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Parkinson DiseaseTARGET-PDNCT03984305

Utilization of Target Ranges to Treat Parkinson's Disease With the PKG

A study testing Personal KinetiGraph® (PKG®) Watch and Personal KinetiGraph® (PKG®) Report in people with Parkinson Disease, run by Global Kinetics Corporation at 17 sites in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The main objective of this study is to evaluate whether people whose PD symptoms are uncontrolled who are managed with the aid of objective measurement and use of target ranges have improved PD symptoms and outcomes as compared to individuals treated using only standard of care (medical history, neurological… Read more about this study

Who is it for?
Ages 46 to 83 years
Conditions the study is for
Parkinson Disease
What is being tested?
Personal KinetiGraph® (PKG®) Watch and Personal KinetiGraph® (PKG®) Report
Type of treatment
Medical device
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
41 participants
Where
17 sitesUnited States
Study dates
15 Oct 2019to 16 Oct 2020
Phase
Interventional
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 46 to 83 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Able and willing to sign a written informed consent for study participation
  • Presumed to have Levodopa responsive idiopathic Parkinson's Disease
  • Age inclusive at the time of consent per PKG Indications for Use (46-83 years old)
  • Has not been previously managed with the PKG

Who cannot join

  • Contraindication to increasing levodopa (e.g. orthostatic hypotension, hallucinations/psychosis or any other medical condition in the last year that would preclude increasing levodopa or other appropriate Parkinson's Disease medications)
  • MoCA score <23 at screening visit
  • Diagnosis of Essential Tremor
  • Wheelchair bound or bedridden
  • Currently utilizing or planning in the next 6 months advanced PD therapies (DBS, infusion, etc.)
  • In the investigator's or sponsor's opinion, subject has any unstable or clinically significant condition that would impair the participant's ability to comply with study requirements or interfere with interpretation of the study endpoints (e.g., subject unable to complete PKG watch wear instructions per Patient Instruction Manual)

Trial locations and contacts

17 sites in 1 country.

17 sites in 1 country

United States17 sites
  • Parkinson's Disease and Movement Disorders Center of Boca Raton

    Boca Raton, Florida, 33486

  • Parkinson's Disease and Movement Disorders Center of Long Island

    Commack, New York, 11725

  • Michigan State University

    East Lansing, Michigan, 48824

  • Washington Regional Medical Center

    Fayetteville, Arkansas, 72703

  • Neurology Center of New England

    Foxborough, Massachusetts, 02035

  • University of Florida

    Gainesville, Florida, 32608

  • University of Texas

    Houston, Texas, 77030

  • Marshall University

    Huntington, West Virginia, 25701

  • University of Kansas Medical Center

    Kansas City, Kansas, 66160

  • Cleveland Clinic Lou Ruvo Center for Brain Health

    Las Vegas, Nevada, 89106

  • University of Arkansas Medical Center

    Little Rock, Arkansas, 72205

  • Parkinson's Disease and Movement Disorders Center of Silicon Valley

    Menlo Park, California, 94025

  • Medical College of Wisconsin

    Milwaukee, Wisconsin, 53226

  • Weill Cornell

    New York, New York, 10021

  • University of Nebraska

    Omaha, Nebraska, 68198

  • Kaiser Mid-Atlantic Permanente Center

    Rockville, Maryland, 20852

  • University of South Florida

    Tampa, Florida, 33612

Other trials in United States

About this study

Official title: Utilization of Target Ranges to Treat Patients With Parkinson's Disease by Objective Measurement Using the Personal KinetiGraph® (PKG®) Compared to Standard of Care Assessment (TARGET-PD)- A Randomized Controlled Trial

The main objective of this study is to evaluate whether people whose PD symptoms are uncontrolled who are managed with the aid of objective measurement and use of target ranges have improved PD symptoms and outcomes as compared to individuals treated using only standard of care (medical history, neurological examination).

Read the detailed description

This is a randomized controlled trial (RCT) to evaluate treating uncontrolled patients with Parkinson's Disease (PwP) to a target range as suggested by expert review papers. The study aims to evaluate clinical patient outcomes, quality of life measures and health care utilization of those patients specifically treated to a target range when using the PKG data in the clinical management of Parkinson's disease (PD) in routine clinical care (treatment group) compared to those managed with medical history and clinical evaluation alone (control group) performed by a neurologist experienced in PD management. Both groups will be recommended to undergo medication changes until they reach a "controlled state" that is determined by either the clinician using standard of care (SOC) (PKG- Group) or using PKG based targets and SOC assessments (PKG+ Group).

