Anti-Diabetic Medications to Fight PD and LBD

NCT ID: NCT06263673

Last Updated: 2026-01-28

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

18 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-05-07

Study Completion Date

2025-01-08

Brief Summary

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The purpose of this study is to test the hypothesis that DPP4 inhibitors and SGLT2 inhibitors are well tolerated and have beneficial neurological effects, specifically for Parkinson's disease and Lewy body dementia.

Detailed Description

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Conditions

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Lewy Body Dementia Parkinson Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Sitagliptin Group

Subjects will receive sitagliptin for the approximately 4-week treatment period.

Group Type EXPERIMENTAL

Sitagliptin

Intervention Type DRUG

100 mg once daily, oral

Dapagliflozin Group

Subjects will receive dapagliflozin for the approximately 4-week treatment period.

Group Type EXPERIMENTAL

Dapagliflozin

Intervention Type DRUG

10 mg once daily, oral

Placebo Group

Subjects will receive placebo for the approximately 4-week treatment period.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Once daily, oral. Looks similar to the study drug, but it contains no active ingredient.

Interventions

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Sitagliptin

100 mg once daily, oral

Intervention Type DRUG

Dapagliflozin

10 mg once daily, oral

Intervention Type DRUG

Placebo

Once daily, oral. Looks similar to the study drug, but it contains no active ingredient.

Intervention Type DRUG

Other Intervention Names

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DPP4 inhibitor therapy SGLT2 inhibitor therapy

Eligibility Criteria

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Inclusion Criteria

* Parkinson's disease or Lewy Body Dementia (diagnosis confirmed by neurologist at Mayo Clinic) with stable neurological treatment in the past approximately three months.
* Glucose intolerance or mild diabetes: The American Diabetes Association criteria for pre-diabetes/ glucose intolerance includes fasting glucose 100-125, random glucose 140-199, or hemoglobin A1C 5.7-6.4% and diabetes is \> 125 mg/dL, \> 200 mg/dL, and 6.5% or greater, respectively (40). It has been previously reported that 50-80% of individuals with Parkinson's disease have abnormal glucose tolerance (17), so this should not limit recruitment.

Exclusion Criteria

* Use of insulin or other anti-diabetes medications other than metformin.
* Contraindication to taking a DPP4 inhibitor or SGLT2 inhibitor including: allergy, history of angioedema, pancreatitis, active gallbladder disease, renal impairment with EGFR \< 45).
* Bleeding disorder, use of anticoagulants, thrombocytopenia, or severe anemia.
* Use of high dose steroids.
* Current systemic chemotherapy.
* Pregnancy or breastfeeding.
* Recent (within 30 days) or recurrent (defined as more than one in the past 12 months) urinary tract infection or yeast infection.
* Other contraindication that would make study participation unsafe or make study related data unable to be interpreted.
Minimum Eligible Age

45 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mayo Clinic

OTHER

Sponsor Role lead

Responsible Party

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Jessica R. Wilson

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jessica Wilson, MD

Role: PRINCIPAL_INVESTIGATOR

Mayo Clinic

Locations

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Mayo Clinic Florida

Jacksonville, Florida, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Related Links

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https://www.mayo.edu/research/clinical-trials/cls-20563911

Fighting Parkinson's Disease and Lewy Body Dementia with Anti-Diabetic Medications

Other Identifiers

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23-008183

Identifier Type: -

Identifier Source: org_study_id

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