- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT07430722
Cross-sectional Study of Vitamin B6 in Parkinson's Disease
February 23, 2026 updated by: Karlo Lizarraga, University of Rochester
A Cross-sectional Study of Serum Vitamin B6 Levels in People Living With Parkinson's Disease
The purpose of this study is to estimate the prevalence of abnormal serum levels of vitamin B6, and the associations of those levels with demographic and clinical variables in a randomly selected sample of people living with Parkinson's disease, compared to historical controls.
Study Overview
Status
Completed
Conditions
Study Type
Observational
Enrollment (Actual)
288
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
New York
-
Rochester, New York, United States, 14618
- Movement Disorders Clinic, University of Rochester Medical Center
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
No
Sampling Method
Probability Sample
Study Population
- Participants will be randomly selected from the people living with Parkinson's disease who are followed at the Movement Disorders Clinic at the University of Rochester in Rochester, NY, USA.
- Matched historical controls will be randomly selected from the publicly available National Health and Nutrition Examination Survey.
Description
Inclusion Criteria:
- People with a clinical diagnosis of Parkinson's disease according to the diagnostic criteria of the Movement Disorders Society [Postuma 2015].
- Participants are ≥ 18 years old.
- As determined by the study investigators, participants are able to communicate at a level sufficient to undergo study interviews.
- As determined by the study investigators, participants have the capacity to provide written informed consent and the ability to comply with all study procedures.
Exclusion Criteria:
- People expected to have abnormal vitamin B6 levels due to underlying conditions (renal disease, bowel disease, rheumatoid arthritis).
- People taking medications (other than levodopa) expected to interfere with B6 levels (steroids, cycloserine, hydralazine, isoniazid, theophylline, penicillamine).
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
|---|
|
People living with Parkinson's disease
144 people living with Parkinson's disease randomly selected from a Movement Disorders Clinic in Rochester, NY, USA
|
|
Historical controls
144 matched controls from the National Health and Nutrition Examination Survey (NHANES)
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Serum levels of vitamin B6 (Fasting)
Time Frame: At enrollment
|
nmol/L (log-transformed)
|
At enrollment
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Age
Time Frame: At enrollment
|
Years
|
At enrollment
|
|
Sex
Time Frame: At enrollment
|
Female/Male
|
At enrollment
|
|
Race
Time Frame: At enrollment
|
As defined by the U.S. Office of Management and Budget: American Indian or Alaska Native, Asian, Black or African American, Native Hawaiian or Other Pacific Islander, White
|
At enrollment
|
|
Ethnicity
Time Frame: At enrollment
|
As defined by the U.S. Office of Management and Budget: Hispanic or Latino, non-Hispanic or Latino
|
At enrollment
|
|
Body mass index
Time Frame: At enrollment
|
kg/m2
|
At enrollment
|
|
Diabetes
Time Frame: At enrollment
|
Yes/No
|
At enrollment
|
|
Smoking
Time Frame: At enrollment
|
Yes/No
|
At enrollment
|
|
Alcohol use
Time Frame: At enrollment
|
Yes/No
|
At enrollment
|
|
Daily consumption of protein in the last 30 days
Time Frame: At enrollment
|
Yes/No
|
At enrollment
|
|
Daily consumption of food rich in B6 in the last 30 days
Time Frame: At enrollment
|
Yes/No
|
At enrollment
|
|
Food insecurity
Time Frame: At enrollment
|
Yes/No
|
At enrollment
|
|
Vitamin B6 supplement use in the last 30 days
Time Frame: At enrollment
|
Yes/No
|
At enrollment
|
|
Vitamin supplement use in the last 30 days
Time Frame: At enrollment
|
Yes/No
|
At enrollment
|
|
History of oral contraceptive pill use
Time Frame: At enrollment
|
Yes/No
