Parkinson's Disease Clinical Trial
Official title:
Pharmacokinetic-pharmacodynamic Interaction Between Three Different Single Doses of BIA 3-202 and a Single Dose of Controlled-release 200/50 mg Levodopa/Carbidopa (Sinemet® cr 200/50): a Double-blind, Randomised, Four-way Crossover, Placebo-controlled Study in Healthy Volunteers
The purpose of this study is to the effect of three single oral doses of nebicapone (50 mg, 100 mg and 200 mg) on the levodopa pharmacokinetics when administered in combination with a single-dose of controlled release levodopa 200 mg/carbidopa 50 mg (Sinemet CR 200/50).
Single centre, double-blind, randomised, placebo-controlled, 4-way crossover study with four
single-dose treatment periods. The washout period between doses was 5 days or more.
Procedures:
Screening: Subjects will be screened for eligibility within 28 and 7 days of first
admission. Written informed consent will be obtained before any study procedure is
performed. The screening will consist of: medical history; physical examination, vital
signs; complete neurological examination; 12-lead ECG; hematology, coagulation, plasma
biochemistry and urinalysis tests; HIV, hepatitis B and hepatitis C serology; drugs of abuse
and alcohol screen; urine pregnancy test in women of childbearing potential; and review of
the selection criteria. The results of screening must be known to the investigator prior to
the subject's first admission.
Treatment periods: In each of the four consecutive treatment periods, eligible subjects will
be admitted to the UFH on the day prior to receiving the study medication for: vital signs;
medical history and physical examination updates; 12-lead ECG; hematology and plasma
biochemistry; drugs of abuse and alcohol screen; and urine pregnancy test in women of
childbearing potential. On the first admission the subjects will have a review of the
selection criteria and will be randomized to one of the treatment sequences. On the morning
of the dosing day, subjects will receive a dose of BIA 3-202 / Placebo concomitantly with a
dose of Sinemet CR 200/50 in fasting conditions (at least 8 hours) and will remain in the
UFH until at least 24 h post-dose; then, they will be discharged and will return for the
next period or the follow-up visit. At given time-points between pre-dose and discharge,
subjects will be submitted to vital signs recording, brief neurological examinations,
12-lead ECG, and blood sampling for plasma drug assays and erythrocyte S-COMT activity. At
discharge, vital signs and ECG will be recorded, and hematology and plasma biochemistry
tests will be performed.
Follow-up: A follow-up visit will occur approximately 7-10 days after discharge of the last
treatment period or early discontinuation for: medical history and physical examination
updates; vital signs; 12-lead ECG; hematology, plasma biochemistry and urinalysis tests; and
pregnancy test in women of childbearing potential.
;
Allocation: Randomized, Endpoint Classification: Pharmacokinetics/Dynamics Study, Intervention Model: Crossover Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment
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