The current excitement over pallidotomy has eclipsed the need to continue to develop new and better medications for Parkinson's disease. Indeed, the majority (about 90% per even the most active neurosurgeons) of parkinsonian patients are not candidates for pallidotomy but do benefit from proper medications. Given this fact advances continue to be made in developing better therapies for both the complications of PD and new treatments that my eventually slow or stop the underlyinh disease process. Below are two such studies seeking additional patients. Further studies are continually forthcoming. The publications of the national PD support groups also announce such information. More information about studies as well as additional drugs currently in clinical trials are published regularly by the Parkinson's Disease UPDATE Newsletter. For further information call 1-800-947-6658 or FAX 1-215-947-2552. Issues 46-49 cover NEW DRUGS IN THE PIPELINE. Clinical Tials In Progress - Patients Needed The Movement Disorders Unit at Massachusetts General Hospital is now actively recruiting Parkinson's disease patients with levodopa exacerbated psychosis for a clinical trial comparing two treatments; risperidone (Respirol) and clozapine (Clozaril). Both Risperidone and Clozapine are currently used to treat symptoms of psychosis, including hallucinations and delusions. The clinical study will test whether Risperidone, a new anti-psychotic drug, is as effective as Clozapine in treatment of levodopa-exacerbated psychosis in Parkinson's disease patients. In addition, we will also test whether risperidone and/or clozapine improves tremor and rigidity. We expect to enroll twenty patients. Each patient will receive treatment free of charge for 3 months. The investigators are Drs. Merit Cudkowicz and John H. Growdon. For questions or patient referrals please contact either Dr. Cudkowicz at 617-724-1873 or Dr. Growdon at 617-726-1728. TOLCAPONE STUDY - Patients Needed Tolcapone, a COMT inhibitor, is a unique drug which has been shown to prolong the effects of Sinemet in clinical studies in Parkinson's disease patients. Clinical trials with tolcapone have tested the compound in approximately 850 people with varying degrees of Parkinson's disease. Results to date show tolcapone is safe and effective in patients with mild to severe Parkinson's disease. A new 8-week study to take place in the U.S. and Canada will test the effectiveness and safety of tolcapone in early untreated Parkinson's disease patients. Initially, tolcapone or placebo (inactive substance) will be taken for the first 4 weeks and then selegiline (Eldepryl), a marketed drug for Parkinson's disease will be added for a further 4 weeks. This 8-week study period will require six clinic visits. There is no cost to the patients who participate in this trial. If interested in participating in this trial, please contact the study coordinator at one of the following sites nearest to you: Albany, New York Boston, Massachusetts Stewart A. Factor, DO Marie-Helene Saint Hilaire, MD Diane Brown, RN Denyse Turpin (518)262-6169 Cathi Thomas (617)638-8456 Toronto, Canada Calgary, Canada Mark Guttman, MD Oksana Suchowersky, MD Jill Burkholder, RN Pat Argatoff, RN Jackie Thomson, RN (403)220-8413 (905)472-7082 Tampa, Florida Sunnyvale, California Robert Hauser, MD Caroline Tanner, MD Lisa Gauger, RN Paula Lewis, RN (813)253-4455 (408)734-2800 ext 507 Phoenix, Arizona Matthias Kurth, MD, PhD Melanie Brewer, RN (602)406-6315 /================================================== / Matthias C. Kurth, MD,PhD Tel #: 602-406-3434 / Barrow Neurological Institute Alt #: 602-406-6315 / Movement Disorders Specialty Clinics / 222 West Thomas, Suite 401 FAX #: 602-406-7187 / Phoenix, Arizona 85013 E-MAIL: [log in to unmask] /==================================================