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Study of the Effects of Dopaminergic Medications on Dopamine Transporter Density in Subjects with Parkinson''s Disease - Article


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Wolff-Parkinson-White Syndrome

WPW 




Clinical Trial: Study of the Effects of Dopaminergic Medications on Dopamine Transporter Density in Subjects with Parkinson''s Disease

This study is currently recruiting patients.
Verified by Institute for Neurodegenerative Disorders August 2005

Sponsors and Collaborators: Institute for Neurodegenerative Disorders
Pfizer
GE Healthcare
Information provided by: Institute for Neurodegenerative Disorders
ClinicalTrials.gov Identifier: NCT00129181

Purpose

This study investigates whether there is a change in [123I]ß-CIT uptake after short-term treatment with levodopa compared to either dopamine agonist or placebo.
Condition Intervention
Parkinson Disease
Parkinsonian Syndrome
 Drug: cabergoline
 Drug: carbidopa/levodopa
 Procedure: DATscan and SPECT imaging

MedlinePlus related topics:  Brain Diseases;   Movement Disorders;   Parkinson''''s Disease
Genetics Home Reference related topics:  Parkinson disease

Study Type: Interventional
Study Design: Diagnostic, Randomized, Single Blind, Placebo Control, Parallel Assignment, Safety/Efficacy Study

Official Title: A Single-Blinded Assessment of the Short-Term Effects of Cabergoline Vs. Carbidopa/Levodopa on SPECT Dopamine Transporter Density in Out-Patient Subjects with Parkinson’s Disease

Further Study Details: 
Primary Outcomes: - To determine the influence of short-term levodopa therapy on dopamine transporter density in early Parkinson’s disease.
Secondary Outcomes: - To determine the influence of short-term treatment with cabergoline on dopamine transporter density in early Parkinson’s disease.; - To further develop the AMADEUS consortium, a collaboration of clinical-imaging SPECT DAT sites able to obtain data using comparable techniques and transmit imaging to a central analysis site.
Expected Total Enrollment:  120

Study start: January 2005;  Expected completion: March 2008
Last follow-up: July 2007;  Data entry closure: December 2007

This is a multi-center, open-label study of short-term treatment with Levodopa or cabergoline on striatal DATscan uptake in early Parkinson''''s disease. Approximately 120 Parkinson’s disease subjects will be randomized to receive either carbidopa/levodopa, cabergoline or no treatment during a twelve week period. Subjects will undergo SPECT imaging with DATscan at screening and after 12 weeks. After twelve weeks carbidopa/levodopa and cabergoline treatment will be withdrawn and all subjects will undergo SPECT imaging with DATscan after 8 weeks (20 weeks after baseline).

Eligibility

Ages Eligible for Study:  40 Years and above,  Genders Eligible for Study:  Both
Criteria

Inclusion Criteria:

Exclusion Criteria:

  • The subject has atypical or drug-induced Parkinson’s disease.
  • The subject has dementia.
  • The subject has clinically significant abnormal laboratory values, and/or clinically significant or unstable medical or psychiatric illness.
  • The subject is pregnant.

Location and Contact Information

Please refer to this study by ClinicalTrials.gov identifier  NCT00129181

Susan Mendick, MPH      203-401-4300    smendick@indd.org

Austria
      Department of Neurology, Innsbruck Medical University, Innsbruck,  6020,  Austria; Recruiting
Christoph Scherfler  +43-512-504-23850    Christoph.Scherfler@uibk.ac.at 
Werner Poewe,  Principal Investigator

      Neurological Department, Wilhelminenspital, Vienna,  1160,  Austria; Recruiting
Doris Doppelbauer  430149150201    doris.doppelbauer@wienkav.at 
Thomas Brücke,  Principal Investigator

Germany
      Ambulanz für Bewegungsstörungen, Neurologische Poliklinik, München,  81377,  Germany; Recruiting
Carola Macher  0049 89 7095-3674    carola.macher@med.uni-muenchen.de 
Kai Bötzel  089-70963690    Kai.Boetzel@med.uni-muenchen.de 
Kai Boetzel,  Principal Investigator

      Dept. of Neurology, University of Leipzig, Leipzig,  04103,  Germany; Recruiting
Elfi Boxhammer  49-341-9725612    boxhammer@kksl@uni-leipzig.de 
Swen Hesse  49-341-9718000    Swen.Hesse@medizin.uni-leipzig.de 
Johannes Schwarz,  Principal Investigator

      Dept. of Neurology Marburg, Phillips-Univ., Marburg,  35039,  Germany; Recruiting
Doris Lang-Pfeiffer  0049-(0)6421-2865168    langpfei@med.uni-marburg.de 
Wolfgang Oertel,  Principal Investigator

Italy
      Parkinson Institute Milan, Milan,  Italy; Recruiting
Kitty Rodgers  +390257993222    rodgers@parkinson.it 
Alba Bonetti  +39-02-57993374    alba@parkinson.it 
Paolo Barone,  Principal Investigator

      University of Catania-Department of Neurosciences, Catania,  95123,  Italy; Recruiting
Mario Zappia, MD  39-095-3782783    m.zappia@isn.cnr.it 
Mario Zappia, MD,  Principal Investigator

      Department of Neurological Sciences-University of Napoli, Naples,  80131,  Italy; Recruiting
Marianna Amboni  0817462670    bradamante.x@libero.it 
Paolo Barone, MD,  Principal Investigator

