STALEVO 200 (carbidopa) · ORION PHARMA
Stalevo 200 is a combination product containing levodopa, carbidopa, and entacapone. It is indicated for the treatment of patients with idiopathic Parkinson’s disease. It is primarily used to substitute for equivalent doses of its individual components or to replace carbidopa/levodopa therapy in patients who experience end-of-dose "wearing-off" (fluctuations in motor performance). The addition of entacapone to the carbidopa/levodopa regimen allows for more sustained plasma levels of levodopa, providing more consistent relief of motor symptoms such as bradykinesia and rigidity.
How STALEVO 200 Works
Parkinson’s disease symptoms result from dopamine depletion in the corpus striatum. Levodopa, the metabolic precursor of dopamine, crosses the blood-brain barrier to replenish these levels. Carbidopa and Entacapone are included to optimize levodopa delivery. **Carbidopa** inhibits the peripheral decarboxylation of levodopa by aromatic amino acid decarboxylase. **Entacapone** is a selective and reversible inhibitor of catechol-O-methyltransferase (COMT). By inhibiting both decarboxylase and COMT enzymes, the peripheral metabolism of levodopa is significantly reduced. This leads to higher and more sustained serum levels of levodopa available for transport into the brain, effectively extending the duration of the clinical response and reducing "off" time.
Details
- Status
- Prescription
- First Approved
- 2003-06-11
- Routes
- ORAL
- Dosage Forms
- TABLET
STALEVO 200 Approval History
What STALEVO 200 Treats
5 indicationsSTALEVO 200 is approved for 5 conditions since its original approval in 2003. These indications span multiple therapeutic areas including oncology, immunology, and more.
- Parkinson's Disease
- Post-Encephalitic Parkinsonism
- Symptomatic Parkinsonism
- Carbon Monoxide Intoxication
- Manganese Intoxication
STALEVO 200 Competitive Set
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Clinical Trial Registry
17 trials| Trial | Sponsor ID | Phase | Status | Title |
|---|---|---|---|---|
| NCT04520178 5-HTP only | Pro00119483/00125176 | Ph 2, Ph 3 | recruiting | Effects of 5HTP on the Injured Human Spinal Cord |
| NCT04325503 RES results posted | HUM00156490 5U01AG061393-05 | Ph 1, Ph 2 | completed | Neurobiological Drivers of Mobility Resilience: The Dopaminergic System |
| NCT01323374 FMS201 | Droxidopa FMS201 | Ph 2 | completed | Study To Assess The Clinical Benefit Of Droxidopa And Droxidopa/Carbidopa In Subjects With Fibromyalgia |
| NCT04000919 | 18.1268 | Ph 2, Ph 3 | suspended | Effects of 5HTP and LDOPA on CNS Excitability After SCI |
| NCT00685919 results posted | 101499 HL071784-05A1 | Ph 2, Ph 3 | completed | Peripheral Dopamine in Postural Tachycardia Syndrome |
| NCT03055936 COMDOS1 results posted | 3112005 | Ph 1 | completed | Dose-finding Pharmacokinetic Study in Healthy Males |
| NCT03266965 | 20161186 W81XWH-16-1-0462 | Ph 1 | completed | Histaminergic Basis of Central Fatigue in Multiple Sclerosis - A Novel Approach |
| NCT03115827 results posted | VUMC54580 | Ph 4 | completed | Norepinephrine-targeted Therapy for Action Control in Parkinson Disease |
| NCT01399905 results posted | IRB00004133 | Ph 2 | completed | High and Low Dose Carbidopa Treatment of Parkinson's Disease |
| NCT00845000 results posted | P05550 MK-3814-023 | Ph 1 | completed | Acute Effects of Preladenant (SCH 420814) on Dyskinesia and Parkinsonism in Levodopa Treated Participants (P05550) |
| NCT02633839 | CVT-301-007 | Ph 1 | completed | A Study of the Safety and Levodopa Pharmacokinetics Following Single Dose Administration of CVT 301 (Levodopa Inhalation Powder) in Smoking and Non-Smoking Adults |
| NCT02633007 | CVT-301-008 | Ph 1 | completed | A Study of the Safety and Pharmacokinetics of Levodopa Following Administration of CVT 301 (Levodopa Inhalation Powder) in Adults With Asthma |
| NCT01212484 results posted | 09-0011 | Ph 3 | completed | Carbidopa for the Treatment of Nausea and Vomiting in Familial Dysautonomia |
| NCT01227655 BIPARKII results posted | BIA-91067-302 2010-022366-27, BIA-91067-302 | Ph 3 | completed | Efficacy and Safety of BIA 9-1067 in Idiopathic Parkinson's Disease Patients. |
| NCT01568073 results posted | BIA-91067-301 2010-021860-13 | Ph 3 | completed | Efficacy and Safety of BIA 9-1067 in Idiopathic Parkinson's Disease Patients With "Wearing-off" Phenomenon |
| NCT01229332 | ND0611/002 | Ph 1, Ph 2 | completed | A Safety, Tolerability and Pharmacokinetic Study of ND0611 on the Top of Different Oral Dosage Forms of Levodopa/Carbidopa in Parkinson's Disease Patients |
| NCT01296464 PARTEST | 2939136 | Ph 2 | completed | Comparing Different Levodopa/Carbidopa/Entacapone Treatment Regimens |
Active Pipeline
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Key Completed Trials
Completed studies with published results, ranked by significance
Trial Timeline
Full development history with FDA approval milestones
Understanding FDA Approval Types
| Count | Type | What it means |
|---|---|---|
| - | ORIG | Original approval - drug first enters market |
| - | SUPPL - Efficacy | New indication (new disease/condition approved) |
| - | SUPPL - Labeling | Label text changes (warnings, dosing updates) |
| - | SUPPL - Manufacturing | Production changes (new facility) |
| - | SUPPL - Chemistry | Formulation changes (new dosage strength) |
Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.
STALEVO 200 FDA Label Details
Indications & Usage
FDA Label (PDF)Carbidopa and levodopa tablets are indicated in the treatment of Parkinson's disease, post-encephalitic parkinsonism, and symptomatic parkinsonism that may follow carbon monoxide intoxication or manganese intoxication. Carbidopa allows patients treated for Parkinson's disease to use much lower doses of levodopa. Some patients who responded poorly to levodopa have improved on carbidopa and levodopa tablets. This is most likely due to decreased peripheral decarboxylation of levodopa caused by administration of carbidopa rather than by a primary effect of carbidopa on the nervous system. Carbidop...
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Data Sources
Data sourced from official FDA and NIH databases. Click links to verify on original sources.