Page last updated: 2024-10-29

isradipine and Disease Exacerbation

isradipine has been researched along with Disease Exacerbation in 14 studies

Isradipine: A potent antagonist of CALCIUM CHANNELS that is highly selective for VASCULAR SMOOTH MUSCLE. It is effective in the treatment of chronic stable angina pectoris, hypertension, and congestive cardiac failure.

Research Excerpts

ExcerptRelevanceReference
"The isradipine dose may have been insufficient to engage the target calcium channels associated with neuroprotective effects."6.94Isradipine Versus Placebo in Early Parkinson Disease: A Randomized Trial. ( , 2020)
"Isradipine is a dihydropyridine calcium channel inhibitor that has demonstrated concentration-dependent neuroprotective effects in animal models of Parkinson's disease (PD) but failed to show efficacy in a phase 3 clinical trial."3.01Isradipine plasma pharmacokinetics and exposure-response in early Parkinson's disease. ( James Surmeier, D; Javidnia, M; Oakes, D; Simuni, T; Venuto, CS; Yang, L, 2021)
"The isradipine dose may have been insufficient to engage the target calcium channels associated with neuroprotective effects."2.94Isradipine Versus Placebo in Early Parkinson Disease: A Randomized Trial. ( , 2020)
"Sixty patients with chronic renal failure and hypertension were enrolled in the study."2.70A randomized and double-blind comparison of isradipine and spirapril as monotherapy and in combination on the decline in renal function in patients with chronic renal failure and hypertension. ( Jensen, HA; Ladefoged, SD; Mehlsen, J; Møller, ML; Petersen, JR; Petersen, LJ; Talleruphuus, U, 2001)
"Parkinson's disease is a disabling hypokinetic neurological movement disorder in which the aetiology is unknown in the majority of cases."2.53Calcium Channel Antagonists as Disease-Modifying Therapy for Parkinson's Disease: Therapeutic Rationale and Current Status. ( Hurley, MJ; Swart, T, 2016)
"Treatment with isradipine prevented against MPP+-induced iron influx in the MES23."1.46Isradipine attenuates MPTP-induced dopamine neuron degeneration by inhibiting up-regulation of L-type calcium channels and iron accumulation in the substantia nigra of mice. ( Liu, S; Ma, ZG; Wang, QM; Xu, YY, 2017)
"Sepsis was induced by cecal ligation and puncture (CLP)."1.34Intracellular redistribution of dihydropyridine receptor in the rat heart during the progression of sepsis. ( Hsu, C; Hsu, HK; Liu, MS; Tang, C; Wu, G; Yang, RC; Yang, SL, 2007)

Research

Studies (14)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's4 (28.57)18.2507
2000's3 (21.43)29.6817
2010's2 (14.29)24.3611
2020's5 (35.71)2.80

Authors

AuthorsStudies
Surmeier, DJ1
Nguyen, JT1
Lancki, N1
Venuto, CS2
Oakes, D2
Simuni, T2
Wyse, RK1
Maiti, B1
Perlmutter, JS1
Yang, L1
Javidnia, M1
James Surmeier, D1
Wang, QM1
Xu, YY1
Liu, S1
Ma, ZG1
Swart, T1
Hurley, MJ1
Shangina, OA1
Kostin, VI1
Koturga, LI1
Hsu, C1
Wu, G1
Yang, SL1
Hsu, HK1
Yang, RC1
Tang, C1
Liu, MS1
Futrakul, P1
Futrakul, N1
Sitprija, V1
Sensirivatana, R1
Watana, D1
Kingwatanakul, P1
Borhani, NO1
Mercuri, M1
Borhani, PA1
Buckalew, VM1
Canossa-Terris, M1
Carr, AA1
Kappagoda, T1
Rocco, MV1
Schnaper, HW1
Sowers, JR1
Bond, MG1
Maher, MJ1
Dworkin, LD1
Strauer, BE1
Schwartzkopff, B1
Petersen, LJ1
Petersen, JR1
Talleruphuus, U1
Møller, ML1
Ladefoged, SD1
Mehlsen, J1
Jensen, HA1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Phase 3 Double-blind Placebo-controlled Parallel Group Study of Isradipine as a Disease Modifying Agent in Subjects With Early Parkinson Disease[NCT02168842]Phase 3336 participants (Actual)Interventional2014-11-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Adjusted Mean Change in Adjusted UPDRS Score

