ClinicalTrials.gg
Not yet recruitingNCT07294469Updated Jan 8, 2026

Menthol for Improving Movement and Sleep in Parkinson's Disease Patients

A Phase 2 interventional study of Menthol gloves and socks and Placebo gloves and socks in Parkinson's Disease, sponsored by Taipei Medical University Hospital. Not yet recruiting at 1 site in Taiwan. Open to participants aged 30 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-01-08.

Sponsored by Taipei Medical University Hospital · Phase 2, Interventional, and Supportive care

Phase
Phase 2
Study type
Interventional
Enrollment
80
Allocation
Randomized
Ages
30 Years to 80 Years
Sex
All
01

Study summary

Parkinson's disease (PD) is a progressive neurological disorder characterized by both motor and non-motor symptoms due to the degeneration of dopamine-producing neurons. There is currently no cure. Menthol, a natural compound that activates TRPM8 receptors, has shown neuroprotective and motor function benefits in preclinical PD models. In mice, distal limb immersion in menthol improved dopamine neuron survival and motor performance. Similar menthol-based interventions improved outcomes in a stroke model and a clinical trial with stroke patients. This study investigates whether topical menthol can offer therapeutic benefits for individuals with PD.

Read the detailed description

Parkinson's disease (PD) is a progressive neurological disorder that affects both motor and non-motor functions, with symptoms that can vary widely in severity. It is caused by the degeneration of dopamine-producing neurons in the substantia nigra, a brain region essential for movement control. The characteristic motor symptoms of PD include tremor, rigidity, bradykinesia, and postural instability. In addition to these motor impairments, many individuals with PD also experience non-motor symptoms, such as sleep disturbances, which can significantly impact their quality of life. Unfortunately, there is currently no cure for PD.

Menthol, a naturally occurring compound found in peppermint essential oil, has been shown to activate TRPM8 receptors in somatosensory neurons. Pharmacological activation of peripheral TRPM8 receptors enhances neural activity, which is subsequently transmitted to the brain.

In previous preclinical studies, the investigators used a dopamine toxin-induced PD mouse model and treated the mice with distal limb immersion in menthol. The results of immunohistochemical staining showed that limb immersion in menthol reduced the loss of dopamine neurons and increased the dopamine content in the mouse striatum. The mice's motor function also improved, as indicated by a significant increase in the time they spent running on the rotarod. The investigators also evaluated the effects of menthol in a stroke mouse model induced by MCAO. Topical application of menthol to the paw alleviated acute cerebral infarction and ischemia-induced sensorimotor deficits in MCAO mice.

In our recent clinical trial, the investigators evaluated the effects of menthol-containing gloves and socks in acute ischemic stroke patients. After four weeks of treatment, patients showed improvements in their Modified Rankin Scale (mRS) and Barthel Index (BI) scores, suggesting that this intervention may help enhance functional recovery. Based on these promising results, the investigators hypothesize that a similar approach could benefit individuals with PD.

The investigators aim to conduct a double-blind, randomized controlled trial evaluating the effectiveness of menthol-containing gloves and socks in treating motor deficits and sleep disorders in patients with PD:A total of 80 patients with PD will be randomized into the following groups: (1) menthol-containing gloves and socks (2) placebo. The treatment duration will be 4 weeks, with 4 weeks follow-up. All patients will be clinically assessed at the randomization, 4 and 8 week. Unified Parkinson's Disease Rating Scale (UPDRS) I,II,III, Pittsburgh Sleep Quality Index (PSQI), Parkinson's Disease Sleep Scale-2 (PDSS-2), Parkinson's Disease Questionnaire (PDQ-39) and detailed neurological examination will be included in the assessment.

02

Conditions studied

  • Parkinson's Disease

Keywords

  • Menthol
  • Parkinson's Disease
  • Motor Deficits
  • Sleep Disturbances
03

In context

Parkinson Disease

4,573 studies on the registry are indexed under Parkinson Disease; 1,086 are open to participants now.

This study's planned enrollment of 80 is above the median of 40 across 3,353 interventional studies indexed under Parkinson Disease.

Browse Parkinson Disease studies →

Lead sponsor

Taipei Medical University Hospital is the lead sponsor of 64 studies on the registry; 12 are open to participants now.

