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Parkinson DiseasePhase 1NCT04265027

Bioavailability and Bioequivalence Between Two Active Pharmaceutical Ingredient (API) Sources of Opicapone (OPC)

A Phase 1 study testing 50 mg BIA 9 1067, 25 mg BIA9 1067 and 50 mg Ongentys in people with Parkinson Disease, run by Bial - Portela C S.A. at 1 site in United Kingdom.

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 study evaluates the bioavailability and bioequivalence between two active pharmaceutical ingredient (API) sources of opicapone (OPC) at two different dosage strengths (50 mg and 25 mg) after single and multiple dose administration under fasting conditions in healthy volunteers and assess soluble catechol O… Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
Conditions the study is for
Parkinson Disease
What is being tested?
50 mg BIA 9 1067, 25 mg BIA9 1067 and 50 mg Ongentys
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
72 participants
Where
1 siteUnited Kingdom
Study dates
20 Feb 2018to 24 Jul 2018
Phase
Phase 1
Are there results?
None posted in the registry

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 18 to 55 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • A signed and dated informed consent form before any study specific screening procedure was performed;
  • Healthy males and females between 18 and 55 years of age (inclusive);
  • Non smoker or ex smokers for at least 3 months prior to screening;
  • Body mass index (BMI) between 18 and 30 kg/m2, inclusive;
  • No clinically significant (CS) history of allergy / sensitivity to BIA 9 1067/OPC or any of the excipients contained within the IMP(s);
  • Negative tests for hepatitis B surface antigen (HBsAg), hepatitis C virus antibodies (anti HCV Ab) and anti human immunodeficiency virus antibodies (anti HIV 1 and HIV 2) at screening;
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  • Negative screen for alcohol, cotinine and drugs of abuse at screening and on admission for each treatment period;
  • Healthy as determined by the Investigator based on medical history, physical examination, vital signs (systolic blood pressure ≥ 90 mmHg and ≤ 140 mmHg, diastolic blood pressure ≥ 50 mmHg and ≤ 90 mmHg) and digital 12 lead ECG (PR Interval ≥ 120 msec and ≤ 220 msec, QRS width ≥ 70 msec and ≤ 120 msec, QT interval corrected for heart rate using Bazett's formula [QTcB] 350 450 msec);
  • Clinical laboratory test results clinically acceptable at screening and admission to each treatment period;
  • If male:
  • Male subjects and female partner willing to use 2 effective methods of contraception, i.e., established method of contraception and condom, if applicable (unless anatomically sterile or where abstaining from sexual intercourse was in line with the preferred and usual lifestyle of the subject) from first dose until 3 months after last dose of IMP;
  • Refrained from donating sperm throughout the study and for 3 months after the last dose of IMP;
  • If female:
  • Were of non childbearing potential by reason of surgery or at least 1 year post menopause (i.e., 12 months post last menstrual period), or menopause confirmed by follicle stimulating hormone (FSH) testing;
  • Were of childbearing potential, using an effective non hormonal method of contraception (intrauterine device; condom or occlusive cap [diaphragm or cervical or vault caps] with spermicidal foam or gel or film or cream or suppository; true abstinence; or vasectomised male partner, provided that he was the sole partner of that subject) for all the duration of the study and for 3 months after the last dose of IMP;
  • Negative serum pregnancy test at screening and negative urine pregnancy test on admission of each treatment period).

