Cross-sectional Study of Vitamin B6 in Parkinson's Disease
A Cross-sectional Study of Serum Vitamin B6 Levels in People Living With Parkinson's Disease
1 other identifier
observational
288
1 country
1
Brief Summary
The purpose of this study is to estimate the prevalence of abnormal serum levels of vitamin B6, and the associations of those levels with demographic and clinical variables in a randomly selected sample of people living with Parkinson's disease, compared to historical controls.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Jul 2024
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 30, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
February 15, 2026
CompletedFirst Submitted
Initial submission to the registry
February 17, 2026
CompletedFirst Posted
Study publicly available on registry
February 24, 2026
CompletedFebruary 27, 2026
February 1, 2026
12 months
February 17, 2026
February 23, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Serum levels of vitamin B6 (Fasting)
nmol/L (log-transformed)
At enrollment
Secondary Outcomes (30)
Age
At enrollment
Sex
At enrollment
Race
At enrollment
Ethnicity
At enrollment
Body mass index
At enrollment
- +25 more secondary outcomes
Other Outcomes (7)
Vitamin B6 supplementation
Between enrollment and 6 months after enrollment
Dosage of vitamin B6 supplementation
Between enrollment and 6 months after enrollment
Duration of vitamin B6 supplementation
Between enrollment and 6 months after enrollment
- +4 more other outcomes
Study Arms (2)
People living with Parkinson's disease
144 people living with Parkinson's disease randomly selected from a Movement Disorders Clinic in Rochester, NY, USA
Historical controls
144 matched controls from the National Health and Nutrition Examination Survey (NHANES)
Eligibility Criteria
* Participants will be randomly selected from the people living with Parkinson's disease who are followed at the Movement Disorders Clinic at the University of Rochester in Rochester, NY, USA. * Matched historical controls will be randomly selected from the publicly available National Health and Nutrition Examination Survey.
You may qualify if:
- People with a clinical diagnosis of Parkinson's disease according to the diagnostic criteria of the Movement Disorders Society \[Postuma 2015\].
- Participants are ≥ 18 years old.
- As determined by the study investigators, participants are able to communicate at a level sufficient to undergo study interviews.
- As determined by the study investigators, participants have the capacity to provide written informed consent and the ability to comply with all study procedures.
You may not qualify if:
- People expected to have abnormal vitamin B6 levels due to underlying conditions (renal disease, bowel disease, rheumatoid arthritis).
- People taking medications (other than levodopa) expected to interfere with B6 levels (steroids, cycloserine, hydralazine, isoniazid, theophylline, penicillamine).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Movement Disorders Clinic, University of Rochester Medical Center
Rochester, New York, 14618, United States
Related Publications (16)
Wise A, Lemus HN, Fields M, Swan M, Bressman S. Refractory Seizures Secondary to Vitamin B6 Deficiency in Parkinson Disease: The Role of Carbidopa-Levodopa. Case Rep Neurol. 2022 Jun 27;14(2):291-295. doi: 10.1159/000525234. eCollection 2022 May-Aug.
PMID: 35949204BACKGROUNDTardy AL, Pouteau E, Marquez D, Yilmaz C, Scholey A. Vitamins and Minerals for Energy, Fatigue and Cognition: A Narrative Review of the Biochemical and Clinical Evidence. Nutrients. 2020 Jan 16;12(1):228. doi: 10.3390/nu12010228.
PMID: 31963141BACKGROUNDSardoeira A, Vila-Cha N, Corra M, Sousa AP, Maetzler W, Maia LF. Reply: Vitamins B6 and B12, levodopa, and their complex interactions in patients with Parkinson's disease. Brain. 2022 Sep 14;145(9):e79-e80. doi: 10.1093/brain/awac248. No abstract available.
PMID: 35802498BACKGROUNDRomagnolo A, Merola A, Artusi CA, Rizzone MG, Zibetti M, Lopiano L. Levodopa-Induced Neuropathy: A Systematic Review. Mov Disord Clin Pract. 2018 Nov 8;6(2):96-103. doi: 10.1002/mdc3.12688. eCollection 2019 Feb.
PMID: 30838307BACKGROUNDRajabally YA, Martey J. Neuropathy in Parkinson disease: prevalence and determinants. Neurology. 2011 Nov 29;77(22):1947-50. doi: 10.1212/WNL.0b013e31823a0ee4. Epub 2011 Nov 2.
