Page last updated: 2024-11-01

nimodipine and MPTP Neurotoxicity Syndrome

nimodipine has been researched along with MPTP Neurotoxicity Syndrome in 3 studies

Nimodipine: A calcium channel blockader with preferential cerebrovascular activity. It has marked cerebrovascular dilating effects and lowers blood pressure.
nimodipine : A dihydropyridine that is 1,4-dihydropyridine which is substituted by methyl groups at positions 2 and 6, a (2-methoxyethoxy)carbonyl group at position 3, a m-nitrophenyl group at position 4, and an isopropoxycarbonyl group at position 5. An L-type calcium channel blocker, it acts particularly on cerebral circulation, and is used both orally and intravenously for the prevention and treatment of subarachnoid hemorrhage from ruptured intracranial aneurysm.

Research Excerpts

ExcerptRelevanceReference
"Pretreatment with nimodipine (120 mg pellets) did neither attenuate the behavioural impairments in MPTP-treated animals nor antagonize the striatal neurotoxin-induced dopamine depletion, but almost completely prevented (in a dose-dependent manner) the MPTP-induced decrease of nigral tyrosine hydroxylase immunoreactive cells."1.291-Methyl-4-phenyl-1,2,3,6-tetrahydropyridine-induced neurotoxicity in non-human primates is antagonized by pretreatment with nimodipine at the nigral, but not at the striatal level. ( Gerlach, M; Kupsch, A; Oertel, WH; Riederer, P; Sautter, J; Schwarz, J, 1996)

Research

Studies (3)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's1 (33.33)18.2507
2000's0 (0.00)29.6817
2010's2 (66.67)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Singh, A2
Verma, P2
Raju, A1
Mohanakumar, KP2
Balaji, G1
Samantaray, S1
Kupsch, A1
Sautter, J1
Schwarz, J1
Riederer, P1
Gerlach, M1
Oertel, WH1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Pilot Phase II Double-Blind, Placebo-Controlled, Tolerability and Dosage Finding Study of Isradipine CR as a Disease Modifying Agent in Patients With Early Parkinson Disease[NCT00909545]Phase 299 participants (Actual)Interventional2009-07-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Common Adverse Events: Back Pain

Musculoskeletal and Connective Tissue Disorders. Common adverse experience/event is defined as AE occurs to 5(about 5%) or more subjects. They will also be tabulated by treatment groups. (NCT00909545)
Timeframe: Baseline to 12 months or the time to require dopaminergic therapy

Interventionparticipants (Number)
Placebo1
Isradipine CR 5mg/Day0
Isradipine CR 10mg/Day2
Isradipine CR 20mg/Day3

Common Adverse Events: Constipation

Gastrointestinal Disorders. Common adverse experience/event is defined as AE occurs to 5(about 5%) or more subjects. They will also be tabulated by treatment groups. (NCT00909545)
Timeframe: Baseline to 12 months or the time to require dopaminergic therapy

Interventionparticipants (Number)
Placebo3
Isradipine CR 5mg/Day2
Isradipine CR 10mg/Day3
Isradipine CR 20mg/Day4

Common Adverse Events: Depression

Psychiatric Disorders. Common adverse experience/event is defined as AE occurs to 5(about 5%) or more subjects. They will also be tabulated by treatment groups. (NCT00909545)
Timeframe: Baseline to 12 months or the time to require dopaminergic therapy

Interventionparticipants (Number)
Placebo2
Isradipine CR 5mg/Day3
Isradipine CR 10mg/Day1
Isradipine CR 20mg/Day1

Common Adverse Events: Diarrhoea

Gastrointestinal Disorders. Common adverse experience/event is defined as AE occurs to 5(about 5%) or more subjects. They will also be tabulated by treatment groups. (NCT00909545)
Timeframe: Baseline to 12 months or the time to require dopaminergic therapy

Interventionparticipants (Number)
Placebo2
Isradipine CR 5mg/Day1
Isradipine CR 10mg/Day2
Isradipine CR 20mg/Day1

Common Adverse Events: Dizziness

Nervous system disorders. Common adverse experience/event is defined as AE occurs to 5(about 5%) or more subjects. They will also be tabulated by treatment groups. (NCT00909545)
Timeframe: Baseline to 12 months or the time to require dopaminergic therapy

