Comtan

Parkinson's Disease, Wearing Off Effect

Treatment

3 FDA approvals

20 Active Studies for Comtan

What is Comtan

Entacapone

The Generic name of this drug

Treatment Summary

Entacapone is a medication used to treat Parkinson’s Disease. It works by blocking the breakdown of levodopa, a drug used in combination with entacapone to treat Parkinson’s. By blocking the breakdown of levodopa, entacapone helps increase and sustain the effectiveness of levodopa in treating the symptoms of Parkinson’s.

Comtan

is the brand name

Comtan Overview & Background

Brand Name

Generic Name

First FDA Approval

How many FDA approvals?

Comtan

Entacapone

1999

81

Approved as Treatment by the FDA

Entacapone, commonly known as Comtan, is approved by the FDA for 3 uses which include Parkinson's Disease (PD) and Parkinson's Disease .

Parkinson's Disease (PD)

Used to treat Parkinson's Disease (PD) in combination with Carbidopa

Parkinson's Disease

Used to treat Parkinson's Disease (PD) in combination with Carbidopa

Wearing Off Effect

Used to treat Wearing Off Effect in combination with Carbidopa

Effectiveness

How Comtan Affects Patients

Entacapone is a drug used to treat Parkinson's disease when used in combination with other medicines. It works by blocking an enzyme (COMT) found in the liver, kidneys, heart, lungs, muscles, and other parts of the body. COMT breaks down dopamine and other chemicals, so blocking it allows the dopamine to remain active longer. When a decarboxylase inhibitor is present, COMT becomes the main enzyme responsible for breaking down the medicine levodopa.

How Comtan works in the body

Entacapone works with levodopa and other drugs to help people with Parkinson's disease. It blocks an enzyme called COMT, which breaks down levodopa in the bloodstream. This helps keep the levodopa in the body longer, meaning it can provide more constant relief from symptoms.

When to interrupt dosage

Condition

Dosage

Administration

Wearing Off Effect

200.0 mg,

Oral, Tablet, film coated, Tablet, film coated - Oral, , Tablet - Oral, Tablet

Parkinson's Disease

200.0 mg,

Oral, Tablet, film coated, Tablet, film coated - Oral, , Tablet - Oral, Tablet

Warnings

There are 20 known major drug interactions with Comtan.

Common Comtan Drug Interactions

Drug Name

Risk Level

Description

Amoxapine

Major

The metabolism of Amoxapine can be decreased when combined with Entacapone.

Astemizole

Major

The metabolism of Astemizole can be decreased when combined with Entacapone.

Azelastine

Major

Entacapone may increase the central nervous system depressant (CNS depressant) activities of Azelastine.

Clomipramine

Major

The metabolism of Clomipramine can be decreased when combined with Entacapone.

Dacomitinib

Major

The metabolism of Dacomitinib can be decreased when combined with Entacapone.

Comtan Toxicity & Overdose Risk

Side effects of taking this drug include faintness when standing up, muscle breakdown, abnormal movement, hallucinations, dizziness, fatigue, abdominal pain, constipation, diarrhea, and nausea.

Comtan Novel Uses: Which Conditions Have a Clinical Trial Featuring Comtan?

45 active clinical trials are analyzing the potential of Comtan to reduce the Wearing Off Effect.

Condition

Clinical Trials

Trial Phases

Parkinson's Disease

39 Actively Recruiting

Not Applicable, Phase 1, Phase 4, Phase 2, Phase 3, Early Phase 1

Wearing Off Effect

0 Actively Recruiting

Comtan Reviews: What are patients saying about Comtan?

5

Patient Review

4/27/2008

Comtan for Parkinson's Disease

I started having hallucinations that were really scary and real to me. I would see faces in my plants, bikes driving around my property, and trucks backing through my bedroom window.

5

Patient Review

7/31/2008

Comtan for Parkinson's Disease

Though it causes a feeling of "fogginess," this prescription helps alleviate symptoms.

4.3

Patient Review

3/13/2012

Comtan for Parkinson's Disease

Sinemet just wasn't cutting it for me. Comtan, on the other hand, worked like a charm! I could walk and didn't have any constipation issues. The only downside is that I've had diarrhea ever since starting Comtan.

4.3

Patient Review

9/1/2012

Comtan for Parkinson's Disease

I began taking Comtan as directed, and it did wonders for my tremor and overall mood. However, after about three months of use, I started experiencing persistent diarrhea. This has been a real hindrance to enjoying the benefits of the drug.

4.3

Patient Review

12/5/2013

Comtan for Parkinson's Disease

This medication has been a godsend for me. It's helped control my Parkinson's quite well, and I'm currently in the process of increasing my dosage.

4

Patient Review

1/12/2010

Comtan for Parkinson's Disease

Within an hour of taking the medication, I experienced moderate to severe dizziness and nausea, as well as problems with balance and coordination. These effects were not improved by eating or drinking.

