Parkinson Disease
Conditions
Brief summary
Parkinson's disease (PD) is one of the most common neurodegenerative diseases characterized by the progressive loss of dopaminergic (DA) neurons in the substantia nigra compacta (SNc) and aggregation of Lewy bodies in neurons. Although aging, oxidative damage and neuroinflammation have been recognized to play crucial roles in the pathogenesis of PD, the precise etiology remains obscure. Emerging evidence suggests PD is a systemic metabolic disease, and metabolic abnormality correlates with functional alternations in PD
Interventions
levodopa-carbidopa is the standard therapy used in Parkinson's disease
Metformin, a biguanide family member commonly used in treatment for type 2 diabetes, appears to increase liver and peripheral tissue sensitivity to insulin as well as reduce hepatic glucose production
Sponsors
Study design
Masking description
double-blind
Eligibility
Inclusion criteria
Age ≥ 18 years Both males and females will be included Negative pregnancy test and effective contraception. Diagnosed Parkinson's disease patient taking Levodopa
Exclusion criteria
Secondary causes of Parkinsonism Diabetic patients Patients taking anti-inflammatory drugs Atypical parkinsonian syndromes Prior stereotaxic surgery for Parkinson's disease Pregnancy and lactation Suffering from active malignancy Addiction to alcohol and/or drugs Known allergy to the studied medications
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| • The primary endpoint is the change in The Unified Parkinson's Disease Rating Scale (UPDRS) | 3 months | • The primary endpoint is the change in the Unified Parkinson's Disease Rating Scale (UPDRS |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The secondary endpoint is estimated by changes in serum biomarkers. | 3 months | The secondary endpoint is estimated by changes in serum biomarkers such as brain derived neurotropic factor |
Countries
Egypt