Evidence map›Paper›PMID 26366971›Full record

Trial reportClinical neuropharmacology

Caffeine and Progression of Parkinson Disease: A Deleterious Interaction With Creatine.

David K Simon, Cai Wu, Barbara C Tilley, Anne-Marie Wills, Michael J Aminoff, Jacquelyn Bainbridge, Robert A Hauser, Jay S Schneider, Saloni Sharma, Carlos Singer and 3 more

Open access · greenAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Clinical neuropharmacology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Review
  6. Review
  7. Review
  8. Review
  9. Do caffeine and more selective adenosine AParkinsonism & related disorders · 2020
    Review
  10. Caffeine in Kidney Stone Disease: Risk or Benefit?Advances in nutrition (Bethesda, Md.) · 2018
    Review
  11. Selected health and lifestyle factors, cytosine-adenine-guanine status, and phenoconversion in Huntington's disease.Movement disorders : official journal of the Movement Disorder Society · 2018
    Article
  12. Article
  13. The emerging science of precision medicine and pharmacogenomics for Parkinson's disease.Movement disorders : official journal of the Movement Disorder Society · 2017
    Review
  14. Caffeine, creatine, GRIN2A and Parkinson's disease progression.Journal of the neurological sciences · 2017
    Article
  15. Beyond muscles: The untapped potential of creatine.International immunopharmacology · 2016
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 7 institutions in 2 countries.

David K Simon*Department of Neurology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA; †Department of Biostatistics, School of Public Health, University of Texas Health Science Center at Houston, Houston, TX; ‡Department of Neurology, Massachusetts General Hospital and Harvard Medical School, Boston, MA; §Department of Neurology, University of California, San Francisco, CA; ∥Department of Clinical Pharmacy and Neurology, Skaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado, Aurora, CO; ¶Department of Neurology, University of South Florida, Tampa, FL; #Department of Pathology, Anatomy and Cell Biology, Parkinson's Disease Research Unit, Thomas Jefferson University, Philadelphia, PA; **Clinical Trials Coordination Center, University of Rochester Medical Center, Rochester, NY; ††Department of Neurology, Miller School of Medicine, University of Miami, Miami, FL; ‡‡Parkinson's Disease Research Education and Clinical Center, San Francisco Veteran's Affairs Medical Center, San Francisco, CA; §§The Parkinson's and Movement Disorder Institute, Fountain Valley, CA; and ∥∥Singapore General Hospital, Singapore.
Cai Wu
Barbara C Tilley
Anne-Marie Wills
Michael J Aminoff
Jacquelyn Bainbridge
Robert A Hauser
Jay S Schneider
Saloni Sharma
Carlos Singer
Caroline M Tanner
Daniel Truong
Pei Shieen Wong
University of Miami · USBeth Israel Deaconess Medical Center · USSan Francisco VA Medical Center · USSingapore General Hospital · SGUniversity of California, San Francisco · USThomas Jefferson University · USUniversity of South Florida · US

Funding

HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER (UL1)UL1RR025758 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$91.4M
Parkinson Disease Neuroprotection Clinical TrialU10NS044482 · NINDS · BETH ISRAEL DEACONESS MEDICAL CENTER · PI SIMON, DAVID K. · 2002 to 2013
$955k
NCRR NIH HHS UL1 RR025758NINDS NIH HHS U10 NS044482
6 · The paper itself

Abstract

objectiveIncreased caffeine intake is associated with a lower risk of Parkinson disease (PD) and is neuroprotective in mouse models of PD. However, in a previous study, an exploratory analysis suggested that, in patients taking creatine, caffeine intake was associated with a faster rate of progression. In the current study, we investigated the association of caffeine with the rate of progression of PD and the interaction of this association with creatine intake.

methodsData were analyzed from a large phase 3 placebo-controlled clinical study of creatine as a potentially disease-modifying agent in PD. Subjects were recruited for this study from 45 movement disorders centers across the United States and Canada. A total of 1741 subjects with PD participated in the primary clinical study, and caffeine intake data were available for 1549 of these subjects. The association of caffeine intake with rate of progression of PD as measured by the change in the total Unified Parkinson Disease Rating Scale score and the interaction of this association with creatine intake were assessed.

resultsCaffeine intake was not associated with the rate of progression of PD in the main analysis, but higher caffeine intake was associated with significantly faster progression among subjects taking creatine.

conclusionsThis is the largest and longest study conducted to date that addresses the association of caffeine with the rate of progression of PD. These data indicate a potentially deleterious interaction between caffeine and creatine with respect to the rate of progression of PD.

Indexed as

Disease ProgressionCaffeineCentral Nervous System StimulantsCreatineDrug InteractionsFemaleHumansMaleMiddle AgedParkinson DiseaseCaffeineCentral Nervous System StimulantsCreatine

Identifiers

PMID26366971
PMCPMC4573899
OpenAlexW2399313480

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.