Wednesday, 6 August 2025

What Every Caregiver Should Know About Clinical Trials for Alzheimer's and Parkinson's

What Every Caregiver Should Know About Clinical Trials for Alzheimer’s and Parkinson’s 

Many regular visitors here in the Caregivers' Living Room will know that I am a passionate supporter of health research, both as a participant and as an engaged caregiver on research teams. I am delighted to host this guest post by Anthony Ciabarra, MD, PhD, a distinguished neurologist and researcher (see his bio below). Here Dr. Ciabarra unpacks all the benefits of participating in Alzheimer's or Parkinson's clinical trials (but the benefits are the same no matter your diagnosis or disease group). - Donna

                                              Photo by CDC on Unsplash

When it comes to Alzheimer's clinical trials, many caregivers feel overwhelmed, unsure, or simply unaware of what’s involved. But for families navigating the realities of Alzheimer’s or Parkinson’s, understanding these trials can be life-changing. They represent more than just research—they offer hope, access to cutting-edge treatments, and a chance to make a difference. 

Let’s break it all down. 

Understanding What Clinical Trials Mean 

Clinical trials are research studies involving people. They’re how new drugs and therapies are tested for safety and effectiveness before becoming public. For neurological diseases like Alzheimer’s and Parkinson’s, this is a critical step in advancing treatment. 

There are four phases in clinical trials. Each phase digs deeper, starting with small groups of participants and scaling up only if the treatment shows promise. By the time a drug reaches the final phase, it’s undergone years of testing. 

Many trials focus on slowing cognitive decline or reducing symptoms like memory loss, confusion, or tremors. Others test preventive strategies for those at high risk. 

Alzheimer's clinical trials are reviewed carefully by independent committees and regulatory bodies. This ensures both patient safety and scientific integrity. 

Why Caregivers Should Pay Attention 

My aunt Carla was diagnosed with early-onset Alzheimer’s at 58. She was sharp, witty, and the kind of person who’d solve a crossword in pen. Watching her slip into forgetfulness was gut-wrenching. We tried medications, therapy, even diet changes—but nothing halted the decline. Then we heard about a local trial testing a new protein-blocking drug. It wasn’t a cure, but it slowed her progression just enough to give us more time. She even remembered my daughter’s birthday that year. 

As a caregiver, participating in a study gave us purpose and support. It introduced us to doctors who listened, and fellow families facing the same rollercoaster. More than anything, it made Carla feel like she was contributing—like she mattered. 

Who Qualifies for These Trials? 

Not everyone can sign up. Each study has inclusion and exclusion criteria. This could be based on age, disease stage, genetics, or past medical history. For example, some trials accept patients only with mild cognitive impairment, while others seek those with moderate symptoms. Others look for people carrying specific biomarkers or genetic traits. 

A medical screening is always part of the process. It ensures that participants won’t be harmed and that the data collected is scientifically valid. 

The Hidden Benefits of Participating 

One major advantage of joining a trial is early access to treatments not yet on the market. Some participants get therapies that won’t be publicly available for years. 

Even in placebo-controlled studies, all patients receive excellent care and close monitoring. Regular check-ins, lab work, and cognitive testing become part of the routine. This level of attention can help catch other health issues early. It also gives families a clear picture of disease progression and response to treatment. 

Addressing the Fear Factor 

Many caregivers worry about risks. What if the treatment makes things worse? What if it doesn’t work at all? 

These concerns are valid. But every clinical trial is designed with safety as a top priority. Before any patient joins, researchers explain potential side effects, risks, and expectations. 

Participation is always voluntary, and patients can withdraw at any time—no questions asked. 

In Carla’s case, the trial nurse sat with us for two hours, going over everything. We didn’t feel pressured. We felt informed. That made all the difference. 

Alzheimer’s vs. Parkinson’s: Trial Differences 

While Alzheimer’s trials often focus on memory, thinking, and beta-amyloid buildup, Parkinson’s trials may zero in on motor function, tremors, or dopamine levels. Both diseases involve neurodegeneration but affect different systems and symptoms. Some research overlaps, especially in cases of mixed dementia or late-stage progression. 

There are also trials exploring how inflammation, sleep, or gut health impact both conditions. Being aware of these nuances helps caregivers advocate better and ask smarter questions when researching options. 

How to Find the Right Trial 

Start by asking your neurologist or primary care physician. They often know about local or national studies and can provide referrals. You can also search online databases like ClinicalTrials.gov (USA only). Filter by location, disease stage, or treatment type. 

Another great resource is local hospitals affiliated with research universities. They typically have dedicated departments for neurodegenerative diseases. 

Before enrolling, make sure to ask: 
● Is travel required? 
● Will there be out-of-pocket costs? 
● What happens after the study ends? 

Stories That Inspire 

Maya, a 62-year-old retired teacher from Houston, joined a Parkinson’s trial involving deep brain stimulation. She was skeptical at first, but three months in, she was writing on a chalkboard again. 

James, a caregiver in Chicago, enrolled his father in a nutritional therapy trial for Alzheimer’s. Though results were modest, the structured routine gave his dad stability and peace. 

These aren’t miracle cures. But they are reminders that progress is possible—and often, participation itself becomes empowering. 

Key Takeaways for Caregivers 

If your loved one has Alzheimer’s or Parkinson’s, clinical trials can be a real opportunity. They offer access to new science, expert care, and a sense of purpose. 

While there are risks, they’re well-managed and clearly communicated. Do your homework. Talk with doctors. Read the fine print. And most importantly—trust your gut. 

For some families, these trials become a turning point. Not because they reverse time, but because they give it more meaning.

 

Anthony Ciabarra, M.D., Ph.D. has been practicing neurology and supervising neurology clinical trails in Fullerton for over 20 years. As a graduate of Yale University School of Medicine, he participated in the Medical Scientist Training Program receiving an M.D. degree and a Ph.D. degree in the Department of Pharmacology. Dr. Ciabarra has participated in the development of a number of breakthrough treatments including new treatments for Alzheimer's disease, Parkinson's disease, migraine headache, and other neurological conditions.

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