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Parkinson's DiseasePhase 3BouNDlessNCT04006210

Efficacy, Safety and Tolerability Study of ND0612 vs. Oral Immediate Release Levodopa/Carbidopa (IR-LD/CD) in Subjects With Parkinson's Disease Experiencing Motor Fluctuations

A Phase 3 study testing ND0612 Solution for SC infusion and Oral IR-LD/CD in people with Parkinson's Disease, run by NeuroDerm Ltd. at 103 sites in 16 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
Search all trials

Trial summary

This is a multi-center, randomized, double-blind, double-dummy, active controlled clinical Study. Following a screening period, eligible subjects will be enrolled to an open-label oral IR-LD/CD adjustment period; then an open-label ND0612 conversion period; then after optimization periods subjects will be randomized… 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 Solution for SC infusion and Oral IR-LD/CD
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
381 participants
Where
103 sitesin 16 countries
Study dates
30 Sep 2019to Feb 2027
Phase
Phase 3
Are there results?
Not yet: the study is under way

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

  • Male and female patients, aged ≥30 years.
  • PD diagnosis consistent with the United Kingdom Brain Bank Criteria.
  • Modified Hoehn \& Yahr score ≤3 during "ON" state.
  • Average of ≥2.5 hours of OFF time (≥2 hours "OFF" time every day) during waking hours as confirmed by patient diary over 3 days.
  • Taking ≥4 levodopa doses/day (≥3 doses/day of extended release LD/dopa-decarboxylase inhibitor, e.g., Rytary®) at a total daily dose of ≥400mg.

Who cannot join

  • Atypical or secondary parkinsonism.
  • Severe disabling dyskinesias, based on Investigator's discretion.
  • Previous neurosurgery for PD.
  • Use of duodenal levodopa infusion (LCIG) or apomorphine infusion.
  • Use of the following medications: subcutaneous apomorphine injections, sublingual apomorphine, or inhaled levodopa within 4 weeks.
  • Previous participation in ND0612 studies.
  • History of significant skin conditions or disorders.

Trial locations and contacts

103 sites in 16 countries.