Interventionparticipants (Number)
Placebo7
Isradipine CR 5mg/Day5
Isradipine CR 10mg/Day6
Isradipine CR 20mg/Day6

Common Adverse Events: Dyspepsia

Gastrointestinal Disorders. Common adverse experience/event is defined as AE occurs to 5(about 5%) or more subjects. They will also be tabulated by treatment groups. (NCT00909545)
Timeframe: Baseline to 12 months or the time to require dopaminergic therapy

Interventionparticipants (Number)
Placebo3
Isradipine CR 5mg/Day1
Isradipine CR 10mg/Day1
Isradipine CR 20mg/Day1

Common Adverse Events: Fatigue

General Disorders and Administration Site Conditions. Common adverse experience/event is defined as AE occurs to 5(about 5%) or more subjects. They will also be tabulated by treatment groups. (NCT00909545)
Timeframe: Baseline to 12 months or the time to require dopaminergic therapy

Interventionparticipants (Number)
Placebo2
Isradipine CR 5mg/Day1
Isradipine CR 10mg/Day3
Isradipine CR 20mg/Day3

Common Adverse Events: Headache

Nervous System disorders. Common adverse experience/event is defined as AE occurs to 5(about 5%) or more subjects. They will also be tabulated by treatment groups. (NCT00909545)
Timeframe: Baseline to 12 months or the time to require dopaminergic therapy

Interventionparticipants (Number)
Placebo3
Isradipine CR 5mg/Day3
Isradipine CR 10mg/Day6
Isradipine CR 20mg/Day4

Common Adverse Events: Hypotension

Vascular Disorders. Common adverse experience/event is defined as AE occurs to 5(about 5%) or more subjects. They will also be tabulated by treatment groups. (NCT00909545)
Timeframe: Baseline to 12 months or the time to require dopaminergic therapy

Interventionparticipants (Number)
Placebo1
Isradipine CR 5mg/Day1
Isradipine CR 10mg/Day2
Isradipine CR 20mg/Day2

Common Adverse Events: Insomnia

Psychiatric Disorders. Common adverse experience/event is defined as AE occurs to 5(about 5%) or more subjects. They will also be tabulated by treatment groups. (NCT00909545)
Timeframe: Baseline to 12 months or the time to require dopaminergic therapy

Interventionparticipants (Number)
Placebo2
Isradipine CR 5mg/Day3
Isradipine CR 10mg/Day1
Isradipine CR 20mg/Day1

Common Adverse Events: Nasopharyngitis

Infections and infestations. Common adverse experience/event is defined as AE occurs to 5(about 5%) or more subjects. They will also be tabulated by treatment groups. (NCT00909545)
Timeframe: Baseline to 12 months or the time to require dopaminergic therapy

Interventionparticipants (Number)
Placebo2
Isradipine CR 5mg/Day4
Isradipine CR 10mg/Day7
Isradipine CR 20mg/Day4

Common Adverse Events: Nausea

Gastrointestinal Disorders. Common adverse experience/event is defined as AE occurs to 5(about 5%) or more subjects. They will also be tabulated by treatment groups. (NCT00909545)
Timeframe: Baseline to 12 months or the time to require dopaminergic therapy

Interventionparticipants (Number)
Placebo3
Isradipine CR 5mg/Day2
Isradipine CR 10mg/Day1
Isradipine CR 20mg/Day2

Common Adverse Events: Oedema Peripheral

General disorders and administration site conditions. Common adverse experience/event is defined as AE occurs to 5(about 5%) or more subjects. (NCT00909545)
Timeframe: Baseline to 12 months or the time to require dopaminergic therapy

Interventionparticipants (Number)
Placebo1
Isradipine CR 5mg/Day4
Isradipine CR 10mg/Day10
Isradipine CR 20mg/Day16

Common Adverse Events: Sinusitis

Infections and Infestations. Common adverse experience/event is defined as AE occurs to 5(about 5%) or more subjects. They will also be tabulated by treatment groups. (NCT00909545)
Timeframe: Baseline to 12 months or the time to require dopaminergic therapy

Interventionparticipants (Number)
Placebo3
Isradipine CR 5mg/Day2
Isradipine CR 10mg/Day1
Isradipine CR 20mg/Day0

Common Adverse Events: Somnolence

Nervous System Disorders. Common adverse experience/event is defined as AE occurs to 5(about 5%) or more subjects. They will also be tabulated by treatment groups. (NCT00909545)
Timeframe: Baseline to 12 months or the time to require dopaminergic therapy

