A Study To Evaluate The Safety And Efficacy Of IPX066 In Subjects With Parkinson's Disease

Phase 3

Completed

Conditions: Parkinson's Disease

Interventions: Drug: Placebo
Drug: IPX066 95 mg LD
Drug: IPX066 145 mg LD
Drug: IPX066 195 mg LD
Drug: IPX066 245 mg LD

Registration Number: NCT00880620

Lead Sponsor: Impax Laboratories, LLC

Brief Summary: This study examines the efficacy of three doses of IPX066 as compared to placebo in Parkinson's disease.

Detailed Description: A randomized, double-blind, placebo-controlled, fixed-dose, parallel-arm study of three doses of IPX066 versus placebo.

Total of 427 subjects were screened and 381 were randomized and received one of the four treatment groups (1) placebo (N=92), (2) IPX066 145 mg LD (N=87) (3) IPX066 245 mg LD (N=104) (4) IPX066 390 mg LD (N=98) three times a day.

Study duration is approximately 30 weeks for each subject including 4 weeks of titration (up to 3 weeks of dose escalation and I week of stabilization for safe escalation to the allocated dose), and 26 weeks of maintenance.

During the titration phase:

The following dose strengths were used to titrate up to the final three strengths that were assigned to the three IPX066 treatment arms.

IPX066 95 mg LD capsule containing 95 mg LD and 23.75 mg CD. IPX066 145 mg LD capsule containing 145 mg LD and 36.25 mg CD. IPX066 195 mg LD capsule containing 195 mg LD and 48.75 mg CD. IPX066 245 mg LD capsule containing 245 mg LD and 61.25 mg CD.

During the maintenance phase:

IPX066 145 mg LD treatment arm received 145 mg LD and 36.25 mg CD. IPX066 245 mg LD treatment arm received 245 mg LD and 61.25 mg CD. IPX066 390 mg LD treatment arm received 390 mg LD and 97.50 mg CD.

Primary efficacy outcome measure was change from baseline in the sum of UPDRS Part II and Part III scores at the end of study or last value reported if subject discontinued prematurely.

Summary of Change From Baseline to End of Study in Mean Parkinson's Disease Questionnaire-39 (PDQ-39) Score.

Recruitment & Eligibility

Status: COMPLETED

Sex: All

Target Recruitment: 381

Inclusion Criteria

Able to understand and willing to voluntarily sign an informed consent form (ICF) and Health Insurance Portability and Accountability Act (HIPAA) authorization or local equivalent if applicable.
Diagnosed with idiopathic PD.
LD-naïve: defined as subjects not exposed to LD or catechol-O-methyl transferase inhibitors for more than 30 days and the exposure is not within 4 weeks prior to study enrollment.
If currently taking anticholinergic therapy, amantadine, or a monoamine oxidase type B (MAO-B) inhibitor, maintains a stable regimen for at least 4 weeks prior to Baseline, and agrees to maintain the stable regimen throughout study participation.
Agrees to use a medically acceptable method of contraception throughout the study and for 1 month after completing the study.
Able and willing to comply with the protocol, including availability for all scheduled clinic visits and telephone calls.

Exclusion Criteria

Pregnant or breastfeeding.
Diagnosed with atypical Parkinsonism or any known secondary parkinsonian syndrome.
Prior functional neurosurgical treatment for PD or if such procedures are anticipated during study participation.
Use of nonselective MAO inhibitors.
Use of dopamine agonists within 30 days prior to Screening.
Unable to tolerate a placebo regimen, in the Investigator's opinion.
Treatment of psychosis with any antipsychotic.
History of seizure or epilepsy.
Active or prior medical condition or prior surgical procedure that would interfere with LD absorption.
History of narrow-angle glaucoma.
Subjects with a history of malignant melanoma.
History of myocardial infarction with residual atrial, nodal, or ventricular arrhythmias, upper gastrointestinal hemorrhage, or neuroleptic malignant syndrome.
Received any investigational medications during the 30 days prior to Screening.

