Serveur d'exploration autour de Joseph Jankovic

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Design innovations and baseline findings in a long-term Parkinson’s trial: NET-PD LS-1

Identifieur interne : 000250 ( Pmc/Curation ); précédent : 000249; suivant : 000251

Design innovations and baseline findings in a long-term Parkinson’s trial: NET-PD LS-1

Auteurs :

Source :

RBID : PMC:3481179

Abstract

Background

Based on the pre-clinical and the results of a phase 2 futility study, creatine was selected for an efficacy trial in Parkinson’s disease (PD). We present the design rationale and a description of the study cohort at baseline.

Methods

A randomized, multicenter, double-blind, parallel group, placebo controlled Phase 3 study of creatine (10 gm daily) in participants with early, treated PD, the Long-term Study – 1 (LS-1) is being conducted by the NINDS Exploratory Trials in Parkinson’s Disease (NET-PD) network. The study utilizes a global statistical test (GST) encompassing multiple clinical rating scales to provide a multidimensional assessment of disease progression.

Results

A total of 1,741 PD participants from 45 sites in the U.S. and Canada were randomized 1:1 to either 10-gm creatine/day or matching placebo. Participants are being evaluated for a minimum of 5 years. The LS-1 baseline cohort includes participants treated with dopaminergic therapy and generally mild PD.

Conclusions

LS-1 represents the largest cohort of patients with early treated PD ever enrolled in a clinical trial. The GST approach should provide high power to test the hypothesis that daily administration of creatine (10gm/day) is more effective than placebo in slowing clinical decline in PD between baseline and the 5 year follow-up visit against the background of dopaminergic therapy and best PD care.


Url:
DOI: 10.1002/mds.25175
PubMed: 23079770
PubMed Central: 3481179

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PMC:3481179

Le document en format XML

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<title>Background</title>
<p id="P1">Based on the pre-clinical and the results of a phase 2 futility study, creatine was selected for an efficacy trial in Parkinson’s disease (PD). We present the design rationale and a description of the study cohort at baseline.</p>
</sec>
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<title>Methods</title>
<p id="P2">A randomized, multicenter, double-blind, parallel group, placebo controlled Phase 3 study of creatine (10 gm daily) in participants with early, treated PD, the Long-term Study – 1 (LS-1) is being conducted by the NINDS Exploratory Trials in Parkinson’s Disease (NET-PD) network. The study utilizes a global statistical test (GST) encompassing multiple clinical rating scales to provide a multidimensional assessment of disease progression.</p>
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<title>Results</title>
<p id="P3">A total of 1,741 PD participants from 45 sites in the U.S. and Canada were randomized 1:1 to either 10-gm creatine/day or matching placebo. Participants are being evaluated for a minimum of 5 years. The LS-1 baseline cohort includes participants treated with dopaminergic therapy and generally mild PD.</p>
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<title>Conclusions</title>
<p id="P4">LS-1 represents the largest cohort of patients with early treated PD ever enrolled in a clinical trial. The GST approach should provide high power to test the hypothesis that daily administration of creatine (10gm/day) is more effective than placebo in slowing clinical decline in PD between baseline and the 5 year follow-up visit against the background of dopaminergic therapy and best PD care.</p>
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<journal-id journal-id-type="nlm-journal-id">8610688</journal-id>
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<xref rid="FN1" ref-type="author-notes">*</xref>
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<author-notes>
<corresp id="FN1">Address for Correspondence: Jordan J. Elm, PhD, Medical University of South Carolina, Division of Biostatistics & Epidemiology, 135 Cannon St., Suite 303, PO Box 250835 Charleston, SC 29425, Phone (843) 876-1605, Fax (843) 876-1126,
<email>elmj@musc.edu</email>
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<pub-date pub-type="nihms-submitted">
<day>17</day>
<month>8</month>
<year>2012</year>
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<month>10</month>
<year>2012</year>
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<day>01</day>
<month>10</month>
<year>2013</year>
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<volume>27</volume>
<issue>12</issue>
<fpage>1513</fpage>
<lpage>1521</lpage>
<abstract>
<sec id="S1">
<title>Background</title>
<p id="P1">Based on the pre-clinical and the results of a phase 2 futility study, creatine was selected for an efficacy trial in Parkinson’s disease (PD). We present the design rationale and a description of the study cohort at baseline.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">A randomized, multicenter, double-blind, parallel group, placebo controlled Phase 3 study of creatine (10 gm daily) in participants with early, treated PD, the Long-term Study – 1 (LS-1) is being conducted by the NINDS Exploratory Trials in Parkinson’s Disease (NET-PD) network. The study utilizes a global statistical test (GST) encompassing multiple clinical rating scales to provide a multidimensional assessment of disease progression.</p>
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<title>Results</title>
<p id="P3">A total of 1,741 PD participants from 45 sites in the U.S. and Canada were randomized 1:1 to either 10-gm creatine/day or matching placebo. Participants are being evaluated for a minimum of 5 years. The LS-1 baseline cohort includes participants treated with dopaminergic therapy and generally mild PD.</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">LS-1 represents the largest cohort of patients with early treated PD ever enrolled in a clinical trial. The GST approach should provide high power to test the hypothesis that daily administration of creatine (10gm/day) is more effective than placebo in slowing clinical decline in PD between baseline and the 5 year follow-up visit against the background of dopaminergic therapy and best PD care.</p>
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<kwd>neuroprotection</kwd>
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