NCT01364545

Brief Summary

Parkinson's disease is a progressive condition that harms nerve cells of the brain (neurodegeneration). Current treatments for Parkinson's disease (including levodopa and deep brain stimulation) improve certain symptoms but are not thought to improve the underlying neurodegenerative disease process (they are not a "cure"). The cause of Parkinson's disease is unknown. However, some evidence suggests that tiny structures in the investigators cells called "mitochondria" might be involved. Mitochondria are the powerhouses that produce fuel for the investigators cells. Failure of these 'powerhouses' to supply the energy needs of certain nerve cells might lead to Parkinson's disease. Preliminary evidence suggests that a food called 'ketones' might be able to enhance the function of mitochondria and improve Parkinson's disease symptoms and possibly even the neurodegenerative process. In this study, the investigators would like to investigate this possibility by giving patients with Parkinson's disease dietary supplements of 'ketone esters' in a drink. The investigators will then assess if this improves symptoms of Parkinson's disease. The study design is a prospective, double blinded, randomised, controlled trial.

Trial Health

55
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
20

participants targeted

Target at below P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

May 1, 2011

Completed
17 days until next milestone

First Submitted

Initial submission to the registry

May 18, 2011

Completed
15 days until next milestone

First Posted

Study publicly available on registry

June 2, 2011

Completed
11 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2012

Completed
Last Updated

June 2, 2011

Status Verified

May 1, 2011

Enrollment Period

1 year

First QC Date

May 18, 2011

Last Update Submit

June 1, 2011

Conditions

Outcome Measures

Primary Outcomes (1)

  • Unified Parkinson's Disease rating Scale, part III (motor)

    Difference between ketone versus placebo scores

    5 days

Secondary Outcomes (4)

  • Timed motor tasks as per CAPSIT

    5 days

  • Computerised reaction time and cogntive tests

    5 days

  • Unified Parkinson's disease rating scale, parts I, II, IV

    5 days

  • Dopaminergic medication requirements (expressed as levodopa dose equivalent, mg/day)

    5 days

Study Arms (1)

Ketone ester drink Vs placebo drink

OTHER

Ketone ester drink Vs placebo drink (cross over study - all patients will recieve both)

Dietary Supplement: Ketone ester drinkDietary Supplement: Placebo (carbohydrate containing) drink

Interventions

Ketone ester drinkDIETARY_SUPPLEMENT

Ketone drink - milligram per kilogram dose, consumed three times daily (at meal times)

Ketone ester drink Vs placebo drink

Placebo drink - containing carbohydrates, matched in calories to ketone, consumed three times daily

Ketone ester drink Vs placebo drink

Eligibility Criteria

Age42 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients with Primary Parkinson's disease fulfilling UK Brain Bank criteria
  • Age of onset of Parkinson's disease symptoms \> 40 years old
  • Duration of symptoms over 2 years

You may not qualify if:

  • Dementia
  • Active psychosis
  • Deep brain stimulation or apomorphine infusion
  • Severe motor fluctuations
  • Significant metabolic or uncontrolled medical cormorbidity

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

John Radcliffe Hospital

Oxford, Oxfordshire, OX39DU, United Kingdom

RECRUITING

MeSH Terms

Conditions

Parkinson Disease

Condition Hierarchy (Ancestors)

Parkinsonian DisordersBasal Ganglia DiseasesBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesMovement DisordersSynucleinopathiesNeurodegenerative Diseases

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
CROSSOVER
Sponsor Type
OTHER

Study Record Dates

First Submitted

May 18, 2011

First Posted

June 2, 2011

Study Start

May 1, 2011

Primary Completion

May 1, 2012

Last Updated

June 2, 2011

Record last verified: 2011-05

Locations