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临床试验/ISRCTN16108482
ISRCTN16108482已完成未知

Simvastatin as a neuroprotective treatment for Parkinson's disease: a double-­blind, randomised, placebo-controlled futility study in patients of moderate severity

Plymouth Hospitals NHS Trust0 个研究点目标入组 235 人开始时间: 2015年11月19日最近更新:
适应症

试验速览

阶段
未知
状态
已完成
入组人数
235

研究概览

简要总结

2019 Protocol article in https://pubmed.ncbi.nlm.nih.gov/31594876/ protocol (added 23/07/2020) 2022 Results article in https://pubmed.ncbi.nlm.nih.gov/36315128/ (added 01/11/2022)

研究设计

研究类型
Interventional

入排标准

性别
All

入选标准

  • 1. Diagnosis of idiopathic PD
  • 2. Modified Hoehn and Yahr stage = 3.0 in the ON medication state
  • 3. Age 40-90 years
  • 4. On dopaminergic treatment with wearing-off phenomenon
  • 5. Able to comply with study protocol and willing to attend necessary study visits

排除标准

  • 1. Diagnosis or suspicion of other cause for parkinsonism
  • 2. Known abnormality on CT or MRI brain imaging considered to be causing symptoms or signs of neurological dysfunction, or considered likely to compromise compliance with study protocol
  • 3. Concurrent dementia defined by MoCA score <21
  • 4. Concurrent severe depression defined by MADRS score >31
  • 5. Prior intracerebral surgical intervention for PD including deep brain stimulation, lesional surgery, growth factor administration, gene therapy or cell transplantation
  • 6. Already actively participating in a research study that might conflict with this trial
  • 7. Prior or current use of statins as a lipid lowering therapy
  • 8. Intolerance to statins
  • 9. Untreated hypothyroidism
  • 10. End stage renal disease (creatinine clearance <30 mL/min) or history of severe cardiac disease (angina, myocardial infarction or cardiac surgery in preceding two years)
  • 11. eGFR <30 mL/min
  • 12. History of alcoholism or liver impairment
  • 13. Creatine kinase (CK) >1.1 x upper limit of normal (ULN)
  • 14. Aspartate transaminase (AST) or alanine transaminase (ALT) >1.1 x ULN
  • 15. Females who are pregnant or breast feeding or of child­bearing potential and unwilling to use appropriate contraception methods whilst on trial treatment
  • 16. Currently taking any medication contraindicated with simvastatin use
  • 17. Any requirement for statin use
  • 18. Regular participation in endurance or high ­impact sports
  • 19. Unable to abstain from consumption of grapefruit ­based products

研究者

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