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Effect of Rasagiline on Balance in Parkinson's Disease as Measured by Computerized Posturography

Not Applicable
Withdrawn
Conditions
PARKINSON DISEASE (Disorder)
Interventions
Diagnostic Test: computerized dynamic posturography
Drug: Placebo
Registration Number
NCT07077187
Lead Sponsor
New York Medical College
Brief Summary

This study evaluates the effect of rasagiline on balance in Parkinson's disease. Participants taking study medication which is rasagiline or sugar pill will undergo a computerized balance test on and off medication. Participants will stand on a platform which which moves slightly and a computer will measure their body sway and provide a balance score.

Detailed Description

The study will test the hypothesis that therapy with rasagiline improves balance in PD patients as measured by computerized dynamic posturography. 5 subjects will be randomized to rasagiline or placebo and 5 further subjects will be randomized to rasagiline as adjuvant therapy versus placebo. Subjects will be analyzed by computerized dynamic posturography testing. The device measures body sway under varying visual and vestibular cues and is used for assessment of balance

Recruitment & Eligibility

Status
WITHDRAWN
Sex
All
Target Recruitment
Not specified
Inclusion Criteria
  1. 18 years old or above
  2. Clinical diagnosis of Parkinson disease by verified by movement disorders expert at the initial study visit with at least two cardinal signs of the disease (rest tremor, bradykinesia, rigidity, and postural instability).
  3. For the monotherapy arm, patients must not be on amantadine, dopamine agonists, or levodopa. For the adjuvant therapy arm: Patients must be on a stable dose of their current medication for treatment of Parkinson disease which may include any combination of the following: amantadine, trihexiphenydil, dopamine agonist, and/or levodopa.
  4. Patients may continue their stable dose of tricyclic, selective serotonin reuptake inhibitor, or serotonin norepinephrine reuptake inhibitor if they are on these medications at randomization.
Exclusion Criteria
  1. Catechol-O-Methyltransferase (COMT) inhibitor therapy use 30 days prior to start of study (both study arms).
  2. Dopamine receptor blocker use (such as quetiapine) one week prior to taking study drug
  3. For both monotherapy and adjuvant therapy arms: use of MAO inhibitor therapy including selegiline or rasagiline within 30 days prior to taking study drug and first posturography evaluation.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Rasagiline monotherapycomputerized dynamic posturographyParticipants will be taking rasagiline 1 mg oral tablet daily
placebo monotherapycomputerized dynamic posturographyParticipants will be taking placebo 1 mg orally daily.
Rasagiline monotherapyRasagiline 1 mg capsuleParticipants will be taking rasagiline 1 mg oral tablet daily
placebo monotherapyPlaceboParticipants will be taking placebo 1 mg orally daily.
placebo adjuvant therapycomputerized dynamic posturographyParticipants will be taking placebo 1 mg orally daily as adjuvant therapy in addition to their stable existing Parkinson disease medication.
rasagiline adjuvant therapycomputerized dynamic posturographyParticipants will be taking rasagiline 1 mg orally daily as adjuvant therapy in addition to their stable existing Parkinson disease medication.
rasagiline adjuvant therapyRasagiline 1 mg capsuleParticipants will be taking rasagiline 1 mg orally daily as adjuvant therapy in addition to their stable existing Parkinson disease medication.
placebo adjuvant therapyPlaceboParticipants will be taking placebo 1 mg orally daily as adjuvant therapy in addition to their stable existing Parkinson disease medication.
Primary Outcome Measures
NameTimeMethod
Computerized Dynamic Posturography Strategy Composite Score8 weeks

Change from baseline to week 8 measurement of Computerized Dynamic Posturography Strategy Composite Score will be compared among the 4 arms of the study.

Secondary Outcome Measures
NameTimeMethod

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