NET-PD LS-1 Creatine in Parkinson's Disease

NCT ID: NCT00449865

Last Updated: 2015-04-02

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

1741 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-03-31

Study Completion Date

2014-05-31

Brief Summary

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The purpose of this trial is to determine if the nutritional supplement creatine slows the progression of Parkinson's disease over time.

Detailed Description

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Parkinson's disease (PD) affects nearly a million Americans, a number that will increase over the coming decades as the population ages. Symptoms of PD may include tremor, rigidity or stiffness of the limbs and trunk, slowness of movement, and impaired balance and coordination. These problems occur because as PD worsens, some of the brain cells that control body movement die.

This study will determine if creatine--an investigational compound--is able to slow the progression of PD. Creatine, a widely used dietary supplement is thought to improve exercise performance. In animal models and human studies, creatine has been shown to be well tolerated and may have some ability to protect brain cells.

In the NET-PD LS-1 study, 1,720 participants will be randomly assigned to receive either creatine or a placebo (inactive substance). Participation in this study lasts a minimum of 5 years and includes at least 9 follow-up clinic visits and at least 3 telephone calls.

Conditions

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Parkinson's Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Placebo

Group Type PLACEBO_COMPARATOR

placebo

Intervention Type OTHER

an inactive substance

creatine

Group Type ACTIVE_COMPARATOR

creatine

Intervention Type DRUG

Creatine, a widely used dietary supplement is thought to improve exercise performance. In animal models and human studies, creatine has been shown to be well tolerated and may have some ability to protect brain cells.

The study is comparing creatine 5 grams twice daily with placebo.

Interventions

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creatine

Creatine, a widely used dietary supplement is thought to improve exercise performance. In animal models and human studies, creatine has been shown to be well tolerated and may have some ability to protect brain cells.

The study is comparing creatine 5 grams twice daily with placebo.

Intervention Type DRUG

placebo

an inactive substance

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Willing and able to give informed consent and willing to commit to long-term follow-up
* PD (asymmetric features including slowness (bradykinesia) plus resting tremor and/or rigidity) within 5 years of diagnosis
* Treated/responsive to dopaminergic therapy (dopamine agonists or levodopa) for at least 90 days, but not more than 2 years.

Exclusion Criteria

* Use of creatine 14 days prior to baseline or during the study
* History of known hypersensitivity or intolerability to creatine
* Any unstable or clinically significant condition that would impair the subject's ability to comply with long term study follow-up
* Other know or suspected causes of parkinsonism (e.g. metabolic, drug induced, etc.), or any significant features suggestive of a diagnosis of atypical parkinsonism.
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Neurological Disorders and Stroke (NINDS)

NIH

Sponsor Role collaborator

University of Rochester

OTHER

Sponsor Role lead

Responsible Party

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Karl Kieburtz

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Karl Kieburtz, MD

Role: PRINCIPAL_INVESTIGATOR

Coordination Center

Barbara Tilley, PhD

Role: PRINCIPAL_INVESTIGATOR

Statistics Center

Locations

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University Of Alabama, Birmingham, 350 Sparks Center, 1720 7th Avenue South

Birmingham, Alabama, United States

Site Status

Barrow Neurological Clinics At, St Joseph's Hospital & Medical Center, 500 West Thomas Road Suite 720,

Phoenix, Arizona, United States

Site Status

Parkinson's & Movement Disorder Institute, 9940 Talbert Avenue, Suite 204,

Fountain Valley, California, United States

Site Status

University Of Southern California, Healthcare Consultation Building II, 1520 San Pablo Street Suite 3000

Los Angeles, California, United States

Site Status

University Of California San Francisco, Parkinson's Disease Clinic And Research Cen, 505 Parnassus Avenue M-798

San Francisco, California, United States

Site Status

The Parkinson's Institute, 675 Almanor Avenue

Sunnyvale, California, United States

Site Status

University Of Colorado Health Sciences Ctr, 4200 East 9th Avenue Campus Box C238, Department Of Clinical Pharmacy

Denver, Colorado, United States

Site Status

Neurodegenerative Disorders, 60 Temple Street Suite 8b

New Haven, Connecticut, United States

Site Status

VA Medical Center, 1601 Southwest Archer Road, Neurology Service (151)

Gainesville, Florida, United States

Site Status

University Of Florida, Mcknight Brain Institute, 100 South Newell Drive Room L3-100

Gainesville, Florida, United States

Site Status

University Of Florida Jacksonville, 580 West 8th Street, Tower 1 8th Floor,

Jacksonville, Florida, United States

Site Status

University Of Miami, 1501 North West 9th Avenue Second Floor, Department Of Neurology D4-5

