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Completed

NCT Number: NCT04202757

Intravenous Plasma Treatment for Parkinson's Disease

This study will do a preliminary evaluation of a possible treatment for mild-to-moderate Parkinson's disease. Patients will be treated with either transfusions of plasma from young donors. or with placebo transfusions. In the following several months, Parkinson's symptoms will be monitored and compared for the two groups.

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Key information

Age range

45 year–90 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Early Phase 1

Primary location

The Neurology Center

Houston, Texas, 77030, United States

About this study

This is a double-blind placebo controlled trial, designed to evaluate the efficacy of plasma from volunteer donors of ages 18-25. This young fresh frozen plasma (yFFP) will be given intravenously in two doses of 12.5 ml/kg each, with 40-56 hours between doses. In the following 24 weeks, Parkinson's symptoms will be monitored using the short version of the Stanford Presenteeism Scale (SPS-6), and a modified version of the UPDRS scale.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Diagnosis of Parkinson's disease
  • Disease duration of 1 to 5 years
  • Willingness to confirm the use of adequate birth control while on the trial will be required in premenopausal women without evidence for an inability to become pregnant.
  • Willingness to not start any other treatment for Parkinson's or Multiple Sclerosis during the parallel part of the trial.

Exclusion criteria

  • Other significant disease, which in the view of the study doctor may make assessment of the efficacy of yFFP difficult.
  • Unstable medical conditions.
  • Must weigh at least 45.5 kg. Cannot weigh more than 130 kg.
  • A severe disease state diagnosis
  • Litigation. Patients in litigation will be excluded only if conclusion of that litigation is imminent during the course of the study.
  • If patient is pregnant or breastfeeding.
  • Complete IgA deficiency.
  • Rare contraindications to yFFP therapy as per summary of product characteristics.
  • Receiving yFFP for other reasons.
  • Ongoing drug or alcohol abuse.
  • Psychiatric disorder that could, in the judgement of the site investigator, interfere with successful study participation.
  • Unwillingness or inability to complete the study or an inability to understand the questionnaires being used.
  • Cancer other than basal cell carcinoma within the last 5 years. However, those patients who have received definitive treatment, such as curative surgery more than 6 months ago, with no known recurrence can be included.
  • A history of hypercoagulable or thrombophilic clotting abnormalities.
  • A history of thromboembolic events: ischaemic stroke, confirmed myocardial infarction, pulmonary embolism; deep venous thrombosis except where immobility related (for example, after injury or operation).
  • Unstable angina pectoris.
  • Medications that might react with yFFP such as blood thinners
  • Renal failure or serum creatinine greater than 1.5 times the upper limit of normal at screening.
  • Any medical condition that, in the opinion of the investigator, would make it unsafe for the patient to participate or which would interfere with assessment of the outcome measures.
  • Participation in another interventional trial within 3 months of randomization. Participation in non-interventional studies is not a reason for exclusion.

Treatment and study plan

[21CFR640.30] Plasma from 18 - 25 year old volunteer donors

Biological

12.5 ml/kg intravenous Spectrum Plasma yFFP, per each of two infusions (25 ml/kg total), in combination with ongoing normal standard treatment.

Other names: Young Fresh Frozen Plasma (yFFP)

Saline

Other

12.5 ml/kg intravenous 0.9% sodium chloride with 0.1% riboflavin , per each of two infusions (25 ml/kg total), in combination with ongoing normal standard treatment.

Other names: Normal saline

Primary outcomes

  1. Changes in Physician assessment

    Time frame: Two weeks prior to infusion, at one-three-six months post-infusion

    Unified Parkinson Disease Rating Scale (UPDRS)

  2. Patient assessment

    Time frame: Two weeks prior to infusion, at one-three-six months post-infusion

    Changes in Stanford Presenteeism Scale (SPS)

Secondary outcomes

  1. Stability of administration

    Time frame: At the time of infusions, day 1 and day 2

    Adverse events (if any)

  2. Factors predicting a beneficial response

    Time frame: After the last participant's final contact at 6 months

    Patient Global Impression of change

Sponsors and collaborators

Lead sponsor

The Neurology Center

Other

Collaborators

  • Carolina Longevity Institute

Registry information

Official study title

Intravenous Young Fresh Frozen Plasma (yFFP) Investigational Treatment for Parkinson's Disease

Acronym: yFFP

Important dates

Study start
2018
Primary completion
2019
Study completion
2019
First posted
Dec 18, 2019
Registry last updated
May 31, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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