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

04

Who can participate

Ages eligible
30 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. aged between 30 and 80 years (inclusive);
  2. diagnosed with idiopathic PD based on the Brain Bank criteria of the UK Parkinson's Disease Society less than 3 years;
  3. Hoehn and Yahr stages 1-3 and currently receiving treatment; experiencing sleep disorders with a Pittsburgh Sleep Quality Index (PSQI) > 5;
  4. has signed the form approved by the Institutional Review Board and dated accordingly;
  5. no changes in PD medications within four weeks prior to participating in this trial, and no dosage changes during the study period;
  6. able to use other medications that may affect sleep, except those explicitly prohibited, provided the dosage has been stable for the four weeks before screening and remains unchanged during the study.

Exclusion criteria

Exclusion Criteria:

  1. menthol allergy;
  2. pregnant and breastfeeding women;
  3. diagnosed with secondary and atypical PD;
  4. patients with conditions such as uremia, cirrhosis, congestive heart failure with pulmonary edema, coagulation disorders, epilepsy, alcoholism, drug abuse, or
  5. deemed unsuitable for participation in this study by the principal investigator.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Phase 2
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
80 participants (estimated)

Study arms

  • Experimental
    Menthol Group

    Participants in this arm will wear gloves and socks containing menthol daily for four weeks.

    Drug: Menthol gloves and socks

  • Placebo comparator
    Placebo Group

    Participants in this arm will wear placebo gloves and socks daily for four weeks. These are identical in appearance and material to those used in the treatment group but contain no active menthol compound.

    Drug: Placebo gloves and socks

Interventions

  • DrugMenthol gloves and socks

    Participants will wear menthol-containing gloves and socks for five minutes per day, five days a week, over a four-week period.

  • DrugPlacebo gloves and socks

    Participants will wear gloves and socks with plain lotion for five minutes per day, five days a week, over a four-week period.

06

What researchers measure

Primary outcomes

  1. Unified Parkinson's Disease Rating Scale (UPDRS) I,II,III

    The UPDRS is a clinical tool to assess the severity of Parkinson's disease. It consists of: Part I: Mentation, Behavior, and Mood (cognitive and psychiatric symptoms); Part II: Activities of Daily Living (self-reported motor activities); Part III: Motor Examination (clinician-assessed motor symptoms); The combined score of Parts I, II, and III reflects overall disease severity.

    Time frame: Evaluations will be conducted at the time of randomization and will serve as baseline data.

  2. Unified Parkinson's Disease Rating Scale (UPDRS) I,II,III

    The UPDRS is a clinical tool to assess the severity of Parkinson's disease. It consists of: Part I: Mentation, Behavior, and Mood (cognitive and psychiatric symptoms); Part II: Activities of Daily Living (self-reported motor activities); Part III: Motor Examination (clinician-assessed motor symptoms); The combined score of Parts I, II, and III reflects overall disease severity.

    Time frame: Evaluations will be conducted at the fourth week after the start of the intervention.

  3. Unified Parkinson's Disease Rating Scale (UPDRS) I,II,III

    The UPDRS is a clinical tool to assess the severity of Parkinson's disease. It consists of: Part I: Mentation, Behavior, and Mood (cognitive and psychiatric symptoms); Part II: Activities of Daily Living (self-reported motor activities); Part III: Motor Examination (clinician-assessed motor symptoms); The combined score of Parts I, II, and III reflects overall disease severity.

    Time frame: Evaluations will be conducted at the fourth week after the end of the intervention, i.e. the eighth week after start of intervention.

  4. Pittsburgh Sleep Quality Index (PSQI)

    The PSQI is a self-report questionnaire assessing sleep quality and disturbances over the past month. It consists of 19 items across 7 domains: sleep quality, sleep latency, sleep duration, sleep efficiency, sleep disturbances, use of sleep medication, and daytime dysfunction.

    Time frame: Evaluations will be conducted at the time of randomization and will serve as baseline data.

  5. Pittsburgh Sleep Quality Index (PSQI)

    The PSQI is a self-report questionnaire assessing sleep quality and disturbances over the past month. It consists of 19 items across 7 domains: sleep quality, sleep latency, sleep duration, sleep efficiency, sleep disturbances, use of sleep medication, and daytime dysfunction.

    Time frame: Evaluations will be conducted at the fourth week after the start of the intervention.