Being tested
Personal KinetiGraph® (PKG®) Watch, Personal KinetiGraph® (PKG®) Report
Keywords
Personal KinetiGraph (PKG) Movement Recording System, Objective Measurement
Medical subject headings
Parkinson Disease

What participants receive

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

  • Personal KinetiGraph® (PKG®) WatchDevice

    The Personal KinetiGraph (PKG®) Movement Recording System consists of the following:

    • A wrist-worn data logger (PKG Watch) designed to acquire data on the kinematics of movement disorder symptoms over a 6-10 day period.
    • An application to configure the data logger and transfer the acquired data at the end of a recording.
  • Personal KinetiGraph® (PKG®) ReportDevice

    The Personal KinetiGraph (PKG®) Movement Recording System was developed by neurologists at the Melbourne-based Florey Institute of Neuroscience and Mental Health. The product is manufactured and marketed by GKC.

    The Personal KinetiGraph (PKG®) Movement Recording System consists of the following:

    • A series of algorithms that analyze the uploaded data, producing a PDF that is delivered to the clinician. The PDF contains objective data distinguishing the movement patterns consistent with tremor, bradykinesia, dyskinesia and immobility.
Study groups in NCT03984305
Study groupRoleWhat they receive
PKG+ GroupExperimentalFor subjects in the PKG+ Group, participants will wear the PKG watch prior to all study visits in which the study investigator will review and report on the PKG prior to the visit and use the information to guide the discussion with the subject during the clinical assessment.The PKG will be used to determine if the subject is "controlled" or "uncontrolled" based on scores provided by the PKG.
Receives: Device: Personal KinetiGraph® (PKG®) Watch; Device: Personal KinetiGraph® (PKG®) Report
PKG- GroupPlacebo comparatorFor subjects in the PKG- Group (SOC control group), participants will wear the PKG watch prior to all study visits, however the investigator will not have access to the PKG report and will use standard of care to determine clinical treatment plans.
Receives: Device: Personal KinetiGraph® (PKG®) Watch

What is being measured

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

  1. Change in Patient Outcomes Using Movement Disorder Specialist - Unified Parkinson's Disease Rating Scale (MDS-UPDRS)

    The change in total MDS-UPDRS score at 4 months from baseline defined as sections I, II, III and IV in Patients with Parkinson's. The endpoint will be compared between those who are treated with standard of care and access to the PKG (PKG+ Group) and those who are treated per standard of care alone (PKG- Group). The MDS-UPDRS evaluates motor and non-motor symptoms in persons with Parkinson's and consists of 4 parts with various questions and evaluations. Parts I and II (non-motor) each contain 13 questions/evaluations, Part III (motor) contains 33 and Part IV (motor) contains 6. Each question/evaluation score ranges from 0 (normal) to 4 (severe). Higher scores indicate a greater impact of Parkinson's disease symptoms (i.e., worse symptoms).

    Measured: From Baseline to the 4 month Follow-up Visit (approximately 3-9 months)

Secondary outcomes (13)
  1. Percentage of Responders for Total MDS-UPDRS

    Percent "responders" for total MDS-UPDRS based on a minimal clinically important change of 4.3 (Shulman LM, Gruber-Baldini AL, Anderson KE, et al. The Clinically Important Difference on the Unified Parkinson's Disease Rating Scale. Arch Neurol 2010: 67(1):64-70.)

    Measured: 4 month Follow-up Visit

  2. Change in Parkinson's Disease Questionnaire-39 Questions (PDQ-39)

    Change in the patient reported quality of life questionnaire PDQ-39 from Baseline. The PDQ-39 is a 39-item self-report questionnaire, which assesses Parkinson's disease-specific health related quality of life issues across 8 dimensions. Each dimension total score range from 0 (never have difficulty) to 100 (always have difficulty). Lower scores reflect better quality of life.

