Parkinson's disease affects around one million Americans, causing tremor, stiffness, and slow movement as dopamine-producing brain cells die off. Current medications replace dopamine or mimic its effects, which helps symptoms but doesn't slow the underlying loss of neurons. Deep brain stimulation can reduce tremor and dyskinesia when medications lose effectiveness.
What's actually going on in research
Trials are testing drugs that might slow or stop neuron loss, including GLP-1 receptor agonists like exenatide, alpha-synuclein antibodies targeting the protein that clumps in Parkinson's, and genetic therapies for people with specific mutations. Researchers are also studying new delivery methods for levodopa, better deep brain stimulation techniques, and treatments for non-motor symptoms like cognitive decline and sleep disorders.
GLP-1 receptor agonists
Diabetes drugs like exenatide and lixisenatide appear to protect brain cells in early studies. Several trials are testing whether these weekly or daily injections can slow Parkinson's progression.
Alpha-synuclein antibodies
These infused drugs target the misfolded protein that accumulates in Parkinson's, similar to how Alzheimer's drugs target amyloid. Early trials are checking whether clearing alpha-synuclein can slow disease progression.
Gene therapies
For people with mutations in GBA1 or LRRK2 genes, trials are testing therapies designed to correct the specific genetic defect. Other gene therapies aim to boost dopamine production or protect remaining neurons.
What to know before you search
Eligibility typically depends on how long you've had Parkinson's, current medications, whether you have a genetic mutation, and scores on movement and cognition tests.
What types of trials are currently open
- Disease-modifying trials — Testing drugs that might slow neuron loss, usually in people with early Parkinson's. These trials last one to three years and track motor symptoms and brain imaging.
- Symptomatic trials — Testing new formulations of levodopa, dopamine agonists, or other drugs to control tremor, stiffness, and dyskinesia better than current medications.
- Device trials — Studies of deep brain stimulation, focused ultrasound, or wearable devices that deliver medication or track symptoms continuously.
- Non-motor trials — Testing treatments for cognitive problems, depression, constipation, sleep disorders, and other symptoms not helped by dopamine replacement.
- Genetic studies — Following people with Parkinson's-linked genetic mutations to understand disease progression and test targeted therapies.
Recently added Parkinson's Disease trials
Take one of two medicines to reduce Parkinson's tremor
The goal of this clinical trial is to compare benzhexol and procyclidine for improving tremor in adults with tremor-predominant Parkinson's disease who are taking levodopa. Researchers will compare the two medicines to determine whether benzhexol provides similar improvement in tremor to procyclidine and to assess their side effects. Participants will be randomly assigned to receive either benzhexol or procyclidine in addition to their usual levodopa treatment. Motor symptoms and side effects will be assessed before treatment and at 2 weeks, 3 months, and 6 months.
Complete an advanced imaging scan to help detect early Parkinson's
This study is a single-center, longitudinal study and will be conducted at the Institute for Neurodegenerative (INDD) Site in New Haven, CT. This study aims to recruit participants from the ongoing Parkinson's Progression Markers Initiative AV-133 Prodromal Imaging sub study \[PPMI 015\] to obtain a second comparison imaging scan. In addition to being imaged with the standard Positron Emission Tomography (PET) camera after the \[18F\]AV133 injection in the PPMI 015 sub study, participants agreeing to a second scan will be imaged with the NeuroEXPLORER (NX) PET camera per this protocol. This study will enroll approximately 25 participants at the INDD site. The dual PET scans will be completed at baseline, 1-and 2- years follow up. Participants may be asked to undergo further longitudinal scans based on the acquired study data. All participants will have longitudinal clinical, biomarker, and genetic data for correlation analyses to imaging data from the PPMI Clinical study.
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