An Evaluation of the Pharmacokinetics and Pharmacodynamics of AP09004 in Patients With Parkinson's Disease
Dual Release Gastric Retentive AP09004, Vs. Active Control; a Pharmacokinetic/Pharmacodynamic, Comparative, Safety Evaluation in Parkinson's Patients
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
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Ashkelon,, Israel
- Barzilai Medical Center, Department of Neurology, Movement disorders unit,
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Beer-Sheva, Israel
- Department of Neurology, Clalit University Medical Center
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Haifa, Israel
- Rambam Health Care Campus, Haifa, Movement Disorders and Parkinson's Disease
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Holon, Israel
- Edith Wolfson , Dept. of Neurology, Movement Disorders Unit.
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Petah Tikva, Israel
- Rabin Medical Center
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Ramat Gan, Israel
- Sheba medical center
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Tel Aviv, Israel
- TASMC
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
- Subjects between the ages of 18 and 75 years of age inclusive;
- For early patients only: Subject with Parkinson's disease with a stable response to Levodopa (not suffering from "wearing off") and currently treated with IR-Carbidopa/Levodopa containing 300-500mg Levodopa per day up to 4 doses per day.
- For group 3 only: Subject with Parkinson's disease experiencing predictable motor fluctuations, end of dose "wearing off", defined by the patient's report of at least two episodes daily of a decline in function from peak benefit, with at least 2-3 hours OFF a day at the discretion of the PI (does not include early morning akinesia). Only patients with end of dose wearing off for at least 3 months will be included.
- For moderate patients only: patients who are currently treated with IR-Carbidopa/Levodopa containing 600-900mg Levodopa, in divided dose, per day.
- Subject has been stable at current CD/LD dose for at least 1 months
- Hoehn and Yahr stages I-III
- If subject is taking dopamine agonists, the dose has been stable for at least 1 month
- Other then Parkinson's disease, the subject is in satisfactory health, as assessed by physical examination, blood test (biochemistry and hematology). No abnormality on clinical examination and blood tests that in the opinion of the Physician responsible will compromise safety or interfere with study procedures.
Exclusion Criteria:
- Subjects who have participated in another clinical trial within the last 30 days;
- Subjects with atypical Parkinsonism
- Subject has significant history of cardiac, pulmonary, hepatic or renal disease or other condition or any major complication/illness which, in the opinion of the physician responsible, contraindicates his/her participation.
- Subject with symptomatic gastroparesis with frequent vomiting (at least once a week).
- Subjects with a history of clinically defined GERD, peptic ulcer or any gastrointestinal surgery other than appendectomy or herniotomy, or with any gastrointestinal disorder likely to influence drug absorption, or with any history of inflammatory bowel disease, irritable bowel syndrome, severe gastrointestinal narrowing, or frequent nausea or emesis, regardless of etiology.
- Prior gastro-intestinal surgery or current gastrointestinal conditions of clinical significance including ulcers, diarrhea, vomiting, bleeding, intestinal obstruction or inflammatory bowel disease, which, in the opinion of the physician responsible, contraindicates his/her participation.
- History of drug or alcohol abuse.
- Subject has a history of allergy to any component of the dosage form or any other allergy, which, in the opinion of the physician responsible, contraindicates his/her participation.
- Subjects suffering from psychological disorders that in the opinion of the physician responsible may interfere with full participation.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Early patients
|
|
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Experimental: Moderate Patients
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
|---|
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To evaluate blood level profiles and safety of the AP09004
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
|---|
|
Efficacy of AP09004 on motor scores in Parkinson's patients
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: T Gurevich, MD, Tel-Aviv Sourasky Medical Center
- Principal Investigator: R. Djaldetti, Prof. MD, Rabin Medical Center
- Principal Investigator: O. Cohen, MD, Sheba medical center
- Principal Investigator: Ilana Schlesinger Schlesinger, MD, Rambam Health Care Campus, Haifa, Movement Disorders and Parkinson's Disease
- Principal Investigator: Ron Milo, M.D, Barzilai Medical Center, Department of Neurology, Movement disorders unit, Ashkelon, Israel
- Principal Investigator: Peter Farkas, M.D, Department of Neurology, Clalit University Medical Center
- Principal Investigator: Marieta Anca-Herschkovitsch, M.D, Edith Wolfson , Dept. of Neurology, Movement Disorders Unit.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Parkinsonian Disorders
- Basal Ganglia Diseases
- Movement Disorders
- Synucleinopathies
- Neurodegenerative Diseases
- Parkinson Disease
- Physiological Effects of Drugs
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Immunologic Factors
- Dopamine Agonists
- Dopamine Agents
- Adjuvants, Immunologic
- Antiparkinson Agents
- Anti-Dyskinesia Agents
- Aromatic Amino Acid Decarboxylase Inhibitors
- Levodopa
- Carbidopa
- Carbidopa, levodopa drug combination
Other Study ID Numbers
Other Study ID Numbers
- IN 09 004
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