Parkinson DiseaseNA_PET_MRINCT03942289
Human Aging and in Vivo Noradrenergic System
A study testing The role of the noradrenergic system across the life span (Healthy Subjects) and The role of the noradrenergic system across the life span (Parkinson's Disease Subjects) in people with Parkinson Disease, run by Hospices Civils de Lyon at 1 site in France.
Trial summary
The main goal of this research proposal is to provide, for the first time in humans, a wider understanding of the role of the noradrenergic system both in health and illness (Parkinson's disease) through the use of a newly developed radiotracer (11Carbon [11C]Yohimbine) visualizing alpha-2 (α2) adrenergic receptors… Read more about this study
- Who is it for?
- Ages 20 to 80 yearsHealthy volunteers can take part
- Conditions the study is for
- Parkinson Disease
- What is being tested?
- The role of the noradrenergic system across the life span (Healthy Subjects) and The role of the noradrenergic system across the life span (Parkinson's Disease Subjects)
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 135 participants
- Where
- 1 siteFrance
- Study dates
- 29 Apr 2019to 29 Jun 2021
- Phase
- Interventional
- 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 20 to 80 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Age between 20 years and 80 years
- Weight between 40 kilograms (kg) and 95kg
- Without neurologic or psychiatric history
- Without head trauma history including loss of consciousness superior to 30 minutes.
- Affiliated to a social security or similar scheme
- Not subject to any legal protection measures
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- Participant must have signed an informed consent document indicating that they understand the purpose of, and procedures required for, the study and are willing to participate in the study and comply with the study procedures and restrictions
- Inclusion Criteria for the patients with Parkinson's disease:
- Age between 40 and 80 years old
- Weight between 40 kilograms (kg) and 95kg
- With an idiopathic Parkinson's disease (Dopa-sensitive)
- Without head trauma history including loss of consciousness superior to 30 minutes.
- Affiliated to a social security or similar scheme
- Not subject to any legal protection measures
- Participant must have signed an informed consent document indicating that they understand the purpose of, and procedures required for, the study and are willing to participate in the study and comply with the study procedures and restrictions
Who cannot join
- Subject with alcohol or substance abuse history
- Subject with somatic drug therapies
- Magnetic Resonance Imaging (MRI) contraindications (implanted or embedded metal objects in the head or body)
- Positron Emission Tomography (PET) contraindications
- Exposed to 1 millisievert or more of ionizing radiation in the year before the start of this study
- Subject unable to sign written consent for participation in the study
Trial locations and contacts
1 site in 1 country.
France1 site, 1 recruiting
- Recruiting
Hôpital Neurologique Pierre Wertheimer, Groupement Hospitalier Est
Bron
Bénédicte BALLANGER, 06.87.90.11.01, benedicte.ballanger@cnrs.fr
About this study
Official title: Investigating the Noradrenergic System in the Living Human Brain With Hybrid Molecular Functional Imaging
The main goal of this research proposal is to provide, for the first time in humans, a wider understanding of the role of the noradrenergic system both in health and illness (Parkinson's disease) through the use of a newly developed radiotracer (11Carbon [11C]Yohimbine) visualizing alpha-2 (α2) adrenergic receptors (AR) combined with cutting-edge technology, the hybrid positron emission tomography (PET)/magnetic resonance imaging (MRI) scanner. The secondary aim of this study will be to determine whether the expected age- and Parkinson's disease (PD)-related changes in the noradrenergic system are paralleled by changes in neuropsychological performances (such as cognitive, motor and/or olfactory abilities).
- Conditions
- Parkinson Disease
- Being tested
- The role of the noradrenergic system across the life span (Healthy Subjects), The role of the noradrenergic system across the life span (Parkinson's Disease Subjects)
- Keywords
- Human, Aging, Behavior, Noradrenergic system, Positron Emission Tomography, Magnetic Resonance Imaging
- Medical subject headings
- Parkinson Disease, Behavior
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
The role of the noradrenergic system across the life span (Healthy Subjects)Other
A sample (n=90) of balanced distribution of healthy males and females within a continuous segment of the adult life span from 20 to 80 years old will be recruited, with approximately 7 males and 7 females subjects for each decade of age. Each participant will undergo 1) a neuropsychological examination, 2) an olfactory screening and 3) a 90 min 11C-Yohimbine positron emission tomography (PET)/magnetic resonance imaging (MRI) scan in a resting state.
The role of the noradrenergic system across the life span (Parkinson's Disease Subjects)Other
Three groups of Parkinson Disease (PD) patients (each of them n=15) will be studied according to the duration and stage of the disease: early stage (the same group in Task 2); mid stage (5-7 years of disease duration; Hoehn and Yahr in Off 2-3); late stage (7-10 years of disease duration; Hoehn and Yahr in Off 3-4).
| Study group | Role | What they receive |
|---|---|---|
| Healthy controls | Experimental | Not described Receives: Other: The role of the noradrenergic system across the life span (Healthy Subjects) |
| Parkinson disease | Experimental | Not described Receives: Other: The role of the noradrenergic system across the life span (Parkinson's Disease Subjects) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Positron Emission Tomography (PET) and Magnetic Resonance Imaging (MRI) measures
Derived from the Positron Emission Tomography (PET) data, the binding potentials will be calculated using compartmental modelling techniques. Derived from the Magnetic Resonance Imaging (MRI) data.
