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Parkinson's DiseasePhase 3NCT00449865

NET-PD LS-1 Creatine in Parkinson's Disease

A Phase 3 study testing creatine in people with Parkinson's Disease, run by University of Rochester at 50 sites in 2 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
Search all trials

Trial summary

The purpose of this trial is to determine if the nutritional supplement creatine slows the progression of Parkinson's disease over time. Read more about this study

Who is it for?
Any age
Conditions the study is for
Parkinson's Disease
What is being tested?
creatine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
1,741 participants
Where
50 sitesin 2 countries
Study dates
Mar 2007to May 2014
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Willing and able to give informed consent and willing to commit to long-term follow-up
  • PD (asymmetric features including slowness (bradykinesia) plus resting tremor and/or rigidity) within 5 years of diagnosis
  • Treated/responsive to dopaminergic therapy (dopamine agonists or levodopa) for at least 90 days, but not more than 2 years.

Who cannot join

  • Use of creatine 14 days prior to baseline or during the study
  • History of known hypersensitivity or intolerability to creatine
  • Any unstable or clinically significant condition that would impair the subject's ability to comply with long term study follow-up
  • Other know or suspected causes of parkinsonism (e.g. metabolic, drug induced, etc.), or any significant features suggestive of a diagnosis of atypical parkinsonism.

Trial locations and contacts

50 sites in 2 countries.

50 sites in 2 countries

United States48 sites
  • University Of Michigan, 1500 E Medical Center Drive, B1 H202 Nuclear Medicine,

    Ann Arbor, Michigan, 48109-0028

  • Emory University, Wesley Woods Health Center, 1841 Clifton Road NE Room 328

    Atlanta, Georgia, 30329

  • Medical College Of Georgia, Movement Disorders Clinic, 1429 Harper Street HF 1121

    Augusta, Georgia, 30912

  • University Of Maryland School Of Medicine, Department Of Neurology, 22 South Greene Street N4W46

    Baltimore, Maryland, 21201

  • Johns Hopkins University, 601 North Caroline Street, Suite 5064

    Baltimore, Maryland, 21287-0875

  • University Of Alabama, Birmingham, 350 Sparks Center, 1720 7th Avenue South

    Birmingham, Alabama, 35233

  • Brigham & Women's Hospital, Neurology Department ASB2, 75 Francis Street

    Boston, Massachusetts, 02115

  • Beth Israel Deaconess Medical Center, 330 Brookline Avenue Shapiro 809D

    Boston, Massachusetts, 02215

  • SUNY Downstate Medical Center, 450 Clarkson Avenue, Department Of Neurology Box 1213

    Brooklyn, New York, 11203-2098

  • University Of Vermont, Department Of Neurology , Given Building C-219, 89 Beaumont Avenue

    Burlington, Vermont, 05405

  • Medical University Of South Carolina, Charleston Memorial Hospital, 326 Calhoun Street Suite 308

    Charleston, South Carolina, 29401

  • University Of Virginia Neurology Fontaine, Department Of Neurology, 500 Ray C Hunt Drive

    Charlottesville, Virginia, 22903

  • Northwestern University, 710 North Lake Shore Drive

    Chicago, Illinois, 60611

  • Rush University Medical Center, Department Of Neurological Sciences, 1725 West Harrison Suite 755,

    Chicago, Illinois, 60612

  • University Of Texas Southwestern Med Ctr. At Dallas, 5323 Harry Hines Boulevard H1-108

    Dallas, Texas, 75390-9016

  • University Of Colorado Health Sciences Ctr, 4200 East 9th Avenue Campus Box C238, Department Of Clinical Pharmacy

    Denver, Colorado, 80262

  • Duke University Medical Center, Duke Health Center At Morreene Road, 932 Morreene Road Room 213,

    Durham, North Carolina, 27705

  • Michigan State University, Department Of Neurology A217 Clinical Center, 138 Service Road

    East Lansing, Michigan, 48824

  • Parkinson's & Movement Disorder Institute, 9940 Talbert Avenue, Suite 204,

    Fountain Valley, California, 92708

  • VA Medical Center, 1601 Southwest Archer Road, Neurology Service (151)

    Gainesville, Florida, 32608

  • University Of Florida, Mcknight Brain Institute, 100 South Newell Drive Room L3-100

    Gainesville, Florida, 32610

  • Evanston Northwestern Healthcare, Department Of Neurology, 2100 Pfingsten Road Suite B110

    Glenview, Illinois, 60026

  • Struthers Parkinson's Center, 6701 Country Club Drive,

    Golden Valley, Minnesota, 55427

  • Pacific Health Research Institute, 405 North Kuakini Street, Suite 1011,

    Honolulu, Hawaii, 96817

  • Baylor College Of Medicine, 6550 Fannin Suite 1801

    Houston, Texas, 77030

  • Indiana University School Of Medicine, Outpatient Clinical Research Facility, 535 Barnhill Drive Room #150

