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
- Contact Person Email
- nil.dizdar@regionostergotland.se
- Site Name
- Region Stockholm – SLSO
- Department Name
- Centrum för neurologi, Akademiskt specialistcentrum
- Contact Person Name
- Per Svenningsson
- Contact Person Email
- per.svenningsson@regionstockholm.se
- 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
- Contact Person Email
- anders.c.johansson@regionstockholm.se
- 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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