Who cannot join

  • Any personal or family history of haemostatic disorder; 2. Consumption of more than 21 units (14 units for female subjects) of alcohol a week (1 unit corresponds to 1 glass of 12% wine [10 cL], 1 glass of 40% whisky [2.5 cL], 1 glass of 12% champagne [10 cL], 1 glass of 18% aperitif drink [7 cL] or 1 glass of 5% beer [25 cL]); 3. Use of nicotine replacement products such as patches, gum and/or electronic cigarettes within 3 months prior to the screening visit; 4. Significant infection or known inflammatory process at screening or admission to each treatment period; 5. Acute gastrointestinal symptoms (e.g., nausea, vomiting, diarrhoea, heartburn) at the time of screening or admission to each treatment period; 6. Symptomatic orthostatic hypotension (drop of > 20 mmHg in systolic blood pressure and/or > 10 mmHg in diastolic blood pressure) when moving from supine to standing position, together with other symptoms, e.g., dizziness; 7. Previous use of BIA 9 1067; 8. Use of any investigational drug or participation in any clinical study within 90 days or within 5 t1/2, whichever was longer; 9. Participation in more than 3 clinical trials within the 12 months prior to screening; 10. Donation (450 mL or more) or reception of any blood or blood products within the 3 months prior to screening; 11. Vegans, vegetarians or other dietary restrictions (e.g., restrictions for medical, religious or cultural reasons); 12. Unable to communicate reliably with the Investigator; 13. Unlikely to co operate with the requirements of the study; 14. Use of medicines within 28 days (or 5 t1/2 [whichever was longer]) of initiation of treatment intake i.e., use of any prohibited medications or use of any medicine which, in the opinion of the Investigator, may have affected subject safety or study assessments; 15. Clinically relevant history or presence of respiratory, gastrointestinal, hepatic, renal, haematological, lymphatic, neurological, cardiovascular, psychiatric, musculoskeletal, genitourinary, immunological, dermatological, endocrine, connective tissue diseases or disorders; 16. Clinically relevant surgical history that could have interfered with the PK of the study medications; 17. No medication was permitted throughout the study, except for medications to treat AEs.
  • 18. An abnormal hepatic function based on an overall assessment by the Investigator regarding medical history, physical examination and laboratory tests of hepatic function (alanine aminotransferase [ALT] > 1 x the upper limit of normal [ULN], aspartate aminotransferase [AST] > 1 x the ULN and total bilirubin > 1.5 x the ULN [confirmed by subsequent repeat testing]), as judged by the Chief Investigator. If a laboratory assessment was outside of the reference range at the local laboratory at the screening visit or at baseline, the assessment could have been repeated once, as soon as possible, and in any case before enrolment to rule out laboratory error; 19. Any clinically relevant findings in the laboratory tests, including any abnormality in the coagulation tests; 20. History of alcoholism or drug abuse; 21. Females pregnant or breastfeeding at screening; 22. Subjects with clinically relevant neurologic or psychiatric illness (including psychotic events like hallucinations); 23. Subjects with rare hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucose galactose malabsorption.

Trial locations and contacts

1 site in 1 country.

United Kingdom1 site
  • Simbec Research Ltd

    Merthyr Tydfil, CF48 4DR

Other trials in United Kingdom

About this study

Official title: An Open Label, Randomised, Two Period, Crossover Study to Assess Bioavailability, Bioequivalence and S COMT Activity Between Two Active Pharmaceutical Ingredient Sources of Opicapone at Two Different Dosage Strengths (50 mg and 25 mg) After Single and Multiple Dose Administrations Under Fasting Conditions in Healthy Volunteers.

This study evaluates the bioavailability and bioequivalence between two active pharmaceutical ingredient (API) sources of opicapone (OPC) at two different dosage strengths (50 mg and 25 mg) after single and multiple dose administration under fasting conditions in healthy volunteers and assess soluble catechol O methyltransferase (S-COMT) activity in 2 API sources of OPC at two different dosage strengths (50 mg and 25 mg) after single and multiple dose administration under fasting conditions in healthy volunteers

Read the detailed description

The current study aims to compare the relative bioavailability and assess the bioequivalence and tolerability of 2 different sources of opicapone from test investigational medicinal product (IMP) (BIA 9 1067) and reference IMP (Ongentys®), at doses of 25 mg and 50 mg. This was an open label, randomised, 2 period, single and multiple dose, crossover, pharmacokinetic (PK), pharmacodynamic (PD) study in 2 groups of healthy male and female subjects.

The study comprised a pre-study screen, followed by 2 treatment periods (1 and 2) and a post-study follow-up.

Screening (Day 28 to Day 2): Screening assessments were carried out between 28 and 2 days before first administration of investigational medicinal product (IMP). Eligible subjects were asked to return for the treatment periods. Continued eligibility was confirmed pre dose during each treatment period.

Treatment Periods (Day 1 to Day 14): Eligible subjects received both of the following IMPs over 2 treatment periods (1 IMP/period). Subjects were dosed in 2 groups.

Each treatment period was approximately 15 days duration, from the morning before dosing (Day 1) until the morning of Day 14. During each treatment period, subjects arrived at the Clinical Unit on Day 1. Each IMP was administered once daily on the mornings of Day 1 (single dose) and Days 3 12 (multiple dose), fasted (after an overnight fast of at least 8 hours [h]) with 240 mL water and subjects were discharged on the morning of Day 14 (48 h post last dose). Safety was also evaluated throughout the study. There were at least 14 days between the last dose of treatment period 1 and the first dose of treatment period 2.

Post Study: Post study assessments were conducted 7 to 14 days after subjects had been discharged from their final treatment period (or if early termination occurred).

