Trial Outcomes & Findings for Neurobiological Drivers of Mobility Resilience: The Dopaminergic System - Placebo-Controlled Arm (NCT NCT06219915)

NCT ID: NCT06219915

Last Updated: 2025-06-17

Results Overview

Average gait speed as measured using wearable sensors and while walking on a sensor mat. Measured in meters per second.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

13 participants

Primary outcome timeframe

Baseline and post-intervention (7-13 days after beginning supplement)

Results posted on

2025-06-17

Participant Flow

Participants were considered "enrolled" once they signed a consent form. While thirteen participants were consented and therefore enrolled, two failed their screening post-consent. Eleven were randomized and participated in the study.

Participant milestones

Participant milestones
Measure
Carbidopa Monotherapy and Carbidopa-Levodopa
Participants will begin by taking 25mg of Carbidopa monotherapy three times per day (TID) for 3 days. On day four, participants will begin taking 1 tablet of Carbidopa-Levodopa (25/100mg) TID in addition to the Carbidopa monotherapy. On day seven, participants will increase to 1.5 tablets of Carbidopa-Levodopa (25/100mg) TID while maintaining 25mg Carbidopa monotherapy TID. The intervention will end after ten days of supplementation. Carbidopa 25 mg: Participants will take one 25mg Carbidopa tablet 3 times a day for 10 days. Carbidopa-Levodopa 25/100 mg: Participants will take one 25/100mg carbidopa-levodopa tablet 3 times a day on days 4-6, then increase to 1.5 tablets 3 times a day on days 7-10.
Placebo
Participants will begin by taking a 25mg placebo tablet three times per day (TID) for 3 days. On day four, participants will begin taking a separate placebo tablet TID in addition to the original placebo. On day seven, participants will increase to 1.5 tablets of the second placebo TID while maintaining 25mg original placebo TID. The intervention will end after ten days of supplementation. Placebo 1: Participants will take one 25mg placebo tablet 3 times a day for 10 days. Placebo 2: Participants will take one 100mg placebo tablet 3 times a day on days 4-6, then increase to 1.5 tablets 3 times a day on days 7-10.
Overall Study
STARTED
6
5
Overall Study
COMPLETED
6
5
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Neurobiological Drivers of Mobility Resilience: The Dopaminergic System - Placebo-Controlled Arm

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Carbidopa Monotherapy and Carbidopa-Levodopa
n=6 Participants
Participants will begin by taking 25mg of Carbidopa monotherapy three times per day (TID) for 3 days. On day four, participants will begin taking 1 tablet of Carbidopa-Levodopa (25/100mg) TID in addition to the Carbidopa monotherapy. On day seven, participants will increase to 1.5 tablets of Carbidopa-Levodopa (25/100mg) TID while maintaining 25mg Carbidopa monotherapy TID. The intervention will end after ten days of supplementation. Carbidopa 25 mg: Participants will take one 25mg Carbidopa tablet 3 times a day for 10 days. Carbidopa-Levodopa 25/100 mg: Participants will take one 25/100mg carbidopa-levodopa tablet 3 times a day on days 4-6, then increase to 1.5 tablets 3 times a day on days 7-10.
Placebo
n=5 Participants
Participants will begin by taking a 25mg placebo tablet three times per day (TID) for 3 days. On day four, participants will begin taking a separate placebo tablet TID in addition to the original placebo. On day seven, participants will increase to 1.5 tablets of the second placebo TID while maintaining 25mg original placebo TID. The intervention will end after ten days of supplementation. Placebo 1: Participants will take one 25mg placebo tablet 3 times a day for 10 days. Placebo 2: Participants will take one 100mg placebo tablet 3 times a day on days 4-6, then increase to 1.5 tablets 3 times a day on days 7-10.
Total
n=11 Participants
Total of all reporting groups
Age, Continuous
79.0 years
STANDARD_DEVIATION 6.0 • n=5 Participants
76.2 years
STANDARD_DEVIATION 7.1 • n=7 Participants
77.7 years
STANDARD_DEVIATION 6.3 • n=5 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
4 Participants
n=7 Participants
6 Participants
n=5 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
1 Participants
n=7 Participants
5 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
6 Participants
n=5 Participants
4 Participants
n=7 Participants
10 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
6 Participants
n=5 Participants
4 Participants
n=7 Participants
10 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
6 Participants
n=5 Participants
5 Participants
n=7 Participants
11 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline and post-intervention (7-13 days after beginning supplement)

Average gait speed as measured using wearable sensors and while walking on a sensor mat. Measured in meters per second.

