About this trial
Preclinical human trials will be utilized to validate the research direction, followed by clinical trials to assess the impact of a cocktail formula product containing the optimal probiotic Y7 combined metabolites on motor, cognitive, and non-motor functions in early Parkinson's disease patients. The study aims to recruit 120 patients (stage 1-3) and employ a two-arm, randomized controlled trial (RCT) design, dividing subjects into intervention and control groups for a 12 weeks trial period. Commercial development will be contingent upon the clinical trial outcomes, evaluating whether the product offers clinical benefits such as delaying Parkinson's disease progression in motor, cognitive, and non-motor functions. Additionally, a personalized and precise prognosis prediction model for Parkinson's disease will be established. This model will gather comprehensive clinical data, including motor function assessments (functional tests, UPDRS), biochemical markers, questionnaire responses, and genotype data (TPM array), as well as metabolite and microbial data. Through integrated analysis of this biological information using machine learning techniques, a personalized and accurate prognosis prediction model for Parkinson's disease will be developed. This model will predict the disease status of PD patients 12 weeks later, accounting for factors such as cocktail therapy. The results will empower PD patients to understand their individual disease progression and treatment prognosis, enabling them to prepare accordingly. Moreover, this model will aid researchers in identifying patient profiles more likely to benefit from treatment, thereby enhancing the evaluation of the efficacy and applicability of cocktail therapy.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age between 30-85 years old.
Diagnosed with early-stage Parkinson's disease (Hoehn and Yahr scale stage 1-3).
Brain MRI confirms striatal degeneration in the basal ganglia region, with no history of stroke.
Responds to Parkinson's disease-related medications (e.g., Levodopa).
Disqualifiers
Unable to complete interviews or has mobility issues.
Presence of major or acute illness before or during the study.
Co-existing intestinal co-infections, such as CDI, E. coli, Salmonella, Shigella, Campylobacter, plague, or cytomegalovirus.
Allergic to the intervention product.
Trial design
Parallel
Treatments tested in this trial
Y7
Dietary supplementTake two servings of the probiotic product daily: one serving after breakfast and one serving after dinner, for a duration of 12 weeks. Ingredients of the probiotic product: Probiotic strain Y7, tryptophan, and BCAAs (valine, leucine, and isoleucine).
Placebo
Dietary supplementTake two servings of the placebo product daily: one serving after breakfast and one serving after dinner, for a duration of 12 weeks.
Treatment groups
Trial outcomes
Primary outcomes
Assessment of Questionnaire-Based Changes in Motor and Non-Motor Symptoms in Parkinson's Disease
Change in Unified Parkinson's Disease Rating Scale (UPDRS) motor score from baseline to 12 weeks
Secondary outcomes
Change from Baseline to Week 12 in Montreal Cognitive Assessment Score in Patients with Parkinson's Disease
The Montreal Cognitive Assessment is used to evaluate cognitive function. The total score ranges from 0 to 30, with higher scores indicating better cognitive performance. A score below 26 suggests possible cognitive impairment.
Change from Baseline to Week 12 in Mini-Mental State Examination Score in Patients with Parkinson's Disease
The Mini-Mental State Examination is used to assess global cognitive function. The total score ranges from 0 to 30, with higher scores indicating better cognitive performance and lower scores indicating greater cognitive impairment.
Change from Baseline to Week 12 in Non-Motor Symptoms Scale Score in Patients with Parkinson's Disease
The Non-Motor Symptoms Scale is used to assess the frequency and severity of non-motor symptoms in patients with Parkinson's disease. Higher scores indicate greater non-motor symptom burden and worse clinical condition.
Change from Baseline to Week 12 in Parkinson's Disease Questionnaire-39 Score in Patients with Parkinson's Disease
The Parkinson's Disease Questionnaire-39 is used to evaluate health-related quality of life in patients with Parkinson's disease. Scores are transformed to a 0 to 100 scale, with higher scores indicating poorer quality of life.
Sponsors and contacts
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Taipei Medical University
Lead sponsor
Taipei Medical University Shuang Ho Hospital
Collaborator
Taipei Medical University Hospital
Collaborator