Efficacy of isradipine to slow progression of Parkinson disease disability to be determined by the change in the adjusted UPDRS Score in the active treatment arm versus placebo between the baseline and 36 month visit. The change of adjusted UPDRS ranges from -100 to 150, larger value shows more disability from PD. (NCT02168842)
Timeframe: Baseline to 36 months of treatment

Interventionscore on a scale (Least Squares Mean)
Isradipine13.49
Placebo (for Isradipine)13.85

Adjusted Mean Change in Ambulatory Capacity

Efficacy of isradipine to slow progression of Parkinson disease disability to be determined by the change in the Ambulatory Capacity in the active treatment arm versus placebo between the baseline and 36 month visit. The change in Ambulatory Capacity ranges from -4 to 12, larger value shows worsening of conditions. (NCT02168842)
Timeframe: Baseline to 36 months of treatment

Interventionscore on a scale (Least Squares Mean)
Isradipine0.59
Placebo (for Isradipine)0.50

Adjusted Mean Change in BDI Total Score

Efficacy of isradipine to slow progression of Parkinson disease disability to be determined by the change in the BDI Total Score in the active treatment arm versus placebo between the baseline and 36 month visit. The change in BDI Total Score ranges from -9 to 22, larger value shows worsening of conditions. (NCT02168842)
Timeframe: Baseline to 36 months of treatment

Interventionunits on a scale (Least Squares Mean)
Isradipine0.77
Placebo (for Isradipine)1.34

Adjusted Mean Change in Diastolic BP, Seated

Efficacy of isradipine to slow progression of Parkinson disease disability to be determined by the change in the Diastolic BP, Seated in the active treatment arm versus placebo between the baseline and 36 month visit. The change in Diastolic BP, Seated ranges from -35 to 25. larger value shows worsening of conditions. (NCT02168842)
Timeframe: Baseline to 36 months of treatment

InterventionmmHg (Least Squares Mean)
Isradipine-4.64
Placebo (for Isradipine)-0.71

Adjusted Mean Change in H/Y Stage

Efficacy of isradipine to slow progression of Parkinson disease disability to be determined by the change in the H/Y Stage in the active treatment arm versus placebo between the baseline and 36 month visit. The change in H/Y Stage ranges from -1 to 3, larger value shows worsening of conditions. (NCT02168842)
Timeframe: Baseline to 36 months of treatment

Interventionunits on a scale (Least Squares Mean)
Isradipine0.15
Placebo (for Isradipine)0.21

Adjusted Mean Change in LED

Efficacy of isradipine to slow progression of Parkinson disease disability to be determined by the change in the LED(levodopa equivalent dose) in the active treatment arm versus placebo between the baseline and 36 month visit. The change of LED ranges from -100 to 3000, larger value shows more disability from PD. (NCT02168842)
Timeframe: Baseline to 36 months of treatment

Interventionmg (Least Squares Mean)
Isradipine389
Placebo (for Isradipine)375

Adjusted Mean Change in LED Cumulative

Efficacy of isradipine to slow progression of Parkinson disease disability to be determined by the change in the LED(levodopa equivalent dose) cumulative in the active treatment arm versus placebo between the baseline and 36 month visit. The change of LED cumulative ranges from 0 to 1200000, larger value shows more disability from PD. (NCT02168842)
Timeframe: Baseline to 36 months of treatment

Interventionmg (Least Squares Mean)
Isradipine676
Placebo (for Isradipine)697

Adjusted Mean Change in Levodopa

Efficacy of isradipine to slow progression of Parkinson disease disability to be determined by the change in the Levodopa in the active treatment arm versus placebo between the baseline and 36 month visit. The change of LED ranges from -200 to 2000, larger value shows more disability from PD. (NCT02168842)
Timeframe: Baseline to 36 months of treatment

Interventionmg (Least Squares Mean)
Isradipine307
Placebo (for Isradipine)307

Adjusted Mean Change in Levodopa Cumulative

Efficacy of isradipine to slow progression of Parkinson disease disability to be determined by the change in the Levodopa Cumulative in the active treatment arm versus placebo between the baseline and 36 month visit. The change of Levodopa cumulative ranges from 0 to 800000, larger value shows more disability from PD. (NCT02168842)
Timeframe: Baseline to 36 months of treatment

