Parkinson's DiseasePhase 3ParkFitNCT00748488
Effectiveness of an Active Lifestyle Promotion Program for Patients With Parkinson's Disease
A Phase 3 study testing Physical therapy aimed to move safely and Physical Therapy aimed to improve Physical Activity in people with Parkinson's Disease, run by Radboud University Medical Center at 32 sites in Netherlands.
Trial summary
Patients with Parkinson's disease (PD) are heavily inclined towards a sedentary lifestyle. This is caused by a combination of physical impairments and cognitive dysfunction. However, regular physical activity in PD is highly desirable, for two reasons. Read more about this study
- Who is it for?
- Ages 40 to 75 years
- Conditions the study is for
- Parkinson's Disease
- What is being tested?
- Physical therapy aimed to move safely and Physical Therapy aimed to improve Physical Activity
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 700 participants
- Where
- 32 sitesNetherlands
- Study dates
- Sep 2008to Dec 2011
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 40 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Idiopathic PD
- Hoehn and Yahr stage I-III
- Between 40 and 75 years old
- Not meeting the norm for healthy physical activity: the latter being defined according to international standards as either five days a week 30 minutes of moderate-intensity physical activity, or 3 days a week 20 minutes of vigorous-intensity physical activity
Who cannot join
- Wheel chair bounded
- Severe co-morbidity (e.g. orthopaedic disorders or chronic hart failure)
- Severe cognitive decline, defined as Mini Mental State Examination < 24
Trial locations and contacts
32 sites in 1 country.
32 sites in 1 country
Netherlands32 sites
Jeroen Bosch Ziekenhuis
's-Hertogenbosch, Postbus 1101, 5200 BD
Medisch Centrum alkmaar
Alkmaar, Postbus 50, 1800 AM
Gelreziekenhuizen
Apeldoorn, Postbus 9014, 7300 DS
Tergooiziekenhuizen
Blaricum, Postbus 900, 1250 CA
Amphia Ziekenhuis
Breda, Postbus 90157, 4800 RL
Reinier de Graaf Groep
Delft
Deventer Ziekenhuis
Deventer
Slingeland Ziekenhuis
Doetinchem
Ziekenhuis Gelderse Vallei
Ede, Postbus 9025, 6710 HN
Catharina ziekenhuis
Eindhoven, Postbus 1350, 5602 ZA
St. Anna Ziekenhuis
Geldrop
Groene Hart Ziekenhuis
Gouda
Kennemer Gasthuis
Haarlem
Atrium Medisch Centrum
Heerlen
Elkerliek ziekenhuis
Helmond, Postbus 98, 5700 AB
Tergooiziekenhuizen
Hilversum, Postbus 10016, 1201 DA
Westfriesgasthuis
Hoorn
Academisch Ziekenhuis Maastricht
Maastricht
Ziekenhuis Bernhoven
Oss
Laurentius Ziekenhuis
Roermond
Franciscus Ziekenhuis
Roosendaal
Erasmus Medisch Centrum
Rotterdam
Maasstad Ziekenhuis
Rotterdam
Sint Franciscus Gasthuis
Rotterdam
Vlietland Ziekenhuis
Schiedam
Maaslandziekenhuis
Sittard, Postbus 5500, 6130 MB
Orbis Medisch Centrum
Sittard
Hagaziekhuis
The Hague, Postbus 40551, 2504 LN
Medisch Centrum Haaglanden
The Hague, Postbus 432, 2501 CK
Vie Curie Medisch Centrum
Venlo, Postbus 1926, 5900 BX
't Lange Land Ziekenhuis
Zoetermeer
De Gelreziekenhuizen
Zutphen, Postbus 9020, 7200 GZ
About this study
Official title: The ParkFit Study; Effectiveness of an Active Lifestyle Promotion Program for Patients With Parkinson's Disease
Patients with Parkinson's disease (PD) are heavily inclined towards a sedentary lifestyle. This is caused by a combination of physical impairments and cognitive dysfunction. However, regular physical activity in PD is highly desirable, for two reasons. First, physical activity has positive generic effects in preventing complications such as cardiovascular diseases, type II diabetes mellitus, osteoporosis and certain cases of cancer. Secondly, physical activity has additional disease-specific merits in PD such as depression, sleep disturbances and constipation. These effects lead to raised quality of life. Furthermore, animal studies suggest that physical activity could slow down disease progression.
Simply informing patients about the importance of physical activity is not enough to initiate and maintain an adequate level of physical activity. We propose to develop a physical activity promoting program for sedentary patients with PD in order to raise their level of daily physical activity.
Read more
Objective: The first aim of the study is to investigate whether a physical activity promotion program will result in an increase in physical activity in sedentary patients with PD.
The second aim is to demonstrate an increase in physical fitness and quality of life.
