Intranasal Insulin and Glutathione as an Add-On Therapy in Parkinson's Disease
NOSE-PD
A Randomized, Double-Blind, Placebo-Controlled, Phase II Study to Evaluate the Safety, Tolerability, and Efficacy of Intranasal Insulin and Glutathione as an Add-On Therapy in Subjects With Parkinson's Disease (NOSE-PD)
1 other identifier
interventional
56
1 country
2
Brief Summary
This study will be evaluating the safety and efficacy of insulin and glutathione in subjects with Parkinson's Disease compared to placebo.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2 parkinson-disease
Started Feb 2022
Longer than P75 for phase_2 parkinson-disease
2 active sites
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
February 7, 2022
CompletedFirst Submitted
Initial submission to the registry
February 23, 2022
CompletedFirst Posted
Study publicly available on registry
March 4, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
July 30, 2027
March 31, 2026
March 1, 2026
4.9 years
February 23, 2022
March 30, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Verbal Fluency
F, A and S (FAS) words test
24 Weeks
Secondary Outcomes (10)
Verbal Fluency
28 Weeks
Motor Function
24 Weeks
Motor Function
24 Weeks
Motor Function
24 Weeks
Motor Function
Week 24
- +5 more secondary outcomes
Study Arms (2)
Active
EXPERIMENTALInsulin (Novolin R) and Glutathione (INS-GSH)
Control
PLACEBO COMPARATORPlacebo
Interventions
Intranasal Matched Placebos Twice Daily
Eligibility Criteria
You may qualify if:
- Documented clinical diagnosis of idiopathic PD
- Able to administer study drug or have a caregiver throughout the duration of the study to help administer drug
- Willing to continue diet, exercise and medications reported at baseline consistently throughout participation in the trial. Essential changes are permitted
- If taking PD medications or any nutraceuticals, must be on a stable dose for at least 30 days prior to Screening Visit. Essential changes will be permitted.
- If subject is taking chronic antidepressant or an anxiolytic, must be on a stable dose for at least 90 days prior to Screening. Essential changes will be permitted.
You may not qualify if:
- Clinical diagnosis of Type 1 or Type 2 Diabetes Mellitus
- Glycated hemoglobin (HbA1c) level ≥ 6.5%
- History of symptomatic hypoglycemia and/or documented plasma glucose levels of ≤ 50 mg/dL with symptoms of hypoglycemia.
- Mini-Mental State Exam (MMSE) score of ≤ 24 at Screening
- Positive COVID-19 test at Screening and/or within 30 days of Screening
- Change in or escalation of dose of a chronic therapeutic agent that has the potential to impair cognitive functioning per investigator within the last 8 weeks of Screening or during the study conduct.
- Chronic inflammation of nasal cavity, history of recurrent epistaxis, and/or clinically significant medical history of uncontrolled allergic rhinitis, rhino-conjunctivitis, or house dust mite allergy at Screening that may prevent absorption of study treatments.
- Insufficiently controlled respiratory disease (i.e., asthma, COPD).
- History of any significant neurologic or psychiatric disease other than PD
- Current diagnosis of epilepsy and had a history of seizures as an adult within 1 year of Screening, or unexplained recent loss of consciousness, or history of significant head trauma with loss of consciousness
- History of non-lacunar ischemic and/or hemorrhagic stroke with residual neurologic deficits.
- Unstable or uncontrolled cardiac disease that could expose the subject to additional safety risks
- Use of the following medications: Insulin or any other anti-hyperglycemic agent(s) except if used during isolated gestational diabetes, Supplementation with GSH or any medication shown to increase glutathione
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Institute for Neuroimmune Medicine
Davie, Florida, 33314, United States
Las Mercedes Medical Research
Hialeah, Florida, 33012, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 23, 2022
First Posted
March 4, 2022
Study Start
February 7, 2022
Primary Completion (Estimated)
January 1, 2027
Study Completion (Estimated)
July 30, 2027
Last Updated
March 31, 2026
Record last verified: 2026-03