Miami, Florida, United States

Site Status

University Of South Florida, Movement Disorders Center, 5 Tampa General Circle Suite 410

Tampa, Florida, United States

Site Status

Emory University, Wesley Woods Health Center, 1841 Clifton Road NE Room 328

Atlanta, Georgia, United States

Site Status

Medical College Of Georgia, Movement Disorders Clinic, 1429 Harper Street HF 1121

Augusta, Georgia, United States

Site Status

Pacific Health Research Institute, 405 North Kuakini Street, Suite 1011,

Honolulu, Hawaii, United States

Site Status

Northwestern University, 710 North Lake Shore Drive

Chicago, Illinois, United States

Site Status

Rush University Medical Center, Department Of Neurological Sciences, 1725 West Harrison Suite 755,

Chicago, Illinois, United States

Site Status

Evanston Northwestern Healthcare, Department Of Neurology, 2100 Pfingsten Road Suite B110

Glenview, Illinois, United States

Site Status

Southern Illinois University School Of Medicine, PO Box 19645

Springfield, Illinois, United States

Site Status

Indiana University School Of Medicine, Outpatient Clinical Research Facility, 535 Barnhill Drive Room #150

Indianapolis, Indiana, United States

Site Status

University Of Kansas Medical Center, 3599 Rainbow Blvd, Department Of Neurology Mail Stop # 2012

Kansas City, Kansas, United States

Site Status

University Of Kentucky Clinical Research, C201 Kentucky Clinic, 740 South Limestone Street

Lexington, Kentucky, United States

Site Status

Ochsner Clinic Foundation, 1514 Jefferson Highway, Dept. Of Neurology 7th Floor

New Orleans, Louisiana, United States

Site Status

LSU Health Science Center Shreveport, 1501 Kings Highway, Room 3-436

Shreveport, Louisiana, United States

Site Status

University Of Maryland School Of Medicine, Department Of Neurology, 22 South Greene Street N4W46

Baltimore, Maryland, United States

Site Status

Johns Hopkins University, 601 North Caroline Street, Suite 5064

Baltimore, Maryland, United States

Site Status

Brigham & Women's Hospital, Neurology Department ASB2, 75 Francis Street

Boston, Massachusetts, United States

Site Status

Beth Israel Deaconess Medical Center, 330 Brookline Avenue Shapiro 809D

Boston, Massachusetts, United States

Site Status

University Of Michigan, 1500 E Medical Center Drive, B1 H202 Nuclear Medicine,

Ann Arbor, Michigan, United States

Site Status

Michigan State University, Department Of Neurology A217 Clinical Center, 138 Service Road

East Lansing, Michigan, United States

Site Status

Struthers Parkinson's Center, 6701 Country Club Drive,

Golden Valley, Minnesota, United States

Site Status

Washington University School Of Medicine, 660 South Euclid Avenue, Campus 8111,

St Louis, Missouri, United States

Site Status

Dartmouth Hitchcock Medical Center, One Medical Center Drive, 2 Buck Road

Lebanon, New Hampshire, United States

Site Status

UMDNJ Robert Wood Johnson Medical School, Dept Of Neurology Suite 6100, 125 Paterson Street

New Brunswick, New Jersey, United States

Site Status

SUNY Downstate Medical Center, 450 Clarkson Avenue, Department Of Neurology Box 1213

Brooklyn, New York, United States

Site Status

Northshore-LIJ Health System, The Feinstein Institute FPR Medical Research, 350 Community Drive Room,

Manhasset, New York, United States

Site Status

Duke University Medical Center, Duke Health Center At Morreene Road, 932 Morreene Road Room 213,

Durham, North Carolina, United States

Site Status

OHSU Oregon Health &Science University, Department Of Neurology, 3181 South West Sam Jackson Park Road

Portland, Oregon, United States

Site Status

Thomas Jefferson University, 1015 Chestnut Street Suite 520

Philadelphia, Pennsylvania, United States

Site Status

University of Pennsylvania; Pennsylvania Hospital, Penn Neurological Institute, 330 South Ninth Street

Philadelphia, Pennsylvania, United States

Site Status

Thomas Jefferson University/Lankenau Hospital, Lankenau Medical Building Suite 161 East, 100 Lancaster Avenue

Wynnewood, Pennsylvania, United States

Site Status

Medical University Of South Carolina, Charleston Memorial Hospital, 326 Calhoun Street Suite 308