Interventionparticipants (Number)
Placebo2
Isradipine CR 5mg/Day3
Isradipine CR 10mg/Day2
Isradipine CR 20mg/Day0

Common Adverse Events: Upper Respiratory Tract Infection

Infections and Infestations. Common adverse experience/event is defined as AE occurs to 5(about 5%) or more subjects. They will also be tabulated by treatment groups. (NCT00909545)
Timeframe: Baseline to 12 months or the time to require dopaminergic therapy

Interventionparticipants (Number)
Placebo1
Isradipine CR 5mg/Day2
Isradipine CR 10mg/Day5
Isradipine CR 20mg/Day0

Efficacy: Change in Activities of Daily Living(ADL) Subscale of the Unified Parkinson's Disease Rating Scale

The outcome is defined as change in ADL subscale of the Unified Parkinson's Disease Rating Scale(UPDRS Part II) between the baseline visit and month 12 or the time of sufficient disability to require dopaminergic therapy. UPDRS Part II: Activities of Daily Living in the week prior to the designated visit, consisting of 13 questions answered on a 0-4 point scale where 0 represents the absence of impairment and 4 represents the highest degree of impairment. Total Part II score represents the sum of these 13 questions. A greater increase in score indicates a greater increase in disability. A total of 52 points are possible. 52 represents the worst (total) disability), 0--no disability (NCT00909545)
Timeframe: Baseline to 12 months or the time to require dopaminergic therapy

Interventionunits on a scale (Least Squares Mean)
Placebo2.60
Isradipine CR 5mg/Day3.20
Isradipine CR 10mg/Day2.09
Isradipine CR 20mg/Day1.86

Efficacy: Change in Beck Depression Inventory II (BDI-II)

The Beck Depression Inventory (BDI) is a validated self-reported 21-item depression scale that was tested and validated as a reliable instrument for screening for depression in PD. The outcome is defined as change in BDI-II between the baseline visit and month 12 or the time of sufficient disability to require dopaminergic therapy. Total BDI score represents the sum of these 21-items. A higher change in score indicates a greater increase in disability. Total score of 0-13 is considered minimal, 14-19 is mild, 20-28 is moderate, and 29-63 is severe. (NCT00909545)
Timeframe: Baseline to 12 months or the time to require dopaminergic therapy

Interventionunits on a scale (Least Squares Mean)
Placebo-0.52
Isradipine CR 5mg/Day1.99
Isradipine CR 10mg/Day0.11
Isradipine CR 20mg/Day1.50

Efficacy: Change in Mental Subscales of the Unified Parkinson's Disease Rating Scale

The outcome is defined as change in Mental subscale of Unified Parkinson's Disease Rating Scale(UPDRS Part I) between the baseline visit and month 12 or the time of sufficient disability to require dopaminergic therapy. UPDRS Part I: Mentation, behavior and mood, consisting of 4 questions answered on a 0-4 point scale where 0 represents the absence of impairment and 4 represents the highest degree of impairment. Total score represents the sum of these 4 questions. A greater increase in score indicates a greater increase in disability. A total of 16 points are possible. 16 represents the worst (total) disability), 0--no disability. (NCT00909545)
Timeframe: Baseline to 12 months or the time to require dopaminergic therapy

Interventionunits on a scale (Least Squares Mean)
Placebo0.30
Isradipine CR 5mg/Day0.76
Isradipine CR 10mg/Day0.30
Isradipine CR 20mg/Day0.03

Efficacy: Change in Modified Hoehn & Yahr Scale

The Modified Hoehn & Yahr Scale is an 8-level Parkinson's disease staging instrument. The outcome is defined as change in Modified Hoehn & Yahr Scale between the baseline visit and month 12 or the time of sufficient disability to require dopaminergic therapy. A greater increase in stage indicates a greater increase in disability. Stage ranges from 0-5 (also including 1.5 and 2.5) with 0 indicating no disability and 5 indicating maximum disability. (NCT00909545)
Timeframe: Baseline to 12 months or the time to require dopaminergic therapy

Interventionunits on a scale (Least Squares Mean)
Placebo0.27
Isradipine CR 5mg/Day0.22
Isradipine CR 10mg/Day0.12
Isradipine CR 20mg/Day0.11

