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Completed

NCT Number: NCT05610189

Multiple-dose Trial to Determine the Clinical Bioequivalence Between Tavapadon Tablets in Participants With Parkinson's Disease

The primary purpose of the study is to evaluate the bioequivalence (BE) of tavapadon 15 milligram (mg) tablet to 3x5 mg tablets in participants with Parkinson's disease.

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Key information

Age range

45 year–80 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Los Alamitos, California, Los Alamitos, California, United States

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Body mass index of 17.5 to 38.0 kilograms per square meter (kg/m^2), inclusive, and total body weight >50 kg (110 pounds [lb]) at Screening.
  • Participants with a diagnosis of Parkinson's disease (PD) that is consistent with the United Kingdom (UK) Parkinson's Disease Society Brain Bank diagnostic criteria.
  • Must be modified Hoehn & Yahr Stage I-III inclusive.
  • Must be on a stable dose of L-Dopa of at least 300 mg daily in conjunction with a dopa-decarboxylase inhibitor (e.g., L-Dopa/carbidopa, L Dopa/carbidopa/entacapone or L-Dopa/benserazide) administered at least 3 times per day for at least 2 weeks prior to the Day 1 Visit.

Exclusion criteria

  • Participants with a history or clinical features consistent with essential tremor, atypical or secondary parkinsonian syndrome (including, but not limited to, progressive supranuclear palsy, multiple system atrophy, cortico-basal degeneration, or drug-induced or poststroke parkinsonism).
  • Participants with a history of psychosis or hallucinations within the previous 12 months.
  • Participants with epilepsy, or history of epilepsy, or conditions that lower seizure threshold, seizures of any etiology (including substance or drug withdrawal), or who have increased risk of seizures as evidenced by history of electroencephalogram with epileptiform activity are excluded. Participants with a history of febrile seizures only are allowed with medical monitor approval.
  • History of substance or alcohol-use disorder (excluding nicotine; Diagnostic and Statistical Manual of Mental Disorders, 5th edition criteria) within 2 years prior to signing the informed consent form (ICF).
  • Participants who answer "Yes" on the C-SSRS Suicidal Ideation Item 4 (Active Suicidal Ideation with Some Intent to Act, Without Specific Plan) and whose most recent episode meeting criteria for this C-SSRS Item 4 occurred within the last 6 months, OR Participants who answer "Yes" on the C-SSRS Suicidal Ideation Item 5 (Active Suicidal Ideation with Specific Plan and Intent) and whose most recent episode meeting criteria for this C-SSRS Item 5 occurred within the last 6 months OR Participants who answer "Yes" on any of the 5 C-SSRS Suicidal Behavior Items (actual attempt, interrupted attempt, aborted attempt, preparatory acts, or behavior) and whose most recent episode meeting criteria for any of these 5 C-SSRS Suicidal Behavior Items occurred within the last 2 years, OR Participants who, in the opinion of the investigator, present a serious risk of suicide.
  • Participants who have attempted suicide in the past.
  • Positive result for human immunodeficiency virus (HIV) antibody, hepatitis B surface antigen, hepatitis B core antibody, or hepatitis C antibody with detectable viral ribonucleic acid (RNA) levels at Screening.
  • Have been diagnosed with symptomatic coronavirus disease (COVID-19) or test positive (i.e., using polymerase chain reaction [PCR] or rapid antigen test) for COVID-19 within 30 days prior to signing the ICF.
  • Participants taking strong or moderate cytochrome P450 family 3 subfamily A member 4 (CYP3A4) inducers or inhibitors or who would be likely to require concomitant therapy with CYP3A4 inducers or inhibitors during the trial.

NOTE: Other protocol-defined inclusion and exclusion criteria may apply.

Treatment and study plan

Tavapadon

Drug

Oral tablets

Other names: CVL-751, PF-06649751

Primary outcomes

  1. Maximum Observed Plasma Concentration (Cmax) of Tavapadon

    Time frame: Pre-dose and at multiple timepoints post-dose up to Day 28

  2. Area Under the Plasma Concentration-time Curve Over the Dosing Interval (AUCτ) of Tavapadon

    Time frame: Pre-dose and at multiple timepoints post-dose up to Day 28

Secondary outcomes

  1. Minimum Steady-state Plasma Concentration (Cmin,ss) of Tavapadon

    Time frame: Pre-dose and at multiple timepoints post-dose up to Day 28

  2. Average Steady-state Plasma Concentration (Cavg,ss) of Tavapadon

    Time frame: Pre-dose and at multiple timepoints post-dose up to Day 28

  3. Trough Concentration (Ctrough) of Tavapadon

    Time frame: Pre-dose and at multiple timepoints post-dose up to Day 28

  4. Time of Maximum Observed Concentration (Tmax) of Tavapadon

    Time frame: Pre-dose and at multiple timepoints post-dose up to Day 28

  5. Degree of Fluctuation [(Cmax - Cmin)/Cavg,ss] of Tavapadon

    Time frame: Pre-dose and at multiple timepoints post-dose up to Day 28

  6. Peak-to-Trough Ratio (PTR) of Tavapadon

    Time frame: Pre-dose and at multiple timepoints post-dose up to Day 28

  7. Swing [(Cmax - Cmin)/Cmin,ss] of Tavapadon

    Time frame: Pre-dose and at multiple timepoints post-dose up to Day 28

  8. Apparent Clearance of Tavapadon From Plasma (CL/F)

    Time frame: Pre-dose and at multiple timepoints post-dose up to Day 28

  9. Number of Participants With Adverse Events (AEs) and AEs by Severity

    Time frame: Up to Day 36

  10. Number of Participants with Clinically Significant Changes in Electrocardiogram (ECG) Values

    Time frame: Up to Day 29

  11. Number of Participants With Clinically Significant Changes in Vital Sign Values

    Time frame: Up to Day 29

  12. Number of Participants With Clinically Significant Changes in Clinical Laboratory Assessments

    Time frame: Up to Day 29

  13. Number of Participants With Clinically Significant Changes in Physical and Neurological Examination Results

    Time frame: Up to Day 29

  14. Changes in Suicidality Assessed Using the Columbia Suicide Severity Rating Scale (C-SSRS)

    Time frame: Up to Day 29

    The C-SSRS includes 'yes' or 'no' responses for assessment of suicidal ideation and behavior as well as numeric ratings for severity of ideation, if present (from 1 to 5, with 5 being the most severe). Greater lethality or potential lethality of suicidal behaviors (endorsed on the behavior subscale) indicates increased risk.

Sponsors and collaborators

Lead sponsor

Cerevel Therapeutics, LLC

Industry

Registry information

Official study title

A Phase 1, Randomized, Multiple-dose, Crossover Trial in Participants With Parkinson's Disease to Evaluate the Clinical Bioequivalence Between Tavapadon Tablets

Important dates

Study start
2022
Primary completion
2023
Study completion
2023
First posted
Nov 9, 2022
Registry last updated
Feb 8, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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