About this trial
Flexilev is a Parkinson's disease medicine made of small, dissolvable tablets containing low doses of levodopa and carbidopa, allowing doses to be adjusted in small, precise steps. OraFID is a new mechanical device that dispenses the exact number of tablets needed, with better than 99% accuracy, in amounts from 1 to 20 tablets. An optional companion app, Levilog, reminds patients when to take their dose and records how much medicine (tablets and milligrams) was taken.
This 12-week study will mainly assess how acceptable this treatment routine is and how well patients stick with it when using Flexilev with the OraFID device and app. It will also evaluate the treatment's efficacy, safety, and tolerability.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
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
Have a minimum of 4 levodopa dosing occasions per day
Stable medication within the last 4 weeks
Be judged by the investigator to be eligible for Flexilev treatment.
Disqualifiers
Inability of subject or caregiver to use the device
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.
Female patients of childbearing age (less than 24 months after the last menstrual cycle) who do not use adequate contraception.
Trial design
Single group
Treatments tested in this trial
OraFID dosing device, Levodopa/Carbidopa minitablets delivered via OraFID dosing device
DeviceIntervention Description Levodopa 5 mg/carbidopa 1.25 mg dispersible minitablets, individually dosed in 5 mg levodopa increments (1-20 tablets per dose) via the OraFID mechanical dispensing device, with an optional Levilog app for dosing reminders and adherence tracking.
Treatment groups
Trial outcomes
Primary outcomes
Patient acceptability and satisfaction with the OraFID dosing device, self-reported via questionnaire
Assessed using a patient-reported questionnaire evaluating acceptability, ease of use, and satisfaction with the OraFID dosing device.
Secondary outcomes
User opinion, usage, and ability to use the Levilog app
Self-reported via questionnaire on app usage and usability
Time required per dispensation/treatment with the OraFID device
Self-reported via questionnaire regarding the device
Compliance with the dosing schedule
Data obtained from the Levilog app and drug accountability records
Compliance with the app, i.e., willingness to register doses
Compliance and treatment data from Levilog app use, combined with self-reported data
Sponsors and contacts
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