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Trial registered on ANZCTR
Registration number
ACTRN12620000627954
Ethics application status
Approved
Date submitted
4/05/2020
Date registered
29/05/2020
Date last updated
29/10/2020
Date data sharing statement initially provided
29/05/2020
Type of registration
Prospectively registered
Titles & IDs
Public title
The effect of a GLP-1 agonist in patients with a dual diagnosis of Parkinson's Disease and Type 2 Diabetes Mellitus
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Scientific title
The effect of a GLP-1 agonist in patients with a dual diagnosis of Parkinson's Disease and Type 2 Diabetes Mellitus
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Secondary ID [1]
301182
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Parkinson's Disease
317328
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Type 2 Diabetes Mellitus
317483
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Condition category
Condition code
Neurological
315437
315437
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0
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Parkinson's disease
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Metabolic and Endocrine
315584
315584
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0
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Diabetes
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The study intervention is administration of GLP1-agonist Exenatide extended release (Bydureon) 2mg subcutaneously weekly in patients with a dual diagnosis of Parkinson's Disease and Type 2 Diabetes Mellitus. The study intervention will be administered for a total of 12 months. Patients will be monitored for their Parkinson's symptoms and glycemic control at baseline, 3 months, 6 months and 12 months.
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Intervention code [1]
317491
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Treatment: Drugs
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Comparator / control treatment
The control group will receive no treatment (ie. their normal treatment regimen will be unaltered). This normal treatment regimen is their prescribed diabetic and Parkinson's drugs recorded at enrolment, as determined by their regular treating GPs and specialists. Patients will be monitored for their Parkinson's symptoms and glycemic control at baseline, 3 months, 6 months and 12 months.
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Control group
Active
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Outcomes
Primary outcome [1]
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Change in motor symptoms of Parkinson's disease as determined by OFF-MED UPDRS part 3 scores
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Assessment method [1]
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Timepoint [1]
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12 months from baseline (and initial administration of therapy)
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Secondary outcome [1]
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Change in motor symptoms of Parkinson's disease as determined by OFF-MED UPDRS part 3 scores
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Assessment method [1]
382587
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Timepoint [1]
382587
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3 months from baseline (and initial administration of therapy)
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Secondary outcome [2]
382588
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Change in motor symptoms of Parkinson's disease as determined by OFF-MED UPDRS part 3 scores
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Assessment method [2]
382588
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Timepoint [2]
382588
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6 months from baseline (and initial administration of therapy)
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Secondary outcome [3]
382589
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Change in total OFF-MED UDPRS score
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Assessment method [3]
382589
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Timepoint [3]
382589
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12 months from baseline (and initial administration of therapy)
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Secondary outcome [4]
382590
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Change in total OFF-MED UDPRS score
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Assessment method [4]
382590
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Timepoint [4]
382590
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6 months from baseline (and initial administration of therapy)
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Secondary outcome [5]
382591
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Change in total OFF-MED UDPRS score
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Assessment method [5]
382591
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Timepoint [5]
382591
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3 months from baseline (and initial administration of therapy)
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Secondary outcome [6]
382592
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Change in PDQ39 score
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Assessment method [6]
382592
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Timepoint [6]
382592
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12 months from baseline (and initial administration of therapy)
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Secondary outcome [7]
382593
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Change in PDQ39 score
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Assessment method [7]
382593
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Timepoint [7]
382593
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6 months from baseline (and initial administration of therapy)
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Secondary outcome [8]
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Change in PDQ39 score
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Assessment method [8]
382594
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Timepoint [8]
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3 months from baseline (and initial administration of therapy)
