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Parkinson's DiseaseNCT02761707

Biomarkers in Neural Disorders

An observational study of Parkinson's Disease and Alzheimer's Disease, run by University of Pennsylvania at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study seeks to establish the sensitivity and specificity of what appears to be a unique brainstem biomarker of Parkinson's Disease (PD) - an electrically induced olygosynaptic nasotrigeminal reflex response - in differentiating early stage PD from normal controls and from patients with various other… Read more about this study

Who is it for?
Ages 18 to 80 yearsHealthy volunteers can take part
What is being tested?
Electrical Brainstem Responses, Olfactory Tests and Visual Deprivation
How many people
54 participants
Where
1 siteUnited States
Study dates
Jun 2016to 16 Jul 2019
Phase
Observational
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 18 to 80 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: Normal controls and patients with such neural disorders as Parkinson's Disease(PD), Alzheimer's disease (AD), progressive supranuclear palsy (PSP), essential tremor (ET), dementia with Parkinson's disease (D-PD), myasthenia gravis (MG), multiple system atrophy (MSA), diffuse Lewy body disease (DLBD), and Spinal Cord Injury (SCI). None will be cigarette smokers. The patients will be diagnosed accord to current consensus criteria. The healthy controls will be matched to the PD patients on such variables as sex, age, education level, and ethnicity. The Healthy Controls will be asked to answer questions regarding the disease state of their first degree family members to ensure that these first degree family members do not have a neurodegenerative diseases. Every effort will be made to include women and minority subjects.

Who may be able to join

  • The Parkinson's disease (PD) patients will be Hoehn and Yahr stage 2 or less with a history of motor symptoms less than two years.
  • The Alzheimer's disease (AD) patients will meet the 2011 National Institute on Aging-Alzheimer's Association and the 1984 National Institute for Neurological and Communicative Disorders and Stroke-Alzheimer's disease and Related Disorders Association criteria for probable AD.
  • The progressive supranuclear palsy (PSP) patients will have met the NINDS-SPSP criteria for probable PSP, which requires vertical supranuclear gaze palsy, prominent postural instability, and falls in the first year of onset, as well as a number of other clinical features.
  • The DLBD patients will meet the Consensus Criteria for the clinical diagnosis of DLBD.
  • The healthy controls will be matched to the PD patients on such variables as sex, age, education level, and ethnicity.
  • The essential tremor (ET), multiple system atrophy (MSA), myasthenia gravis (MG), multiple system atrophy (MSA), Parkinson's disease dementia (D-PD), and Spinal Cord Injury (SCI) patients will meet the generally-accepted diagnostic criteria for these disorders.

Who cannot join

  • Drug abuse.
  • Any other known and potentially confounding condition that could reasonably be expected to interfere with the study assessments.
  • Under age 18.
  • Over age 80.
  • Smoker.
  • Pregnant or nursing.
  • Healthy control with a first degree relative who has a neurodegenerative disease.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of Pennsylvania

    Philadelphia, Pennsylvania, 19104

Other trials in United States

About this study

This study seeks to establish the sensitivity and specificity of what appears to be a unique brainstem biomarker of Parkinson's Disease (PD) - an electrically induced olygosynaptic nasotrigeminal reflex response - in differentiating early stage PD from normal controls and from patients with various other neurodegenerative diseases. This study will additionally compare the biomarker to olfactory testing.

Read the detailed description

Parkinson's disease (PD), a devastating age-related disease that is clinically defined by its effects on the motor system, afflicts more than six million people worldwide, imposing enormous burdens on patients, relatives, caretakers, and society in general. Diagnostic errors are common, particularly as symptoms first arise. The most common misdiagnoses are Alzheimer's disease (AD), essential tremor, and vascular pseudo-Parkinson's Disease. An accurate diagnosis is typically made at a later stage of the disease when marked and irreversible damage has occurred within the motor control system of the brain. Sensitive and specific biomarkers of the early stages of PD are urgently needed. Identification of such markers is critical for the development and assessment of medications and other interventions designed to eliminate or reduce the gradual and irreversible decline of neurons involved in the disorder. This study seeks to establish the sensitivity and specificity of what appears to be a unique brainstem biomarker of PD - an electrically induced trigeminal nerve blink reflex response - in differentiation of early stage PD from normal controls and such neurodegenerative diseases as early stage AD, progressive supranuclear palsy (PSP), and diffuse Lewy Body disease (DLBD). This study will additionally compare the biomarker to olfactory test results.

Being tested
Electrical Brainstem Responses, Olfactory Tests, Visual Deprivation, Peripheral Nerve Stimulation
Medical subject headings
Parkinson Disease, Alzheimer Disease, Supranuclear Palsy, Progressive, Essential Tremor, Multiple System Atrophy, Lewy Body Disease, Myasthenia Gravis, Spinal Cord Injuries

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Electrical Brainstem ResponsesOther

    Also called Electromyography

    Eye blink responses will be induced using standard stimulating electrodes employed in surface electromyography (EMG). The subjects will recline with their eyes gently closed. Sticky electrodes will be placed to the left and below the left eye. 6 different facial regions will be stimulated. The electrical stimulation will be kept constant during the test sessions. To prevent habituation, the stimuli will be delivered randomly at intervals of 45-60 sec. Four 0.2 msec pulses will be presented. In some cases, paired pulse stimulation will be performed, and a conditioning stimulus will be applied to the target facial regions at the following intervals: 10, 200, 400, 600 and 800 msec. 4 pulses will be presented at each stimulus interval with randomized interval and pulse sequences.