103 sites in 16 countries

United States38 sites
  • Emory University - Brain Health Center

    Atlanta, Georgia, 30329

  • Visionary Investigators Network

    Aventura, Florida, 33180

  • Parkinsons Disease and Movement Disorders Center of Boca Raton

    Boca Raton, Florida, 33486-2359

  • Beth Israel Deaconess Medical Center

    Boston, Massachusetts, 02215

  • University of Vermont Medical Center

    Burlington, Vermont, 05401

  • Medical University of South Carolina

    Charleston, South Carolina, 29425

  • University of Virginia

    Charlottesville, Virginia, 22908-0816

  • Rush University Medical Center

    Chicago, Illinois, 60612

  • University of Cincinnati

    Cincinnati, Ohio, 45219

  • Cleveland Clinic

    Cleveland, Ohio, 44195

  • Neurology Consultants of Dallas

    Dallas, Texas, 75243

  • NeuroStudies

    Decatur, Georgia, 30033

  • Unity Point Health

    Des Moines, Iowa, 50309

  • Duke University

    Durham, North Carolina, 27705

  • Michigan State University

    East Lansing, Michigan, 48824

  • Rocky Mountain Movement Disorders Center

    Englewood, Colorado, 80113

  • QUEST Research Institute

    Farmington Hills, Michigan, 48334-2980

  • University of Florida Norman Fixel Institute for Neurological Diseases

    Gainesville, Florida, 32608

  • Hawaii Pacific Neuroscience

    Honolulu, Hawaii, 96817

  • University of Kansas Medical Center

    Kansas City, Kansas, 66160

  • University of Kentucky, Neurology and Movement Disorder

    Lexington, Kentucky, 40536-0284

  • University of Arkansas for Medical Sciences

    Little Rock, Arkansas, 72205

  • Cedar- Sinai Medical Center Department of Neurology

    Los Angeles, California, 90048 -1804

  • University of Wisconsin Madison

    Madison, Wisconsin, 53705-2281

  • Neurology Associates PA

    Maitland, Florida, 32751-4723

  • Rutgers-Robert Wood Johnson Medical School

    New Brunswick, New Jersey, 08901

  • Oschner Medical Center

    New Orleans, Louisiana, 70121

  • Weill Cornell Medicine

    New York, New York, 10021

  • Mount Sinai Medical center Movement Disorders Center

    New York, New York, 10029

  • Corporal Michael J. Crescenz VA Medical Center

    Philadelphia, Pennsylvania, 19101-4511

  • Xenoscience

    Phoenix, Arizona, 85004

  • SC3 Research - Reseda

    Reseda, California, 91335

  • University of California San Francisco

    San Francisco, California, 94115

  • USF Parkinson's Disease and Movement Disorders Center

    Tampa, Florida, 33613

  • Hartford Healthcare Chase Family Movement Disorders Center

    Vernon, Connecticut, 06066

  • Henry Ford West Bloomfield Hospital

    West Bloomfield, Michigan, 48322

  • Abington Neurological Associates LTD.

    Willow Grove, Pennsylvania, 19090-1749

  • Neurology One

    Winter Park, Florida, 32792

Other trials in United States

Spain14 sites
  • Hospital General Universitario de Elche, Edificio principal

    Alicante, 03203

  • Hospital Universitari de la Vall d'Hebron

    Barcelona, 08035

  • Hospital de La Santa Creu I Sant Pau

    Barcelona, 08041

  • Hospital Universitari General de Catalunya

    Barcelona, 08195

  • Hospital Universitario de Burgos

    Burgos, 09006

  • Complejo Hospitalario Ruber Juan Bravo

    Madrid, 28006

  • Hospital Universitario La Princesa

    Madrid, 28006

  • Hospital Universitario Gregorio Marañón

    Madrid, 28007

  • Hospital Universitario Ramon y Cajal

    Madrid, 28034

  • Hospital Clinico San Carlos

    Madrid, 28040

  • Hospital Universitario Infanta Sofia

    Madrid, 28702

  • Hospital Universitario central de Asturias

    Oviedo, Principality of Asturias, 33011

  • Hospital Universitario Virgen del Rocío, Laboratorio 104.

    Seville, 41013

  • Hospital Universitario y Politcnico de La Fe

    Valencia, 46026

Other trials in Spain

Italy10 sites
  • Casa di Cura Villa Margherita

    Arcugnano, 36057

  • Centro Ricerca Parkinson San Raffaele Cassino

    Cassino, 03043

  • University Chieti CeSI MET Clinical research center-CRC

    Chieti, 66100

  • Ospedale di Grosseto, Azienda USL Toscana Sud Est

    Grosseto, 58100

  • Istituto Clinico Humanitas - IRCCS

    Milan, 20089

  • AOU University of Campania "Luigi Vanvitelli"

    Naples, 80138

  • IRCCS Fondazione C. Mondino

    Pavia, 27100

  • IRCCS San Raffaele Pisana

    Roma, RM 163

  • Policlinico Tor Vergata - UOSD Parkinson

    Rome, 00133

  • IRCCS Santa Lucia Foundation

    Rome, 179

Other trials in Italy

France6 sites
  • Hopital Neurologique

    Bron, 69677

  • Hopital Gabriel Montpied

    Clermont-Ferrand, 63000

  • CHU Nantes-Hopital Laennec

    Nantes, 44800

  • CHU de Nice Hpital Pasteur

    Nice, 6002

  • Chu Caremeau

    Nîmes, GARD 30000

  • Hopital Purpan

    Toulouse, 31059

Other trials in France

Israel6 sites
  • Shaare Zedek Medical Center

    Jerusalem, 9103102

  • Hadassah Medical Center, Ein Kerem

    Jerusalem, 9112001

  • Galilee Medical center- Nahariya

    Nahariya, 22100

  • Rabin Medical Center, Beilinson Hospital

    Petah Tikva, 49100

  • Chaim Sheba Medical Center

    Ramat Gan, 5265601

  • Tel Aviv Sourasky Medical Center

    Tel Aviv, 64239

Other trials in Israel

Russia5 sites
  • Kazan State Medical University

    Kazan', 420012

  • Federal Siberian Scientic Clinical Center of FMBA

    Krasnoyarsk, 660037

  • Novosibirsk regional specialized scientific-practical neurological center on the basis City Clinical Hospital 34

    Novosibirsk, 630054

  • The first Saint-Petersburg State Medical University named after IP Pavlov

    Saint Petersburg, 197022

  • Siberian State Medical University

    Tomsk, 634050

Other trials in Russia

Ukraine5 sites
  • Clinic "Dopomoga Plus"

