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CompletedNCT03905811TZ-PDUpdated May 16, 2022Results posted

A Pilot Study of Terazosin for Parkinson's Disease

A Phase 1/2 interventional study of Terazosin 5 MG and Placebo oral capsule in Parkinson Disease, sponsored by Jordan Schultz. Completed at 1 site in United States. Open to participants aged 40 Years to 90 Years. Per ClinicalTrials.gov, last updated 2022-05-16.

Sponsored by Jordan Schultz · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
13
Allocation
Randomized
Ages
40 Years to 90 Years
Sex
All
01

Study summary

The TZ-PD trial will be a 1:1 (active:placebo) randomized, double-blind, placebo-controlled Phase II trial to evaluate the safety and tolerability of terazosin for the treatment of PD.

Read the detailed description

This will be a single center, randomized, double-blind, controlled, pilot study to assess the safety and tolerability of terazosin (TZ) at a dose of 5 milligrams (MG) daily for patients with PD. The primary goal of this study is to assess the safety and tolerability of TZ in patients with PD. This is a pilot study and is not powered to assess efficacy of this medication. Our hope is that this study will guide future studies of this (and similar) medications for the disease modification of PD. This study is also aimed to learn more about how patients with produce and use energy and if TZ can help to reverse energy deficits that appear in PD.

02

Conditions studied

  • Parkinson Disease

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Keywords

  • terazosin
03

In context

Parkinson Disease

4,487 studies on the registry are indexed under Parkinson Disease; 1,082 are open to participants now.

This study's enrollment of 13 is below the median of 40 across 3,294 interventional studies indexed under Parkinson Disease.

Browse Parkinson Disease studies →

Lead sponsor

Jordan Schultz is the lead sponsor of 2 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
40 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Men or women aged 40 and older with the diagnosis of idiopathic PD per UK Brain Bank criteria
  • Hoehn-Yahr Stage I-III, on stable dopaminergic treatment regimen for ≥4 weeks prior to baseline.

Exclusion criteria

Exclusion Criteria:

  • Subjects unwilling or unable to give informed consent
  • Secondary parkinsonism (e.g., drug induced)
  • Parkinson-plus syndromes
  • History of brain surgery for PD such as deep brain stimulation
  • No confounding acute or unstable medical, psychiatric, orthopedic condition. Subjects who have hypertension, diabetes mellitus, depression, or other common age-related illness will be included if their disease under control with stable treatment regimen for at least 30 days.
  • Neurogenic orthostatic hypotension defined as symptomatic decrease in BP > 20mmHg systolic or > 10mmHg diastolic and HR increase \< 20bpm on supine to sitting or standing.
  • Clinically significant traumatic brain injury or post-traumatic stress disorder
  • Presence of other known medical or psychiatric comorbidity that in the investigator's opinion would compromise participation in the study
  • Presence of dementia per Movement Disorder Society Level I criteria
  • Major depression, bipolar affective disorder, or other mental health disorders that are sufficiently severe to increase adverse event risk or impact neuropathy assessment in the opinion of the responsible site principal investigator.
  • Subjects with clinically significant depression as determined by a Beck Depression Inventory score greater than 21 at the screening visit
  • Current suicidal ideation within one year prior to the baseline visit as evidenced by answering "yes" to Questions 4 or 5 on the suicidal ideation portion of the Columbia-Suicide Severity Rating Scale (C-SSRS)
  • If the participant has a Beck Anxiety Score greater than 22 at the initial screening visit.
  • History of exposure to typical or atypical antipsychotics or other dopamine blocking agents within 6 months prior to the baseline visit
  • Use of investigational drugs within 30 days before screening
  • Subjects have to be on a stable regimen of central nervous system acting medications (benzodiazepines, antidepressants, hypnotics) for 30 days prior to the baseline visit
  • Use of doxazosin, alfuzosin, prazosin, or tamsulosin
  • For female participant, pregnancy, or plans for child-bearing during study period
  • Participant is restricted from traveling to and from the study site
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
13 participants (actual)

Study arms

  • Experimental
    Active

    Terazosin administered 5 mg once daily p.o. for 12 weeks

    Drug: Terazosin 5 MG

  • Placebo comparator
    Placebo

    Placebo administered once daily p.o. for 12 weeks

    Drug: Placebo oral capsule

Interventions

  • DrugTerazosin 5 MG

    5 milligrams by mouth daily at bedtime

    Also known as: Hytrin

  • DrugPlacebo oral capsule

    1 capsule by mouth daily at bedtime

    Also known as: Placebo

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What researchers measure

Primary outcomes

  1. Incidence of Intervention-related Adverse Events Between Treatment Arms

    All patient-reported adverse events will be determine to be related to the study intervention by the site investigator.

    Time frame: 12 weeks

  2. Incidence of Falls Between Treatment Arms

    The number of participants in each group who report a fall, as determined by the site investigator, will be reported.

    Time frame: 12 weeks

  3. Frequency of Drop-out From Study/Discontinuation of Study Intervention for Any Reason

    The number of participants in each group who drop out of the study for any reason will be compared.

    Time frame: 12 weeks

Secondary outcomes

  1. To Assess the Mean Change in Blood Pressure

    Mean change in sitting systolic blood pressure and diastolic blood pressure from baseline reading at 2 weeks, 6 weeks, and 12 weeks. A negative number indicates a decrease in blood pressure while a positive number indicates an increase in blood pressure.

    Time frame: At Baseline, 2 weeks, 6 weeks, and 12 weeks

  2. Number of Participants With Intolerable Side Effects

    How many participants discontinued study as a result of intolerable adverse events that were deemed to be medication-related.

