Evidence map›Paper›PMID 39213090›Full record

Trial reportJournal of Parkinson's disease2024

Cognitive Effects of Three β-Adrenoceptor Acting Drugs in Healthy Volunteers and Patients with Parkinson's Disease.

Pepijn P N M Eijsvogel, Laura G J M Borghans, Samantha Prins, Laurence Moss, Sebastiaan J W van Kraaij, Emilie van Brummelen, Erica Klaassen, Renee S Martin, Edgar Bautista, Anthony P Ford and 3 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of Parkinson's disease, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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.

Pepijn P N M EijsvogelCentre for Human Drug Research, Leiden, The Netherlands.
Laura G J M BorghansCentre for Human Drug Research, Leiden, The Netherlands.
Samantha PrinsCentre for Human Drug Research, Leiden, The Netherlands.
Laurence MossCentre for Human Drug Research, Leiden, The Netherlands.
Sebastiaan J W van KraaijCentre for Human Drug Research, Leiden, The Netherlands.
Emilie van BrummelenCentre for Human Drug Research, Leiden, The Netherlands.
Erica KlaassenCentre for Human Drug Research, Leiden, The Netherlands.
Renee S MartinCuraSen Therapeutics, San Carlos, CA, USA.
Edgar BautistaCuraSen Therapeutics, San Carlos, CA, USA.
Anthony P FordCuraSen Therapeutics, San Carlos, CA, USA.
Philip H C KremerCentre for Human Drug Research, Leiden, The Netherlands.
Geert Jan GroeneveldCentre for Human Drug Research, Leiden, The Netherlands.
Gabriel A VargasCuraSen Therapeutics, San Carlos, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Noradrenergic signaling declines in Parkinson's disease (PD) following locus coeruleus neurodegeneration. Epidemiologic studies demonstrate that β-acting drugs slow PD progression. Objective: The primary objective was to compare the safety and effects of 3 β-adrenoceptor (β-AR) acting drugs on central nervous system (CNS) function after a single dose in healthy volunteers (HVs) and evaluate the effects of multiple doses of β-AR acting drugs in HVs and PD-patients. Methods: In Part A, HVs received single doses of 32 mg salbutamol, 160μg clenbuterol, 60 mg pindolol and placebo administered in a randomized, 4-way cross-over study. In Part B (randomized cross-over) and Part C (parallel, 2:1 randomized), placebo and/or clenbuterol (20μg on Day 1, 40μg on Day 2, 80μg on Days 3-7) were administered. CNS functions were assessed using the NeuroCart test battery, including pupillometry, adaptive tracking and recall tests. Results: Twenty-seven HVs and 12 PD-patients completed the study. Clenbuterol improved and pindolol reduced the adaptive tracking and immediate verbal recall performance. Clenbuterol and salbutamol increased and pindolol decreased pupil-to-iris ratios. Clenbuterol was selected for Parts B and C. In Part B, clenbuterol significantly increased performance in adaptive tracking with a tendency toward improved performance in immediate and delayed verbal recall. In Part C trends toward improved performance in immediate and delayed verbal recall were observed in PD-patients. Typical cardiovascular peripheral β2-AR effects were observed with clenbuterol. Conclusions: This study demonstrates the pro-cognitive effects of clenbuterol in HVs with similar trends in PD-patients. The mechanism of action is likely activation of β2-ARs in the CNS.

Indexed as

AlbuterolClenbuterolCross-Over StudiesParkinson DiseasePindololAdrenergic beta-AgonistsAdultAgedFemaleHealthy VolunteersHumansMaleMiddle AgedAdrenergic beta-AgonistsAlbuterolClenbuterolPindololadrenergic beta-agonistcentral nervous system agentsdisease progressionelectroencephalographyParkinson’s diseasepharmacologyphase 1 clinical trial

Identifiers

PMID39213090
PMCPMC11380312

What OpenQuestion holds

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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.