Effects of Exenatide on Motor Function and the Brain

Participants will receive baseline testing to confirm a diagnosis of Parkinson's Disease and
to determine eligibility in the research study. All of the participants in this study will
receive the study drug (Exenatide). The study drug will be provided at the end of the first
visit, and participants will be administered the drug once per week for the duration of the
study (1 year).

During the research study the following test may occur: (1) questionnaires about quality of
life and depression; (2) tests to measure strength and motor function; (3) tests to measure
cognition; (4) orientation session to learn a precision gripping task; (5) functional MRI
scan of the brain; (6) structural MRI scan of the brain.

Inclusion Criteria:

- patients clinically diagnosed with Parkinson's disease (PD) through use of the UK PD
brain bank diagnostic criteria

- early stage PD patients within 5 years of diagnosis who have never taken Exenatide for
any reason

- PD patients with a Hoehn and Yahr stage less than or equal to 2 when on medication

- patients able and willing to sign informed consent.

Exclusion Criteria:

- individuals who have any type of implanted electrical device (such as a cardiac
pacemaker or a neurostimulator)

- individuals with a certain type of metallic clip in the body (i.e., an aneurysm clip
in the brain)

- claustrophobia

- women who are or might be pregnant and nursing mothers. Pregnancy tests will be
carried out for each female subject prior to the MRI scan.

- psychiatric disorders or dementia

- other neurologic and orthopedic problems that impair hand movements and walking

- individuals actively participating in another trial of a device, drug or surgical
treatment for Parkinson's disease

- individuals who have a history metalworking involving cutting processes such as
grinding, filing, shaving, and threading, will need radiological clearance to
participate in this study. Specifically, individuals who report a history of
metalworking will be referred to Radiology at Shands University of Florida(UF) for an
orbitofrontal x-ray.

- individuals who have sustained an eye injury involving metal will also be referred to
Radiology at Shands UF for an orbitofrontal x-ray.

- prior stroke or brain tumor

- cognitive impairment as assessed by a Montreal Cognitive Assessment score < 23

- individuals unwilling to comply with the study procedures

- history of gallstones, digestion problems (such as gastroparesis), severe
gastrointestinal disease, history of pancreatitis, a thyroid tumor or cancer, pancreas
tumor, or kidney problems

- severely impaired renal function with creatinine clearance less than 30 ml/min

- hyperlipidemia defined as more than two times the upper limit of normal

- body mass index less than 18.5

- previous exposure to Exenatide

- diabetes