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Parkinson´s DiseasePhase 4NCT03103919

Study to Evaluate the Impact of Using Wearable Devices in Addition to Standard Clinical Practice on Parkinson´s Subject Symptoms Management

A Phase 4 study testing Kinesia-ONE™, Kinesia-360™ and Rotigotine in people with Parkinson´s Disease, run by UCB Biopharma S.P.R.L. at 8 sites 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

Evaluate the benefits of Kinesia-360™ wearable technology in addition to standard clinical practice on improving Parkinson´s disease motor symptoms, Neupro dosing regimen and adherence to Neupro compared with only standard clinical practice. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Parkinson´s Disease
What is being tested?
Kinesia-ONE™, Kinesia-360™ and Rotigotine
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
40 participants
Where
8 sitesUnited States
Study dates
16 Mar 2017to 2 Jan 2018
Phase
Phase 4
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subject is newly prescribed Neupro and is expected to commence Neupro treatment. Historical Neupro treatment is permitted
  • Informed Consent form (ICF) is signed and dated by the subject, before any study-related procedures
  • Subject is considered reliable and capable of adhering to the protocol, visit schedule, completion of the diary, and using Kinesia devices according to the judgment of the Investigator
  • Male or female subject, >=18 years of age at the time of the Screening Visit
  • Subject has Parkinson's disease, defined by the cardinal sign, bradykinesia, plus the presence of at least 1 of the following: tremor at rest, rigidity or impairment of postural reflexes, and without any other known or suspected cause of Secondary Parkinsonism
  • Subject experiences motor symptoms associated with Parkinson's disease that are not sufficiently controlled by current therapy. The average of the triplicate resting tremor scores and triplicate finger tapping scores from Kinesia-ONE™ (6 scores in total) must be >1.0

Who cannot join

  • Subject is currently participating in any study with an investigational medicinal product or investigational device
  • Subject has any medical, neurological or psychiatric condition which, in the opinion of the Investigator, could jeopardize or would compromise the subject's ability to participate in this study
  • Subject with Deep Brain Stimulation (DBS) device implant

Trial locations and contacts

8 sites in 1 country.

8 sites in 1 country

United States8 sites
  • Pd0049 102

    Boca Raton, Florida, 33486

  • Pd0049 106

    Commack, New York, 11725

  • Pd0049 105

    Fountain Valley, California, 92708

  • Pd0049 107

    Greenville, South Carolina, 29615

  • Pd0049 109

    Houston, Texas, 77030

  • Pd0049 103

    Kansas City, Kansas, 66160

  • Pd0049 104

    Tulsa, Oklahoma, 74136

  • Pd0049 108

    Winfield, Illinois, 60190

Other trials in United States

About this study

Official title: A Multicenter, Open-Label, Two-Arm Study to Evaluate the Impact of Using Wearable Devices in Addition to Standard Clinical Practice on Parkinson´s Subject Symptoms Management

Evaluate the benefits of Kinesia-360™ wearable technology in addition to standard clinical practice on improving Parkinson´s disease motor symptoms, Neupro dosing regimen and adherence to Neupro compared with only standard clinical practice.

Being tested
Kinesia-ONE™, Kinesia-360™, Rotigotine
Keywords
Parkinson´s Disease, Kinesia-360™, Kinesia-ONE™, Biosensor
Medical subject headings
Parkinson Disease

What participants receive

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

  • Kinesia-ONE™Device

    Kinesia-ONE™ wearable sensor uses a subject-worn finger sensor and iPad mini application (APP) to objectively measure specific motor tasks related to Parkinson's disease symptoms such as tremor, bradykinesia (slowed movements), and dyskinesia (involuntary movements) in the Investigator's office. Subjects should wear the Kinesia-ONE™ device on the most affected side.

  • Kinesia-360™Device

    Kinesia-360™ wearable sensor includes a wrist and ankle device, along with a cell phone, which is also APP-based, and is designed for continuous day time monitoring of Parkinson's disease symptoms. Subjects will wear Kinesia-360™ while they go about their daily lives, and symptom severity is continually captured to enable objective assessment of Parkinson's disease symptoms. Subjects should wear the Kinesia-360™ device bands on the most affected side.

