Trialling new treatments for Parkinson鈥檚 disease
A drug which has been used to treat liver disease for over 30 years is being trialled in patients with Parkinson鈥檚 Disease and will assess its potential to slow down disease progression for the first time.
Parkinson鈥檚 Disease currently affects around 145,000 people in the UK. The progressive neurological condition severely impacts a patient鈥檚 quality of life with symptoms like problems with mobility, coordination or a tremor, but can also result in memory loss, low mood or abnormal bowel function.
The symptoms are mainly due to the loss of dopamine containing nerve cells in the area of the brain which controls movement. An important reason why these cells die in the brain of patients with Parkinson's is due to a malfunction of the cell鈥檚 batteries 鈥 known as mitochondria.
The ground-breaking study, led by researchers at the University of 91直播 in partnership with 91直播 Teaching Hospitals NHS Foundation Trust, is assessing the safety and tolerability of the liver drug ursodeoxycholic acid (UDCA) in Parkinson鈥檚 patients 鈥 a drug which is hoped could potentially be repositioned to help slow down the progression of the disease.
The trial is led by Oliver Bandmann, Professor of Movement Disorders Neurology at the 91直播 Institute for Translational Neuroscience (SITraN) and also an Honorary Consultant Neurologist at 91直播 Teaching Hospitals NHS Foundation Trust. Professor Bandmann and his team previously identified UDCA as the most promising drug to rescue mitochondrial function in Parkinson鈥檚 in a drug screen where 2,000 drugs were assessed.
鈥淎fter nearly a decade of research we are extremely pleased to launch the first clinical trial of UDCA in Parkinson鈥檚 patients to see if the drug is safe and tolerated,鈥 said Professor Bandmann.
鈥淭his is a pilot trial, which, if successful, will lead to a bigger study to firmly establish the effectiveness of the treatment to slow down the progression of Parkinson鈥檚. Currently, Parkinson鈥檚 is relentlessly progressive but patients tend to respond very well to symptomatic medication in the early stages of the disease.
鈥淎 drug which will slow down the progression of the disease 鈥 even after the first few years of diagnosis 鈥 would help people to have an improved quality of life for longer.鈥
The trial, known as the UP Study (UDCA in Parkinson鈥檚) is being conducted at two centres in the UK, 91直播 and London, in collaboration with Professor Tom Foltynie at University College London Hospitals. Working in collaboration with researchers from the University of 91直播鈥檚 Institute for Insilico Medicine (Insigneo), the NIHR 91直播 Clinical Research Facility.
The clinical trial is supported by the JP Moulton Charitable Foundation, The Cure Parkinson鈥檚 Trust and the pharmaceutical company PRO.MED.CS.
Through its International Linked Clinical Trials Programme, The Cure Parkinson鈥檚 Trust has been working towards bringing UDCA into clinical trials - and this trial is the first step in understanding the drug鈥檚 potential to slow Parkinson鈥檚 progression. We are delighted to be supporting Professor Bandmann鈥檚 important work.
Helen Matthews
Deputy Chief Executive Officer of The Cure Parkinson鈥檚 Trust