Safety and Efficacy Study of SYN115 in Parkinson's Patients Using Levodopa to Treat End of Dose Wearing Off
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ClinicalTrials.gov Identifier: NCT01283594 |
Recruitment Status :
Completed
First Posted : January 26, 2011
Last Update Posted : January 17, 2019
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Condition or disease | Intervention/treatment | Phase |
---|---|---|
Parkinson's Disease | Drug: Tozadenant (SYN115) 60 mg BID Drug: Placebo Drug: Levodopa (L-dopa) Drug: Tozadenant (SYN115) 120 mg BID Drug: Tozadenant (SYN115) 180 mg BID Drug: Tozadenant (SYN115) 240 mg BID | Phase 2 Phase 3 |
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 420 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | Triple (Participant, Investigator, Outcomes Assessor) |
Primary Purpose: | Treatment |
Official Title: | A Double-blind, Randomized, Placebo-controlled Study of the Safety and Efficacy of SYN115 as Adjunctive Therapy in Levodopa-treated Parkinson's Subjects With End of Dose Wearing Off |
Study Start Date : | March 2011 |
Actual Primary Completion Date : | October 2012 |
Actual Study Completion Date : | October 2012 |

Arm | Intervention/treatment |
---|---|
Experimental: Tozadenant (SYN115) 60 mg BID
Tozadenant tablets, white-coated, modified-oval tablets manufactured in 60 mg dosage strengths.
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Drug: Tozadenant (SYN115) 60 mg BID
Tozadenant tablets, white-coated, modified-oval tablets manufactured in 60 mg dosage strengths. Total daily doses include 60 mg BID. Drug: Levodopa (L-dopa) One intravenous infusion of L-dopa to reach approximately 600 ng/ ml plasma concentration.
Other Name: L-dopa |
Experimental: Tozadenant (SYN115) 120 mg BID
Tozadenant tablets, white-coated, modified-oval tablets manufactured in 60 mg dosage strengths.
|
Drug: Levodopa (L-dopa)
One intravenous infusion of L-dopa to reach approximately 600 ng/ ml plasma concentration.
Other Name: L-dopa Drug: Tozadenant (SYN115) 120 mg BID Tozadenant tablets, white-coated, modified-oval tablets manufactured in 60 mg dosage strengths. Total daily doses include 120 mg BID. |
Experimental: Tozadenant (SYN115) 180 mg BID
Tozadenant tablets, white-coated, modified-oval tablets manufactured in 60 mg dosage strengths.
|
Drug: Levodopa (L-dopa)
One intravenous infusion of L-dopa to reach approximately 600 ng/ ml plasma concentration.
Other Name: L-dopa Drug: Tozadenant (SYN115) 180 mg BID Tozadenant tablets, white-coated, modified-oval tablets manufactured in 60 mg dosage strengths. Total daily doses include 180 mg BID. |
Experimental: Tozadenant (SYN115) 240 mg BID
Tozadenant tablets, white-coated, modified-oval tablets manufactured in 60 mg dosage strengths.
|
Drug: Levodopa (L-dopa)
One intravenous infusion of L-dopa to reach approximately 600 ng/ ml plasma concentration.
Other Name: L-dopa Drug: Tozadenant (SYN115) 240 mg BID Tozadenant tablets, white-coated, modified-oval tablets manufactured in 60 mg dosage strengths. Total daily doses include 240 mg BID. |
Placebo Comparator: Sugar Pill
White-coated, modified-oval placebo tablets.
|
Drug: Placebo
White-coated, modified-oval placebo tablets. Drug: Levodopa (L-dopa) One intravenous infusion of L-dopa to reach approximately 600 ng/ ml plasma concentration.
Other Name: L-dopa |
- Assess efficacy of different doses of SYN115 for reducing the mean total hours of awake time per day spent in the off state [ Time Frame: 12 weeks ]
- To assess the effect of SYN115 on dyskinesia [ Time Frame: 12 weeks ]
- To assess the effect of SYN115 on UPDRS scores [ Time Frame: 12 weeks ]
- To assess investigator and patient impressions of PD severity and change [ Time Frame: 12 weeks ]
- To assess the effect of SYN115 on non motor symptoms of PD [ Time Frame: 12 weeks ]
- To assess the safety and tolerability of SYN115 [ Time Frame: 12 weeks ]
- To assess the effects of SYN115 on daytime drowsiness, impulsive behavior, development of melanoma and suicidal ideation [ Time Frame: 12 weeks ]

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
Ages Eligible for Study: | 30 Years to 80 Years (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Meet Parkinson's Disease (PD) diagnosis consistent with UK PD diagnostic criteria
- Meet Hoehn and Yahr PD stage
- Good response to levodopa
- Stable regimen of anti-parkinson medications
- Are able to complete a Parkinson's disease diary
- If of childbearing potential(male and female), use an acceptable method of birth control
- Able and willing to sign an IRB/IEC approved informed consent
- Able and willing to understand study requirements, follow study instructions, attend all visits and undergo all planned tests.
Exclusion Criteria:
- Secondary or atypical Parkinson's
- Neurosurgical intervention for Parkinson's disease
- Treatment with apomorphine
- Treatment with anti-psychotic drugs
- Other abnormal findings on physical or neuro exam or history that in the opinion of the investigator would make subject unsuitable for the study or prejudice safety and efficacy evaluation
- MMSE less than 26
- Subjects with untreated or uncontrolled current episode of major depression
- Receipt of any anti-psychotic drugs greater than 1 month in the past 5 years or any exposure in past year (except for quetiapine at doses <100mg per day)
- Women pregnant or lactating
- History of hepatitis, cholangitis
- Untreated or uncontrolled hypothyroidism or hyperthyroidism
- Drops in blood pressure requiring medication to maintain blood pressure
- Any clinically significant out of range laboratory evaluations
- Known sensitivity to the study medication or its components
- Suicide ideation or type 4 or type 5 on the Columbia suicide severity rating scale
- Finding of malignant melanoma on full body skin exam
- Impulse disorder conditions

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01283594

Study Chair: | Steve Bandak, MD | Biotie Therapies Inc. | |
Study Director: | Ann Neale, RN | Biotie Therapies Inc. |
Responsible Party: | Biotie Therapies Inc. |
ClinicalTrials.gov Identifier: | NCT01283594 |
Other Study ID Numbers: |
SYN115-CL02 |
First Posted: | January 26, 2011 Key Record Dates |
Last Update Posted: | January 17, 2019 |
Last Verified: | May 2014 |
Parkinson Disease Parkinsonian Disorders Basal Ganglia Diseases Brain Diseases Central Nervous System Diseases Nervous System Diseases Movement Disorders Synucleinopathies |
Neurodegenerative Diseases Levodopa Antiparkinson Agents Anti-Dyskinesia Agents Dopamine Agents Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action Physiological Effects of Drugs |