|
At enrollment
|
|
Age at onset of Parkinson's disease
Time Frame: At enrollment
|
Years
|
At enrollment
|
|
Disease duration
Time Frame: At enrollment
|
Years
|
At enrollment
|
|
Disease stage
Time Frame: At enrollment
|
Hoehn and Yahr scale
|
At enrollment
|
|
Disease severity
Time Frame: At enrollment
|
Movement Disorders Society sponsored revision of the Unified Parkinson Disease Rating Scale (MDS-UPDRS): Total, Part I, Part II, Part III, and Part IV
|
At enrollment
|
|
Levodopa dosage
Time Frame: At enrollment
|
mg/day
|
At enrollment
|
|
Dosage of dopa decarboxylase inhibitor
Time Frame: At enrollment
|
mg/day
|
At enrollment
|
|
Levodopa/Carbidopa ratio
Time Frame: At enrollment
|
At enrollment
|
|
|
Cathecol-o-methyl-transferase inhibitor use
Time Frame: At enrollment
|
Yes/No
|
At enrollment
|
|
Dosage of cathecol-o-methyl-transferase inhibitor
Time Frame: At enrollment
|
mg/day
|
At enrollment
|
|
Levodopa equivalent daily dosage
Time Frame: At enrollment
|
mg/day
|
At enrollment
|
|
Polyneuropathy
Time Frame: At enrollment
|
modified Toronto Clinical Neuropathy Score
|
At enrollment
|
|
Epilepsy
Time Frame: At enrollment
|
Yes/No
|
At enrollment
|
|
Serum levels of vitamin B12 (Fasting)
Time Frame: At enrollment
|
pg/mL
|
At enrollment
|
|
Serum levels of homocysteine (Fasting)
Time Frame: At enrollment
|
µmol/L
|
At enrollment
|
|
Serum levels of methylmalonic acid (Fasting)
Time Frame: At enrollment
|
µmol/L
|
At enrollment
|
|
Serum levels of folic acid (Fasting)
Time Frame: At enrollment
|
ng/mL
|
At enrollment
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Vitamin B6 supplementation
Time Frame: Between enrollment and 6 months after enrollment
|
Yes/No
|
Between enrollment and 6 months after enrollment
|
|
Dosage of vitamin B6 supplementation
Time Frame: Between enrollment and 6 months after enrollment
|
Between enrollment and 6 months after enrollment
|
|
|
Duration of vitamin B6 supplementation
Time Frame: Between enrollment and 6 months after enrollment
|
Between enrollment and 6 months after enrollment
|
|
|
Benefits of vitamin B6 supplementation
Time Frame: Between enrollment and 6 months after enrollment
|
Between enrollment and 6 months after enrollment
|
|
|
Side effects of vitamin B6 supplementation
Time Frame: Between enrollment and 6 months after enrollment
|
Between enrollment and 6 months after enrollment
|
|
|
Follow-up serum levels of vitamin B6
Time Frame: Between enrollment and 6 months after enrollment
|
Between enrollment and 6 months after enrollment
|
|
|
Movement Disorders Society sponsored revision of the Unified Parkinson Disease Rating Scale (MDS-UPDRS): Part IV
Time Frame: Between enrollment and 6 months after enrollment
|
Between enrollment and 6 months after enrollment
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Karlo J Lizarraga, MD, MS, University of Rochester
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Postuma RB, Berg D, Stern M, Poewe W, Olanow CW, Oertel W, Obeso J, Marek K, Litvan I, Lang AE, Halliday G, Goetz CG, Gasser T, Dubois B, Chan P, Bloem BR, Adler CH, Deuschl G. MDS clinical diagnostic criteria for Parkinson's disease. Mov Disord. 2015 Oct;30(12):1591-601. doi: 10.1002/mds.26424.
- Wise A, Lemus HN, Fields M, Swan M, Bressman S. Refractory Seizures Secondary to Vitamin B6 Deficiency in Parkinson Disease: The Role of Carbidopa-Levodopa. Case Rep Neurol. 2022 Jun 27;14(2):291-295. doi: 10.1159/000525234. eCollection 2022 May-Aug.
- Tardy AL, Pouteau E, Marquez D, Yilmaz C, Scholey A. Vitamins and Minerals for Energy, Fatigue and Cognition: A Narrative Review of the Biochemical and Clinical Evidence. Nutrients. 2020 Jan 16;12(1):228. doi: 10.3390/nu12010228.
- Sardoeira A, Vila-Cha N, Corra M, Sousa AP, Maetzler W, Maia LF. Reply: Vitamins B6 and B12, levodopa, and their complex interactions in patients with Parkinson's disease. Brain. 2022 Sep 14;145(9):e79-e80. doi: 10.1093/brain/awac248. No abstract available.