  • Olfactory TestsOther

    Olfactory testing will be performed using standard tests. The University of Pennsylvania Smell Identification Test (UPSIT) assesses a subjects ability to identify odors in a forced choice format. The Snap and Sniff Threshold Test provides a threshold measure of phenyl ethyl alcohol. Short-term odor memory will be assessed using a standardized 12-item four-alternative forced-choice Odor Memory Test. This non-lexical test employs 10-, 30-, and 60-second delay intervals between the presentation of the target odorant and the first of four successively presented odors from which the target is to be selected.

  • Visual DeprivationOther

    During a 2-hour visual deprivation period, subjects will wear comfortable light-tight goggles with lenses that have been blackened by flat black paint. Subjects will be given the opportunity to recline comfortable in a padded reclining chair during this time.

  • Peripheral Nerve StimulationOther

    Also called Repetitive Nerve Stimulation

    Electrical stimulation will be applied to a nerve of your arm. Sticky electrode pads will also be placed on a hand muscle. You will receive electrical stimulations that lasts less than a second. The stimulations will make your muscle twitch.

Study groups in NCT02761707
Study groupRoleWhat they receive
Parkinson's DiseaseNon-smokers, ages 18-80, diagnosed with Parkinson's Disease. Must be Hoehn and Yahr stage 2 or less with a history of motor symptoms less than two years.
Receives: Other: Electrical Brainstem Responses; Other: Olfactory Tests; Other: Visual Deprivation; Other: Peripheral Nerve Stimulation
Alzheimer's DiseaseNon-smokers, ages 18-80, diagnosed with Alzheimer's Disease. Must meet the 2011 National Institute on Aging-Alzheimer's Association and the 1984 National Institute for Neurological and Communicative Disorders and Stroke-Alzheimer's disease and Related Disorders Association criteria for probable AD.
Receives: Other: Electrical Brainstem Responses; Other: Olfactory Tests; Other: Peripheral Nerve Stimulation
Progressive Supranuclear PalsyNon-smokers, ages 18-80, diagnosed with Progressive Supranuclear Palsy. Must meet the NINDS-SPSP criteria for probable PSP, which requires vertical supranuclear gaze palsy, prominent postural instability, and falls in the first year of onset, as well as a number of other clinical features.
Receives: Other: Electrical Brainstem Responses; Other: Olfactory Tests; Other: Peripheral Nerve Stimulation
Essential TremorNon-smokers, ages 18-80, diagnosed with Essential Tremor.
Receives: Other: Electrical Brainstem Responses; Other: Olfactory Tests; Other: Peripheral Nerve Stimulation
Drug-Induced Parkinson's DiseaseNon-smokers, ages 18-80, diagnosed with Drug-Induced Parkinson's Disease.
Receives: Other: Electrical Brainstem Responses; Other: Olfactory Tests; Other: Peripheral Nerve Stimulation
Myasthenia GravisNon-smokers, ages 18-80, diagnosed with Myasthenia Gravis.
Receives: Other: Electrical Brainstem Responses; Other: Olfactory Tests; Other: Peripheral Nerve Stimulation
Multiple System AtrophyNon-smokers, ages 18-80, who have been diagnosed with Multiple System Atrophy.
Receives: Other: Electrical Brainstem Responses; Other: Olfactory Tests; Other: Peripheral Nerve Stimulation
Diffuse Lewy Body DiseaseNon-smokers, ages 18-80, diagnosed with Diffuse Lewy Body Disease. Must meet the Consensus Criteria for the clinical diagnosis of DLBD.
Receives: Other: Electrical Brainstem Responses; Other: Olfactory Tests; Other: Peripheral Nerve Stimulation
Healthy ControlsNon-smokers, ages 18-80, with no neurodegenerative disease, and no first-degree relatives with a neurodegenerative disease.
Receives: Other: Electrical Brainstem Responses; Other: Olfactory Tests; Other: Visual Deprivation; Other: Peripheral Nerve Stimulation
Spinal Cord InjuryNot described
Receives: Other: Electrical Brainstem Responses; Other: Olfactory Tests; Other: Peripheral Nerve Stimulation
Asymptomatic RelativesNot described
Receives: Other: Electrical Brainstem Responses; Other: Olfactory Tests; Other: Peripheral Nerve Stimulation

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Latency, amplitude, and area under the curve of brainstem reflex response

    Latency, amplitude, and area under the curve of electrical brainstem reflex response of trigeminal nerve branches measured on the face musculature (before and after short-term visual deprivation).

    Measured: 1 Hour

  2. Score on the University of Pennsylvania Smell Identification Test

    The number of correct odor identification responses out of 40 from the standardized University of Pennsylvania Smell Identification Test (before and after short-term visual deprivation).

    Measured: 20 Minutes

  3. Score on the Odor Discrimination/Memory Test

    The number of correct responses in picking out an odor previously presented from three foils 10, 30, and 60 sec later using the standardized Odor Detection/Discrimination Test (before and after short-term visual deprivation).

    Measured: 30 Minutes

  4. Score on an Odor Detection Threshold Test

    The average of 7 reversals in a staircase odor detection threshold test that employs phenyl ethyl alcohol (rose oil) concentrations ranging from -7 to -2 log dilutions in light mineral oil.

    Measured: 20 Minutes

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted4 May 2016 (estimated)
  2. Study startJun 2016
  3. Primary completionJun 2018
  4. Study completion16 Jul 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case-control
Time perspective
Cross-sectional
Enrolment
54 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02761707
Sponsor's protocol ID
827731
Status last verified
Jul 2019
First submitted
18 Apr 2016
Last updated
18 Jul 2019
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of Parkinson's Disease and Alzheimer's Disease, run by University of Pennsylvania at 1 site in United States.

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 6 inclusion and 7 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 18 Jul 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. 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.

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?

Latency, amplitude, and area under the curve of brainstem reflex response (time frame: 1 Hour). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 18 Jul 2019.

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