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Carbidopa/levodopa/entacapone

Phase 3

Parkinson's Disease | Small molecule | Neurology |Novartis AG|Last Updated: Apr 23, 2012

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials1
Total Enrollment747
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00099268Efficacy and Safety of Carbidopa/Levodopa/Entacapone in Patients With Parkinson's Disease Requiring Initiation of Levodopa TherapyPHASE3 COMPLETED 747Sep 1, 2004Nov 1, 2008Apr 23, 201273 United States, Austria +12
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Study Endpoints
Primary Endpoints
Time to First Occurrence of Dyskinesia
Treatment duration for an individual patient varied between a minimum of 134 weeks for those patients recruited last and a maximum of 208 weeks for those patients recruited first

Dyskinesia was assessed by a blinded rater at each visit. Time to dyskinesia was defined as the visit at which the rater first answered "yes" to the following question: "In your opinion, does this patient have dyskinesia?" Time to dyskinesia was estimated by Kaplan-Meier product limit estimate that takes into consideration patients who did not experience dyskinesia by censoring them at the end of the study.

Secondary Endpoints
Change From Baseline in Unified Parkinson's Disease Rating Scale (UPDRS) Total Score (Parts II and III)
Baseline, Week 6 and Week 130
Occurrence of Wearing-off
Baseline to Week 134
Time to First Occurrence of Wearing-off
Baseline to end of study (134-208 weeks of treatment)
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
Carbidopa/levodopa/entacaponeEXPERIMENTALPatients received Carbidopa/levodopa/entacapone tablets. The study was designed as a flexible dose trial (200-1000 mg/day levodopa). The target dose was 400 mg/day levodopa administered orally as 4 equal doses 4 times a day with 3.5-hour dosing intervals for a treatment period of 134 to 208 weeks.
Immediate release carbidopa/levodopaACTIVE_COMPARATORPatients received Immediate release carbidopa/levodopa tablets. The study was designed as a flexible dose trial (200-1000 mg/day levodopa). The target dose was 400 mg/day levodopa administered orally as 4 equal doses 4 times a day with 3.5-hour dosing intervals for a treatment period of 134 to 208 weeks.
Interventions
NameTypeDescription
Carbidopa/levodopa/entacaponeDRUGCarbidopa/Levodopa/Entacapone 12.5/50/200 mg and 25/100/200 mg capsules.
Immediate release carbidopa/levodopaDRUGImmediate release carbidopa/levodopa 12.5/50 mg and 25/100 mg capsules.
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Eligibility Criteria
Age Range30 Years — 70 Years
SexALL
Healthy VolunteersNo
Study Sites73

Inclusion Criteria: * Clinical diagnosis of idiopathic Parkinson's disease * Diagnosis of Parkinson's disease for no more than 5 years Exclusion Criteria: * History, signs, or symptoms of atypical or secondary parkinsonism * Presence at baseline of drug-related wearing-off symptoms, dyskinesia or...

Countries:United StatesAustriaBelgiumCanadaFinlandFranceGermanyGreeceItalySpainSwedenSwitzerlandTurkey (Türkiye)United Kingdom
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