PMID: 22049200BACKGROUNDPostuma RB, Berg D, Stern M, Poewe W, Olanow CW, Oertel W, Obeso J, Marek K, Litvan I, Lang AE, Halliday G, Goetz CG, Gasser T, Dubois B, Chan P, Bloem BR, Adler CH, Deuschl G. MDS clinical diagnostic criteria for Parkinson's disease. Mov Disord. 2015 Oct;30(12):1591-601. doi: 10.1002/mds.26424.
PMID: 26474316BACKGROUNDMorris MS, Picciano MF, Jacques PF, Selhub J. Plasma pyridoxal 5'-phosphate in the US population: the National Health and Nutrition Examination Survey, 2003-2004. Am J Clin Nutr. 2008 May;87(5):1446-54. doi: 10.1093/ajcn/87.5.1446.
PMID: 18469270BACKGROUNDModica JS, Dery C, Canissario R, Logigian E, Bonno D, Stanton M, Dupre N, McDermott MP, Bouchard M, Lang AE, Lizarraga KJ. A systematic review of the potential consequences of abnormal serum levels of vitamin B6 in people living with Parkinson's disease. J Neurol Sci. 2023 Jul 15;450:120690. doi: 10.1016/j.jns.2023.120690. Epub 2023 May 18.
PMID: 37210937BACKGROUNDModica JS, Bonno D, Lizarraga KJ. Pearls and Oy-sters: Vitamin B6 deficiency presenting with new-onset epilepsy and status epilepticus in a patient with Parkinson disease. Neurology. 2020 Jun 16;94(24):e2605-e2607. doi: 10.1212/WNL.0000000000009647. Epub 2020 May 28. No abstract available.
PMID: 32467131BACKGROUNDLizarraga KJ, Lang AE. Vitamins B6 and B12, levodopa, and their complex interactions in patients with Parkinson's disease. Brain. 2022 Sep 14;145(9):e77-e78. doi: 10.1093/brain/awac225. No abstract available.
PMID: 35802009BACKGROUNDJameson HD. Pyridoxine for levodopa-induced dystonia. JAMA. 1970 Mar 9;211(10):1700. No abstract available.
PMID: 5467095BACKGROUNDGhavanini AA, Kimpinski K. Revisiting the evidence for neuropathy caused by pyridoxine deficiency and excess. J Clin Neuromuscul Dis. 2014 Sep;16(1):25-31. doi: 10.1097/CND.0000000000000049.
PMID: 25137514BACKGROUNDDuvoisin RC, Yahr MD, Cote LD. Pyridoxine reversal of L-dopa effects in Parkinsonism. Trans Am Neurol Assoc. 1969;94:81-4. No abstract available.
PMID: 5374494BACKGROUNDCorra MF, Vila-Cha N, Sardoeira A, Hansen C, Sousa AP, Reis I, Sambayeta F, Damasio J, Calejo M, Schicketmueller A, Laranjinha I, Salgado P, Taipa R, Magalhaes R, Correia M, Maetzler W, Maia LF. Peripheral neuropathy in Parkinson's disease: prevalence and functional impact on gait and balance. Brain. 2023 Jan 5;146(1):225-236. doi: 10.1093/brain/awac026.
PMID: 35088837BACKGROUNDCanissario R, Stanton M, Modica JS, Logigian EL, Lizarraga KJ. Neuropathy due to coexistent vitamin B12 and B6 deficiencies in patients with Parkinson's disease: A case series. J Neurol Sci. 2021 Nov 15;430:120028. doi: 10.1016/j.jns.2021.120028. Epub 2021 Oct 12. No abstract available.
PMID: 34662813BACKGROUNDBirnbaum AK, Leppik IE, Svensden K, Eberly LE. Prevalence of epilepsy/seizures as a comorbidity of neurologic disorders in nursing homes. Neurology. 2017 Feb 21;88(8):750-757. doi: 10.1212/WNL.0000000000003629. Epub 2017 Jan 20.
PMID: 28108639BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Karlo J Lizarraga, MD, MS
University of Rochester
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- CROSS SECTIONAL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor of Neurology
Study Record Dates
First Submitted
February 17, 2026
First Posted
February 24, 2026
Study Start
July 1, 2024
Primary Completion
June 30, 2025
Study Completion
February 15, 2026
Last Updated
February 27, 2026
Record last verified: 2026-02
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, ICF