Evidence map›Paper›PMID 37181100›Full record

ArticleClinical parkinsonism & related disorders2023

Improving levodopa delivery: IPX203, a novel extended-release carbidopa-levodopa formulation.

Peter LeWitt, Aaron Ellenbogen, Daniel Burdick, Steven Gunzler, Ramon Gil, Rohit Dhall, Ghazal Banisadr, Richard D'Souza

Abstract read
In one paragraph

Article in Clinical parkinsonism & related disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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  9. Article
  10. Levodopa treatment: impacts and mechanisms throughout Parkinson's disease progression.Journal of neural transmission (Vienna, Austria : 1996) · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Peter LeWittDepartments of Neurology, Wayne State University School of Medicine and Henry Ford Hospital, Sastry Foundation Endowed Chair in Neurology, 4201 St. Antoine, Detroit, MI 48201, United States.
Aaron EllenbogenMichigan Institute for Neurological Disorders and Quest Research Institute, 28595 Orchard Lake Road, #200, Farmington Hills, MI 48334, United States.
Daniel BurdickBooth Gardner Parkinson's Care Center, EvergreenHealth Medical Center, 12039 NE 128th Street #300, Kirkland, WA 98034, United States.
Steven GunzlerParkinson's and Movement Disorders Center, University Hospitals Cleveland Medical Center and Case Western Reserve University School of Medicine, 11100 Euclid Avenue, Cleveland, OH 44106, United States.
Ramon GilParkinson's Disease Treatment Center of Southwest Florida, 4235 Kings Highway, #102, Port Charlotte, FL 33980, United States.
Rohit DhallUniversity of Arkansas for Medical Sciences, 4301 W Markham Street, Little Rock, AR 72205, United States.
Ghazal BanisadrAmneal Pharmaceuticals, LLC, 400 Crossing Boulevard, Bridgewater, NJ 08807, United States.
Richard D'SouzaAmneal Pharmaceuticals, LLC, 400 Crossing Boulevard, Bridgewater, NJ 08807, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: IPX203 is a novel oral extended-release (ER) formulation of carbidopa (CD) and levodopa (LD) developed to address the short half-life and limited area for absorption of LD in the gastrointestinal tract. This paper presents the formulation strategy of IPX203 and its relationship to the pharmacokinetics (PK) and pharmacodynamic profile of IPX203 in Parkinson's disease (PD) patients. Methods: IPX203 was developed with an innovative technology containing immediate-release (IR) granules and ER beads that provides rapid LD absorption to achieve desired plasma concentration and maintaining it within the therapeutic range for longer than can be achieved with current oral LD formulations. The PK and pharmacodynamics of IPX203 were compared with IR CD-LD in a Phase 2, open-label, rater-blinded, multicenter, crossover study in patients with advanced PD. Results: Pharmacokinetic data showed that on Day 15, LD concentrations were sustained above 50% of peak for 6.2 h with IPX203 vs. 3.9 h with IR CD-LD ( Conclusion: These data confirm that the unique design of IPX203 addresses some of the limitations of oral LD delivery.

Indexed as

CarbidopaExtended-release formulationsLevodopaParkinson’s diseasePharmacokineticsPharmacology

Identifiers

PMID37181100
PMCPMC10172697

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.