Outcome measures

Outcome measures
Measure
Carbidopa Monotherapy and Carbidopa-Levodopa
n=6 Participants
Participants will begin by taking 25mg of Carbidopa monotherapy three times per day (TID) for 3 days. On day four, participants will begin taking 1 tablet of Carbidopa-Levodopa (25/100mg) TID in addition to the Carbidopa monotherapy. On day seven, participants will increase to 1.5 tablets of Carbidopa-Levodopa (25/100mg) TID while maintaining 25mg Carbidopa monotherapy TID. The intervention will end after ten days of supplementation. Carbidopa 25 mg: Participants will take one 25mg Carbidopa tablet 3 times a day for 10 days. Carbidopa-Levodopa 25/100 mg: Participants will take one 25/100mg carbidopa-levodopa tablet 3 times a day on days 4-6, then increase to 1.5 tablets 3 times a day on days 7-10.
Placebo
n=5 Participants
Participants will begin by taking a 25mg placebo tablet three times per day (TID) for 3 days. On day four, participants will begin taking a separate placebo tablet TID in addition to the original placebo. On day seven, participants will increase to 1.5 tablets of the second placebo TID while maintaining 25mg original placebo TID. The intervention will end after ten days of supplementation. Placebo 1: Participants will take one 25mg placebo tablet 3 times a day for 10 days. Placebo 2: Participants will take one 100mg placebo tablet 3 times a day on days 4-6, then increase to 1.5 tablets 3 times a day on days 7-10.
Average Gait Speed
Gait Speed at Baseline
0.97 meters per second
Standard Deviation 0.14
0.86 meters per second
Standard Deviation 0.18
Average Gait Speed
Gait Speed Post-Intervention
1.04 meters per second
Standard Deviation 0.09
0.95 meters per second
Standard Deviation 0.12

SECONDARY outcome

Timeframe: Baseline and post-intervention (7-13 days after beginning supplement)

Cognitive scale designed to capture impairments in cognitive function in Parkinson's disease. (Scoring: 0-134, with higher scores indicating better performance).

Outcome measures

Outcome measures
Measure
Carbidopa Monotherapy and Carbidopa-Levodopa
n=6 Participants
Participants will begin by taking 25mg of Carbidopa monotherapy three times per day (TID) for 3 days. On day four, participants will begin taking 1 tablet of Carbidopa-Levodopa (25/100mg) TID in addition to the Carbidopa monotherapy. On day seven, participants will increase to 1.5 tablets of Carbidopa-Levodopa (25/100mg) TID while maintaining 25mg Carbidopa monotherapy TID. The intervention will end after ten days of supplementation. Carbidopa 25 mg: Participants will take one 25mg Carbidopa tablet 3 times a day for 10 days. Carbidopa-Levodopa 25/100 mg: Participants will take one 25/100mg carbidopa-levodopa tablet 3 times a day on days 4-6, then increase to 1.5 tablets 3 times a day on days 7-10.
Placebo
n=5 Participants
Participants will begin by taking a 25mg placebo tablet three times per day (TID) for 3 days. On day four, participants will begin taking a separate placebo tablet TID in addition to the original placebo. On day seven, participants will increase to 1.5 tablets of the second placebo TID while maintaining 25mg original placebo TID. The intervention will end after ten days of supplementation. Placebo 1: Participants will take one 25mg placebo tablet 3 times a day for 10 days. Placebo 2: Participants will take one 100mg placebo tablet 3 times a day on days 4-6, then increase to 1.5 tablets 3 times a day on days 7-10.
Parkinson's Disease (PD)-Cognitive Rating Scale Score
Baseline
93.83 score on a scale
Standard Deviation 5.91
89.80 score on a scale
Standard Deviation 9.58
Parkinson's Disease (PD)-Cognitive Rating Scale Score
Post-Intervention
95.5 score on a scale
Standard Deviation 8.50
95.20 score on a scale
Standard Deviation 13.52

