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.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$209.00 per year
only $17.42 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
References
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).
Carta, A. R. PPAR-γ: therapeutic prospects in Parkinson's disease. Curr. Drug Targets 14, 743–751 (2013).
Levin, D. et al. Pioglitazone and bladder cancer risk: a multipopulation pooled, cumulative exposure analysis. Diabetologia 58, 493–504 (2015).
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).
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).
Santiago, J. A. & Potashkin, J. A. Shared dysregulated pathways lead to Parkinson's disease and diabetes. Trends Mol. Med. 19, 176–186 (2013).
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).
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).
US National Library of Medicine. ClinicalTrials.gov[online], (2015).
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).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
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.
Rights and permissions
About this article
Cite this article
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
Published:
Issue Date:
DOI: https://doi.org/10.1038/nrneurol.2015.150
This article is cited by
-
Polypharmazie bei der Behandlung von Parkinsonsymptomen: eine Nutzen-Risiko Abwägung
DGNeurologie (2023)
-
Polypharmacy in Parkinson’s disease: risks and benefits with little evidence
Journal of Neural Transmission (2019)