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Eligibility
Key inclusion criteria
1. Diagnosis of Parkinson’s disease meeting UK Brain Bank Criteria
2. Diagnosis of Type 2 Diabetes not receiving GLP-1 agonist therapy
3. HbA1c greater than or equal to 7 %
4. Willingness to give written informed consent and willingness to participate to and comply with the study.
5. Patients with cognitive impairment sufficient to impair capacity to provide informed consent are excluded from the study (MMSE<24)
6. Age >45 years
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Minimum age
45
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Patient incapable of providing informed consent
2. Patients receiving insulin treatment for type 2 diabetes
3. Contraindications to Extended release Exentatide (Bydureon) therapy including: pregnancy, Multiple Endocrine Neoplasia Type 2, Medullary Carcinoma of the thyroid, active Crohn’s disease or Ulcerative colitis, gastritis or severe gastroparesis, pancreatitis and chronic renal impairment with eGFR<30 ml/min
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Not applicable
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Not applicable
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 4
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/06/2020
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Actual
1/06/2020
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
12
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Accrual to date
0
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Funding & Sponsors
Funding source category [1]
305632
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Self funded/Unfunded
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Name [1]
305632
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Unfunded
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Address [1]
305632
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Unfunded
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Country [1]
305632
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Primary sponsor type
Hospital
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Name
St Vincent's Health Network
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Address
St Vincent's Hospital,
390 Victoria Street,
Darlinghurst NSW 2010
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Country
Australia
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Secondary sponsor category [1]
306039
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None
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Name [1]
306039
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Not applicable
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Address [1]
306039
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Not applicable
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Country [1]
306039
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
305921
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Nepean Blue Mountains Local Health District Human Research Ethics
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Ethics committee address [1]
305921
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Level 5 South Block Nepean Hospital Kingswood NSW 2747
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Ethics committee country [1]
305921
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Australia
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Date submitted for ethics approval [1]
305921
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11/03/2020
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Approval date [1]
305921
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25/05/2020
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Ethics approval number [1]
305921
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Summary
Brief summary
Parkinson’s Disease (PD) is a progressive neurodegenerative condition that is associated with significant morbidity and loss of independence. Currently, there are few avenues of treatment and even the most potent dopamine-replacement therapies, whilst alleviating some cardinal symptoms, do not alter the underlying disease process or interfere with the progression of the disease. This study will address the potential use of GLP-1 agonists, approved for the use of Type 2 Diabetes, as a therapeutic option. Pre-clinical and human studies have been released that show: (1) The shared mechanism of Parkinson's Disease and Type 2 Diabetes (2) The neuro-protective effects of GLP-1 agonists in Parkinson's Disease However, this study will be the first to analyse this effect in patients with a dual diagnosis of Type 2 Diabetes and Parkinson's Disease. A positive outcome from this study has the clinical potential for becoming the basis for a larger scale randomised-control trial and adjusting the existing diabetes management of this patient population. Both disease processes could be targeted with a medication that is already PBS-listed and the standard of care for one.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Ms Simran Dahiya
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Address
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Work address: UNSW Medicine, Wallace Wurth Building, UNSW Sydney, 18 High St, Kensington NSW 2052
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Country
102070
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Australia
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Phone
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+61 430044750
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Fax
102070
0
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Email
102070
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[email protected]
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Contact person for public queries
Name
102071
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Simran Dahiya
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Address
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Work address: UNSW Medicine, Wallace Wurth Building, UNSW Sydney, 18 High St, Kensington NSW 2052
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Country
102071
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Australia
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Phone
102071
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+61 430044750
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Fax
102071
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Email
102071
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[email protected]
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Contact person for scientific queries
Name
102072
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Simran Dahiya
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Address
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Work address: UNSW Medicine, Wallace Wurth Building, UNSW Sydney, 18 High St, Kensington NSW 2052
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Country
102072
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Australia
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Phone
102072
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+61 430044750
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Fax
102072
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Email
102072
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
There is no current plan to make individual participant data publicly available. Participant data will be coded and re-identifiable. The sample size is small and participants will be recruited from a single site, such that patient confidentiality may be jeopardised by releasing this information.
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
7847
Study protocol
379753-(Uploaded-04-05-2020-16-41-08)-Study-related document.docx
7848
Informed consent form
379753-(Uploaded-04-05-2020-16-41-08)-Study-related document.docx
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
GLP-1/Sigma/RAGE receptors: An evolving picture of Alzheimer's disease pathology and treatment.
2024
https://dx.doi.org/10.1016/j.arr.2023.102134
N.B. These documents automatically identified may not have been verified by the study sponsor.
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