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Parkinson's DiseaseOctober 2023

What the RISE-PD Trial Found — Extended-Release Carbidopa-Levodopa for Parkinson's

RISE-PD tested IPX203 — an extended-release carbidopa-levodopa capsule — against immediate-release carbidopa-levodopa in 506 people with Parkinson's and motor fluctuations. IPX203 added about 30 minutes more good "on-time" per day with fewer doses.

What the trial was testing

The RISE-PD enrolled 630 patients with parkinson's disease. The study was sponsored by Impax Laboratories and tracked outcomes across the full group of patients who matched the trial's eligibility profile.

It was a large trial designed to confirm whether the treatment works well enough for wider use. Trials at this stage are designed to produce evidence regulators and physicians can act on — not just observations to follow up later.

What the results showed

30 more minutes of good on-time per day on IPX203 vs. immediate-release.

JAMA Neurology · 2023 · NCT03670953

These findings — that good on-time per day on IPX203 vs. immediate-release carbidopa-levodopa — were published in the JAMA Neurology and represent the headline result of the study.

Researchers tracked outcomes across 630 patients enrolled in the trial. The result was consistent enough across the group that the team felt confident reporting it.

What this means for patients

For patients with parkinson's disease, this result changes the calculus on what to ask their care team about. Whether it changes day-to-day care depends on factors like disease subtype, prior treatments, and where the patient is in their care journey.

What you can do now

IPX203 (Crexont) is FDA-approved and available now for Parkinson's disease motor fluctuations. It can be taken three times a day instead of five, which many patients prefer. Ask a movement disorder specialist or neurologist whether it fits.

Eligibility for the treatments mentioned above depends on specific test results and clinical history. Bring this summary, the trial name, and your most recent labs or pathology report to your next visit.