Measured: Day 1 -180 minutes
Secondary outcomes (14)
Global Cognitive Assessment
Measured with Montreal Cognitive Assessment. Outcome measure is between 0 and 30. A score of 26 or over is considered to be normal.
Measured: Day 2 - 10 minutes
Memory Assessment
Measured with the 16-item Free and Cued Recall test. Outcome measure is the total immediate recall which is the sum of free and cued recall.
Measured: Day 2 - 20 minutes
Working Memory Assessment
Measured with the Digit Span Memory test. Outcome measure is the total number of items correctly repeated.
Measured: Day 2 - 20 minutes
Executive Functioning
Measured with the Trail Making test. Unit of measure is first seconds to perform the test, which will be converted in a percentile score and then number of errors made during the test.
Measured: Day 2 - 20 minutes
Planning Functioning
Measured with the Tower of London test. Outcome measure is the total correct and total moves score.
Measured: Day 2 - 20 minutes
Visuo-spatial Assessment
Measured by the Visual Object and Space Perception Battery. The study will use a selection of theses tests : incomplete letters (outcome measure is between 0 and 20; cut-off score = 16) and position discrimination (outcome measure is between 0 and 10; cut-off score = 7)
Measured: Day 2 - 20 minutes
Depression Evaluation
Measured by the Beck Depression Inventory-II Questionnaire. Outcome measure is between 0 and 20 with a cut-off score = 13. A score higher than 14 indicates the presence of depression.
Measured: Day 2 - 10 minutes
Anxiety Evaluation
Measured by the State-Trait Anxiety Inventory (STAI) form Y questionnaire. Outcome measure is between 20 and 80, with higher scores correlating with greater anxiety.
Measured: Day 2 - 10 minutes
Praxic Abilities
Measured by the Mahieux Praxic test. Outcome measure is between 0 and 23.
Measured: Day 2 - 10 minutes
Day time sleepiness evaluation
Measured by the Epworth Sleepiness Scale Questionnaire. Outcome measure is between 0 and 24 with a score between 0-8 indicating normal Daytime sleepiness, a score between 9-14 indicating mild sleep deficiency and a score above 15 an excessive daytime sleepiness.
Measured: Day 2 - 5 minutes
Sleep Quality
Measured by the Pittsburgh Sleep Quality Index (PSQI). Outcome measure is between 0 and 21 with 0 indicating no sleep problem and 21 major sleep disorder.
Measured: Day 2 - 5 minutes
Olfactory assessment : odor detection
The odor detection capability will be evaluated using a phenyl-ethyl alcohol (PEA) test. In this experiment, the detection threshold is obtained using a "staircase" procedure. Outcome measure is between 0 and 16 with higher score indicating better performance.
Measured: Day 2 - 30 minutes
Olfactory assessment: odor discrimination
Odor discrimination capacity will be assessed by asking the participant to smell three bottles (two bottles contain the same odor, and the third contains a different smell). The test includes 16 triplets of odorous substances. Outcome measure is between 0 and 16 with higher score indicating better performance.
Measured: Day 2 - 30 minutes
Olfactory assessment : odor identification
The odor identification capacity will be estimated by the European test of olfactory capacities (ETOC), a test based on 16 identifications. Outcome measure is between 0 and 16 with higher score indicating better performance.
Measured: Day 2 - 30 minutes
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 May 2019
- Study start29 Apr 2019
- Primary completion29 Jun 2021 (estimated)
- Study completion29 Jun 2021 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Parkinson DiseaseStudies of the same condition, open and under way.
- More trials run by Hospices Civils de LyonThe 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 N/A
- Primary purpose
- Basic science
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 135 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Hospices Civils de Lyon
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Chloé Laurencin, MD, Principal investigator, Hospices Civils de Lyon
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03942289
- Sponsor's protocol ID
- 69HCL18_0409
- Other IDs
- 2018-003999-13, 2018
- Acronym
- NA_PET_MRI
- Status last verified
- Jun 2019
- First submitted
- 11 Apr 2019
- Last updated
- 24 Jun 2019
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 24 Jun 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Investigating the Noradrenergic System in the Living Human Brain With Hybrid Molecular Functional Imaging
- ClinicalTrials.gov ID
- NCT03942289
- Acronym / sponsor ID
- NA_PET_MRI / 69HCL18_0409
- Conditions
- Parkinson Disease
- Keywords
- Human, Aging, Behavior, Noradrenergic system, Positron Emission Tomography, Magnetic Resonance Imaging
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 135 participants (estimated)
- Lead sponsor
- Hospices Civils de LyonUniversity, hospital or other
- Study start
- 29 Apr 2019 (actual)
- Primary completion
- 29 Jun 2021 (estimated)
- Study completion
- 29 Jun 2021 (estimated)
- First posted
- 8 May 2019 (actual)
- 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.