4

Patient Review

2/3/2012

Comtan for Parkinson's Disease

I'm an 81-year-old male who's had Parkinson's for 8 years. I've always tried to stay active, and this medication has been helpful in that respect; however, it does come with some side effects that I've noticed.

3.3

Patient Review

7/26/2008

Comtan for Parkinson's Disease

Other than the change in urine color, this drug has been great! I'm now symptom free for 12 hours out of every 24.

2.7

Patient Review

1/28/2011

Comtan for Parkinson's Disease

I've experienced a very small reduction in tremors/shaking, but after about a month of taking entacapone, I developed persistent diarrhea. This has been going on for five weeks now and my stool samples have come back negative. I'm scheduled to see a gastroenterologist soon, but I wonder if this is a side effect of the drug?

2.7

Patient Review

4/20/2009

Comtan for Parkinson's Disease

It is quite expensive

2.7

Patient Review

5/3/2010

Comtan for Parkinson's Disease

I didn't notice any improvement while taking comtan, and I actually experienced severe depression and suicidal thoughts.

2.7

Patient Review

11/22/2007

Comtan for Parkinson's Disease

2.3

Patient Review

1/14/2015

Comtan for Parkinson's Disease

I started to feel very ill only a few hours after taking this medication. I was brought to the emergency room soon thereafter as my symptoms - including dizziness and vomiting - had become severe. Even after 10 days, the symptoms came back with a vengeance. It's possible that Comtan caused me to develop vertigo, and if so, I would never recommend this drug to anyone.

2.3

Patient Review

3/4/2010

Comtan for Parkinson's Disease

There was a significant difference in my 84 year old father's condition when he was taking Comtan versus when he wasn't. His rigidity, confusion, and drowsiness greatly improved with this medication.

2

Patient Review

5/14/2009

Comtan for Parkinson's Disease

I found this treatment to be quite drowsy.

2

Patient Review

1/15/2008

Comtan for Parkinson's Disease

1

Patient Review

3/16/2008

Comtan for Parkinson's Disease

This drug does help with the tremors/shakings.

1

Patient Review

6/17/2018

Comtan for Parkinson's Disease

I haven't started this medication yet, but my doctor is considering it.
image of drug pills surrounding a glass of water symbolizing drug consumption

Patient Q&A Section about comtan

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What is the mechanism of action of entacapone?

"It is believed that entacapone works by inhibiting COMT and changing the way levodopa is absorbed in the blood."

Answered by AI

What symptoms does entacapone treat?

"Entacapone inhibits the catechol-O-methyltransferase (COMT) enzyme. It's used with levodopa and carbidopa (Sinemet) to treat the end-of-dose "wearing-off" symptoms of Parkinson's disease."

Answered by AI

What is the drug Comtan used for?

"This medication is used with levodopa/carbidopa to treat Parkinson's disease. Entacapone is a class of drugs called COMT inhibitors."

Answered by AI

What is the generic name for Comtan?

"Entacapone is used together with levodopa and carbidopa to treat [Parkinson's disease](https://www.withpower.com/clinical-trials/parkinson's-disease).

This medication may be used alone or with other drugs.

Entacapone is a drug used to treat Parkinson's disease. It is often used in conjunction with other drugs like levodopa and carbidopa. In some cases it may be used alone, but this is less common."

Answered by AI

Clinical Trials for Comtan

Image of University of California San Francisco in San Francisco, United States.

Deep Brain Stimulation for Parkinson's Disease

18+
All Sexes
San Francisco, CA

The purpose of this study is to test a new way to treat Parkinson's disease (PD). Subjects will be implanted with deep brain stimulator (DBS) devices and electrodes placed under the scalp. The main questions it aims to answer are: * Is there a less invasive method to collect useful brain signals? Find out if these brain signals can be related to movement and/or sleep symptoms. * How to use these brain signals to tailor adaptive deep brain stimulation settings for movement and/or sleep symptoms Researchers will compare study derived adaptive DBS settings to subject's clinically programmed continuous DBS settings to see which is better at treating patients PD symptoms.

Waitlist Available
Has No Placebo

University of California San Francisco

Simon Little

Image of Invicro (dba Perceptive) in New Haven, United States.