    Indianapolis, Indiana, 46202

  • University Of Florida Jacksonville, 580 West 8th Street, Tower 1 8th Floor,

    Jacksonville, Florida, 32209

  • University Of Kansas Medical Center, 3599 Rainbow Blvd, Department Of Neurology Mail Stop # 2012

    Kansas City, Kansas, 66160-7314

  • Dartmouth Hitchcock Medical Center, One Medical Center Drive, 2 Buck Road

    Lebanon, New Hampshire, 03756

  • University Of Kentucky Clinical Research, C201 Kentucky Clinic, 740 South Limestone Street

    Lexington, Kentucky, 40536-0284

  • University Of Southern California, Healthcare Consultation Building II, 1520 San Pablo Street Suite 3000

    Los Angeles, California, 90033

  • Northshore-LIJ Health System, The Feinstein Institute FPR Medical Research, 350 Community Drive Room,

    Manhasset, New York, 11030

  • University Of Miami, 1501 North West 9th Avenue Second Floor, Department Of Neurology D4-5

    Miami, Florida, 33136

  • Vanderbilt University Medical Center, 2311 Pierce Avenue, Room 2217,

    Nashville, Tennessee, 37212

  • UMDNJ Robert Wood Johnson Medical School, Dept Of Neurology Suite 6100, 125 Paterson Street

    New Brunswick, New Jersey, 08901

  • Neurodegenerative Disorders, 60 Temple Street Suite 8b

    New Haven, Connecticut, 06510

  • Ochsner Clinic Foundation, 1514 Jefferson Highway, Dept. Of Neurology 7th Floor

    New Orleans, Louisiana, 70121

  • Thomas Jefferson University, 1015 Chestnut Street Suite 520

    Philadelphia, Pennsylvania, 19107

  • University of Pennsylvania; Pennsylvania Hospital, Penn Neurological Institute, 330 South Ninth Street

    Philadelphia, Pennsylvania, 19107

  • Barrow Neurological Clinics At, St Joseph's Hospital & Medical Center, 500 West Thomas Road Suite 720,

    Phoenix, Arizona, 85013

  • OHSU Oregon Health &Science University, Department Of Neurology, 3181 South West Sam Jackson Park Road

    Portland, Oregon, 97239

  • University Of California San Francisco, Parkinson's Disease Clinic And Research Cen, 505 Parnassus Avenue M-798

    San Francisco, California, 94143-0114

  • LSU Health Science Center Shreveport, 1501 Kings Highway, Room 3-436

    Shreveport, Louisiana, 71130

  • Southern Illinois University School Of Medicine, PO Box 19645

    Springfield, Illinois, 62794-9645

  • Washington University School Of Medicine, 660 South Euclid Avenue, Campus 8111,

    St Louis, Missouri, 63110

  • The Parkinson's Institute, 675 Almanor Avenue

    Sunnyvale, California, 94085

  • University Of South Florida, Movement Disorders Center, 5 Tampa General Circle Suite 410

    Tampa, Florida, 33606

  • Thomas Jefferson University/Lankenau Hospital, Lankenau Medical Building Suite 161 East, 100 Lancaster Avenue

    Wynnewood, Pennsylvania, 19096

Other trials in United States

Canada2 sites
  • University Of Calgary Movement Disorders Program, Dept Of Clin Neurosciences Area 3 Neurology, 3350 Hospital DR NW Health Sciences Centre

    Calgary, Alberta, T2N4NI

  • University Of Alberta, 10230-111 Avenue Room 0601, Movement Disorders Clinic Glenrose Rehab Hospital

    Edmonton, Alberta, T5G 0B7

Other trials in Canada

About this study

Official title: A Multicenter, Double-Blind, Parallel Group, Placebo Controlled Study of Creatine in Subjects With Treated Parkinson's Disease (PD) Long Term Study (LS-1)

The purpose of this trial is to determine if the nutritional supplement creatine slows the progression of Parkinson's disease over time.

Read the detailed description

Parkinson's disease (PD) affects nearly a million Americans, a number that will increase over the coming decades as the population ages. Symptoms of PD may include tremor, rigidity or stiffness of the limbs and trunk, slowness of movement, and impaired balance and coordination. These problems occur because as PD worsens, some of the brain cells that control body movement die.

This study will determine if creatine--an investigational compound--is able to slow the progression of PD. Creatine, a widely used dietary supplement is thought to improve exercise performance. In animal models and human studies, creatine has been shown to be well tolerated and may have some ability to protect brain cells.

In the NET-PD LS-1 study, 1,720 participants will be randomly assigned to receive either creatine or a placebo (inactive substance). Participation in this study lasts a minimum of 5 years and includes at least 9 follow-up clinic visits and at least 3 telephone calls.

