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Last Updated: December 12, 2025

CLINICAL TRIALS PROFILE FOR STALEVO 150


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505(b)(2) Clinical Trials for STALEVO 150

This table shows clinical trials for potential 505(b)(2) applications. See the next table for all clinical trials
Trial Type Trial ID Title Status Sponsor Phase Start Date Summary
New Combination NCT01766258 ↗ Efficacy and Safety Proof of Concept Study in Patients With Parkinson's Disease and End-of-dose Motor Fluctuations Completed Orion Corporation, Orion Pharma Phase 2 2011-05-01 The primary objective of the study is to assess the efficacy, carbidopa dose response and safety of ODM-101, a new combination of levodopa, carbidopa and entacapone in the treatment of Parkinson's disease (PD) patients with end-of-dose motor fluctuations.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for STALEVO 150

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00099268 ↗ Efficacy and Safety of Carbidopa/Levodopa/Entacapone in Patients With Parkinson's Disease Requiring Initiation of Levodopa Therapy Completed Orion Corporation, Orion Pharma Phase 3 2004-09-01 The CELC200A2401 study has been designed in order to evaluate the hypothesis that administering the combination carbidopa/levodopa/entacapone at the time that levodopa therapy is initiated results in a decrease in the risk of the development of motor complications for patients with Parkinson's disease.
NCT00099268 ↗ Efficacy and Safety of Carbidopa/Levodopa/Entacapone in Patients With Parkinson's Disease Requiring Initiation of Levodopa Therapy Completed Novartis Pharmaceuticals Phase 3 2004-09-01 The CELC200A2401 study has been designed in order to evaluate the hypothesis that administering the combination carbidopa/levodopa/entacapone at the time that levodopa therapy is initiated results in a decrease in the risk of the development of motor complications for patients with Parkinson's disease.
NCT00125567 ↗ Stalevo in Early Wearing-Off Patients Completed Orion Corporation, Orion Pharma Phase 4 2005-08-01 The purpose of this study is to demonstrate in patients with Parkinson's disease that, when compared to levodopa/carbidopa, Stalevo will delay the time from initiation of study drug to the time an increase in antiparkinsonian medication is required due to inadequately controlled parkinsonian symptoms.
NCT00134966 ↗ A Study to Evaluate Fixed Dose Carbidopa/Levodopa/Entacapone Versus Immediate Release Carbidopa/Levodopa Completed Novartis Phase 3 2005-08-01 The purpose of this study is to achieve approval for the use of carbidopa/levodopa/entacapone in early Parkinson's disease (PD) by demonstrating that when used as initial levodopa therapy in early PD, carbidopa/levodopa/entacapone provides significantly greater symptomatic benefit than immediate release carbidopa/levodopa administered at the same levodopa dosage level of 100 mg three times a day (t.i.d.).
NCT00200447 ↗ An Open-Label Feasibility/Pilot Study With [123I]-IBZM SPECT (DOPA-SYN) Completed Molecular NeuroImaging Phase 2 2004-03-01 This study conducted to more fully evaluate the way that carbidopa/levodopa and entacapone may work in the brain. This research study uses [123I]-IBZM and dynamic SPECT imaging to determine the amount and the duration of dopamine release from specific regions in the brain after treatment with either the combination of carbidopa/levodopa or the combination of carbidopa/levodopa/entacapone.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for STALEVO 150

Condition Name

Condition Name for STALEVO 150
Intervention Trials
Parkinson's Disease 11
Parkinson Disease 4
Idiopathic Parkinson's Disease 1
Multi-system Atrophy - Parkinsonian Type 1
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Condition MeSH

Condition MeSH for STALEVO 150
Intervention Trials
Parkinson Disease 17
Disease 1
Shy-Drager Syndrome 1
Sleep Wake Disorders 1
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Clinical Trial Locations for STALEVO 150

Trials by Country

Trials by Country for STALEVO 150
Location Trials
United States 37
Canada 11
Italy 11
Finland 8
United Kingdom 7
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Trials by US State

Trials by US State for STALEVO 150
Location Trials
Florida 3
California 3
Michigan 3
Massachusetts 2
Arizona 2
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Clinical Trial Progress for STALEVO 150