Study & Design

Study Type: INTERVENTIONAL

Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
IPX066 145 mg LD	Placebo	One IPX066 95 mg LD was given TID on days 1-3. One IPX066 145 mg LD was given TID on days 4-21. One IPX066 145 mg LD and one placebo capsule were given TID on days 22 till end of study (week 30).
IPX066 245 mg LD	Placebo	One IPX066 95 mg LD was given TID on days 1-3. One IPX066 145 mg LD was given TID on days 4-7. One IPX066 195 mg LD was given TID on days 8-14. One IPX066 245 mg LD was given TID on days 15-21. One IPX066 245 mg LD and one placebo capsule were given TID on days 22 till end of study (week 30).
IPX066 245 mg LD	IPX066 95 mg LD	One IPX066 95 mg LD was given TID on days 1-3. One IPX066 145 mg LD was given TID on days 4-7. One IPX066 195 mg LD was given TID on days 8-14. One IPX066 245 mg LD was given TID on days 15-21. One IPX066 245 mg LD and one placebo capsule were given TID on days 22 till end of study (week 30).
Placebo	Placebo	One Placebo capsule was given TID for the first 21 days. Two placebo capsules were given TID on days 22 till end of study (week 30).
IPX066 145 mg LD	IPX066 95 mg LD	One IPX066 95 mg LD was given TID on days 1-3. One IPX066 145 mg LD was given TID on days 4-21. One IPX066 145 mg LD and one placebo capsule were given TID on days 22 till end of study (week 30).
IPX066 245 mg LD	IPX066 245 mg LD	One IPX066 95 mg LD was given TID on days 1-3. One IPX066 145 mg LD was given TID on days 4-7. One IPX066 195 mg LD was given TID on days 8-14. One IPX066 245 mg LD was given TID on days 15-21. One IPX066 245 mg LD and one placebo capsule were given TID on days 22 till end of study (week 30).
IPX066 245 mg LD	IPX066 195 mg LD	One IPX066 95 mg LD was given TID on days 1-3. One IPX066 145 mg LD was given TID on days 4-7. One IPX066 195 mg LD was given TID on days 8-14. One IPX066 245 mg LD was given TID on days 15-21. One IPX066 245 mg LD and one placebo capsule were given TID on days 22 till end of study (week 30).
IPX066 145 mg LD	IPX066 145 mg LD	One IPX066 95 mg LD was given TID on days 1-3. One IPX066 145 mg LD was given TID on days 4-21. One IPX066 145 mg LD and one placebo capsule were given TID on days 22 till end of study (week 30).
IPX066 245 mg LD	IPX066 145 mg LD	One IPX066 95 mg LD was given TID on days 1-3. One IPX066 145 mg LD was given TID on days 4-7. One IPX066 195 mg LD was given TID on days 8-14. One IPX066 245 mg LD was given TID on days 15-21. One IPX066 245 mg LD and one placebo capsule were given TID on days 22 till end of study (week 30).
IPX066 390 mg LD	IPX066 145 mg LD	One IPX066 95 mg LD was given TID on days 1-3. One IPX066 145 mg LD was given TID on days 4-7. One IPX066 195 mg LD was given TID on days 8-14. One IPX066 245 mg LD was given TID on days 15-21. Two IPX066 195 mg LD capsules were given TID on days 22 till end of study (week 30).
IPX066 390 mg LD	IPX066 95 mg LD	One IPX066 95 mg LD was given TID on days 1-3. One IPX066 145 mg LD was given TID on days 4-7. One IPX066 195 mg LD was given TID on days 8-14. One IPX066 245 mg LD was given TID on days 15-21. Two IPX066 195 mg LD capsules were given TID on days 22 till end of study (week 30).
IPX066 390 mg LD	IPX066 195 mg LD	One IPX066 95 mg LD was given TID on days 1-3. One IPX066 145 mg LD was given TID on days 4-7. One IPX066 195 mg LD was given TID on days 8-14. One IPX066 245 mg LD was given TID on days 15-21. Two IPX066 195 mg LD capsules were given TID on days 22 till end of study (week 30).
IPX066 390 mg LD	IPX066 245 mg LD	One IPX066 95 mg LD was given TID on days 1-3. One IPX066 145 mg LD was given TID on days 4-7. One IPX066 195 mg LD was given TID on days 8-14. One IPX066 245 mg LD was given TID on days 15-21. Two IPX066 195 mg LD capsules were given TID on days 22 till end of study (week 30).