    Kyiv, 04111

  • Institute of Gerontolgoy - Parkinsons disease Treatment Centre

    Kyiv, 4114

  • Ukrainian Medical Stomatological Academy based on Poltava Regional Clinical Hospital n.a. M.V.Skliphosovskyy

    Poltava, 36011

  • Vinnytsia O.I. Yushchenko Regional Psychoneurology Hospital

    Vinnytsia, 21005

  • Municipal Non-commercial Institution '' City hospital #9" of Zaporizhzhya City Council

    Zaporizhzhya, 69065

Other trials in Ukraine

United Kingdom5 sites
  • King's College hospital

    London, SE5 9RT

  • St Georges University Hospital

    London, SW17 0QT

  • Directorate of Medicine & Integrated Care, Imperial College Healthcare NHS Trust

    London, W6 8RF

  • Clinical Ageing research Unit

    Newcastle, NE4 5PL

  • University Hospitals Plymouth NHS Trust

    Plymouth, PL6 5FP

Other trials in United Kingdom

Poland4 sites
  • Krakowska Akademia Neurologii Sp. z o. o

    Krakow, 31-505

  • NeuroKlinika Gabinet Lekarski Prof. Andrzej Bogucki

    Lodz, 90-640

  • Neuro-Care SP z o. o.

    Siemianowice Śląskie, 41-100

  • Oddział Neurologii ul. L. Kondratowicza 8

    Warsaw, 03-242

Other trials in Poland

Czechia2 sites
  • Neurologicka klinika Fakutni nemocnice sv. Anny v Brne

    Brno, 65691

  • Axon Clinical s.r.o.

    Prague, 150 00

Other trials in Czechia

Portugal2 sites
  • Hospital Braga

    Braga, 4710-243

  • CNS - Campus Neurologico Senior

    Torres Vedras, 256-280

Other trials in Portugal

Slovakia2 sites
  • Nemocnica akad. L. Derera

    Bratislava, 833 05

  • Univerzitna nemocnica L. Pasteura Kosice

    Košice, 04166

Other trials in Slovakia

Austria1 site
  • Medical University Innsbruck

    Innsbruck, 6020

Other trials in Austria

Belgium1 site
  • CHU de Tivoli

    La Louvière, 7100

Other trials in Belgium

Hungary1 site
  • University of Pecs, Clinical Center

    Pécs, 7623

Other trials in Hungary

Netherlands1 site
  • University of Amsterdam

    Amsterdam, 1105

Other trials in Netherlands

About this study

Official title: A Multicenter, Randomized, Active-controlled, Double-blind, Double-dummy, Parallel-group Clinical Trial, Investigating the Efficacy, Safety, and Tolerability of Continuous Subcutaneous ND0612 Infusion in Comparison to Oral IR-LD/CD in Subjects With Parkinson's Disease Experiencing Motor Fluctuations (BouNDless)

This is a multi-center, randomized, double-blind, double-dummy, active controlled clinical Study. Following a screening period, eligible subjects will be enrolled to an open-label oral IR-LD/CD adjustment period; then an open-label ND0612 conversion period; then after optimization periods subjects will be randomized to receive either ND0612 or its matching Placebo with IR-LD/CD.

Subjects can continue to an optional open-label extension period.

Read the detailed description

This is a phase III multi-center, randomized, active-controlled, double-blind, double-dummy (DBDD), parallel group clinical trial, investigating the efficacy, safety, and tolerability of continuous subcutaneous (SC) ND0612 infusion in comparison to oral IR-LD/CD in subjects with Parkinson's disease (PD) experiencing motor fluctuations.

This study is comprised of 6 periods:

  1. a Screening Period;
  2. an open-label oral IR-LD/CD Adjustment Period;
  3. an open-label ND0612 Conversion Period;
  4. a randomized DBDD active-controlled Maintenance Period;
  5. an optional open-label Treatment Extension; and
  6. a Safety Follow-up Period.
Being tested
ND0612 Solution for SC infusion, Placebo for SC infusion, Oral IR-LD/CD, Placebo for Oral IR-LD/CD
Medical subject headings
Parkinson Disease