Spain
      Hospital Clinic of Barcelona. Neurology Service, Barcelona,  08036,  Spain; Recruiting
Inma Lleget  34 932275785    inmalleget@yahoo.es 
Eduardo Tolosa,  Principal Investigator

      Hospital General Universitario Gregorio Marañón, Madrid,  28007,  Spain; Recruiting
Francisco Grandas  91 5868339    fgrandasp@meditex.es 
Francisco Grandas,  Principal Investigator

United Kingdom
      Royal Free Hospital, Dept. of Neurology, London,  NW3 2QG,  United Kingdom; Recruiting
James Rakshi  44-208-216-5473    jamesrakshi@blueyonder.co.uk 
James Rakshi,  Principal Investigator

Study chairs or principal investigators

Kenneth L Marek, MD,  Principal Investigator,  The Institute for Neurodegenerative Disorders   
John P Seibyl, MD,  Principal Investigator,  The Institute for Neurodegenerative Disorders   

More Information

Publications

Ahlskog JE. Slowing Parkinson''''s disease progression: recent dopamine agonist trials. Neurology. 2003 Feb 11;60(3):381-9. Review.

Ahlskog JE, Uitti RJ, O''''Connor MK, Maraganore DM, Matsumoto JY, Stark KF, Turk MF, Burnett OL. The effect of dopamine agonist therapy on dopamine transporter imaging in Parkinson''''s disease. Mov Disord. 1999 Nov;14(6):940-6.

Brucke T, Asenbaum S, Pirker W, Djamshidian S, Wenger S, Wober C, Muller C, Podreka I. Measurement of the dopaminergic degeneration in Parkinson''''s disease with [123I] beta-CIT and SPECT. Correlation with clinical findings and comparison with multiple system atrophy and progressive supranuclear palsy. J Neural Transm Suppl. 1997;50:9-24.

Fahn S. Is levodopa toxic? Neurology. 1996 Dec;47(6 Suppl 3):S184-95. Review. No abstract available.

Guttman M, Stewart D, Hussey D, Wilson A, Houle S, Kish S. Influence of L-dopa and pramipexole on striatal dopamine transporter in early PD. Neurology. 2001 Jun 12;56(11):1559-64.

Innis RB, Seibyl JP, Scanley BE, Laruelle M, Abi-Dargham A, Wallace E, Baldwin RM, Zea-Ponce Y, Zoghbi S, Wang S, et al. Single photon emission computed tomographic imaging demonstrates loss of striatal dopamine transporters in Parkinson disease. Proc Natl Acad Sci U S A. 1993 Dec 15;90(24):11965-9.

Innis RB, Marek KL, Sheff K, Zoghbi S, Castronuovo J, Feigin A, Seibyl JP. Effect of treatment with L-dopa/carbidopa or L-selegiline on striatal dopamine transporter SPECT imaging with [123I]beta-CIT. Mov Disord. 1999 May;14(3):436-42.

Little KY, Gorebig J, Carroll FI, Mapili J, Meador-Woodruff JH. Lack of dopamine receptor agonists effect on striatal dopamine transporter binding sites. Brain Res. 1996 Dec 2;742(1-2):313-6.

Marek K, Innis R, van Dyck C, Fussell B, Early M, Eberly S, Oakes D, Seibyl J. [123I]beta-CIT SPECT imaging assessment of the rate of Parkinson''''s disease progression. Neurology. 2001 Dec 11;57(11):2089-94.

Morrish PK, Rakshi JS, Bailey DL, Sawle GV, Brooks DJ. Measuring the rate of progression and estimating the preclinical period of Parkinson''''s disease with [18F]dopa PET. J Neurol Neurosurg Psychiatry. 1998 Mar;64(3):314-9.

Nurmi E, Bergman J, Eskola O, Solin O, Hinkka SM, Sonninen P, Rinne JO. Reproducibility and effect of levodopa on dopamine transporter function measurements: a [18F]CFT PET study. J Cereb Blood Flow Metab. 2000 Nov;20(11):1604-9.

Parkinson Study Group. Dopamine transporter brain imaging to assess the effects of pramipexole vs levodopa on Parkinson disease progression. JAMA. 2002 Apr 3;287(13):1653-61.

Rioux L, Frohna PA, Joyce JN, Schneider JS. The effects of chronic levodopa treatment on pre- and postsynaptic markers of dopaminergic function in striatum of parkinsonian monkeys. Mov Disord. 1997 Mar;12(2):148-58.

Schapira AH. Dopamine agonists and neuroprotection in Parkinson''''s disease. Eur J Neurol. 2002 Nov;9 Suppl 3:7-14. Review.

Whone AL, Watts RL, Stoessl AJ, Davis M, Reske S, Nahmias C, Lang AE, Rascol O, Ribeiro MJ, Remy P, Poewe WH, Hauser RA, Brooks DJ; REAL-PET Study Group. Slower progression of Parkinson''''s disease with ropinirole versus levodopa: The REAL-PET study. Ann Neurol. 2003 Jul;54(1):93-101.

Wooten GF. Agonists vs levodopa in PD: the thrilla of whitha. Neurology. 2003 Feb 11;60(3):360-2. No abstract available.

Study ID Numbers:  AMAD001
Last Updated:  August 10, 2005
Record first received:  August 9, 2005
ClinicalTrials.gov Identifier:  NCT00129181
Health Authority: Italy: The Italian Medicines Agency
ClinicalTrials.gov processed this record on 2005-08-23

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November 30, 2009



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