10/27/97 Brian: On 10/24 I posted the message below to the Parkinsn list, but I have not seen it . . . did you receive it? Stephan 53/7 On 10/24 Brian Collins wrote: >>>. . . Remacemide . . . drug trials in the U.S. . . . . anyone taking part in a trial?<<< Hi Brian: One of the 10+ centers conducting a clinical trial of remacemide hydrocholride is The Columbia-Presbyterian Medical Center in NYC. The study will last 6 weeks. Researchers report that this medication inhibits the glutamine cells of the basel ganglia (the center of motor control of the brain). Researchers are trying to determine if remacemide can alleviate the typical "wearing off" effect after the optimum dosage of the medication has passed peak dose. Glutamate is an amino acid which causes nerve cells in the brain to be more active. PWP experience a decrease of dopamine in the brain which causes increased activity in the subthalamic nucleus. The increase in neural activity in turn causes tremor, and stiffness. Researchers believe that increased glutamate activity may be toxic to nerve cells. Remacemide is considered a glutamate antagonist which will block the glutamate effect and thereby enhance the levodopa effect. Patients chosen for the study must be sensitive enough to their condition that they can differentiate between an on or off period while on levodopa. I will not be participating in any study. Good luck. Stephan 53/7