Charleston, South Carolina, United States

Site Status

Vanderbilt University Medical Center, 2311 Pierce Avenue, Room 2217,

Nashville, Tennessee, United States

Site Status

University Of Texas Southwestern Med Ctr. At Dallas, 5323 Harry Hines Boulevard H1-108

Dallas, Texas, United States

Site Status

Baylor College Of Medicine, 6550 Fannin Suite 1801

Houston, Texas, United States

Site Status

University Of Vermont, Department Of Neurology , Given Building C-219, 89 Beaumont Avenue

Burlington, Vermont, United States

Site Status

University Of Virginia Neurology Fontaine, Department Of Neurology, 500 Ray C Hunt Drive

Charlottesville, Virginia, United States

Site Status

University Of Calgary Movement Disorders Program, Dept Of Clin Neurosciences Area 3 Neurology, 3350 Hospital DR NW Health Sciences Centre

Calgary, Alberta, Canada

Site Status

University Of Alberta, 10230-111 Avenue Room 0601, Movement Disorders Clinic Glenrose Rehab Hospital

Edmonton, Alberta, Canada

Site Status

Countries

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United States Canada

References

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Leehey M, Luo S, Sharma S, Wills AA, Bainbridge JL, Wong PS, Simon DK, Schneider J, Zhang Y, Perez A, Dhall R, Christine CW, Singer C, Cambi F, Boyd JT. Association of metabolic syndrome and change in Unified Parkinson's Disease Rating Scale scores. Neurology. 2017 Oct 24;89(17):1789-1794. doi: 10.1212/WNL.0000000000004572. Epub 2017 Sep 29.

Reference Type DERIVED
PMID: 28972194 (View on PubMed)

Wills AM, Li R, Perez A, Ren X, Boyd J; NINDS NET-PD Investigators. Predictors of weight loss in early treated Parkinson's disease from the NET-PD LS-1 cohort. J Neurol. 2017 Aug;264(8):1746-1753. doi: 10.1007/s00415-017-8562-4. Epub 2017 Jul 15.

Reference Type DERIVED
PMID: 28712000 (View on PubMed)

Augustine EF, Dorsey ER, Hauser RA, Elm JJ, Tilley BC, Kieburtz KK. Communicating with participants during the conduct of multi-center clinical trials. Clin Trials. 2016 Dec;13(6):592-596. doi: 10.1177/1740774516665596. Epub 2016 Aug 29.

Reference Type DERIVED
PMID: 27573636 (View on PubMed)

Wills AM, Perez A, Wang J, Su X, Morgan J, Rajan SS, Leehey MA, Pontone GM, Chou KL, Umeh C, Mari Z, Boyd J; NINDS Exploratory Trials in Parkinson Disease (NET-PD) Investigators. Association Between Change in Body Mass Index, Unified Parkinson's Disease Rating Scale Scores, and Survival Among Persons With Parkinson Disease: Secondary Analysis of Longitudinal Data From NINDS Exploratory Trials in Parkinson Disease Long-term Study 1. JAMA Neurol. 2016 Mar;73(3):321-8. doi: 10.1001/jamaneurol.2015.4265.

Reference Type DERIVED
PMID: 26751506 (View on PubMed)

Writing Group for the NINDS Exploratory Trials in Parkinson Disease (NET-PD) Investigators; Kieburtz K, Tilley BC, Elm JJ, Babcock D, Hauser R, Ross GW, Augustine AH, Augustine EU, Aminoff MJ, Bodis-Wollner IG, Boyd J, Cambi F, Chou K, Christine CW, Cines M, Dahodwala N, Derwent L, Dewey RB Jr, Hawthorne K, Houghton DJ, Kamp C, Leehey M, Lew MF, Liang GS, Luo ST, Mari Z, Morgan JC, Parashos S, Perez A, Petrovitch H, Rajan S, Reichwein S, Roth JT, Schneider JS, Shannon KM, Simon DK, Simuni T, Singer C, Sudarsky L, Tanner CM, Umeh CC, Williams K, Wills AM. Effect of creatine monohydrate on clinical progression in patients with Parkinson disease: a randomized clinical trial. JAMA. 2015 Feb 10;313(6):584-93. doi: 10.1001/jama.2015.120.

Reference Type DERIVED
PMID: 25668262 (View on PubMed)

Other Identifiers

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CRC

Identifier Type: -

Identifier Source: secondary_id

U01NS043128

Identifier Type: NIH

Identifier Source: secondary_id

View Link

U01NS43128 NET-PD

Identifier Type: -

Identifier Source: org_study_id

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