Read the detailed description
no extensive description
- Conditions
- Parkinson's Disease
- Being tested
- Physical therapy aimed to move safely, Physical Therapy aimed to improve Physical Activity
- Keywords
- Parkinson, Physical Therapy, Physical Activity
- Medical subject headings
- Parkinson Disease, Motor Activity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Physical therapy aimed to move safelyOther
Physical Therapy according to the Dutch guidelines for Physical Therapy in Parkinson's Disease solely focused on safety of movement.
Duration program: 2 years Maximum number of sessions: 35 per year Duration sessions: 30 minutes
Physical Therapy aimed to improve Physical ActivityOther
Physical Therapy according to the Dutch guidelines for Physical Therapy in Parkinson's Disease combined with a coaching program aimed to promote the level of physical activity Duration program: 2 years Maximum number of sessions: 35 per year Duration of sessions: 30 minutes
| Study group | Role | What they receive |
|---|---|---|
| A | Experimental | Physical Therapy aimed to promote the level of physical activity Receives: Other: Physical Therapy aimed to improve Physical Activity |
| B | Active comparator | Physical Therapy aimed to move safely Receives: Other: Physical therapy aimed to move safely |
What is being measured
The primary outcome is the main question the study is designed to answer.
Level of Physical Activity based on the LAPAQ questionnaire
Measured: Average of 6, 12, 18 and 24 months
Secondary outcomes (13)
One week diary of physical activity
Measured: Average of 6, 12, 18 and 24 months
Level of Physical Activity based on an activity monitor
Measured: continuous during 24 months
Physical Fitness (Six Minute Walk Test & Astrand bicycle test)
Measured: 12 and 24 months
Quality of Life (PDQ-39)
Measured: 6, 12, 18 and 24 months
Mood and Depression (HADS)
Measured: 6, 12, 18 and 24 months
Cognition (CANTAB)
Measured: 12 and 24 months
disease severity ( Nine Hole Peg test, UPDRS)
Measured: 12 and 24 months
Safety(Falls)
Measured: monthly
Mobility (Timed up and go test)
Measured: 12 and 24 months
Fatigue (FSS)
Measured: 6, 12, 18 and 24 months
Medication (questionnaire)
Measured: 6, 12, 18 and 24 months
Medical Costs (questionnaire)
Measured: 6, 12, 18 and 24 months
Quality of Sleep (SCOPA-sleep)
Measured: 6, 12, 18 and 24 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Sep 2008 (estimated)
- Study startSep 2008
- Primary completionDec 2011
- Study completionDec 2011
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Parkinson's DiseaseStudies of the same condition, open and under way.
- More trials run by Radboud University Medical CenterThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 700 participants (actual)
Sponsor and investigators
- Lead sponsor
- Radboud University Medical Center
- Sponsor type
- University, hospital or other
- Collaborators
- Michael J. Fox Foundation for Parkinson's Research, ZonMw: The Netherlands Organisation for Health Research and Development
- Responsible party
- Principal investigator, dr Marten Munneke, PT, Radboud University Medical Center
- Investigators
- Marten Munneke, Dr., Principal investigator, UMC st Radboud
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00748488
- Sponsor's protocol ID
- 50-50310-98-034
- Acronym
- ParkFit
- Status last verified
- Jan 2012
- First submitted
- 5 Sep 2008
- Last updated
- 31 Jan 2012
- Results posted
- No
- Data monitoring committee
- Yes
Publications
van Nimwegen M, Speelman AD, Overeem S, van de Warrenburg BP, Smulders K, Dontje ML, Borm GF, Backx FJ, Bloem BR, Munneke M; ParkFit Study Group. Promotion of physical activity and fitness in sedentary patients with Parkinson's disease: randomised controlled trial. BMJ. 2013 Mar 1;346:f576. doi: 10.1136/bmj.f576.
PubMed 23457213van Nimwegen M, Speelman AD, Smulders K, Overeem S, Borm GF, Backx FJ, Bloem BR, Munneke M; ParkFit Study Group. Design and baseline characteristics of the ParkFit study, a randomized controlled trial evaluating the effectiveness of a multifaceted behavioral program to increase physical activity in Parkinson patients. BMC Neurol. 2010 Aug 19;10:70. doi: 10.1186/1471-2377-10-70.
PubMed 20723221
Study at a glance
From the registry record, last updated by the sponsor on 31 Jan 2012. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The ParkFit Study; Effectiveness of an Active Lifestyle Promotion Program for Patients With Parkinson's Disease
- ClinicalTrials.gov ID
- NCT00748488
- Acronym / sponsor ID
- ParkFit / 50-50310-98-034
- Conditions
- Parkinson's Disease
- Keywords
- Parkinson, Physical Therapy, Physical Activity
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 700 participants (actual)
- Lead sponsor
- Radboud University Medical CenterUniversity, hospital or other
- Collaborators
- Michael J. Fox Foundation for Parkinson's Research, ZonMw: The Netherlands Organisation for Health Research and Development
- Study start
- Sep 2008
- Primary completion
- Dec 2011 (actual)
- Study completion
- Dec 2011 (actual)
- First posted
- 8 Sep 2008 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Patients with Parkinson's disease (PD) are heavily inclined towards a sedentary lifestyle. This is caused by a combination of physical impairments and cognitive dysfunction. However, regular physical activity in PD is highly desirable, for two reasons. First, physical activity has positive generic effects in preventing complications such as cardiovascular diseases, type II diabetes mellitus, osteoporosis and certain cases of cancer. Secondly, physical activity has additional disease-specific merits in PD such as depression, sleep disturbances and constipation. These effects lead to raised quality of life. Furthermore, animal studies suggest that physical activity could slow down disease progression.
