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POETRY: Study of Estrogen Replacement Therapy in Postmenopausal Women With Parkinson's Disease

Phase 2
Completed
Conditions
Parkinson's Disease
Interventions
Registration Number
NCT00234676
Lead Sponsor
The Parkinson Study Group
Brief Summary

The primary objectives of the POETRY study are to assess the safety and tolerability of estrogen replacement therapy (ERT) in postmenopausal women with Parkinson's disease (PD) and to assess recruitment for a study of ERT in postmenopausal women with PD.

Detailed Description

POETRY is an 8-week study of 30 post-menopausal women with Parkinson's disease (PD) who will be enrolled at six clinical sites in the United States. The study is designed to measure the safety and tolerability of estrogen replacement therapy (ERT). The study will also measure how ERT affects thinking and behavior, movement and activities of daily living, as well as motor fluctuations and dyskinesias. Although we know there are gender differences in PD, no studies have assessed their impact on symptom management. Women with PD usually require less levodopa, are more likely to experience drug-related dyskinesia, and commonly report changes of their symptoms with menstruation, menopause and use of hormones, implying that hormonal changes may impact PD symptoms. All perimenopausal women face the decision whether or not to use estrogen replacement therapy (ERT) and for women with PD, information about estrogen's effects in PD may facilitate decision-making.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
23
Inclusion Criteria
  • Post-menopausal women with Parkinson's disease who experience levodopa-related motor fluctuations averaging at least 2 hours daily in the "off" state confirmed by home diaries
  • Must be on a stable dose of carbidopa/levodopa, immediate or controlled release therapy, antidepressants, or anxiolytics (for the last 30 days)
Exclusion Criteria
  • Insulin dependent diabetes
  • Thyroid disease

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
1Premarin ®Premarin
Primary Outcome Measures
NameTimeMethod
Safety - Adverse event frequency, vital signs (change from Baseline to Month 2)60 days
Tolerability - Proportion of participants who complete the trial60 days
Secondary Outcome Measures
NameTimeMethod
Motor60 days
Cognition60 days
Behavior60 days
Serum estradiol levels - change from Baseline to Month 260 days

Trial Locations

Locations (6)

The Parkinson's Institute

🇺🇸

Sunnyvale, California, United States

Duke University Medical Center

🇺🇸

Durham, North Carolina, United States

Emory University

🇺🇸

Atlanta, Georgia, United States

University of Maryland

🇺🇸

Baltimore, Maryland, United States

University of Rochester

🇺🇸

Rochester, New York, United States

Indiana University School of Medicine

🇺🇸

Indianapolis, Indiana, United States

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