Study on the Effectiveness and Safety of ND0612 Infusion vs. Oral Treatment for Parkinson’s Disease Patients with Motor Fluctuations

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What is this study about?

This study is examining Parkinson’s disease, a condition that affects movement and coordination due to a lack of dopamine in the brain. The therapy being investigated includes a solution called ND0612, which contains two active substances: carbidopa and levodopa. These substances are commonly used in treating Parkinson’s disease to help manage symptoms such as tremors and rigidity. In this study, participants may receive ND0612 through a continuous infusion under the skin using an infusion pump system, which aims to provide a steady supply of medication. There are also oral treatments involved, specifically IR-LD/CD tablets, which contain the same active substances for comparison purposes.

The purpose of the study is to determine the effect of the continuous infusion of ND0612 on the daily “ON” time, which is the period when patients experience fewer symptoms, without troublesome dyskinesia, a type of uncontrolled movement. Researchers will be recording the motor function of participants with Parkinson’s disease, who experience fluctuations in their ability to move. Motor fluctuations refer to changes in movement abilities, often alternating between periods where symptoms are well-controlled (“ON” time) and times when symptoms reappear (“OFF” time).

The trial will use a placebo in some of its tests, which is a harmless substance given to some participants to compare against those receiving the actual medication. This helps to ensure that any differences in outcomes are due to the medication itself. The study aims to compare the effectiveness and safety of the subcutaneous infusion versus the oral tablets in providing consistent symptom control for individuals with Parkinson’s disease.

Who Can Join the Study?

  • Participants must be men or women with Parkinson’s disease and at least 30 years old.
  • Participants must sign a consent form approved by an ethics committee.
  • Participants and/or their study partners must be able to keep accurate diaries of Parkinson’s symptoms, with at least 75% accuracy, including at least one “OFF” assessment.
  • Participants must score 24 or higher on the Mini Mental State Examination (MMSE), a test that checks mental abilities.
  • Participants need approval from an independent committee to join the study.
  • Female participants must be surgically sterile, postmenopausal, or willing to use a highly effective method of birth control. They must not be breastfeeding or pregnant and must have a negative pregnancy test at the start and during the study.
  • Participants must have a named study partner who also signs the consent form.
  • Participants must be willing and able to follow the study’s requirements.
  • Participants must have a Parkinson’s disease diagnosis that matches the UK Brain Bank Criteria.
  • Participants must have a score of 3 or less on the Modified Hoehn and Yahr scale in the “ON” stage, which measures the severity of Parkinson’s disease.
  • Participants must experience motor fluctuations and have at least 2.5 hours daily in the “OFF” state, confirmed by a completed “ON/OFF” diary over 3 days.
  • Participants must be taking at least 4 doses per day of LD/DDI (a type of Parkinson’s medication) or at least 3 doses per day of extended-release LD/DDI, and at least 400 mg per day of LD. Their motor fluctuations should not be improved by adjusting their Parkinson’s medications, according to the doctor’s judgment.
  • Participants and/or their study partners must be able to operate the pump system used in the study.

Who Cannot Join the Study?

  • Patients who do not have a diagnosis of Parkinson’s disease cannot participate.
  • Patients who are not within the specified age range for the study cannot participate.
  • Patients who are not experiencing motor fluctuations related to Parkinson’s disease cannot participate.
  • Patients who are unable to complete the “ON/OFF” diary assessments of motor function cannot participate.
  • Patients who are part of a vulnerable population that the study does not include cannot participate.

Where you can join this trial?

Verified and Recommended Sites

No sites found in this category

Verified Sites

Other Sites

Site Name City Country Status
Hospital Universitari General De Catalunya Sant Cugat Del Valles Spain
Centre Hospitalier Universitaire De Nimes Nimes France
Hospital General Universitario Gregorio Maranon Madrid Spain
University Hospital Bratislava Bratislava Slovakia
CCAB Centro Clinico Academico Braga Associacao Braga Portugal
Fondazione Santa Lucia Rome Italy
Krakowska Akademia Neurologii Sp. z o.o. Cracow Poland
CNS Saude Lda. Torres Vedras Portugal
Irccs San Raffaele Roma S.r.l. Rome Italy
Azienda USL Toscana Sud Est Arezzo Italy
Università degli studi Gabriele D’Annunzio Chieti-Pescara Centro di Studi e tecnologie avanzate Chieti Italy
Virgen del Rocío University Hospital Sevilla Spain
Centre Hospitalier Universitaire De Nantes Nantes France
Centre Hospitalier Universitaire De Nice Nice France
Centre hospitalier universitaire de Tivoli Institut medical des Mutualites socialistes La Louviere Belgium
Centre Hospitalier Lyon Sud Pierre Benite France
Ajtd Cjbkwize sxmvii Prague Czechia
Hjzvnvsm Udkobdzwjkcej Db Ly Pbxhpjsz Madrid Spain
Nocssnfjme Sgm z opup shmmu Katowice Poland
Acqnpjdsja Pfomamzo Hshkssau Dp Mrmifgibt Marseille France
Hqomnlnm Dj Lg Sfvpg Czei I Skir Pgw Barcelona Spain
Hnhmjkco Vxyy dpkjzjsp Barcelona Spain

Want to learn more about this study or check if you can participate? Contact us.

Trial status

Country Status Recruitment Start
Austria Austria
Not recruiting
25.02.2020
Belgium Belgium
Not recruiting
25.02.2020
Czechia Czechia
Not recruiting
25.02.2020
France France
Not recruiting
25.02.2020
Italy Italy
Not recruiting
25.02.2020
Poland Poland
Not recruiting
25.02.2020
Portugal Portugal
Not recruiting
25.02.2020
Slovakia Slovakia
Not recruiting
25.02.2020
Spain Spain
Not recruiting
25.02.2020

Trial locations

Investigated drugs:

ND0612 is a medication being tested in this clinical trial. It is administered as a continuous subcutaneous infusion, which means it is delivered under the skin continuously. The purpose of ND0612 is to help manage motor fluctuations in people with Parkinson’s disease. Motor fluctuations are changes in the ability to move, often seen in Parkinson’s patients, where they experience periods of good movement (“ON” time) and poor movement (“OFF” time). This medication aims to increase the “ON” time without causing troublesome involuntary movements known as dyskinesia.

IR-LD/CD refers to an oral medication that combines two components: levodopa (LD) and carbidopa (CD). This combination is commonly used to treat symptoms of Parkinson’s disease. Levodopa helps replenish dopamine, a chemical in the brain that is low in Parkinson’s patients, while carbidopa helps prevent the breakdown of levodopa before it reaches the brain. In this trial, IR-LD/CD is used as a comparison to evaluate the effectiveness of ND0612.

Investigated diseases:

Parkinson’s disease – A progressive neurological disorder that affects movement, causing symptoms such as tremors, stiffness, and difficulty with balance and coordination. It occurs when nerve cells in the brain that produce dopamine become impaired or die. As the disease progresses, individuals may experience a decrease in spontaneous movements, a shuffling gait, and changes in speech and writing. Symptoms often start gradually and worsen over time, affecting both motor and non-motor functions. Non-motor symptoms can include sleep disturbances, mood changes, and cognitive impairment. The progression and severity of symptoms can vary widely among individuals.

Trial ID:
2024-511940-20-00
Protocol code:
ND0612-317
NCT ID:
NCT04006210
Trial Phase:
Therapeutic confirmatory (Phase III)

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