[18F]MK-0947 for Parkinson's Disease

18 - 80
All Sexes
New Haven, CT

This clinical study is being conducted to learn more about a new imaging drug called \[18F\]MK-0947, which is designed to help doctors see changes in the brain related to Parkinson's disease (PD). PD is a condition that affects movement, balance, and thinking. The drug works with a type of scan called PET (Positron Emission Tomography) to show areas of the brain where a protein called α-synuclein builds up. This buildup is linked to PD and other brain disorders. The main goal of this study is to find out if \[18F\]MK-0947 is safe for people and if it works well to show α-synuclein in the brain. The study will also look at how the drug moves through the body and how much radiation it gives off. Researchers hope this information will help develop better tools for diagnosing PD and tracking how it changes over time. Who can join? Adults who have PD or who are healthy may be able to take part. Participants will have screening tests to make sure they qualify. What does participation involve? People in the study will have PET scans, blood tests, and other safety checks. Some participants will also have an MRI scan. The study is divided into two parts: Part 1 looks at how the drug works in the brain of PD patients and healthy elderly participants, and Part 2 measures radiation levels in healthy participants. Why is this important? There is currently no cure for PD, and better imaging tools could help researchers develop new treatments. By joining this study, participants will help advance research that may improve care for people with PD and similar conditions in the future.

Phase < 1
Recruiting

Invicro (dba Perceptive)

Merck Sharp & Dohme LLC

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Image of Centre for Brain and Mind, Western University in London, Canada.

Cognitive Cueing + Video Intervention for Parkinson's Disease

40 - 99
All Sexes
London, Canada

The goal of this clinical trial is to learn if cognitive cueing (eg., prompting individuals to think about taking big-long steps while walking), either as a stand- alone intervention or combined with a personalized gait training video, can improve gait (walking), mobility, and balance confidence for individuals with Parkinson's Disease. The main questions it aims to answer are: 1. Does focusing on cognitive cues while walking improve gait, mobility, and balance confidence for individuals with Parkinson's Disease? 2. Does incorporating a personalized gait training video alongside cognitive cueing lead to amplified improvements in gait, mobility, and balance confidence for individuals with Parkinson's Disease? Researchers will compare how gait, mobility, balance confidence and quality of life change over time for participants when they practice walking with and without a cognitive cue alone, and when they practice with using a personalized gait training video. The researchers are also interested in how participation in this trial will affect quality of life and conscious attention to gait. Participants will * Complete walking trials on an instrumented mat that records data on their walking ability. These trials will be undertaken without a cognitive cue and while participants mentally rehearse a series of 3 cognitive cues (Take big long steps; Walk heel-toe; Stand up straight). * Be informed about which of the 3 cues best improved their walking and will receive a personalized gait training video for at home practice. * Complete online surveys that ask questions about their Parkinson's Disease, mobility, balance confidence quality of life and conscious attention to gait. * Visit the research facility 3 to 4 times during the study to have their gait (walking), mobility, balance confidence, quality of life and conscious attention to gait assessed and reassessed. * Practice both with and without their personalized video at home and keep a diary to record their practice sessions * Participate in a brief interview to discuss their experiences with the training and their perceptions of the effectiveness of cognitive cues and video-recorded feedback

Waitlist Available
Has No Placebo

Centre for Brain and Mind, Western University

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Image of Austin Clinic PPD in Austin, United States.

LY3962681 for Parkinson's Disease

30 - 80
All Sexes
Austin, TX

The purpose of this study is to evaluate the safety, tolerability, and PK/PD of LY3962681 in healthy volunteers and patients with Parkinson's disease. The study will be comprised of two parts, the Single Ascending Dose (SAD) study and the Multiple Ascending Doses (MAD) study. During the SAD portion of the study, healthy volunteers will receive a single dose of LY3962681 or placebo (artificial cerebrospinal fluid (aCSF), no active drug) given into the spinal fluid. During the MAD portion of the study, patients with Parkinson's disease will receive two doses of either LY3962681 or placebo (aCSF) administered into the spinal fluid. * The treatment period in the SAD study will be 1 day. The treatment period in the MAD study will be 2 days, 12 to 24 weeks apart. * The follow-up period in the SAD study will be up to 52 weeks. The follow-up period in the MAD study will be up to 52 weeks post Dose 2.

Phase 1
Recruiting

Austin Clinic PPD

Travis Lewis

Prevail Therapeutics

Image of Edward Hines Jr. VA Hospital, Hines, IL in Hines, United States.

Non-Invasive Vagal Nerve Stimulation for Parkinson's Disease

50 - 88
All Sexes
Hines, IL

More than 110,000 US Veterans living with Parkinson's disease (PD) currently receive PD-related care and services from the VA. Fall prevention is a priority for Veterans living PD. Gait disturbances are a major cause for functional dependence and the largest risk factor for falls, institutionalization, and death in PD. This SPiRE addresses the need to advance nonpharmacological rehabilitative health care of Veterans and maximizing functional outcomes by developing a non-invasive, neuromodulatory transcutaneous cervical Vagal Nerve Stimulation as an at-home intervention to improve gait and balance. This pilot clinical trial will assist with future efforts and priorities of the VA to prolong independent living and quality of life by minimizing gait and balance dysfunction experienced by Veterans living with PD.

Waitlist Available
Has No Placebo

Edward Hines Jr. VA Hospital, Hines, IL

Sandra L. Kletzel, PhD BA

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We made a collection of clinical trials featuring Comtan, we think they might fit your search criteria.
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