Efficacy: Change in Modified Schwab & England Independence Scale

The Schwab & England scale is an investigator and subject assessment of the subject's level of independence at all scheduled study visits. The subject will be scored on a percentage scale reflective of his/her ability to perform acts of daily living in relation to what he/she did before Parkinson's disease appeared. The outcome is defined as change in Schwab & England Independence Scale between the baseline visit and month 12 or the time of sufficient disability to require dopaminergic therapy. Higher decrease in score indicates higher disability. Score ranges from 100% (complete independence) to 0% (total disability). (NCT00909545)
Timeframe: Baseline to 12 months or the time to require dopaminergic therapy

Interventionunits on a scale (Least Squares Mean)
Placebo-5.04
Isradipine CR 5mg/Day-5.56
Isradipine CR 10mg/Day-3.69
Isradipine CR 20mg/Day-3.76

Efficacy: Change in Montreal Cognitive Assessment

The Montreal Cognitive Assessment(MoCA) is a brief 30-point screening instrument that was developed and validated to identify subjects with mild cognitive impairment. The outcome is defined as change in MoCA between the baseline visit and month 12 or the time of sufficient disability to require dopaminergic therapy. Total MoCA score represents the sum of these 30-points, with a lower score indicating greater cognitive impairment. 30 is the maximum score, with a score of 26 or higher considered normal and below 26 indicative of Mild Cognitive Impairment. (NCT00909545)
Timeframe: Baseline to 12 months or the time to require dopaminergic therapy

Interventionunits on a scale (Least Squares Mean)
Placebo0.58
Isradipine CR 5mg/Day0.06
Isradipine CR 10mg/Day0.11
Isradipine CR 20mg/Day0.36

Efficacy: Change in Motor Subscale of the Unified Parkinson's Disease Rating Scale

The outcome is defined as change in Motor subscale of the Unified Parkinson's Disease Rating Scale(UPDRS Part III) between the baseline visit and month 12 or the time of sufficient disability to require dopaminergic therapy. UPDRS Part III: motor abilities at the time of the visit, consisting of 27 items (including 13 general questions and 14 sub-questions) each answered on a 0-4 point scale where 0 represents the absence of impairment and 4 represents the highest degree of impairment. Total Part III score represents the sum of these 27 items. A total of 108 points are possible. 108 represents the worst (total) disability), 0--no disability. (NCT00909545)
Timeframe: Baseline to 12 months or the time to require dopaminergic therapy

Interventionunits on a scale (Least Squares Mean)
Placebo4.32
Isradipine CR 5mg/Day3.49
Isradipine CR 10mg/Day3.91
Isradipine CR 20mg/Day3.69

Efficacy: Change in Parkinson Disease Quality of Life Questionnaire-39(PDQ-39)

The PD Quality of Life Scale(PDQ-39) asks the subject to evaluate how Parkinson disease has affected their health and overall quality of life at that point in time. The total quality of life scale includes subscales relating to social role, self-image/sexuality, sleep, outlook, physical function and urinary function. The outcome is defined as change in PDQ-39 between the baseline visit and month 12 or the time of sufficient disability to require dopaminergic therapy. It is scored on a scale of zero to 100, with lower scores indicating better health and higher scores more severe disability. (NCT00909545)
Timeframe: Baseline to 12 months or the time to require dopaminergic therapy

Interventionunits on a scale (Least Squares Mean)
Placebo1.28
Isradipine CR 5mg/Day3.47
Isradipine CR 10mg/Day3.00
Isradipine CR 20mg/Day3.35

Efficacy: Change in Unified Parkinson's Disease Rating Scale (UPDRS)

Outcome is defined as change in total Unified Parkinson's Disease Rating Scale (UPDRS) between the baseline visit and month 12 or the time to require dopaminergic therapy (last visit before subject goes on dopaminergic therapy), whichever occurs first. The UPDRS score has 4 components. Part I assesses mentation; Part II assesses activities of daily living; Part III assesses motor abilities; Part IV assesses complications of therapy. A total of 44 items are included in Parts I-III. Each item will receive a score ranging from 0 to 4 where 0 represents the absence of impairment and 4 represents the highest degree of impairment. Part IV contains 11 items, 4 of these items are scored 0-4 in the same manner, and 7 are scored 0-1, with 0 indicating the absence of impairment and 1 indicating the presence of impairment. Total UPDRS score represents the sum of these items in Parts I-IV. A total of 199 points are possible. 199 represents the worst (total) disability), 0--no disability. (NCT00909545)
Timeframe: Baseline to 12 months or the time to require dopaminergic therapy

InterventionScores on a scale (Least Squares Mean)
Placebo7.40
Isradipine CR 5mg/Day7.44
Isradipine CR 10mg/Day6.30
Isradipine CR 15-20mg/Day5.40

Tolerability of the Three Dosages(5mg, 10mg and 20mg) of Isradipine CR.

