Oxidative Stress is an Important Cause of Parkinson's Disease
Conditions
Brief summary
On May 30,2018 ,Investigators intend to conduct a multicenter, randomized, double-blind, placebo-controlled study of idebenone in the treatment of early-stage Parkinson's disease with motor and non-motor symptoms which is to observe the therapeutic effect of idebenone on motor symptoms and non-motor symptoms in patients with early Parkinson's disease。
Detailed description
This clinical trail was a multicenter, parallel, randomized, double-blind, placebo-controlled study led by Professor Liu Chunfeng from the Second Affiliated Hospital of Suzhou University which consisted of 15 sub-centers with a total of 180 subjects. This clinical study is divided into two phases: The first stage: double-blind period, 24 weeks. Three queues containing idebenone 180 mg/d,360 mg/d and placebo. The second stage: open label extension period, 24 weeks. All enrolled participants continued to take idebenone 180 mg/d to study the long-term effects of idebenone.
Interventions
The two control group will be given Idebenone in two different doses,and the placebo group will be given placebo
Sponsors
Study design
Eligibility
Inclusion criteria
* (1) Male or female, age \> 30 years old, ≤ 80 years old; * (2) Conforms to the Diagnostic Criteria for Parkinson's Disease developed by the 2015 International Association of Sports Disabilities (MDS); * (3) Patients with early Parkinson's disease, duration \<3 years, Hoehn-Yahr classification:1-3, MMSE scale score ≥ 24 points; * (4)Receiving a stable dose of dopamine agonist or monoamine oxidase type B inhibitor for treatment before the enrollment; * (5) The subjects need to sign the Informed Consent Form(ICF)
Exclusion criteria
* (1)Patients with disturbance of consciousness, aphasia and mental illness; patients with major depression (HAD scale score ≥ 15 points) * (2)Patients with Parkinson's superimposition syndrome and patients with secondary Parkinson's syndrome (hepatolenticular degeneration, hepatic encephalopathy, cerebellar disease, hydrocephalus, parathyroid disease, etc.) * (3)Patients who have long-term use of dopamine blockers (such as potent neuroleptics, sibutramine, reserpine, metoclopramide, etc.); * (4)Patients who have taken coenzyme Q10 or idebenone within three months; * (5) Patients taking amantadine and levodopa need to stop taking the drug for more than one month before the enrollment; * (6)Patients with severe cardiopulmonary dysfunction, liver and kidney dysfunction (more than 3 times normal); * (7)Patients who cannot cooperate with the neuropsychological test; * (8) Patients with poor compliance, not following the prescribed treatment regimen.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of the efficacy on motor symptoms and non-motor symptoms | 48weeks | UPDRS-III Hoehn-Yahr classification Olfactory function test Anxiety and depression: Anxiety and Depression Scale (HAD) |