Primary Outcome Measures

Name	Time	Method
Change From Baseline in the Sum of UPDRS Part II + UPDRS Part III at Week 30	Week 30	Analysis of the Change from Baseline in the sum of the Unified Parkinson's Disease Rating Scale (UPDRS) Part II (Activities of Daily Living) + UPDRS Part III (Motor Examination) at Week 30 (End of Study). Unified Parkinson's Disease Rating Scale (UPDRS) - Four Parts Higher score values represent a worse outcome. Subscales II and III were summed: Part I: Mentation, Behavior and Mood - 4 questions 1-4 Score range: 1-16 Part II: Activities of Daily Living - 13 questions 5-17 Score range: 0-52 Part III: Motor Examination - 19 questions 18-31 and 25 total assessments Score range: 0-100 Part IV: Complications of Therapy (In the past week) - 11 questions Score range: 0-25

Secondary Outcome Measures

Name	Time	Method
Summary of Change From Baseline to End of Study in Mean Parkinson's Disease Questionnaire-39 (PDQ-39) Score	Baseline and Week 30 (or End of Study)	Change from Baseline in Parkinson's disease Questionnaire 39 (PDQ-39) at Weeks 4, 9, 16, 23 and 30 or early discontinuation was collected. The PDQ-39 is a self-reported questionnaire consisting of 39 questions regarding the subjects mobility and the responses consist of "Never" (better in outcome), (value 0), "Occasionally" (value 1), "Sometimes" (value 2), , "Often" (value 3), and "Always" (value 4), (worse in outcome). The minimum possible score is "0" and the maximum is "156". The outcome measure calculated was the change from baseline to end of study in mean PDQ-39 score. Negative values indicate a better result.