Simply informing patients about the importance of physical activity is not enough to initiate and maintain an adequate level of physical activity. We propose to develop a physical activity promoting program for sedentary patients with PD in order to raise their level of daily physical activity.
Objective: The first aim of the study is to investigate whether a physical activity promotion program will result in an increase in physical activity in sedentary patients with PD.
The second aim is to demonstrate an increase in physical fitness and quality of life.
Detailed description
no extensive description
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| A | Experimental | Other: Physical Therapy aimed to improve Physical ActivityPhysical Therapy aimed to promote the level of physical activity |
| B | Active comparator | Other: Physical therapy aimed to move safelyPhysical Therapy aimed to move safely |
Who may qualify
- Ages
- 40 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Idiopathic PD
- Hoehn and Yahr stage I-III
- Between 40 and 75 years old
- Not meeting the norm for healthy physical activity: the latter being defined according to international standards as either five days a week 30 minutes of moderate-intensity physical activity, or 3 days a week 20 minutes of vigorous-intensity physical activity
Key exclusion criteria (3 listed)
- Wheel chair bounded
- Severe co-morbidity (e.g. orthopaedic disorders or chronic hart failure)
- Severe cognitive decline, defined as Mini Mental State Examination < 24
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Physical therapy aimed to move safelyPhysical Therapy according to the Dutch guidelines for Physical Therapy in Parkinson's Disease solely focused on safety of movement. Duration program: 2 years Maximum number of sessions: 35 per year Duration sessions: 30 minutes | Other | B |
| Physical Therapy aimed to improve Physical ActivityPhysical Therapy according to the Dutch guidelines for Physical Therapy in Parkinson's Disease combined with a coaching program aimed to promote the level of physical activity Duration program: 2 years Maximum number of sessions: 35 per year Duration of sessions: 30 minutes | Other | A |
Primary outcome
Level of Physical Activity based on the LAPAQ questionnaire
Time frame: Average of 6, 12, 18 and 24 months
13 secondary outcomes
One week diary of physical activity
Time frame: Average of 6, 12, 18 and 24 months
Level of Physical Activity based on an activity monitor
Time frame: continuous during 24 months
Physical Fitness (Six Minute Walk Test & Astrand bicycle test)
Time frame: 12 and 24 months
Quality of Life (PDQ-39)
Time frame: 6, 12, 18 and 24 months
Mood and Depression (HADS)
Time frame: 6, 12, 18 and 24 months
Cognition (CANTAB)
Time frame: 12 and 24 months
disease severity ( Nine Hole Peg test, UPDRS)
Time frame: 12 and 24 months
Safety(Falls)
Time frame: monthly
Mobility (Timed up and go test)
Time frame: 12 and 24 months
Fatigue (FSS)
Time frame: 6, 12, 18 and 24 months
Medication (questionnaire)
Time frame: 6, 12, 18 and 24 months
Medical Costs (questionnaire)
Time frame: 6, 12, 18 and 24 months
Quality of Sleep (SCOPA-sleep)
Time frame: 6, 12, 18 and 24 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 31 Jan 2012.
- Derived from this study: PubMed 23457213van Nimwegen M, Speelman AD, Overeem S, van de Warrenburg BP, Smulders K, Dontje ML, Borm GF, Backx FJ, Bloem BR, Munneke M; ParkFit Study Group. Promotion of physical activity and fitness in sedentary patients with Parkinson's disease: randomised controlled trial. BMJ. 2013 Mar 1;346:f576. doi: 10.1136/bmj.f576.
- Derived from this study: PubMed 20723221van Nimwegen M, Speelman AD, Smulders K, Overeem S, Borm GF, Backx FJ, Bloem BR, Munneke M; ParkFit Study Group. Design and baseline characteristics of the ParkFit study, a randomized controlled trial evaluating the effectiveness of a multifaceted behavioral program to increase physical activity in Parkinson patients. BMC Neurol. 2010 Aug 19;10:70. doi: 10.1186/1471-2377-10-70.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Marten Munneke, Dr. principal investigator
UMC st Radboud
32 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Physical therapy aimed to move safely and Physical Therapy aimed to improve Physical Activity in people with Parkinson's Disease, run by Radboud University Medical Center at 32 sites in Netherlands.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 31 Jan 2012. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 32 sites in Netherlands. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Level of Physical Activity based on the LAPAQ questionnaire (time frame: Average of 6, 12, 18 and 24 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00748488, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 Jan 2012.