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How Clinical Trials Work

Thank you for your interest in learning more about Parkinson’s disease clinical trials! Every day, academic institutions, pharmacological organizations and private research facilities across the country are diligently working on making breakthroughs in the study of PD in various clinical trials.

Here’s a look at what a clinical trial for Parkinson’s disease might involve:

A principal investigator, or PI, is the physician in charge of the clinical trial, who is responsible for coordinating, managing and overseeing the clinical study. That individual carries out what is called a protocol.

Protocol is a document that describes how the trial is designed, and outlines how it should be carried out.

Clinical trials, also called research studies or clinical studies, can be either interventional, or non-interventional. Interventional studies mean that they test out an intervention, like a drug, procedure or medical device. Non-interventional studies, also called observational studies, don’t test potential treatments. Instead, researchers observe the participants over a period of time, and track health outcomes. 

Understanding Parkinson’s Disease (PD)

Parkinson’s disease is a neurodegenerative disorder of the brain which causes uncontrolled movements such as shaking (tremors), stiffness, and challenges to balance and coordination. Symptoms may begin gradually, but PD’s effects on the central nervous system are chronic (meaning persistent), as well as progressive (meaning they worsen over time). In addition to motor- or movement-related symptoms, patients with PD also experience non-motor symptoms such as cognitive impairment, mood/behavioral issues, sleep disorders, and even GI disruptions like constipation, which can significantly impair quality of life. Some non-motor symptoms can even precede the motor symptoms by several years.1.

HOW IS IT TREATED?

Although there is no cure for Parkinson’s, there are medicines, surgical interventions and other treatments that may help patients manage some of the symptoms. Currently, the main therapy for Parkinson’s disease treatment is levodopa, which is converted to dopamine in the nerve cells to replenish the brain’s dwindling supply. Though taken in tandem with other drugs to help manage some of its side effects, a frequent unwanted effect of remaining on levodopa for patients can be dyskinesia, or involuntary, writhing, erratic movements of the face, arms, legs or torso. As a result, in recent years many people have turned to clinical trials to shed more light on this condition, and how best to navigate it.2.

HOPE FOR THE FUTURE

Parkinson’s disease generally affects people aged 60 or over, but it can begin as early as your 30s or 40s in certain patients, so there is a real need for treatment options that don’t solely involve prolonged levodopa reliance. Every day, research teams all across the country are studying new ways to treat PD. That’s why an anti-inflammatory investigational treatment with the ability to reduce inflammation in the brain, and which may help improve motor and non-motor symptoms, would be a potentially significant development. Clinical trials play a key role in determining the efficacy of those novel treatments, and helping to get them to market.

  1. Source: https://www.ninds.nih.gov/current-research/focus-disorders/parkinsons-disease-research/parkinsons-disease-challenges-progress-and-promise#:~:text=Approximately%20500%2C000%20Americans%20are%20diagnosed,1%20million%20Americans%20have%20PD
  2. Source: https://www.parkinson.org/understanding-parkinsons/statistics