  • RotigotineDrug

    Also called Neupro

    All subjects will start Neupro treatment at a dose of either rotigotine 2 mg/24 h or 4 mg/24 h (according to the disease stage of the subject) which will then be adjusted based on symptom assessment either via standard care alone or via a combination of standard care and evaluation of the recordings made available by the Kinesia wearable technologies.

Study groups in NCT03103919
Study groupRoleWhat they receive
Rotigotine + Standard CareActive comparatorSubjects will use the Kinesia-ONE™ wearable device in-clinic at Visit 1 and Visit 2 for recording of specific motor symptoms. The optimal dose of Neupro for any given subject will be determined by standard clinical practice.
Receives: Device: Kinesia-ONE™; Drug: Rotigotine
Rotigotine + Standard Care + Kinesia-360™ wearable deviceExperimentalSubjects will use the Kinesia-ONE™ wearable device in-clinic at Visit 1 and Visit 2 for recording of specific motor symptoms, and additionally subjects will use the Kinesia-360™ wearable device at home while awake for continuous measurement of motor symptoms. The Investigator will use these symptom data to provide feedback to subjects on their motor symptoms and to supplement standard of care to titrate the optimal dose of Neupro for any given subject.
Receives: Device: Kinesia-ONE™; Device: Kinesia-360™; Drug: Rotigotine

What is being measured

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

  1. Change From Baseline to Visit 2 in Unified Parkinson's Disease Rating Scale (UPDRS) Part III Motor Score

    UPDRS Part III has 27 items assessing motor skills including facial expression and speech, tremors, rigidity, posture, gait, and bradykinesia. Each of the 27 items in the UPDRS part III is measured on a scale of 0 to 4, where 0 is normal and 4 represents severe abnormalities. The motor score ranges from 0 to 108, where the maximum score indicates the worse condition. A negative value in change in Unified Parkinson's Disease Rating Scale indicates improvement, whereas a positive value indicates worsening of disease.

    Measured: Baseline (Visit 1/Week 1) to Visit 2 (Week 12/ 3 months after start of treatment with Neupro)

  2. Change From Baseline to Visit 2 in Kinesia-ONE™ Variable: Finger Tapping Speed Score

    Kinesia-ONE™ measures were averaged from triplicate repeated assessments at a measurement point. Kinesia-ONE scores ranged from 0 to 4 (where 0 is normal and 4 represents severe abnormalities), with negative change from Baseline scores indicating improvement in disease symptoms.

    Measured: Baseline (Visit 1/Week 1) to Visit 2 (Week 12)

  3. Change From Baseline to Visit 2 in Kinesia-ONE™ Variable: Rest Tremor Score

    Kinesia-ONE™ measures were averaged from triplicate repeated assessments at a measurement point. Kinesia-ONE scores ranged from 0 to 4 (where 0 is normal and 4 represents severe abnormalities), with negative change from Baseline scores indicating improvement in disease symptoms.

    Measured: Baseline (Visit 1/Week 1) to Visit 2 (Week 12)

  4. Change From Baseline to Visit 2 in Kinesia-ONE™ Variable: Averaged Finger Tapping Speed and Resting Tremor Scores

    Kinesia-ONE™ measures were averaged from triplicate repeated assessments at a measurement point. The finger tapping speed scores and resting tremor scores were averaged and provided as one score ranging from 0 to 4 (where 0 is normal and 4 represents severe abnormalities), with negative change from Baseline scores indicating improvement in disease symptoms.

    Measured: Baseline (Visit 1/Week 1) to Visit 2 (Week 12)

  5. Change From Baseline to Visit 2 in Kinesia-ONE™ Variable: Postural Tremor Score

    Kinesia-ONE™ measures were averaged from triplicate repeated assessments at a measurement point. Kinesia-ONE scores ranged from 0 to 4 (where 0 is normal and 4 represents severe abnormalities), with negative change from Baseline scores indicating improvement in disease symptoms.

    Measured: Baseline (Visit 1/Week 1) to Visit 2 (Week 12)

  6. Change From Baseline to Visit 2 in Kinesia-ONE™ Variable: Finger Tapping Amplitude Score

    Kinesia-ONE™ measures were averaged from triplicate repeated assessments at a measurement point. Kinesia-ONE scores ranged from 0 to 4 (where 0 is normal and 4 represents severe abnormalities), with negative change from Baseline scores indicating improvement in disease symptoms.