Being tested
creatine, placebo
Keywords
Parkinson's disease, creatine, NET-PD, neuroprotection, PD
Medical subject headings
Parkinson Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • creatineDrug

    Creatine, a widely used dietary supplement is thought to improve exercise performance. In animal models and human studies, creatine has been shown to be well tolerated and may have some ability to protect brain cells.

    The study is comparing creatine 5 grams twice daily with placebo.

  • placeboOther

    an inactive substance

Study groups in NCT00449865
Study groupRoleWhat they receive
PlaceboPlacebo comparatorNot described
Receives: Other: placebo
creatineActive comparatorNot described
Receives: Drug: creatine

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The Global Outcome Combined Information on Change From Baseline in Schwab England Activities of Daily Living, 39-Item Parkinson's Disease Questionnaire, Ambulatory Capacity, Symbol Digit Modalities, and Modified Rankin at 5 Years.

    All outcomes were coded such that higher scores indicated worse outcomes. Patients were ranked on each outcome and their ranks were summed (summed-ranks). Higher summed ranks (range, 5-4775) indicate worse outcomes. The mean summed ranks were compared by treatment group by a global statistical test (GST).

    Measured: Change from baseline to 5 YEARS

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Mar 2007 (estimated)
  2. Study startMar 2007
  3. Primary completionSep 2013
  4. Study completionMay 2014

Why it stopped: Futility

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
1,741 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00449865
Sponsor's protocol ID
U01NS43128 NET-PD
Other IDs
CRC, U01NS043128
Status last verified
Mar 2015
First submitted
20 Mar 2007
Last updated
2 Apr 2015
Data monitoring committee
Yes

Publications

  • Leehey M, Luo S, Sharma S, Wills AA, Bainbridge JL, Wong PS, Simon DK, Schneider J, Zhang Y, Perez A, Dhall R, Christine CW, Singer C, Cambi F, Boyd JT. Association of metabolic syndrome and change in Unified Parkinson's Disease Rating Scale scores. Neurology. 2017 Oct 24;89(17):1789-1794. doi: 10.1212/WNL.0000000000004572. Epub 2017 Sep 29.

    PubMed 28972194
  • Wills AM, Li R, Perez A, Ren X, Boyd J; NINDS NET-PD Investigators. Predictors of weight loss in early treated Parkinson's disease from the NET-PD LS-1 cohort. J Neurol. 2017 Aug;264(8):1746-1753. doi: 10.1007/s00415-017-8562-4. Epub 2017 Jul 15.

    PubMed 28712000
  • Augustine EF, Dorsey ER, Hauser RA, Elm JJ, Tilley BC, Kieburtz KK. Communicating with participants during the conduct of multi-center clinical trials. Clin Trials. 2016 Dec;13(6):592-596. doi: 10.1177/1740774516665596. Epub 2016 Aug 29.

    PubMed 27573636
  • Wills AM, Perez A, Wang J, Su X, Morgan J, Rajan SS, Leehey MA, Pontone GM, Chou KL, Umeh C, Mari Z, Boyd J; NINDS Exploratory Trials in Parkinson Disease (NET-PD) Investigators. Association Between Change in Body Mass Index, Unified Parkinson's Disease Rating Scale Scores, and Survival Among Persons With Parkinson Disease: Secondary Analysis of Longitudinal Data From NINDS Exploratory Trials in Parkinson Disease Long-term Study 1. JAMA Neurol. 2016 Mar;73(3):321-8. doi: 10.1001/jamaneurol.2015.4265.

    PubMed 26751506
  • Writing Group for the NINDS Exploratory Trials in Parkinson Disease (NET-PD) Investigators; Kieburtz K, Tilley BC, Elm JJ, Babcock D, Hauser R, Ross GW, Augustine AH, Augustine EU, Aminoff MJ, Bodis-Wollner IG, Boyd J, Cambi F, Chou K, Christine CW, Cines M, Dahodwala N, Derwent L, Dewey RB Jr, Hawthorne K, Houghton DJ, Kamp C, Leehey M, Lew MF, Liang GS, Luo ST, Mari Z, Morgan JC, Parashos S, Perez A, Petrovitch H, Rajan S, Reichwein S, Roth JT, Schneider JS, Shannon KM, Simon DK, Simuni T, Singer C, Sudarsky L, Tanner CM, Umeh CC, Williams K, Wills AM. Effect of creatine monohydrate on clinical progression in patients with Parkinson disease: a randomized clinical trial. JAMA. 2015 Feb 10;313(6):584-93. doi: 10.1001/jama.2015.120.

    PubMed 25668262

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing creatine in people with Parkinson's Disease, run by University of Rochester at 50 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 2 Apr 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 50 sites in United States, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 2 Apr 2015). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The Global Outcome Combined Information on Change From Baseline in Schwab England Activities of Daily Living, 39-Item Parkinson's Disease Questionnaire, Ambulatory Capacity, Symbol Digit Modalities, and Modified Rankin at 5 Years. (time frame: Change from baseline to 5 YEARS). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00449865, which also lists 5 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Apr 2015.

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