Interventionmg (Least Squares Mean)
Isradipine471
Placebo (for Isradipine)508

Adjusted Mean Change in MDS-UPDRS mEDL

Efficacy of isradipine to slow progression of Parkinson disease disability to be determined by the change in the MDS-UPDRS mEDL(Motor Experiences of Daily Living) in the active treatment arm versus placebo between the baseline and 36 month visit. The change in MDS-UPDRS mEDL ranges from -8 to 35, larger value shows more disability from PD. (NCT02168842)
Timeframe: Baseline to 36 months of treatment

Interventionscore on a scale (Least Squares Mean)
Isradipine2.32
Placebo (for Isradipine)2.57

Adjusted Mean Change in MDS-UPDRS nmEDL

Efficacy of isradipine to slow progression of Parkinson disease disability to be determined by the change in the MDS-UPDRS nmEDL(Non-Motor Experiences of Daily Living) in the active treatment arm versus placebo between the baseline and 36 month visit. The change in MDS-UPDRS nmEDL ranges from -6 to 10, larger value shows more disability from PD. (NCT02168842)
Timeframe: Baseline to 36 months of treatment

Interventionscore on a scale (Least Squares Mean)
Isradipine1.93
Placebo (for Isradipine)1.76

Adjusted Mean Change in MoCA Score

Efficacy of isradipine to slow progression of Parkinson disease disability to be determined by the change in the MoCA Score in the active treatment arm versus placebo between the baseline and 36 month visit. The change in MoCA Score ranges from -10 to 6, larger value shows improvement of conditions. (NCT02168842)
Timeframe: Baseline to 36 months of treatment

Interventionunits on a scale (Least Squares Mean)
Isradipine-0.04
Placebo (for Isradipine)-0.07

Adjusted Mean Change in Modified Rankin Score

Efficacy of isradipine to slow progression of Parkinson disease disability to be determined by the change in the Modified Rankin Score in the active treatment arm versus placebo between the baseline and 36 month visit. The change in Modified Rankin Score ranges from -1 to 3, larger value shows worsening of conditions. (NCT02168842)
Timeframe: Baseline to 36 months of treatment

Interventionunits on a scale (Least Squares Mean)
Isradipine0.18
Placebo (for Isradipine)0.29

Adjusted Mean Change in PDQ39 Total Score

Efficacy of isradipine to slow progression of Parkinson disease disability to be determined by the change in the PDQ39 Total Score in the active treatment arm versus placebo between the baseline and 36 month visit. The change in PDQ39 Total Score ranges from -16 to 44, larger value shows worsening of conditions. (NCT02168842)
Timeframe: Baseline to 36 months of treatment

Interventionunits on a scale (Least Squares Mean)
Isradipine2.80
Placebo (for Isradipine)3.42

Adjusted Mean Change in SE/ADL

Efficacy of isradipine to slow progression of Parkinson disease disability to be determined by the change in the SE/ADL in the active treatment arm versus placebo between the baseline and 36 month visit. The change of UPDRS ranges from -70 to 20, larger value shows improvement of PD. (NCT02168842)
Timeframe: Baseline to 36 months of treatment

Interventionunits on a scale (Least Squares Mean)
Isradipine-4.14
Placebo (for Isradipine)-4.41

Adjusted Mean Change in Systolic BP, Seated

Efficacy of isradipine to slow progression of Parkinson disease disability to be determined by the change in the Systolic BP, Seated in the active treatment arm versus placebo between the baseline and 36 month visit. The change in Systolic BP, Seated ranges from -65 to 50. larger value shows worsening of conditions. (NCT02168842)
Timeframe: Baseline to 36 months of treatment

InterventionmmHg (Least Squares Mean)
Isradipine-6.11
Placebo (for Isradipine)1.03

Adjusted Mean Change in Total Unified Parkinson Disease Rating Scale (UPDRS) Score

Efficacy of isradipine to slow progression of Parkinson disease disability to be determined by the change in the total (Part I-III) UPDRS score in the active treatment arm versus placebo between the baseline and 36 month visit. The change of UPDRS ranges from -30 to 80, larger value shows more disability from PD. (NCT02168842)
Timeframe: Baseline to 36 months of treatment

Interventionscore on a scale (Least Squares Mean)
Isradipine2.99
Placebo (for Isradipine)3.26