    Measured: Baseline (Visit 1/Week 1) to Visit 2 (Week 12)

  7. Change From Baseline to Visit 2 in Kinesia-ONE™ Variable: Hand Grasp Speed Score

    Kinesia-ONE™ measures were averaged from triplicate repeated assessments at a measurement point. Kinesia-ONE scores ranged from 0 to 4 (where 0 is normal and 4 represents severe abnormalities), with negative change from Baseline scores indicating improvement in disease symptoms.

    Measured: Baseline (Visit 1/Week 1) to Visit 2 (Week 12)

  8. Change From Baseline to Visit 2 in Kinesia-ONE™ Variable: Hand Grasp Amplitude Score

    Kinesia-ONE™ measures were averaged from triplicate repeated assessments at a measurement point. Kinesia-ONE scores ranged from 0 to 4 (where 0 is normal and 4 represents severe abnormalities), with negative change from Baseline scores indicating improvement in disease symptoms.

    Measured: Baseline (Visit 1/Week 1) to Visit 2 (Week 12)

  9. Change From Baseline to Visit 2 in Kinesia-ONE™ Variable: Rapid Alternating Movement Speed Score

    Kinesia-ONE™ measures were averaged from triplicate repeated assessments at a measurement point. Kinesia-ONE scores ranged from 0 to 4 (where 0 is normal and 4 represents severe abnormalities), with negative change from Baseline scores indicating improvement in disease symptoms.

    Measured: Baseline (Visit 1/Week 1) to Visit 2 (Week 12)

  10. Change From Baseline to Visit 2 in Kinesia-ONE™ Variable: Rapid Alternating Amplitude Score

    Kinesia-ONE™ measures were averaged from triplicate repeated assessments at a measurement point. Kinesia-ONE scores ranged from 0 to 4 (where 0 is normal and 4 represents severe abnormalities), with negative change from Baseline scores indicating improvement in disease symptoms.

    Measured: Baseline (Visit 1/Week 1) to Visit 2 (Week 12)

  11. Change From Baseline to Visit 2 in Kinesia-ONE™ Variable: Dyskinesia Score

    Kinesia-ONE™ measures were averaged from triplicate repeated assessments at a measurement point. Kinesia-ONE scores ranged from 0 to 4 (where 0 is normal and 4 represents severe abnormalities), with negative change from Baseline scores indicating improvement in disease symptoms.

    Measured: Baseline (Visit 1/Week 1) to Visit 2 (Week 12)

  12. Neupro Dose Per 24h at Visit 2 (Week 12)

    Daily dose of study medication taken at respective visit.

    Measured: Visit 2 (Week 12)

  13. Number of Neupro Dose Changes During the Study

    Dose adjustments during study are performed per standard of care.

    Measured: Visit 1 (Week 1) to Visit 2 (Week 12)

  14. Number of Subjects Who Discontinued the Treatment With Neupro During the Course of the Study

    Number of subjects who discontinued Neupro Treatment were recorded.

    Measured: Visit 1 (Week 1) to Visit 2 (Week 12)

Secondary outcomes (1)
  1. Number of Subjects With Any Adverse Events During the Course of the Study

    An Adverse Event (AE) is any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product, which does not necessarily have a causal relationship with this treatment. An AE could therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.

    Measured: Visit 1 (Week 1) to Visit 2 (Week 12)

Timeline

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

  1. First posted6 Apr 2017
  2. Study start16 Mar 2017
  3. Primary completion2 Jan 2018
  4. Study completion2 Jan 2018

Resources

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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
40 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03103919
Sponsor's protocol ID
PD0049
Status last verified
Feb 2019
First submitted
30 Mar 2017
Last updated
19 Feb 2019
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Kinesia-ONE™, Kinesia-360™ and Rotigotine in people with Parkinson´s Disease, run by UCB Biopharma S.P.R.L. at 8 sites 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 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 19 Feb 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 8 sites 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.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 19 Feb 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Change From Baseline to Visit 2 in Unified Parkinson's Disease Rating Scale (UPDRS) Part III Motor Score (time frame: Baseline (Visit 1/Week 1) to Visit 2 (Week 12/ 3 months after start of treatment with Neupro)). The study lists 14 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 19 Feb 2019.

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