To investigate whether 24 months of idebenone may reduce the progression from Prodromal Parkinson disease (PPD) to Parkinson disease (PD).
Number of people suffered from Parkinson disease (PD) is increasing every year. Contemporary medication has little neuroprotective effect, which may due to delayed treatment as over 50% neurons have lost when clinical diagnosed PD emerges. The concept of Prodromal Parkinson disease (PPD) is emphasized as it has become evident that there are several risk and clinical markers may occur years before the cardinal motor symptoms which allow clinical diagnosis. Rapid eye movement (REM) sleep behavior disorder and olfactory dysfunction are the most common PPD, and more than one third of patients may progress to PD and other neurodegenerative diseases. Mitochondrial injury is one of the pathogenesis of PD. Thus we design this trial to investigate whether idebenone, potent coenzyme Q10 analogue, could protect PPD develops into PD.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
30mg tablets three times a day
placebo tablets three times a day
Second Affiliated Hospital of Zhejiang University School of Medicine
Hangzhou, Zhejiang, China
Clinical diagnosis of parkinson disease
based on Movement Disorder Society (MDS) Research Criteria for Prodromal Parkinson's Disease in 2015
Time frame: 24 months
Dopamine transporter positron emission tomography (DAT-PET) change
diminishment of striatal DAT-PET
Time frame: 12 month and 24 month
Quantitative motor testing change
Unified Parkinson Disease Rating Scale, Part III
Time frame: 24 months
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