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Parkinson's DiseaseOctober 2023Summary reviewed May 2026

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.

Open parkinson's disease trials

RecruitingInterventional study

Speech Learning and Speech Production in Parkinson's Disease

Parkinson's disease, a common movement disorder that results from a breakdown in the brain, often leads to challenges with talking, but less is known about the relationship between difficulties with talking and difficulties with learning to understand speech. By linking these two abilities in individuals with Parkinson's disease using a precision medicine approach, this project seeks to build a basis for new therapies that help people with Parkinson's disease both understand better and speak more clearly.

Buffalo, New York, United States
RecruitingInterventional study

Individualized Transcranial Magnetic Stimulation in Parkinsonian Disorders

This clinical trial aims to evaluate whether individualized targeted repetitive transcranial magnetic stimulation (rTMS) can improve motor and non-motor symptoms in patients with parkinsonian disorders. The main question it aims to answer is: * Does individualized targeted rTMS alleviate symptoms of parkinsonian disorders? * Which clinical manifestations of parkinsonian syndromes are responsive to individualized targeted rTMS, and to what degree? Procedures: * Preparation (Screening) Participants will undergo clinical assessments, MRI, and EEG before the treatment. * Treatment (2 Weeks) Participants will receive a 10-day TMS treatment (once daily, Monday-Friday). Each treatment day takes approximately 3-4 hours. Participants need to keep stable medications and rehabilitation routines during this time. * Follow-up (10 Weeks) Participants will undergo follow-up assessments at the end of treatment and 10 weeks after treatment. Assessments include clinical scales, MRI, and EEG.

Beijing, Beijing Municipality, China