Clinical trial • Not applicable • Neurology

Carbidopa; Levodopa for Parkinson's disease

Not applicable trial of Carbidopa; Levodopa for Parkinson's disease. open-label, none/not specified-controlled. 58 participants.

Overview

Trial Therapeutic Area
Neurology
Trial Disease
Parkinson's disease
Trial Stage
Not applicable
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
24-12-2025
First CTIS Authorization Date
24-02-2026

Trial design

open-label, none/not specified-controlled Not applicable trial across 6 sites in Sweden.

Open Label
Yes
Comparator
None/Not specified
Target Sample Size
58
Trial Duration For Participant
84

Eligibility

Recruits 58 No vulnerable population selected. Participants must have the ability to consent and comply with study procedures; caregivers may act on behalf of the subject where applicable (several criteria reference 'subject (or caregiver/caretaker on behalf of the subject)'). Consent documents (subject information and informed consent forms) are provided (titles indicate Swedish-language forms) and participants must be able to read and write in Swedish..

Pregnancy Exclusion
Female patients who are pregnant or breast-feeding or who wish to become pregnant during the period of the clinical study and for three months later.
Vulnerable Population
No vulnerable population selected. Participants must have the ability to consent and comply with study procedures; caregivers may act on behalf of the subject where applicable (several criteria reference 'subject (or caregiver/caretaker on behalf of the subject)'). Consent documents (subject information and informed consent forms) are provided (titles indicate Swedish-language forms) and participants must be able to read and write in Swedish.

Inclusion criteria

  • {"criterion_text":"- Male or female subjects, 30 years of age or older at the time of screening, with a diagnosis of idiopathic PD that is levodopa-responsive\n- Have a minimum of 4 levodopa dosing occasions per day\n- Stable medication within the last 4 weeks\n- Be judged by the investigator to be eligible for Flexilev treatment.\n- Subject (or caregiver, if applicable) demonstrates the understanding and correct use of the OraFID delivery system, as assessed by the investigator or designee.\n- Subject (or caretaker on behalf of the subject) is willing to use Patients Own Reporting module in the Parkinson registry and is willing to answer all questionnaires.\n- Have a smartphone (either patient or caregiver)\n- Ability to consent and comply with study specific procedures\n- Able to read and write in Swedish"}

Exclusion criteria

  • {"criterion_text":"- Inability of subject or caregiver to use the device\n- Female patients who are pregnant or breast-feeding or who wish to become pregnant during the period of the clinical study and for three months later.\n- Female patients of childbearing age (less than 24 months after the last menstrual cycle) who do not use adequate contraception"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Self-reported using questionnaire regarding the device (self-reported in Patients Own Registration in “Parkinsonregistret”)","definition_or_measurement_approach":"Self-reported questionnaire responses entered by participants in the Patients Own Registration module of the Parkinson registry (Parkinsonregistret)."}

