Motor Response to Sildenafil in PD
Study Details
Study Description
Brief Summary
Sildenafil (Viagra(R))is widely used by men with Parkinsons Disease (PD) and erectile dysfunction. A number of patients have reported that when they take Sildenafil, their need of anti-PD medication is reduced.
We hypotheses that sildenafil increases brain blood flow and hence improves the function of specific brain regions, improving motor function.
Motor function and cerebral blood flow of 8 patients will be tested before and after Sildenafil intake and before and after anti-PD medication.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 4 |
Detailed Description
Erectile dysfunction can be experienced by up tp 40% of men with Parkinsons Disease (PD). Sildenafil (Viagra(R))is widely used by men with PD and erectile dysfunction. A number of patients have reported that when they take Sildenafil, their need of anti-PD medication is reduced.
We hypotheses that sildenafil increases cerebral blood flow in basal ganglia and hence improves the function, improving motor function.
Motor function and cerebral blood flow (rCBF) of 8 patients will be tested before and after Sildenafil intake and before and after anti-PD medication.
rCBF will be measured by the Xe133 inhalation method and a fast-rotating, brain-dedicated, single photon emission computerized tomograph (SPECT, Tomomatic, 232, Medimatic, Inc., Denmark). Two scans will be perfomed, when patients are i)in normal medicated state and ii) in normal medicated state 1 hour after intake of 100 mg sildenafil.
Motor function will be measured i 4 conditions: i)in normal medicated state and ii) in normal medicated state 1 hour after intake of 100 mg sildenafil, iii) after 12 hours of discontiation of anti-PD mediciation and iiii) after 14 hours of discontiation of anti-PD mediciation and 1 hour after intake of 100 mg sildenafil.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Sildenafil motor function to be tested before and after challenge with 100 mg sildenafil after taking normal anti-PD medication, and Again after discontinuation of anti-PD medication for 12 h |
Drug: Sildenafil
Other Names:
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Outcome Measures
Primary Outcome Measures
- Motor function [1 hour]
Motor function assessed by Unified Parkinsons disease Rating Scale, section 3 before and after challenge with Sildenafil and before and after discontinuation of anti-PD medication for 12 hours.
Secondary Outcome Measures
- Cerebral Blood Flow (rCBF) [1 hour]
change in rCBF in basal ganglia from before to 1 hour after intake of 100 mg of sildenafil
Eligibility Criteria
Criteria
Inclusion Criteria:
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Men
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Parkinsons disease
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Erectile dysfunction
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previous tried sildenafil with beneficial effects on motor function
Exclusion Criteria:
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psychosis
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Heart disease
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Dept of Neurology, Bispebjerg Hospital | Copenhagen | Denmark | DK2400NV |
Sponsors and Collaborators
- Bispebjerg Hospital
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- VIA-Pilot1