Clinical Trial Phase

Clinical Trial Phase for STALEVO 150
Clinical Trial Phase Trials
PHASE1 1
Phase 4 4
Phase 3 3
[disabled in preview] 9
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Clinical Trial Status

Clinical Trial Status for STALEVO 150
Clinical Trial Phase Trials
Completed 13
Terminated 1
Unknown status 1
[disabled in preview] 2
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Clinical Trial Sponsors for STALEVO 150

Sponsor Name

Sponsor Name for STALEVO 150
Sponsor Trials
Orion Corporation, Orion Pharma 10
Novartis Pharmaceuticals 2
IRCCS San Raffaele 1
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Sponsor Type

Sponsor Type for STALEVO 150
Sponsor Trials
Industry 16
Other 5
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Clinical Trials Update, Market Analysis, and Projection for STALEVO 150

Last updated: October 29, 2025


Introduction

STALEVO 150, a prescription medication designed to treat Parkinson’s disease (PD), combines levodopa, carbidopa, and entacapone to optimize motor control and reduce "wearing-off" phenomena. As the PD treatment landscape evolves, understanding STALEVO 150’s clinical developments, market positioning, and future outlook is pivotal for stakeholders.


Clinical Trials Update on STALEVO 150

Ongoing and Recent Clinical Research

Although STALEVO (a trade name of Novartis, now under courier ownership following Novartis’ exit from the Parkinson’s franchise) has historically received regulatory approval based on trials demonstrating efficacy in adjusting motor fluctuations, recent efforts have centered on optimizing dosing and expanding indications.

Recent Phase IV studies focus on:

  • Long-term efficacy and safety: Data indicate consistent motor symptom control over extended periods, with adverse events aligning with established safety profiles. These studies involve thousands of patients across North America, Europe, and Asia and confirm STALEVO 150’s ability to manage wearing-off phenomena effectively.

  • Comparative effectiveness: Trials comparing STALEVO with monotherapy or other COMT inhibitors reveal superior duration of levodopa’s effects, especially when administered as part of individualized treatment regimens. These studies support the drug’s position in managing advanced PD cases with significant motor fluctuations.

  • Patient-reported outcomes: Recent observational data underscore improvements in quality of life metrics and daily functioning, reinforcing confidence in the drug’s clinical utility.

Regulatory and Pipeline Developments

While no significant new formulation of STALEVO 150 is currently under active development, regulatory pathways facilitate potential label extensions, such as:

  • Use in early PD stages for symptom management.
  • Extended-release formulations aimed at improving adherence.
  • Investigations into combination therapy with novel non-motor symptom medications.

Emerging Data and Future Directions

While early-phase trials are exploring neuroprotective adjuncts, no clinical data suggest imminent modifications to the existing STALEVO 150 formulation. The focus remains on real-world effectiveness and the integration of digital health tools to optimize dosing.


Market Analysis of STALEVO 150

Market Overview

The global Parkinson’s disease therapeutics market was valued at approximately USD 4.3 billion in 2022, and it is projected to grow at a compound annual growth rate (CAGR) of roughly 7% through 2030. Primary drivers include aging populations, increased disease awareness, and novel therapeutic options.

STALEVO 150, as a specialized combination therapy, holds a significant share within the advanced treatment segment, targeting patients with motor fluctuations unresponsive to levodopa alone.

Competitive Positioning

Key competitors include:

  • Duopa (carbidopa/levodopa enteral suspension): Provides continuous dopaminergic stimulation but involves invasive delivery.
  • Rytary (extended-release carbidopa/levodopa): Designed for flexible dosing and improved adherence.
  • Other COMT inhibitors: Entacapone (Comtan), opicapone (Ongentys), which are often used adjunctively with levodopa.

While newer formulations like Rytary and opicapone offer alternatives, STALEVO 150 remains favored due to its proven efficacy, once-daily dosing, and well-established safety profile.

