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 30 May 2025.