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临床试验/NCT02726386
NCT02726386进行中(未招募)2 期

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

NeuroDerm Ltd.56 个研究点 分布在 7 个国家目标入组 214 人开始时间: 2016年5月4日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
进行中(未招募)
入组人数
214
试验地点
56
主要终点
Adverse Events (Long-term Safety)

研究概览

简要总结

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).

详细描述

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.

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
30 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • 未提供

排除标准

  • 未提供

研究组 & 干预措施

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.

干预措施: ND0612 (Drug)

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.

干预措施: ND0612 (Drug)

结局指标

主要结局

Adverse Events (Long-term Safety)

时间窗: 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)

时间窗: 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.

次要结局

  • Adverse Events (Long-term Safety)(Month 12 to Month 102)

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (56)

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相关资讯

Mitsubishi Tanabe Pharma America Presents ND0612 Data for Parkinson's Disease at PSG Meeting- Mitsubishi Tanabe Pharma America (MTPA) presented data on ND0612, an investigational continuous subcutaneous infusion of levodopa/carbidopa, at the Parkinson Study Group (PSG) meeting. - The presentations included three-year outcomes from the Phase 2b BeyoND study, evaluating the safety and efficacy of ND0612 in Parkinson's patients with motor fluctuations. - MTPA also presented a characterization of infusion site reactions (ISRs) associated with ND0612 treatment, based on integrated safety data from clinical studies. - ND0612 is being developed by NeuroDerm, a subsidiary of Mitsubishi Tanabe Pharma Corporation, to address unmet needs in Parkinson's disease management.last yearND0612 Infusion Shows Sustained Reduction in Off-Time for Parkinson's Patients- ND0612, a continuous subcutaneous infusion of levodopa/carbidopa, significantly reduced motor symptom fluctuations in advanced Parkinson's disease over one year. - The BouNDless study and its extension, BeyoND, demonstrated a 2.02-hour reduction in daily off-time and a 2.11-hour increase in on-time without troublesome dyskinesia. - Patients treated with ND0612 experienced improvements in motor signs, daily living activities, and overall quality of life compared to oral levodopa/carbidopa. - The FDA is currently reviewing ND0612 for potential approval as a new treatment option for Parkinson's patients experiencing motor fluctuations.last year
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