SECONDARY outcome

Timeframe: Baseline and post-intervention (7-13 days after beginning supplement)

During this test, subjects make steps based on congruent (stimulus prompts the stepping response) and incongruent (stimulus prompts inhibition of the stepping response) arrows and sounds. This will be used to compare the number of incorrect responses (stepping) from pre and post intervention visits to determine if inhibitory control improves (indicated by decrease in number of incorrect responses). The test included 8 total opportunities for response.

Outcome measures

Outcome measures
Measure
Carbidopa Monotherapy and Carbidopa-Levodopa
n=6 Participants
Participants will begin by taking 25mg of Carbidopa monotherapy three times per day (TID) for 3 days. On day four, participants will begin taking 1 tablet of Carbidopa-Levodopa (25/100mg) TID in addition to the Carbidopa monotherapy. On day seven, participants will increase to 1.5 tablets of Carbidopa-Levodopa (25/100mg) TID while maintaining 25mg Carbidopa monotherapy TID. The intervention will end after ten days of supplementation. Carbidopa 25 mg: Participants will take one 25mg Carbidopa tablet 3 times a day for 10 days. Carbidopa-Levodopa 25/100 mg: Participants will take one 25/100mg carbidopa-levodopa tablet 3 times a day on days 4-6, then increase to 1.5 tablets 3 times a day on days 7-10.
Placebo
n=5 Participants
Participants will begin by taking a 25mg placebo tablet three times per day (TID) for 3 days. On day four, participants will begin taking a separate placebo tablet TID in addition to the original placebo. On day seven, participants will increase to 1.5 tablets of the second placebo TID while maintaining 25mg original placebo TID. The intervention will end after ten days of supplementation. Placebo 1: Participants will take one 25mg placebo tablet 3 times a day for 10 days. Placebo 2: Participants will take one 100mg placebo tablet 3 times a day on days 4-6, then increase to 1.5 tablets 3 times a day on days 7-10.
Mean of Number of Incorrect Responses on the Stroop Color Word Stepping Test
Baseline
0.17 Incorrect Responses
Standard Deviation 0.41
0.8 Incorrect Responses
Standard Deviation 1.79
Mean of Number of Incorrect Responses on the Stroop Color Word Stepping Test
Post-Intervention
0.17 Incorrect Responses
Standard Deviation 0.41
0.4 Incorrect Responses
Standard Deviation 0.55

SECONDARY outcome

Timeframe: Baseline and post-intervention (7-13 days after beginning supplement)

During this test, subjects make steps based on congruent (stimulus prompts the stepping response) and incongruent (stimulus prompts inhibition of the stepping response) arrows and sounds. This will be used to compare the response time between pre and post intervention to determine if reaction time improves.

