Parkinson's Disease Clinical Trial
Official title:
Caffeine as a Therapeutic Agent in Parkinson's Disease
Parkinson's disease is a common neurodegenerative disorder in which patients experience
progressive motor disability and many disabling non-motor symptoms. Recent studies have
consistently found that people who do not use caffeine are at higher risk of developing
Parkinson's disease. This suggests that caffeine may have potential as a treatment for PD.
In a pilot study of caffeine for daytime sleepiness in PD, there was evident benefit on the
motor manifestations of disease. There have been other lines of evidence that have suggested
caffeine could be useful in PD. This study is to evaluate the efficacy of caffeine 200 mg
BID vs matching placebo for motor and non-motor aspects of disease. This will be in three
stages. In the first six-month stage, medications will be held constant, to see whether
caffeine does have motor benefits. Then we will perform a four-year extension stage to
define if the effects of caffeine persist (or even magnify), and to see if caffeine helps
reduce dose of other PD meds and/or prevents their side effects. Finally, we will finish
with a six-month stage in which we will place all patients on caffeine - this will allow us
to assess caffeine's use in later disease, but more importantly, will assess whether early
use of caffeine produces long term changes beyond its immediate effects.
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