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Parkinson disease

Laying the foundations for disease-modifying therapies in PD

The results of a futility trial, which used the PPAR-γ receptor agonist pioglitazone in an attempt to modify disease progression in Parkinson disease, do not support initiation of further trials. However, although this trial was well designed and conducted, we question whether it is time to fully shut the door on pioglitazone.

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References

  1. NINDS Exploratory Trials in Parkinson Disease (NET-PD) FS-ZONE Investigators. Pioglitazone in early Parkinson's disease: a phase 2, multicentre, double-blind, randomised trial. Lancet Neurol. 14, 795–803 (2015).

  2. Carta, A. R. PPAR-γ: therapeutic prospects in Parkinson's disease. Curr. Drug Targets 14, 743–751 (2013).

    Article  CAS  Google Scholar 

  3. Levin, D. et al. Pioglitazone and bladder cancer risk: a multipopulation pooled, cumulative exposure analysis. Diabetologia 58, 493–504 (2015).

    Article  CAS  Google Scholar 

  4. Petit, G. H., Olsson, T. T. & Brundin, P. The future of cell therapies and brain repair: Parkinson's disease leads the way. Neuropathol. Appl. Neurobiol. 40, 60–70 (2014).

    Article  CAS  Google Scholar 

  5. Berg, D. et al. Time to redefine PD? Introductory statement of the MDS Task Force on the definition of Parkinson's disease. Mov. Disord. 29, 454–462 (2014).

    Article  Google Scholar 

  6. Santiago, J. A. & Potashkin, J. A. Shared dysregulated pathways lead to Parkinson's disease and diabetes. Trends Mol. Med. 19, 176–186 (2013).

    Article  CAS  Google Scholar 

  7. Brauer, R. et al. Glitazone treatment and incidence of Parkinson's disease among people with diabetes: a retrospective cohort study. PLoS Med. 12, e1001854 (2015).

    Article  Google Scholar 

  8. Aviles-Olmos, I. et al. Motor and cognitive advantages persist 12 months after exenatide exposure in Parkinson's disease. J. Parkinsons Dis. 4, 337–344 (2014).

    Article  CAS  Google Scholar 

  9. US National Library of Medicine. ClinicalTrials.gov[online], (2015).

  10. Brundin, P. et al. Linked clinical trials—the development of new clinical learning studies in Parkinson's disease using screening of multiple prospective new treatments. J. Parkinsons Dis. 3, 231–239 (2013).

    PubMed  PubMed Central  Google Scholar 

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Correspondence to Patrik Brundin.

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P.B. has received commercial support from Capital Technologies, Renovo Neural, Roche, Teva, Lundbeck, ClearView Healthcare Partners, FCB Health and IOS Press, and research support from Renovo Neural, Teva and Lundbeck. He has ownership interests in AcouSort and ParkCell. R.W declares no competing interests.

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Brundin, P., Wyse, R. Laying the foundations for disease-modifying therapies in PD. Nat Rev Neurol 11, 553–555 (2015). https://doi.org/10.1038/nrneurol.2015.150

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