Adjusted Mean Change in UPDRS Part II

Efficacy of isradipine to slow progression of Parkinson disease disability to be determined by the change in the UPDRS Part II (ADL Function) in the active treatment arm versus placebo between the baseline and 36 month visit. The change in UPDRS Part II ranges from -12 to 19, larger value shows more disability from PD. (NCT02168842)
Timeframe: Baseline to 36 months of treatment

Interventionscore on a scale (Least Squares Mean)
Isradipine2.3
Placebo (for Isradipine)2.5

Adjusted Mean Change in UPDRS Part III OFF

Efficacy of isradipine to slow progression of Parkinson disease disability to be determined by the change in the UPDRS Part III OFF rating in the active treatment arm versus placebo between the baseline and 36 month visit. The change in UPDRS Part III OFF ranges from -30 to 100, larger value shows more disability from PD. (NCT02168842)
Timeframe: Baseline to 36 months of treatment

Interventionscore on a scale (Least Squares Mean)
Isradipine4.60
Placebo (for Isradipine)4.50

Adjusted Mean Change in UPDRS Part IV

Efficacy of isradipine to slow progression of Parkinson disease disability to be determined by the change in the UPDRS Part IV in the active treatment arm versus placebo between the baseline and 36 month visit. The change in UPDRS Part IV ranges from -10 to 10, larger value shows more disability from PD. (NCT02168842)
Timeframe: Baseline to 36 months of treatment

Interventionscore on a scale (Least Squares Mean)
Isradipine1.18
Placebo (for Isradipine)1.07

Adjusted Mean Change in UPDRS PIGD Score

Efficacy of isradipine to slow progression of Parkinson disease disability to be determined by the change in the UPDRS PIGD Score in the active treatment arm versus placebo between the baseline and 36 month visit. The change in UPDRS PIGD Score ranges from -1 to 3, larger value shows worsening of conditions. (NCT02168842)
Timeframe: Baseline to 36 months of treatment

Interventionunits on a scale (Least Squares Mean)
Isradipine0.12
Placebo (for Isradipine)0.10

Adjusted Mean Change in UPDRS Score to 1 Year

Efficacy of isradipine to slow progression of Parkinson disease disability to be determined by the change in the MDS-UPDRS nmEDL(Non-Motor Experiences of Daily Living) in the active treatment arm versus placebo between the baseline and 12 month visit. The change of UPDRS ranges from -22 to 23, larger value shows more disability from PD. (NCT02168842)
Timeframe: Baseline to 12 months of treatment

Interventionscore on a scale (Least Squares Mean)
Isradipine4.65
Placebo (for Isradipine)5.3

Adjusted Mean Change in UPDRS Tremor Score

Efficacy of isradipine to slow progression of Parkinson disease disability to be determined by the change in the UPDRS Tremor Score in the active treatment arm versus placebo between the baseline and 36 month visit. The change in UPDRS Tremor Score ranges from -1 to 2, larger value shows worsening of conditions. (NCT02168842)
Timeframe: Baseline to 36 months of treatment

Interventionunits on a scale (Least Squares Mean)
Isradipine0.00
Placebo (for Isradipine)0.01

Risk of Need for Antiparkinsonian Therapy

Number of participants with need for Antiparkinsonian Therapy. (NCT02168842)
Timeframe: Baseline to 36 months of treatment

Interventionparticipants (Number)
Isradipine145
Placebo (for Isradipine)147

Risk of Need for Dyskinesia

Number of participants with need for Dyskinesia Therapy. (NCT02168842)
Timeframe: Baseline to 36 months of treatment

Interventionparticipants (Number)
Isradipine24
Placebo (for Isradipine)19

Risk of Need for Fluctuations

Number of participants with need for Fluctuations Therapy. (NCT02168842)
Timeframe: Baseline to 36 months of treatment

Interventionparticipants (Number)
Isradipine57
Placebo (for Isradipine)64

Reviews

2 reviews available for isradipine and Disease Exacerbation

ArticleYear
Calcium Channel Antagonists as Disease-Modifying Therapy for Parkinson's Disease: Therapeutic Rationale and Current Status.
    CNS drugs, 2016, Volume: 30, Issue:12

    Topics: Animals; Calcium Channel Blockers; Calcium Channels; Clinical Trials, Phase II as Topic; Clinical Tr