    Time frame: 12 weeks

  3. Participants Demonstrating Non-Compliance

    All participants will be asked to bring their study intervention bottles to their 6 week visit and their 12 week visit so the Investigational Drug Pharmacy can count remaining pills and assess compliance based on dispensing history. A participant will be considered non-compliant if they had more than 5 missed doses during the course of the study.

    Time frame: At 2 weeks, 6 weeks and 12 weeks

07

Results

Posted Aug 2, 2021
Limitations and caveats
-Recruitment halted early due to the onset of the COVID-19 Pandemic.

Participant flow

Participant flow — Overall Study
MilestoneActivePlacebo
Started85
Completed65
Not completed20

Outcome measures

PrimaryIncidence of Intervention-related Adverse Events Between Treatment Arms

All patient-reported adverse events will be determine to be related to the study intervention by the site investigator.

Time frame:
12 weeks
Reported as:
Number · Event
Incidence of Intervention-related Adverse Events Between Treatment Arms
EventActivePlacebo
Incidence of Intervention-related Adverse Events Between Treatment Arms114
PrimaryIncidence of Falls Between Treatment Arms

The number of participants in each group who report a fall, as determined by the site investigator, will be reported.

Time frame:
12 weeks
Reported as:
Number · Event
Incidence of Falls Between Treatment Arms
EventActivePlacebo
Incidence of Falls Between Treatment Arms00
PrimaryFrequency of Drop-out From Study/Discontinuation of Study Intervention for Any Reason

The number of participants in each group who drop out of the study for any reason will be compared.

Time frame:
12 weeks
Reported as:
Count of participants · Participants
Frequency of Drop-out From Study/Discontinuation of Study Intervention for Any Reason
ParticipantsActivePlacebo
Frequency of Drop-out From Study/Discontinuation of Study Intervention for Any Reason30
SecondaryTo Assess the Mean Change in Blood Pressure

Mean change in sitting systolic blood pressure and diastolic blood pressure from baseline reading at 2 weeks, 6 weeks, and 12 weeks. A negative number indicates a decrease in blood pressure while a positive number indicates an increase in blood pressure.

Time frame:
At Baseline, 2 weeks, 6 weeks, and 12 weeks
Reported as:
Mean · mmHg
To Assess the Mean Change in Blood Pressure
mmHgActivePlacebo
Systolic at 2 weeks-5.29 ± 12.6-2.20 ± 11.5
Systolic at 6 weeks-15.05 ± 8.212.20 ± 23.2
Systolic at 12 weeks-11.0 ± 16.1-3.20 ± 13.1
Diastolic at 2 weeks-2.00 ± 5.54-2.20 ± 8.87
Diastolic at 6 weeks-5.29 ± 4.544.20 ± 8.14
Diastolic at 12 weeks-9.40 ± 2.07-2.00 ± 11.3
SecondaryNumber of Participants With Intolerable Side Effects

How many participants discontinued study as a result of intolerable adverse events that were deemed to be medication-related.

Time frame:
12 weeks
Reported as:
Count of participants · Participants
Number of Participants With Intolerable Side Effects
ParticipantsActivePlacebo
Number of Participants With Intolerable Side Effects30
SecondaryParticipants Demonstrating Non-Compliance

All participants will be asked to bring their study intervention bottles to their 6 week visit and their 12 week visit so the Investigational Drug Pharmacy can count remaining pills and assess compliance based on dispensing history. A participant will be considered non-compliant if they had more than 5 missed doses during the course of the study.

Time frame:
At 2 weeks, 6 weeks and 12 weeks
Reported as:
Count of participants · Participants
Participants Demonstrating Non-Compliance
ParticipantsActivePlacebo
Non-compliance at 2 weeks00
Non-compliance at 6 weeks00
Non-compliance at 12 weeks00

Adverse events

Collected over 12 week. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Active0/8 (0%)0/8 (0%)8/8 (100%)
Placebo0/5 (0%)0/5 (0%)2/5 (40%)
Most frequent other events
Most frequent other events
EventActivePlacebo
Dizzy/LightheadednessNervous system disorders7/81/5
UnsteadyNervous system disorders1/82/5
Orthostatic HypotensionNervous system disorders2/80/5
HeadacheNervous system disorders1/81/5
FatigueNervous system disorders1/80/5

Baseline characteristics

Age, Continuous
Age, Continuous(years)ActivePlaceboTotal
Mean64.8 ± 6.168.8 ± 6.666.4 ± 6.3
Sex: Female, Male
Sex: Female, Male(Participants)ActivePlaceboTotal
Female527
Male336
Race (NIH/OMB)
Race (NIH/OMB)(Participants)ActivePlaceboTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American000
White8513
More than one race000
Unknown or Not Reported000
08

Study locations

1 site
  • University of Iowa Hospitals and Clinics
    Iowa City, Iowa 52242, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Nov 12, 2019
  • Informed consent form · Feb 22, 2022

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Yes — Upon reasonable request with justification for request from qualified researchers, anonymized data will be shared.

Supporting information: Study protocol, Sap, Icf, Csr, Analytic code

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 16, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03905811
Lead sponsor
Jordan Schultz
Collaborators
University of Iowa
Responsible party
Jordan Schultz (PharmD, University of Iowa) — Sponsor-investigator
First posted
Apr 5, 2019
Start date
Sep 24, 2019
Primary completion
Jun 5, 2020
Completion
Nov 18, 2020
Results posted
Aug 2, 2021
Last update
May 16, 2022

Study contacts

Jordan Schultz, PharmD
principal investigator · University of Iowa
Nandakumar Narayanan, MD, PhD
principal investigator · University of Iowa

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in May 2022. You cannot join it, but the record below documents what was studied.

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