Secondary endpoints

  • {"endpoint_text":"- Self-reported using questionnaire regarding the app (self-reported in Patients Own Registration in “Parkinsonregistret”)\n- Self-reported using questionnaire regarding the device (self-reported in Patients Own Registration in “Parkinsonregistret”)\n- Data obtained from the app Levilog and drug accountability records.\n- Compliance with APP (Levilog) – and treatment data from use of APP (self-reported in Patients Own Registration in “Parkinsonregistret” + data obtained from the app)\n- Safety reporting; adverse event and serious adverse events,withdrawals\n- Self-reported using questionnaire regarding the device (self-reported in Patients Own Registration in “Parkinsonregistret”)\n- Self-reported using questionnaire regarding the device (self-reported in Patients Own Registration in “Parkinsonregistret”)\n- NMSQ, Non-Motor Symptoms Questionnaire (NMSQ self-reported in Patients Own Registration in “Parkinsonregistret”).\n- HADS-D, Hospital Anxiety and Depression Scale, (HADS-D self-reported in Patients Own Registration in “Parkinsonregistret”).\n- PDQ-8, Parkinson's disease quality-of-life scale, and the EQ5D-5L (EuroQol) generic quality of life scale, together with the associated 0 to 100-point visual analog scale (VAS), (self-reported in Patients Own Registration in “Parkinsonregistret”).\n- OnOff - Self-reported OnOff Scale questionnaire (OnOff self-reported in Patients Own Registration in “Parkinsonregistret”).\n- OnOff - Self-reported OnOff Scale questionnaire (OnOff self-reported in Patients Own Registration in “Parkinsonregistret”).\n- PDSS-2 questionnaire (PDSS-2 self-reported in Patients Own Registration in “Parkinsonregistret”).\n- OnOff - Self-reported OnOff Scale questionnaire (OnOff self-reported in Patients Own Registration in “Parkinsonregistret”).\n- UPDRS, Unified Parkinson’s Disease Rating Scale (Physician reported in “Parkinsonregistret”)\n- UPDRS, Unified Parkinson’s Disease Rating Scale (Physician reported in “Parkinsonregistret”)\n- CISI-PD, Clinical Impression of Severity Index for Parkinson’s Disease (Physician reported in “Parkinsonregistret”)\n- The PRO-PD, Patient-Reported Outcomes in Parkinson's Disease, (PRO-PD self-reported in Patients Own Registration in “Parkinsonregistret”).","definition_or_measurement_approach":"All secondary endpoints are measured primarily via self-reported questionnaires entered in Patients Own Registration in the Parkinson registry and/or data from the Levilog app and drug accountability records. Several physician-reported scales (UPDRS, CISI-PD) are recorded in the Parkinson registry; others (NMSQ, HADS-D, PDQ-8, EQ-5D-5L, PDSS-2, OnOff, PRO-PD) are self-reported via the registry."}

Recruitment

Registry Or Advocacy Recruitment
True, Parkinsonregistret (Patients Own Registration in the Parkinson registry)
Digital Remote Recruitment
True, participants (or caregivers) must have a smartphone and use the Levilog app and Patients Own Registration module in the Parkinson registry for self-reporting and questionnaires.
Planned Sample Size
58
Recruitment Window Months
14
Consent Approach
Informed consent must be provided by the participant; participants must have the ability to consent and comply with study procedures. Caregivers may act on behalf of the subject where applicable (criteria reference 'subject (or caregiver/caretaker on behalf of the subject)'). Subject information and informed consent forms are provided (documents listed with Swedish titles); participants must be able to read and write Swedish.

Geography

Total Number Of Sites
6
Total Number Of Participants
58

Sweden

Earliest CTIS Part Ii Submission Date
17-12-2025
Latest Decision Or Authorization Date
22-04-2026
Processing Time Days
126
Number Of Sites
6
Number Of Participants
58

Sites

Site Name
Linkopings Universitet
Department Name
Department of Neurology
Contact Person Name
Nil Dizdar Segrell
Site Name
Region Stockholm – SLSO
Department Name
Centrum för neurologi, Akademiskt specialistcentrum
Contact Person Name
Per Svenningsson
Site Name
Region Skane Skanes Universitetssjukhus
Department Name
Neurologi
Contact Person Name
Per Odin
Contact Person Email
per.odin@med.lu.se
Site Name
Uppsala University Hospital
Department Name
Institutionen för medicinska vetenskaper; Neurologi
Contact Person Name
Dag Nyholm
Contact Person Email
dag.nyholm@uu.se
Site Name
Karolinska University Hospital
Department Name
Neurologiska kliniken
Contact Person Name
Anders Johansson
Site Name
Sahlgrenska University Hospital-Vaestra Goetalandsregionen
Department Name
Sektionen för klinisk neurovetenskap
Contact Person Name
Filip Bergquist
Contact Person Email
filip.bergquist@gu.se

Sponsor

Primary sponsor

Full Name
Navamedic AB
Organisation Type
Pharmaceutical company
Country Of Registered Address
Sweden

Investigational products

Investigational Product Name
Flexilev 5 mg/1,25 mg, dispergerbara tabletter för dosdispenser
Active Substance
Carbidopa; Levodopa
Modality
Small molecule
Routes Of Administration
oral
Route
oral
Authorisation Status
Authorised (marketing authorisation listed; SmPC provided)
Starting Dose
5 mg/1.25 mg
Maximum Dose
1000 mg per day (maxDailyDoseAmount 1000 mg)
Combination Treatment
Yes

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