2016
Calcium antagonists in the treatment of hypertension: special clinical considerations.
    Current opinion in nephrology and hypertension, 1996, Volume: 5, Issue:5

    Topics: Angina Pectoris; Angina, Unstable; Anti-Inflammatory Agents, Non-Steroidal; Antihypertensive Agents;

1996

Trials

4 trials available for isradipine and Disease Exacerbation

ArticleYear
Isradipine Versus Placebo in Early Parkinson Disease: A Randomized Trial.
    Annals of internal medicine, 2020, 05-05, Volume: 172, Issue:9

    Topics: Antiparkinson Agents; Calcium Channel Blockers; Disability Evaluation; Disease Progression; Double-B

2020
Isradipine plasma pharmacokinetics and exposure-response in early Parkinson's disease.
    Annals of clinical and translational neurology, 2021, Volume: 8, Issue:3

    Topics: Aged; Calcium Channel Blockers; Disease Progression; Double-Blind Method; Female; Humans; Isradipine

2021
Final outcome results of the Multicenter Isradipine Diuretic Atherosclerosis Study (MIDAS). A randomized controlled trial.
    JAMA, 1996, Sep-11, Volume: 276, Issue:10

    Topics: Aged; Antihypertensive Agents; Arteriosclerosis; Carotid Arteries; Diastole; Disease Progression; Di

1996
A randomized and double-blind comparison of isradipine and spirapril as monotherapy and in combination on the decline in renal function in patients with chronic renal failure and hypertension.
    Clinical nephrology, 2001, Volume: 55, Issue:5

    Topics: Adolescent; Adult; Aged; Angiotensin-Converting Enzyme Inhibitors; Blood Pressure; Calcium Channel B

2001

Other Studies

8 other studies available for isradipine and Disease Exacerbation

ArticleYear
Re-Analysis of the STEADY-PD II Trial-Evidence for Slowing the Progression of Parkinson's Disease.
    Movement disorders : official journal of the Movement Disorder Society, 2022, Volume: 37, Issue:2

    Topics: Clinical Trials as Topic; Disease Progression; Double-Blind Method; Humans; Isradipine; Mental Statu

2022
A Clinical Trial of Isradipine: What Went Wrong?
    Annals of internal medicine, 2020, 05-05, Volume: 172, Issue:9

    Topics: Calcium Channel Blockers; Disability Evaluation; Disease Progression; Humans; Isradipine; Parkinson

2020
Isradipine Versus Placebo in Early Parkinson Disease.
    Annals of internal medicine, 2020, 05-05, Volume: 172, Issue:9

    Topics: Antiparkinson Agents; Calcium Channel Blockers; Disability Evaluation; Disease Progression; Humans;

2020
Isradipine attenuates MPTP-induced dopamine neuron degeneration by inhibiting up-regulation of L-type calcium channels and iron accumulation in the substantia nigra of mice.
    Oncotarget, 2017, Jul-18, Volume: 8, Issue:29

    Topics: 1-Methyl-4-phenyl-1,2,3,6-tetrahydropyridine; Animals; Biomarkers; Calcium Channel Blockers; Calcium

2017
[Effects of therapy with various groups of antianginal agents on life quality of the elderly with coronary heart disease and comorbid depression].
    Klinicheskaia meditsina, 2005, Volume: 83, Issue:7

    Topics: Adrenergic beta-Antagonists; Age Factors; Aged; Atenolol; Calcium Channel Blockers; Depression; Dise

2005
Intracellular redistribution of dihydropyridine receptor in the rat heart during the progression of sepsis.
    The Journal of surgical research, 2007, Volume: 141, Issue:2

    Topics: Animals; Calcium Channels, L-Type; Disease Progression; Isradipine; Male; Myocardium; Phosphorylatio

2007
Improved renal perfusion prevents disease progression in focal segmental glomerulosclerosis.
    Nephron, 1995, Volume: 69, Issue:3

    Topics: Cilazapril; Dipyridamole; Disease Progression; Glomerulosclerosis, Focal Segmental; Heparin; Humans;

1995
Objectives of high blood pressure treatment: left ventricular hypertrophy, diastolic function, and coronary reserve.
    American journal of hypertension, 1998, Volume: 11, Issue:7

    Topics: Antihypertensive Agents; Arterioles; Bisoprolol; Blood Pressure; Coronary Circulation; Diastole; Dil

1998