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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: ClinicalTrials.gov
Last refreshed on: 12 July 2021
Main ID:  NCT03462641
Date of registration: 06/03/2018
Prospective Registration: Yes
Primary sponsor: University of Michigan
Public title: Modulation of GABA-A Receptors in Parkinson Disease-Flumazenil Arm
Scientific title: Modulation of GABA-A Receptors and Axial Motor Impairments in Parkinson Disease-Flumazenil Arm
Date of first enrolment: March 9, 2018
Target sample size: 26
Recruitment status: Completed
URL:  https://clinicaltrials.gov/show/NCT03462641
Study type:  Interventional
Study design:  Allocation: Randomized. Intervention model: Crossover Assignment. Primary purpose: Other. Masking: Triple (Participant, Care Provider, Investigator).  
Phase:  Phase 1/Phase 2
Countries of recruitment
United States
Contacts
Name:     Nicolaas I Bohnen, MD, PhD
Address: 
Telephone:
Email:
Affiliation:  University of Michigan
Key inclusion & exclusion criteria

Inclusion Criteria:

1. Parkinson's disease (PD): PD diagnosis will follow the UK Parkinson's Disease Society
Brain Bank Research Center (UKPDSBRC) clinical diagnostic criteria for PD.

2. Hoehn and Yahr stages 2-4

3. Absence of dementia confirmed by cognitive testing.

4. Abnormal 11C-Dihydrotetrabenazine ([11C]-DTBZ) PET study to demonstrate nigrostriatal
dopaminergic denervation.

Exclusion Criteria:

1. PD with Dementia (PDD) or dementia with Lewy bodies (DLB).

2. Other disorders which may resemble PD, such as vascular dementia, normal pressure
hydrocephalus, multiple system atrophy, corticobasal ganglionic degeneration, or toxic
causes of parkinsonism. Prototypical cases have distinctive clinical profiles, like
early and severe dysautonomia or appendicular apraxia, which may differentiate them
from idiopathic PD. The use of the UKPDSBRC clinical diagnostic criteria for PD will
mitigate the inclusion of subjects with atypical parkinsonism.

3. Subjects on benzodiazepine, GABA-ergic medications (baclofen, tizanidine),
neuroleptic, anticholinergic (trihexyphenidyl, benztropine), or cholinesterase
inhibitor drugs.

4. Evidence of a mass lesion on structural brain imaging (MRI).

5. Participants in whom MRI is contraindicated including, but not limited to, those with
a pacemaker, presence of metallic fragments near the eyes or spinal cord, chest, or
cochlear implant.

6. Severe claustrophobia precluding MR or PET imaging.

7. Subjects limited by participation in research procedures involving ionizing radiation.

8. Pregnancy (urine or serum pregnancy test within 48 hours of each PET session) or
breastfeeding.

9. History of seizures

10. Significant anxiety or history of panic disorder.

11. History of recent suicide attempt or overdose of tricyclic antidepressants or other
medications

12. Any other medical history determined by investigators to preclude safe participation.

13. Allergy to flumazenil

14. Significant liver disease

15. History of alcohol or other substance abuse within past two years.

16. History of regular benzodiazepine use within past year



Age minimum: 50 Years
Age maximum: 99 Years
Gender: All
Health Condition(s) or Problem(s) studied
Parkinson Disease
Intervention(s)
Drug: Flumazenil
Drug: Placebo
Primary Outcome(s)
Change in quantitative biomechanics [Time Frame: up to 3 hours (including pre- and post-infusion motor testing)]
Secondary Outcome(s)
Secondary ID(s)
R01NS099535
HUM00130361
Source(s) of Monetary Support
Please refer to primary and secondary sponsors
Secondary Sponsor(s)
National Institute of Neurological Disorders and Stroke (NINDS)
Ethics review
Results
Results available:
Date Posted:
Date Completed:
URL:
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