What participants receive

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

  • ND0612 Solution for SC infusionCombination product

    Levodopa/Carbidopa (LD/CD) solution administered SC via infusion pump

  • Placebo for SC infusionCombination product

    Placebo solution administered SC via infusion pump

  • Oral IR-LD/CDDrug

    Also called IR-LD/CD

    Encapsulated LD/CD 100mg/25mg

  • Placebo for Oral IR-LD/CDDrug

    Also called Placebo for IR-LD/CD

    Encapsulated Placebo for LD/CD 100mg/25mg

Study groups in NCT04006210
Study groupRoleWhat they receive
ND0612 GroupExperimentalND0612 continuous SC infusion + Active IR-LD/CD (grey capsules) + Placebo IR-LD/CD (white capsules). Randomized DBDD Maintenance Treatment for 12 weeks.
Receives: Combination Product: ND0612 Solution for SC infusion; Drug: Oral IR-LD/CD; Drug: Placebo for Oral IR-LD/CD
IR-LD/CD GroupActive comparatorPlacebo for ND0612 continuous SC infusion + Placebo IR-LD/CD (grey capsules) + Active IR-LD/CD (white capsules). Randomized DBDD Maintenance Treatment for 12 weeks.
Receives: Combination Product: Placebo for SC infusion; Drug: Oral IR-LD/CD; Drug: Placebo for Oral IR-LD/CD
Oral IR-LD/CD AdjustmentOtherActive IR-LD/CD (white capsules). Open-label Treatment in Run-in 1 for 4-6 weeks.
Receives: Drug: Oral IR-LD/CD
ND0612 ConversionOtherND0612 continuous SC infusion + Active IR-LD/CD (grey capsules). Open-label Treatment in Run-in 2 for 4-6 weeks.
Receives: Combination Product: ND0612 Solution for SC infusion; Drug: Oral IR-LD/CD
Open-Label ExtensionOtherND0612 continuous SC infusion + Standard of care LD/dopa-decarboxylase inhibitor. Open-label Treatment in Extension for up to 54 months.
Receives: Combination Product: ND0612 Solution for SC infusion

What is being measured

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

  1. The change in daily ON time without troublesome dyskinesia

    ON time without troublesome dyskinesia is the sum of ON time without dyskinesia and ON time with non-troublesome dyskinesia per patient diary

    Measured: Baseline to the end of DBDD Maintenance Period (12 weeks)

Secondary outcomes (1)
  1. The change in daily OFF time

    OFF time per patient diary

    Measured: Baseline to the end of DBDD Maintenance Period (12 weeks)

Timeline

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

  1. First posted5 Jul 2019
  2. Study start30 Sep 2019
  3. Primary completion1 Nov 2022
  4. Study completionFeb 2027 (estimated)

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
Model description
Oral IR-LD/CD Adjustment Period - Run-in 1 (1 arm) followed by ND0612 Conversion Period - Run-in 2 (1 arm) followed by DBDD Parallel Group Maintenance Period (2 arms) followed by optional Open-label Extension Period (1 arm)
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
381 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04006210
Sponsor's protocol ID
ND0612-317
Acronym
BouNDless
Status last verified
May 2025
First submitted
30 Jun 2019
Last updated
21 May 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
Yes

Publications

  • Espay AJ, Stocchi F, Pahwa R, Albanese A, Ellenbogen A, Ferreira JJ, Giladi N, Gurevich T, Hassin-Baer S, Hernandez-Vara J, Isaacson SH, Kieburtz K, LeWitt PA, Lopez-Manzanares L, Olanow CW, Poewe W, Sarva H, Yardeni T, Adar L, Salin L, Lopes N, Sasson N, Case R, Rascol O; BouNDless Study Group. Safety and efficacy of continuous subcutaneous levodopa-carbidopa infusion (ND0612) for Parkinson's disease with motor fluctuations (BouNDless): a phase 3, randomised, double-blind, double-dummy, multicentre trial. Lancet Neurol. 2024 May;23(5):465-476. doi: 10.1016/S1474-4422(24)00052-8. Epub 2024 Mar 15.

    PubMed 38499015

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing ND0612 Solution for SC infusion and Oral IR-LD/CD in people with Parkinson's Disease, run by NeuroDerm Ltd. at 103 sites in 16 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 7 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 21 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 103 sites in United States, Spain, Italy, France, Israel and 11 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?

This study is still under way. Results are not available in the source record yet.

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?

The change in daily ON time without troublesome dyskinesia (time frame: Baseline to the end of DBDD Maintenance Period (12 weeks)). 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 NCT04006210, 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 21 May 2025.

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