Market Dynamics and Trends

  • Increasing Demand for Optimized Motor Control: As PD progresses, patients increasingly require combination therapies like STALEVO 150 that address motor fluctuations.
  • Switching and Adherence: Physicians prefer convenient dosing regimens, and STALEVO’s fixed-dose combination supports compliance.
  • Regulatory Support and Reimbursement: In many regions, reimbursement policies favor established therapies with strong safety evidence.

geographic Market Penetration

North America and Europe constitute the largest markets, supported by high diagnosis rates and advanced healthcare infrastructure. Emerging markets, notably in Asia-Pacific, show rapid growth potential, driven by aging populations and increasing healthcare investment.


Market Projection and Future Outlook

Growth Drivers

  • Aging Demographics: The global PD population is projected to double by 2040, with significant implications for STALEVO 150’s market.
  • Disease Awareness and Diagnosis: Improved screening campaigns expand diagnosed cases, increasing demand.
  • Optimization of Therapy Regimens: Enhancements in clinical management favor combination therapies like STALEVO 150.

Market Challenges

  • Generic Competition: Patent expirations threaten pricing and market share, although STALEVO’s complex formulation sustains some exclusivity.
  • Emergence of Novel Therapeutics: Deep brain stimulation, gene therapy, and immunotherapies are emerging, potentially reducing reliance on pharmacotherapy.
  • Cost and Reimbursement Pressures: Budget constraints may impact formulary placements.

Future Market Size Estimates

By 2030, the advanced PD pharmacotherapy segment, inclusive of STALEVO 150, is expected to reach USD 8 billion globally, with an annual CAGR of approximately 7%. STALEVO 150’s share may stabilize around 20-25%, assuming continued clinical use and incremental formulations.

Strategic Opportunities

  • Formulation Innovation: Development of extended-release, once-daily versions could improve adherence.
  • Personalized Medicine: Tailoring doses based on genetic markers or disease phenotypes.
  • Digital Health Integration: Remote monitoring tools to optimize therapy regimens dynamically.
  • Geographic Expansion: Penetrating emerging markets with tailored pricing strategies.

Key Takeaways

  • Clinical Landscape: STALEVO 150 demonstrates sustained efficacy and safety in advanced PD; ongoing research highlights potential in personalized treatment.
  • Market Position: It occupies a central niche within combination therapies for motor fluctuations, with strong historic performance and relatively stable market share.
  • Growth Outlook: The global Parkinson’s treatment market continues expanding, with STALEVO 150 positioned favorably amidst rising demand for effective combination therapies.
  • Strategic Focus: Innovation in formulation, geographic expansion, and integration with digital health initiatives could further cement its role.
  • Competitive Edge: Its well-established efficacy profile, once-daily dosing, and clinician familiarity provide a competitive advantage over newer entrants.

FAQs

1. What is the primary clinical advantage of STALEVO 150 over other PD treatments?
STALEVO 150’s fixed-dose combination provides consistent dopaminergic stimulation, effectively managing motor fluctuations with a convenient once-daily regimen, improving patient adherence and quality of life.

2. Are there ongoing clinical trials investigating new uses for STALEVO 150?
Current research focuses primarily on post-marketing surveillance and real-world effectiveness studies rather than novel indications. No active trials aim to expand its approved use beyond Parkinson’s disease motor symptom management.

3. How does STALEVO 150 compare with newer therapies like Rytary or opicapone?
While newer formulations aim to offer benefits like extended release or simplified dosing, STALEVO 150 remains a stable choice due to extensive clinical data, established safety, and broad clinician familiarity.

4. What are the main market challenges for STALEVO 150?
Patent expiries leading to generic competition, emergence of alternative therapies, and healthcare cost constraints limit its growth prospects, necessitating innovation and strategic market expansion.

5. What future developments could impact STALEVO 150’s market?
Advancements in neuroprotective therapies, gene therapy, and personalized medicine may reshape PD treatment paradigms, potentially reducing reliance on pharmacotherapy like STALEVO 150 unless it evolves accordingly.


References

[1] Market Research Future. “Global Parkinson’s Disease Therapeutics Market,” 2022.
[2] Novartis Annual Report, 2021.
[3] PubMed Clinical Trials Database, 2023.
[4] IQVIA. “Global Pharmaceutical Market Trends,” 2022.
[5] Parkinson’s Foundation. “Treatment Options and Future Outlook,” 2023.

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