Effect of Folic Acid in Levodopa Treated Parkinson's Disease Patients

NCT ID: NCT05959044

Last Updated: 2023-09-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-04-16

Study Completion Date

2024-07-16

Brief Summary

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This is a prospective single center, randomized, double-blind, 2 arm placebo-controlled study in subjects with Parkinson's disease receiving levodopa .The patients will be randomized to receive tablet Folic Acid 10 mg per day or placebo for 8 weeks. The safety and efficacy outcome measures will be assessed at baseline and 8 weeks.

Detailed Description

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Parkinson's disease is a progressive neurodegenerative disorder that is caused by degeneration of dopaminergic neuron in the substantia nigra. Most commonly used drug, levodopa can improve the dopamine level in brain but levodapa causes hyperhomocysteinmia as a result increse neurotoxicity,oxidative stress and motor fluctuations and dyskinesia in many patients. Folic acid has been reduced homocystein level in levodopa treated Parkinson's disease on animal model and also reduced Levodopa induced dyskinesia without compromising the motor benefits of Levodopa. Therefore, the present study is to attempt to improve the sign symptoms of Parkinson's disease by giving folic acid along with Levodopa.

This study is a Randomized, Double-Blind, Placebo-Controlled Trial and conducting at Department of Pharmacology, BSMMU in collaboration with Department of Neurology, BSMMU. A total of 60 patients suffering from Parkinson's disease is selected according to inclusion and exclusion criteria. The diagnosis of the patients suffering from Parkinson's disease will be performed by a neurologist at movement disorder clinic of department of Neurology, BSMMU. Patients will undergo MDS-Unified Parkinson's Disease Rating Scale (MDS-UPDRS) to assess the severity of the disease. The patients will be randomly allocated into two arms: control and intervention. Patients in intervention arm consisted of 30 patients who will receive levodopa plus folic acid orally for 8 weeks. On the other hand, control arm consisted of 30 patients who will receive levodopa plus placebo for 8 weeks. The severity of Parkinson's disease will be assessed 8 weeks follow up.

Conditions

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Parkinson 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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Folic acid

30 patinets will receive Orally 5mg tablet two times daily for 8 weeks

Group Type ACTIVE_COMPARATOR

Folic Acid Tablet

Intervention Type DRUG

oral 5mg tablet two times daily for 8 weeks

Control

30 patinets will receive Orally 5mg tablet two times daily for 8 weeks

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

orally 5mg two times daily for 8weeks

Interventions

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Folic Acid Tablet

oral 5mg tablet two times daily for 8 weeks

Intervention Type DRUG

Placebo

orally 5mg two times daily for 8weeks

Intervention Type OTHER

Other Intervention Names

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Vitamin B-9,Folison

Eligibility Criteria

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Inclusion Criteria

* Diagnosed PD patients taking levodopa for at least 6months.
* Mild to moderate Parkinson's disease patient according to Hoehn and Yahr staging, stage -I, II, III
* Homocysteine level ≥ 13 µmol/L

Exclusion Criteria

* Secondary causes of parkinsonism
* Prior stereotactic surgery for PD
* Suffering from active malignancy
* Known hypersensitivity to folic acid
* Multivitamin supplementation within 30 days of enrollment
* Patients taking anticonvulsant, oral contraceptive pill, disease modifying anti-rheumatic drugs
* Pregnancy or lactating mother
* Has any clinically significant medical condition that could interfere with the subject's ability to safely participate in the study or to be followed
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh

OTHER

Sponsor Role lead

Responsible Party

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Dr. Shimu Akter Ayshi

MD Resident

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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BSMMU

Dhaka, , Bangladesh

Site Status RECRUITING

Countries

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Bangladesh

Central Contacts

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Shimu Akter Ayshi, MBBS

Role: CONTACT

+8801553719880

Md.Sayedur Rahman, FCPS, Mphil

Role: CONTACT

+8801712205305

Facility Contacts

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Shimu Akter Ayshi, MBBS

Role: primary

+8801553719880

Md. Sayedur Rahman, FCPS,Mphil

Role: backup

+8801712205305

Other Identifiers

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BSMMU/2023/6247

Identifier Type: -

Identifier Source: org_study_id

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