The main goal of this research proposal is to provide, for the first time in humans, a wider understanding of the role of the noradrenergic system both in health and illness (Parkinson's disease) through the use of a newly developed radiotracer (11Carbon [11C]Yohimbine) visualizing alpha-2 (α2) adrenergic receptors (AR) combined with cutting-edge technology, the hybrid positron emission tomography (PET)/magnetic resonance imaging (MRI) scanner. The secondary aim of this study will be to determine whether the expected age- and Parkinson's disease (PD)-related changes in the noradrenergic system are paralleled by changes in neuropsychological performances (such as cognitive, motor and/or olfactory abilities).
Study design
- Primary purpose
- Basic science
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Healthy controls | Experimental | Other: The role of the noradrenergic system across the life span (Healthy Subjects) |
| Parkinson disease | Experimental | Other: The role of the noradrenergic system across the life span (Parkinson's Disease Subjects) |
Who may qualify
- Ages
- 20 to 80 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (15 listed)
- Age between 20 years and 80 years
- Weight between 40 kilograms (kg) and 95kg
- Without neurologic or psychiatric history
- Without head trauma history including loss of consciousness superior to 30 minutes.
- Affiliated to a social security or similar scheme
Key exclusion criteria (6 listed)
- Subject with alcohol or substance abuse history
- Subject with somatic drug therapies
- Magnetic Resonance Imaging (MRI) contraindications (implanted or embedded metal objects in the head or body)
- Positron Emission Tomography (PET) contraindications
- Exposed to 1 millisievert or more of ionizing radiation in the year before the start of this study
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 |
|---|---|---|
| The role of the noradrenergic system across the life span (Healthy Subjects)A sample (n=90) of balanced distribution of healthy males and females within a continuous segment of the adult life span from 20 to 80 years old will be recruited, with approximately 7 males and 7 females subjects for each decade of age. Each participant will undergo 1) a neuropsychological examination, 2) an olfactory screening and 3) a 90 min 11C-Yohimbine positron emission tomography (PET)/magnetic resonance imaging (MRI) scan in a resting state. | Other | Healthy controls |
| The role of the noradrenergic system across the life span (Parkinson's Disease Subjects)Three groups of Parkinson Disease (PD) patients (each of them n=15) will be studied according to the duration and stage of the disease: early stage (the same group in Task 2); mid stage (5-7 years of disease duration; Hoehn and Yahr in Off 2-3); late stage (7-10 years of disease duration; Hoehn and Yahr in Off 3-4). | Other | Parkinson disease |
Primary outcome
Positron Emission Tomography (PET) and Magnetic Resonance Imaging (MRI) measures
Time frame: Day 1 -180 minutes
Derived from the Positron Emission Tomography (PET) data, the binding potentials will be calculated using compartmental modelling techniques. Derived from the Magnetic Resonance Imaging (MRI) data.
14 secondary outcomes
Global Cognitive Assessment
Time frame: Day 2 - 10 minutes
Memory Assessment
Time frame: Day 2 - 20 minutes
Working Memory Assessment
Time frame: Day 2 - 20 minutes
Executive Functioning
Time frame: Day 2 - 20 minutes
Planning Functioning
Time frame: Day 2 - 20 minutes
Visuo-spatial Assessment
Time frame: Day 2 - 20 minutes
Depression Evaluation
Time frame: Day 2 - 10 minutes
Anxiety Evaluation
Time frame: Day 2 - 10 minutes
Praxic Abilities
Time frame: Day 2 - 10 minutes
Day time sleepiness evaluation
Time frame: Day 2 - 5 minutes
Sleep Quality
Time frame: Day 2 - 5 minutes
Olfactory assessment : odor detection
Time frame: Day 2 - 30 minutes
Olfactory assessment: odor discrimination
Time frame: Day 2 - 30 minutes
Olfactory assessment : odor identification
Time frame: Day 2 - 30 minutes
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Jun 2019.
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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.
Chloé Laurencin, MD principal investigator
Hospices Civils de Lyon
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing The role of the noradrenergic system across the life span (Healthy Subjects) and The role of the noradrenergic system across the life span (Parkinson's Disease Subjects) in people with Parkinson Disease, run by Hospices Civils de Lyon at 1 site in France.
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 15 inclusion and 6 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: status not confirmed, as of the sponsor's last update on 24 Jun 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 France. 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?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Chloé Laurencin, MD (4.72.11.80.22 ext. 33, chloe.laurencin@chu-lyon.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Positron Emission Tomography (PET) and Magnetic Resonance Imaging (MRI) measures (time frame: Day 1 -180 minutes). 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 24 Jun 2019.