Tolerability will be judged by the proportion of subjects enrolled in a dosage group able to complete the 12 month study or to the time of initiation of dopaminergic therapy on their original assigned dosage. Tolerability of each active arm will be compared to placebo group. (NCT00909545)
Timeframe: Baseline to 12 months or the time to require dopaminergic therapy

Interventionparticipants (Number)
Placebo25
Isradipine CR 5mg/Day19
Isradipine CR 10mg/Day19
Isradipine CR 20mg/Day9

Vital Signs: Change in Diastolic Standing

(NCT00909545)
Timeframe: Baseline to 12 months or the time to require dopaminergic therapy

Interventionmm Hg (Least Squares Mean)
Placebo-0.38
Isradipine CR 5mg/Day-4.20
Isradipine CR 10mg/Day-5.14
Isradipine CR 20mg/Day-4.34

Vital Signs: Change in Diastolic Supine

(NCT00909545)
Timeframe: Baseline to 12 months or the time to require dopaminergic therapy

Interventionmm Hg (Least Squares Mean)
Placebo0.09
Isradipine CR 5mg/Day-2.79
Isradipine CR 10mg/Day-4.54
Isradipine CR 20mg/Day-3.63

Vital Signs: Change in Pulse Standing

(NCT00909545)
Timeframe: Baseline to 12 months or the time to require dopaminergic therapy

Interventionbeats per minute (Least Squares Mean)
Placebo-0.08
Isradipine CR 5mg/Day-2.98
Isradipine CR 10mg/Day-2.29
Isradipine CR 20mg/Day-1.21

Vital Signs: Change in Pulse Supine

(NCT00909545)
Timeframe: Baseline to 12 months or the time to require dopaminergic therapy

Interventionbeats per minute (Least Squares Mean)
Placebo-0.42
Isradipine CR 5mg/Day-0.71
Isradipine CR 10mg/Day-0.52
Isradipine CR 20mg/Day0.18

Vital Signs: Change in Systolic Standing

(NCT00909545)
Timeframe: Baseline to 12 months or the time to require dopaminergic therapy

Interventionmm Hg (Least Squares Mean)
Placebo-4.77
Isradipine CR 5mg/Day-9.85
Isradipine CR 10mg/Day-7.75
Isradipine CR 20mg/Day-6.30

Vital Signs: Change in Systolic Supine

(NCT00909545)
Timeframe: Baseline to 12 months or the time to require dopaminergic therapy

Interventionmm Hg (Least Squares Mean)
Placebo-2.45
Isradipine CR 5mg/Day-8.59
Isradipine CR 10mg/Day-6.45
Isradipine CR 20mg/Day-7.01

Other Studies

3 other studies available for nimodipine and MPTP Neurotoxicity Syndrome

ArticleYear
Nimodipine attenuates the parkinsonian neurotoxin, MPTP-induced changes in the calcium binding proteins, calpain and calbindin.
    Journal of chemical neuroanatomy, 2019, Volume: 95

    Topics: Animals; Calbindins; Calcium Channel Blockers; Calpain; Cell Line; Humans; Male; Mice; Mice, Inbred

2019
Nimodipine, an L-type calcium channel blocker attenuates mitochondrial dysfunctions to protect against 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine-induced Parkinsonism in mice.
    Neurochemistry international, 2016, Volume: 99

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

2016
1-Methyl-4-phenyl-1,2,3,6-tetrahydropyridine-induced neurotoxicity in non-human primates is antagonized by pretreatment with nimodipine at the nigral, but not at the striatal level.
    Brain research, 1996, Nov-25, Volume: 741, Issue:1-2

    Topics: 1-Methyl-4-phenyl-1,2,3,6-tetrahydropyridine; Animals; Behavior, Animal; Biogenic Amines; Calcium Ch

1996