Being tested
50 mg BIA 9 1067, 25 mg BIA9 1067, 50 mg Ongentys, 25 mg Ongentys
Keywords
Ongentys
Medical subject headings
Parkinson Disease

What participants receive

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

  • 50 mg BIA 9 1067Drug

    Also called Test IMP

    Hard Capsule; Oral

  • 25 mg BIA9 1067Drug

    Also called Test IMP

    Hard Capsule; Oral

  • 50 mg OngentysDrug

    Also called Reference IMP

    Hard Capsule; Oral

  • 25 mg OngentysDrug

    Also called Reference IMP

    Hard Capsule; Oral

Study groups in NCT04265027
Study groupRoleWhat they receive
Group 1 (50 mg Dose)ExperimentalTest IMP: 50 mg BIA 9 1067 and Reference IMP: 50 mg Ongentys. The IMPs were administered fasted (after an overnight fast of at least 8 h) with 240 mL water once daily on Days 1 and Days 3 to 12. Subjects remained fasted and sitting upright for at least 4 h after dose. No fluids (apart from water taken with dose) were allowed from 1 h prior to dosing until 1 h afterwards. There were at least 14 days between the last dose of treatment period 1 and the first dose of treatment period 2.
Receives: Drug: 50 mg BIA 9 1067; Drug: 50 mg Ongentys
Group 2 (25 mg Dose)ExperimentalTest IMP: 25 mg BIA9 1067 and Reference IMP: 25 mg Ongentys. The IMPs were administered fasted (after an overnight fast of at least 8 h) with 240 mL water once daily on Days 1 and Days 3 to 12. Subjects remained fasted and sitting upright for at least 4 h after dose. No fluids (apart from water taken with dose) were allowed from 1 h prior to dosing until 1 h afterwards. There were at least 14 days between the last dose of treatment period 1 and the first dose of treatment period 2.
Receives: Drug: 25 mg BIA9 1067; Drug: 25 mg Ongentys

What is being measured

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

  1. Maximum observed plasma OPC concentration following a single dose (Cmax) - (ng/mL)

    pharmacokinetic parameters for the analysis of Bioequivalence

    Measured: Day 1 (Pre-dose, 0.5 hours, 1 hours, 2-18 hours)

  2. Area under the plasma concentration versus time curve (AUC) from the time of dosing to the time of last measurable concentration (AUC0-t) - (h*ng/mL)

    pharmacokinetic parameters for the analysis of Bioequivalence

    Measured: Day 1 (Pre-dose, 0.5 hours, 1 hours, 2-18 hours)

  3. AUC extrapolated to infinity (AUC0-inf) - (h*ng/mL)

    pharmacokinetic parameters for the analysis of Bioequivalence

    Measured: Day 1 (Pre-dose, 0.5 hours, 1 hours, 2-18 hours)

  4. Maximum observed plasma OPC concentration at steady state (Cmax,ss) - (ng/mL)

    pharmacokinetic parameters for the analysis of Bioequivalence

    Measured: Day 12 (Pre-dose, 0.5 hours, 1 hours, 2-18 hours)

  5. AUC from the time of dosing to 24 h (dosing interval) at steady state (AUC0 tau) - (h*ng/mL)

    pharmacokinetic parameters for the analysis of Bioequivalence

    Measured: Day 12 (Pre-dose, 0.5 hours, 1 hours, 2-18 hours)

Secondary outcomes (3)
  1. Maximum S COMT inhibition, expressed as a (%) (Emax)

    pharmacodynamic parameters for analysis of S-COMT

    Measured: Day 1 (Pre-dose, 0.5 hours, 1 hours, 2-18 hours), Day 12 Day 12 (Pre-dose, 0.5 hours, 1 hours, 2-18 hours)

  2. Area under the S COMT % inhibition time curve, from the time of dosing to 24 h (AUEC24 - COMT inhib) - (%.h)

    pharmacodynamic parameters for analysis of S-COMT

    Measured: Day 1 (Pre-dose, 0.5 hours, 1 hours, 2-18 hours), Day 12 Day 12 (Pre-dose, 0.5 hours, 1 hours, 2-18 hours

  3. Area under the S COMT activity (pmol/mg Hb/h) time curve, from the time of dosing to 24 h (AUEC24 - COMT activ) - ((pmol MN/mg Hb/h).h)

    pharmacodynamic parameters for analysis of S-COMT

    Measured: Day 1 (Pre-dose, 0.5 hours, 1 hours, 2-18 hours), Day 12 Day 12 (Pre-dose, 0.5 hours, 1 hours, 2-18 hours

Timeline

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

  1. First posted11 Feb 2020
  2. Study start20 Feb 2018
  3. Primary completion24 Jul 2018
  4. Study completion24 Jul 2018

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 1
Primary purpose
Other
Allocation
Randomised
Intervention model
Crossover
Masking
None (open label)
Enrolment
72 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04265027
Sponsor's protocol ID
BIA-91067-131
Status last verified
Feb 2020
First submitted
7 Feb 2020
Last updated
11 Feb 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing 50 mg BIA 9 1067, 25 mg BIA9 1067 and 50 mg Ongentys in people with Parkinson Disease, run by Bial - Portela C S.A. at 1 site in United Kingdom.

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 16 inclusion and 2 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 11 Feb 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United Kingdom. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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 observed plasma OPC concentration following a single dose (Cmax) - (ng/mL) (time frame: Day 1 (Pre-dose, 0.5 hours, 1 hours, 2-18 hours)). The study lists 5 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 11 Feb 2020.

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