Olfaction in Patients With Parkinson's Disease Following Treatment With Rasagiline
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Purpose
There is convincing evidence from numerous studies using both psychophysical and electrophysiological approaches that olfaction is markedly reduced in Parkinson´s disease (PD). Data on the prevalence of olfactory dysfunction in PD however, range from 45% and 49% in the pioneering studies of Ansari & Johnson, and Ward, respectively, up to 74% in the work of Hawkes et al., or as high as 90% in a study published by Doty et al. Quality of life, safety, and interpersonal relations, as well as food behavior/nutritional intake are severely altered in a large proportion of patients with olfactory loss. Thus, the same can be assumed in patients with Parkinson's disease. If it was possible to improve olfactory function this would appear as a significant effect in patients with Parkinson's disease. Provided the study would reveal an improvement of olfactory function following therapy with rasagiline, this would have tremendous worldwide impact on the use of this drug. Considering the frequency of PD a very large number of patients would benefit from these findings, especially in terms of quality of life.
| Condition | Intervention | Phase |
|---|---|---|
|
Parkinson´s Disease |
Drug: Azilect 1mg Drug: Placebo |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver) Primary Purpose: Treatment |
| Official Title: | Reversibility of Olfactory Loss in Patients With Idiopathic Parkinson's Disease Following Treatment With Rasagiline |
- olfactory function [ Time Frame: 4 months ] [ Designated as safety issue: No ]
- quality of life [ Time Frame: 4 months ] [ Designated as safety issue: No ]
| Enrollment: | 34 |
| Study Start Date: | May 2009 |
| Study Completion Date: | February 2012 |
| Primary Completion Date: | February 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Rasagiline |
Drug: Azilect 1mg
1 mg daily orally for 120 days
|
| Placebo Comparator: Placebo |
Drug: Placebo
1 mg daily orally for 120 days
|
Eligibility| Ages Eligible for Study: | 18 Years to 64 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Parkinson´s disease, Hoehn & Yahr stage ≤ III
- aged 18-64 yrs
- hyposmia/functional anosmia defined as TDI<30
- written consent
Exclusion Criteria:
- congenital olfactory loss
- significant infections of the nose and nasal sinuses
- diseases/states apart from PD which may significantly affect olfactory function, e.g., asthma, head trauma etc.
- dementia, psychiatric illness, addictive behaviour
- smoker
- severe liver disease
- pregnant or breastfeeding women
- any contraindication for the treatment with Rasagiline
- women without reliable contraception
Contacts and Locations| Germany | |
| University of Dresden Medical School, Smell & Taste Centre, Dept. of Neurology | |
| Dresden, Germany, 01307 | |
| Principal Investigator: | Heinz Reichmann, MD, PhD | University of Dresden Medical School |
More Information
No publications provided
| Responsible Party: | Dresden University of Technology |
| ClinicalTrials.gov Identifier: | NCT00902941 History of Changes |
| Other Study ID Numbers: | TUD-Olfact-035, 2008-005085-30 |
| Study First Received: | May 13, 2009 |
| Last Updated: | February 6, 2012 |
| Health Authority: | Germany: Federal Institute for Drugs and Medical Devices |
Keywords provided by Dresden University of Technology:
|
Parkinson´s disease olfaction rasagiline smell testing |
Additional relevant MeSH terms:
|
Parkinson Disease Parkinsonian Disorders Basal Ganglia Diseases Brain Diseases Central Nervous System Diseases Nervous System Diseases Movement Disorders Neurodegenerative Diseases Rasagiline |
Monoamine Oxidase Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Neuroprotective Agents Protective Agents Physiological Effects of Drugs Central Nervous System Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on May 19, 2013