A new levodopa‐carbidopa intestinal gel (
LCIG
) system featuring a higher levodopa/carbidopa (
LD
/
CD
) concentration and viscosity,
LCIG
‐
HV
, is being developed to reduce the intrajejunal volume of
LD
/
CD
that is administered as compared to the current commercial formulation,
LCIG
‐
LV
. This study characterizes the
LCIG
‐
HV
formulation and compares it to the
LCIG
‐
LV
formulation via dissolution testing and a clinical pharmacokinetic bioequivalence study. In vitro release profiles of
LD
/
CD
were determined using a
USP
Dissolution Apparatus 2 with 500
mL
of phosphate buffer (
pH
4.5) operating at 25
RPM
. A single dose, open‐label study was conducted according to a two‐period, randomized, crossover design in 28 healthy subjects. The point estimate (
PE
) of the levodopa
C
max
geometric mean for the
LCIG
‐
HV
formulation was 4% higher than that of the
LCIG
‐
LV
formulation.
PE
s of levodopa
AUC
t
and
AUC
inf
geometric means were comparable for both formulations.
PE
s of carbidopa
C
max
,
AUC
t
and
AUC
inf
geometric means for the
LCIG
‐
HV
formulation were 3%‐5% higher than those of the
LCIG
‐
LV
formulation. For both formulations, the median
T
max
for levodopa was 1.0 and 3.0 hours for carbidopa. The levodopa half‐life harmonic mean was 1.6 hour for both formulations. The carbidopa half‐life harmonic mean was 1.9 and 2.0 hour, respectively, for the
LCIG
‐
HV
and
LCIG
‐
LV
formulations.
C
max
,
AUC
t
and
AUC
inf
of
LD
/
CD
carbidopa were comparable for both formulations. The current study demonstrates that the
LCIG
‐
LV
and
LCIG
‐
HV
formulations are clinically bioequivalent for
LD
/
CD
according to
FDA
guidance. However, the dissolution method was over discr...