Trial Locations

Locations (60): Coastal Neurological Medical Group
🇺🇸
La Jolla, California, United States
Collaborative NeuroScience Network, Inc.
🇺🇸
Garden Grove, California, United States
Coordinated Clinical Research
🇺🇸
La Jolla, California, United States
The Parkinson's Institute
🇺🇸
Sunnyvale, California, United States
Renstar Medical Research
🇺🇸
Ocala, Florida, United States
Suncoast Neuroscience Associates, Inc.
🇺🇸
Saint Petersburg, Florida, United States
Quest Research Institute
🇺🇸
Bingham Farms, Michigan, United States
Mount Sinai School of Medicine
🇺🇸
New York, New York, United States
Struthers Parkinson's Center
🇺🇸
Golden Valley, Minnesota, United States
Columbia University
🇺🇸
New York, New York, United States
University of Toledo
🇺🇸
Toledo, Ohio, United States
Saint Boniface Clinic
🇨🇦
Winnipeg, Manitoba, Canada
London Health Science Center
🇨🇦
London, Ontario, Canada
Parkinson's and Neurodegenerative Disorders Clinic
🇨🇦
Ottawa, Ontario, Canada
Ottawa Hospital Civic Site
🇨🇦
Ottawa, Ontario, Canada
Memory and Motor Skills Clinic
🇨🇦
Quebec, Canada
CFR Clinical Hospital Constanta
🇷🇴
Constanta, Romania
Department of Psychiatry and Medical Psychology of Donetsk National Medical University
🇺🇦
Donetsk, Ukraine
Neurology department of Lviv regional clinical hospital
🇺🇦
Lviv, Ukraine
Neurology department of Medical Dental Academy based on Poltava regional hospital
🇺🇦
Poltava, Ukraine
East Tallinn Central Hospital
🇪🇪
Tallinn, Estonia
Colentina Clinical Hospital Bucharest, II Neurology Department
🇷🇴
Bucharest, Romania
Idaho Elks Rehabilitation Hospital
🇺🇸
Boise, Idaho, United States
UMDNJ Robert Wood Johnson Medical Center, Department of Neurology
🇺🇸
New Brunswick, New Jersey, United States
West Tallin Central Hopsital
🇪🇪
Tallinn, Estonia
Gailezers hospital
🇱🇻
Riga, Latvia
Vilnius University Hospital Santariskiu klinikos
🇱🇹
Vilnius, Lithuania
Siauliai Regional Hospital
🇱🇹
Siauliai, Lithuania
Movement Disorders Clinic, Glenrose Rehabilitation Hospital
🇨🇦
Edmonton, Alberta, Canada
Kaunas Medical University Hospital
🇱🇹
Kaunas, Lithuania
Psychiatry and Neurology Hospital, Neurology Department
🇷🇴
Brasov, Romania
P.Stradina university hospital
🇱🇻
Riga, Latvia
Vilnius University Emergency Hospital
🇱🇹
Vilnius, Lithuania
Vilnius University Centre of Gerontology and Rehabilitation
🇱🇹
Vilnius, Lithuania
County Emergency Clinical Hospital Cluj-Napoca, I Neurology Clinic
🇷🇴
Cluj Napoca, Romania
Clinical Rehabilitation Hospital Iasi, Neurology Department
🇷🇴
Iasi, Romania
1st neurology department of Central Clinical Hospital of Ukrzaliznytsya
🇺🇦
Kharkiv, Ukraine
Neurology department, Zaporozhye State Medical University
🇺🇦
Zaporozhye, Ukraine
County Clinical Emergency Hospital, Targu Mures, II Neurology Department,
🇷🇴
Targu Mures, Romania
County Clinical Emergency Hospital Timisoara
🇷🇴
Timisoara, Romania
Neurology department of Regional hospital named after Mechnikov
🇺🇦
Dnepropetrovsk, Ukraine
Department of Neurological Diseases and Medical Genetic of Donetsk National Medical University
🇺🇦
Donetsk, Ukraine
Institute of Gerontology Parkinson's Disease Center
🇺🇦
Kiev, Ukraine
Neurology department of Vinnitsa Medical University
🇺🇦
Vinnitsa, Ukraine
Bradenton Research Center, Inc.
🇺🇸
Bradenton, Florida, United States
Sunrise Clinical Research, Inc.
🇺🇸
Hollywood, Florida, United States
Toronto Western Hospital
🇨🇦
Toronto, Ontario, Canada
Charlotte Neurological Services
🇺🇸
Port Charlotte, Florida, United States
Rush University Medical Center, Dept. of Neurological Sciences
🇺🇸
Chicago, Illinois, United States
Boston University School of Medicine
🇺🇸
Boston, Massachusetts, United States
Baylor College of Medicine, Parkinson's Disease Center
🇺🇸
Houston, Texas, United States
University of Sherbrooke
🇨🇦
Sherbrooke, Quebec, Canada
State University of New York Upstate Medical University, Dept. of Neurology
🇺🇸
Syracuse, New York, United States
Landon Center on Aging, Dept. of Neurology, Parkinson's Disease Center
🇺🇸
Kansas City, Kansas, United States
University of Alabama at Birmingham, Dept. of Neurology
🇺🇸
Birmingham, Alabama, United States
HOPE Research Institute, LLC
🇺🇸
Phoenix, Arizona, United States
Duke University Medical Center Movement Disorders Center
🇺🇸
Durham, North Carolina, United States
Wisconsin Institute for Neurologic and Sleep Disorders
🇺🇸
Milwaukee, Wisconsin, United States
University of South Florida
🇺🇸
Tampa, Florida, United States
Yale Neurology Clinics, Temple Medical Center
🇺🇸
New Haven, Connecticut, United States