  6. Pittsburgh Sleep Quality Index (PSQI)

    The PSQI is a self-report questionnaire assessing sleep quality and disturbances over the past month. It consists of 19 items across 7 domains: sleep quality, sleep latency, sleep duration, sleep efficiency, sleep disturbances, use of sleep medication, and daytime dysfunction.

    Time frame: Evaluations will be conducted at the fourth week after the end of the intervention, i.e. the eighth week after start of intervention.

Secondary outcomes

  1. Parkinson's Disease Sleep Scale-2 (PDSS-2)

    The PDSS-2 is a self-reported tool designed to assess sleep disturbances specifically in individuals with Parkinson's disease. It includes 15 items covering various sleep-related issues such as sleep onset, duration, nocturnal motor symptoms, and daytime sleepiness.

    Time frame: Evaluations will be conducted at the time of randomization and will serve as baseline data.

  2. Parkinson's Disease Sleep Scale-2 (PDSS-2)

    The PDSS-2 is a self-reported tool designed to assess sleep disturbances specifically in individuals with Parkinson's disease. It includes 15 items covering various sleep-related issues such as sleep onset, duration, nocturnal motor symptoms, and daytime sleepiness.

    Time frame: Evaluations will be conducted at the fourth week after the start of the intervention.

  3. Parkinson's Disease Sleep Scale-2 (PDSS-2)

    The PDSS-2 is a self-reported tool designed to assess sleep disturbances specifically in individuals with Parkinson's disease. It includes 15 items covering various sleep-related issues such as sleep onset, duration, nocturnal motor symptoms, and daytime sleepiness.

    Time frame: Evaluations will be conducted at the fourth week after the end of the intervention, i.e. the eighth week after start of intervention.

  4. Parkinson's Disease Questionnaire (PDQ-39)

    The PDQ-39 is a 39-item self-report questionnaire designed to assess health-related quality of life in people with Parkinson's disease. It covers 8 domains: mobility, activities of daily living, emotional well-being, stigma, social support, cognitions, communication, and sleep.

    Time frame: Evaluations will be conducted at the time of randomization and will serve as baseline data.

  5. Parkinson's Disease Questionnaire (PDQ-39)

    The PDQ-39 is a 39-item self-report questionnaire designed to assess health-related quality of life in people with Parkinson's disease. It covers 8 domains: mobility, activities of daily living, emotional well-being, stigma, social support, cognitions, communication, and sleep.

    Time frame: Evaluations will be conducted at the fourth week after the start of the intervention.

  6. Parkinson's Disease Questionnaire (PDQ-39)

    The PDQ-39 is a 39-item self-report questionnaire designed to assess health-related quality of life in people with Parkinson's disease. It covers 8 domains: mobility, activities of daily living, emotional well-being, stigma, social support, cognitions, communication, and sleep.

    Time frame: Evaluations will be conducted at the fourth week after the end of the intervention, i.e. the eighth week after start of intervention.

07

Study locations

1 site
08

References and documents

Publications

  • Huang SS, Su HH, Chien SY, Chung HY, Luo ST, Chu YT, Wang YH, MacDonald IJ, Lee HH, Chen YH. Activation of peripheral TRPM8 mitigates ischemic stroke by topically applied menthol. J Neuroinflammation. 2022 Jul 27;19(1):192. doi: 10.1186/s12974-022-02553-4. PubMed 35897101 ↗

Individual participant data

Plan to share: No — Data including paper and electronic files will be destroyed after two years since the end of the study. Data obtained from the study, if digitized, will be stored on the investigator's computer in the hospital office and secured the password. Written data will be kept in a locked drawer in the investigator's office and stored separately from the subject's consent form. The data will be kept for five years after the end of the trial, at which time the digital data will be deleted from the computer and the written data will be deleted by shredder.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 8, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07294469
Lead sponsor
Taipei Medical University Hospital
Collaborators
China Medical University, Taiwan
Responsible party
Sponsor
First posted
Dec 19, 2025
Start date
Dec 15, 2025 (estimated)
Primary completion
Jul 31, 2027 (estimated)
Completion
Jul 31, 2027 (estimated)
Last update
Jan 8, 2026

Study contacts

Hsun-Hua Lee, MD-PhD
Contact
kaorulei@yahoo.com.tw
(886)02-27372181
Yi-Hung Chen, PhD
study director · International Master Program in Integrative Health, College of Chinese Medicine, China Medical University

Oversight

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

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