- Romagnolo A, Merola A, Artusi CA, Rizzone MG, Zibetti M, Lopiano L. Levodopa-Induced Neuropathy: A Systematic Review. Mov Disord Clin Pract. 2018 Nov 8;6(2):96-103. doi: 10.1002/mdc3.12688. eCollection 2019 Feb.
- Rajabally YA, Martey J. Neuropathy in Parkinson disease: prevalence and determinants. Neurology. 2011 Nov 29;77(22):1947-50. doi: 10.1212/WNL.0b013e31823a0ee4. Epub 2011 Nov 2.
- Morris MS, Picciano MF, Jacques PF, Selhub J. Plasma pyridoxal 5'-phosphate in the US population: the National Health and Nutrition Examination Survey, 2003-2004. Am J Clin Nutr. 2008 May;87(5):1446-54. doi: 10.1093/ajcn/87.5.1446.
- Modica JS, Dery C, Canissario R, Logigian E, Bonno D, Stanton M, Dupre N, McDermott MP, Bouchard M, Lang AE, Lizarraga KJ. A systematic review of the potential consequences of abnormal serum levels of vitamin B6 in people living with Parkinson's disease. J Neurol Sci. 2023 Jul 15;450:120690. doi: 10.1016/j.jns.2023.120690. Epub 2023 May 18.
- Modica JS, Bonno D, Lizarraga KJ. Pearls and Oy-sters: Vitamin B6 deficiency presenting with new-onset epilepsy and status epilepticus in a patient with Parkinson disease. Neurology. 2020 Jun 16;94(24):e2605-e2607. doi: 10.1212/WNL.0000000000009647. Epub 2020 May 28. No abstract available.
- Lizarraga KJ, Lang AE. Vitamins B6 and B12, levodopa, and their complex interactions in patients with Parkinson's disease. Brain. 2022 Sep 14;145(9):e77-e78. doi: 10.1093/brain/awac225. No abstract available.
- Jameson HD. Pyridoxine for levodopa-induced dystonia. JAMA. 1970 Mar 9;211(10):1700. No abstract available.
- Ghavanini AA, Kimpinski K. Revisiting the evidence for neuropathy caused by pyridoxine deficiency and excess. J Clin Neuromuscul Dis. 2014 Sep;16(1):25-31. doi: 10.1097/CND.0000000000000049.
- Duvoisin RC, Yahr MD, Cote LD. Pyridoxine reversal of L-dopa effects in Parkinsonism. Trans Am Neurol Assoc. 1969;94:81-4. No abstract available.
- Corra MF, Vila-Cha N, Sardoeira A, Hansen C, Sousa AP, Reis I, Sambayeta F, Damasio J, Calejo M, Schicketmueller A, Laranjinha I, Salgado P, Taipa R, Magalhaes R, Correia M, Maetzler W, Maia LF. Peripheral neuropathy in Parkinson's disease: prevalence and functional impact on gait and balance. Brain. 2023 Jan 5;146(1):225-236. doi: 10.1093/brain/awac026.
- Canissario R, Stanton M, Modica JS, Logigian EL, Lizarraga KJ. Neuropathy due to coexistent vitamin B12 and B6 deficiencies in patients with Parkinson's disease: A case series. J Neurol Sci. 2021 Nov 15;430:120028. doi: 10.1016/j.jns.2021.120028. Epub 2021 Oct 12. No abstract available.
- Birnbaum AK, Leppik IE, Svensden K, Eberly LE. Prevalence of epilepsy/seizures as a comorbidity of neurologic disorders in nursing homes. Neurology. 2017 Feb 21;88(8):750-757. doi: 10.1212/WNL.0000000000003629. Epub 2017 Jan 20.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
July 1, 2024
Primary Completion (Actual)
June 30, 2025
Study Completion (Actual)
February 15, 2026
Study Registration Dates
First Submitted
February 17, 2026
First Submitted That Met QC Criteria
February 17, 2026
First Posted (Actual)
February 24, 2026
Study Record Updates
Last Update Posted (Actual)
February 27, 2026
Last Update Submitted That Met QC Criteria
February 23, 2026
Last Verified
February 1, 2026
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- STUDY00009245
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
YES
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- ICF
Drug and device information, study documents
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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