Outcome measures

Outcome measures
Measure
Carbidopa Monotherapy and Carbidopa-Levodopa
n=6 Participants
Participants will begin by taking 25mg of Carbidopa monotherapy three times per day (TID) for 3 days. On day four, participants will begin taking 1 tablet of Carbidopa-Levodopa (25/100mg) TID in addition to the Carbidopa monotherapy. On day seven, participants will increase to 1.5 tablets of Carbidopa-Levodopa (25/100mg) TID while maintaining 25mg Carbidopa monotherapy TID. The intervention will end after ten days of supplementation. Carbidopa 25 mg: Participants will take one 25mg Carbidopa tablet 3 times a day for 10 days. Carbidopa-Levodopa 25/100 mg: Participants will take one 25/100mg carbidopa-levodopa tablet 3 times a day on days 4-6, then increase to 1.5 tablets 3 times a day on days 7-10.
Placebo
n=5 Participants
Participants will begin by taking a 25mg placebo tablet three times per day (TID) for 3 days. On day four, participants will begin taking a separate placebo tablet TID in addition to the original placebo. On day seven, participants will increase to 1.5 tablets of the second placebo TID while maintaining 25mg original placebo TID. The intervention will end after ten days of supplementation. Placebo 1: Participants will take one 25mg placebo tablet 3 times a day for 10 days. Placebo 2: Participants will take one 100mg placebo tablet 3 times a day on days 4-6, then increase to 1.5 tablets 3 times a day on days 7-10.
Mean of Reaction Time During the Stroop Color Word Stepping Test
Baseline
1.84 seconds
Standard Deviation 0.08
2.26 seconds
Standard Deviation 0.41
Mean of Reaction Time During the Stroop Color Word Stepping Test
Post-Intervention
1.85 seconds
Standard Deviation 0.33
1.91 seconds
Standard Deviation 0.27

Adverse Events

Carbidopa Monotherapy and Carbidopa-Levodopa

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Carbidopa Monotherapy and Carbidopa-Levodopa
n=6 participants at risk
Participants will begin by taking 25mg of Carbidopa monotherapy three times per day (TID) for 3 days. On day four, participants will begin taking 1 tablet of Carbidopa-Levodopa (25/100mg) TID in addition to the Carbidopa monotherapy. On day seven, participants will increase to 1.5 tablets of Carbidopa-Levodopa (25/100mg) TID while maintaining 25mg Carbidopa monotherapy TID. The intervention will end after ten days of supplementation. Carbidopa 25 mg: Participants will take one 25mg Carbidopa tablet 3 times a day for 10 days. Carbidopa-Levodopa 25/100 mg: Participants will take one 25/100mg carbidopa-levodopa tablet 3 times a day on days 4-6, then increase to 1.5 tablets 3 times a day on days 7-10.
Placebo
n=5 participants at risk
Participants will begin by taking a 25mg placebo tablet three times per day (TID) for 3 days. On day four, participants will begin taking a separate placebo tablet TID in addition to the original placebo. On day seven, participants will increase to 1.5 tablets of the second placebo TID while maintaining 25mg original placebo TID. The intervention will end after ten days of supplementation. Placebo 1: Participants will take one 25mg placebo tablet 3 times a day for 10 days. Placebo 2: Participants will take one 100mg placebo tablet 3 times a day on days 4-6, then increase to 1.5 tablets 3 times a day on days 7-10.
General disorders
Headache
16.7%
1/6 • 13 days
0.00%
0/5 • 13 days
Cardiac disorders
Blood pressure fluctuations
16.7%
1/6 • 13 days
0.00%
0/5 • 13 days
Psychiatric disorders
Claustrophobia during MRI
16.7%
1/6 • 13 days
0.00%
0/5 • 13 days
Psychiatric disorders
Mild Confusion
0.00%
0/6 • 13 days
20.0%
1/5 • 13 days
Gastrointestinal disorders
Constipation
0.00%
0/6 • 13 days
20.0%
1/5 • 13 days
General disorders
Dizziness
16.7%
1/6 • 13 days
20.0%
1/5 • 13 days
General disorders
Drowsiness
33.3%
2/6 • 13 days
0.00%
0/5 • 13 days
Injury, poisoning and procedural complications
Toe injury
0.00%
0/6 • 13 days
20.0%
1/5 • 13 days
Injury, poisoning and procedural complications
Muscle Strain
0.00%
0/6 • 13 days
20.0%
1/5 • 13 days
Musculoskeletal and connective tissue disorders
Joint Pain
16.7%
1/6 • 13 days
0.00%
0/5 • 13 days

Additional Information

Principle Investigator

University of Michigan

Phone: 734-998-8400

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place