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Due to COVID-19 pandemic, in-hospital polysomnography and visits were infeasible.
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| Name | Class |
|---|---|
| Peking Union Medical College Hospital | OTHER |
| Beijing Hospital | OTHER_GOV |
| Beijing Tiantan Hospital | OTHER |
| Xinhua Hospital, Shanghai Jiao Tong University School of Medicine |
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To investigate whether 24 months of idebenone may reduce the progression from Prodromal Parkinson disease (PPD) to Parkinson disease (PD).
Number of people suffered from Parkinson disease (PD) is increasing every year. Contemporary medication has little neuroprotective effect, which may due to delayed treatment as over 50% neurons have lost when clinical diagnosed PD emerges. The concept of Prodromal Parkinson disease (PPD) is emphasized as it has become evident that there are several risk and clinical markers may occur years before the cardinal motor symptoms which allow clinical diagnosis. Rapid eye movement (REM) sleep behavior disorder and olfactory dysfunction are the most common PPD, and more than one third of patients may progress to PD and other neurodegenerative diseases. Mitochondrial injury is one of the pathogenesis of PD. Thus we design this trial to investigate whether idebenone, potent coenzyme Q10 analogue, could protect PPD develops into PD.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1: idebenone | Active Comparator | Oral 30 mg fixed dose three times a day x 24-months (90 mg total / day) with assessments @ baseline, 3 month, 6 month, 12 month, 15 month, 18 month, 21 month and 24 months |
|
| Group 2: placebo | Placebo Comparator | Oral placebo three times a day x 24-months with assessments @ baseline, 3 month, 6 month, 12 month, 15 month, 18 month, 21 month and 24 months |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Idebenone | Drug | 30mg tablets three times a day |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Clinical diagnosis of parkinson disease | based on Movement Disorder Society (MDS) Research Criteria for Prodromal Parkinson's Disease in 2015 | 24 months |
| Measure | Description | Time Frame |
|---|---|---|
| Dopamine transporter positron emission tomography (DAT-PET) change | diminishment of striatal DAT-PET | 12 month and 24 month |
| Quantitative motor testing change | Unified Parkinson Disease Rating Scale, Part III |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Baorong Zhang, MD | Second Affiliated Hospital of Zhejiang University School of Medicine | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Second Affiliated Hospital of Zhejiang University School of Medicine | Hangzhou | Zhejiang | 310000 | China |
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| ID | Term |
|---|---|
| D020187 | REM Sleep Behavior Disorder |
| D010300 | Parkinson Disease |
| ID | Term |
|---|---|
| D020923 | REM Sleep Parasomnias |
| D020447 | Parasomnias |
| D012893 | Sleep Wake Disorders |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| C036619 | idebenone |
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| OTHER |
| Jiangsu Province Nanjing Brain Hospital | OTHER |
| The First Affiliated Hospital of Anhui Medical University | OTHER |
| Huashan Hospital | OTHER |
| Tongji Hospital | OTHER |
| Second Affiliated Hospital of Soochow University | OTHER |
| Guizhou Medical University | OTHER |
| The First Affiliated Hospital of Guangzhou Medical University | OTHER |
| Peking University Shenzhen Hospital | OTHER |
| West China Hospital | OTHER |
| Union Hospital, Tongji Medical College, Huazhong University of Science and Technology | OTHER |
| Sir Run Run Shaw Hospital | OTHER |
| The Affiliated Hospital of Hangzhou Normal University | OTHER |
| The First Affiliated Hospital of Dalian Medical University | OTHER |
| Qilu Hospital of Shandong University | OTHER |
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| Placebo oral tablet | Drug | placebo tablets three times a day |
|
| 24 months |
| D001523 |
| Mental Disorders |
| D020734 | Parkinsonian Disorders |
| D001480 | Basal Ganglia Diseases |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009069 | Movement Disorders |
| D000080874 | Synucleinopathies |
| D019636 | Neurodegenerative Diseases |