    Measured: From Baseline to the 4 month Follow-up Visit (approximately 3-9 months)

  3. Change in MDS-UPDRS Total From Baseline

    The change in total MDS-UPDRS score at 4 months from baseline defined as sections I, II, III and IV in Patients with Parkinson's. The endpoint will be compared between those who are treated with standard of care and access to the PKG (PKG+ Group) and those who are treated per standard of care alone (PKG- Group). The MDS-UPDRS evaluates motor and non-motor symptoms in persons with Parkinson's and consists of 4 parts with various questions and evaluations. Parts I and II (non-motor) each contain 13 questions/evaluations, Part III (motor) contains 33 and Part IV (motor) contains 6. Each question/evaluation score ranges from 0 (normal) to 4 (severe). Higher scores indicate a greater impact of Parkinson's disease symptoms (i.e., worse symptoms).

    Measured: From Baseline to the 1, 2 and 3-Year Annual Visits

  4. Change in MDS-UPDRS Sub Part I

    Change in sub part I of the MDS-UPDRS from baseline. The MDS-UPDRS evaluates motor and non-motor symptoms in persons with Parkinson's and contains 4 sub parts. Each sub part is summed to give a total score MDS-UPDRS score. Sub part I assesses the non-motor impact of Parkinson's disease and contains 13 questions/evaluations. Each question/evaluation score ranges from 0 (normal) to 4 (severe). The minimum score for this sub part I is 0 and the maximum score is 52. Higher scores indicate a greater impact of Parkinson's disease symptoms (i.e., worse symptoms).

    Measured: From Baseline to the 4 month Follow-up Visit (approximately 3-9 months)

  5. Change in PKG Bradykinesia Score (BKS)

    Change in the PKG reported scores BKS from baseline. Reported on a scale from 0-80. The higher the number, the more severe the bradykinesia.

    Measured: From Baseline to the 4 month Follow-up Visit (approximately 3-9 months)

  6. Change in PKG Dyskinesia Score (DKS)

    Change in the PKG reported scores DKS from baseline. Reported on a scale of 0-355 with the higher the score, the more severe the dyskinesia.

    Measured: From Baseline to the 4 month Follow-up Visit (approximately 3-9 months)

  7. Change in PKG Fluctuation Score (FDS)

    Change in the PKG reported scores FDS from baseline reported as a score of 0-45. The higher the score, the more severe the fluctuation.

    Measured: From Baseline to the 4 month Follow-up Visit (approximately 3-9 months)

  8. Change in PKG Percent Time Tremor (PTT)

    Change in the PKG reported percent time in tremor from baseline, max 100%

    Measured: From Baseline to the 4 month Follow-up Visit (approximately 3-9 months)

  9. Change in Levodopa Equivalent Dose (LED)

    Change in LED from baseline to 4-months

    Measured: From Baseline to the 4 month Follow-up Visit (approximately 3-9 months)

  10. PKG Patient Survey

    Analyze PKG usability with the PKG Patient reported survey, specifically the percentage of subjects that strongly agree when asked if they would be willing to use the PKG again to assist in the management of Parkinson's disease. Questions in the survey are on a scale of strongly agree to strongly disagree and will be patient reported information related to their use of the PKG watch. Both treatment groups will be administered the survey and scores will be aggregated by group and compared.

    Measured: Outcome measure evaluated at the 4-month Follow-up Visit

  11. Change in MDS-UPDRS Sub Part II

    Change in sub part II of the MDS-UPDRS from baseline. The MDS-UPDRS evaluates motor and non-motor symptoms in persons with Parkinson's and contains 4 sub parts. Each sub part is summed to give a total score MDS-UPDRS score. Sub part II assesses the non-motor impact of Parkinson's disease and contains 13 questions/evaluations. Each question/evaluation score ranges from 0 (normal) to 4 (severe). The minimum score for this sub part II is 0 and the maximum score is 52. Higher scores indicate a greater impact of Parkinson's disease symptoms (i.e., worse symptoms).

    Measured: From Baseline to the 4 month Follow-up Visit (approximately 3-9 months)

  12. Change in MDS-UPDRS Sub Part III

    Change in sub part III of the MDS-UPDRS from baseline. The MDS-UPDRS evaluates motor and non-motor symptoms in persons with Parkinson's and contains 4 sub parts. Each sub part is summed to give a total score MDS-UPDRS score. Sub part III assesses the motor impact of Parkinson's disease and contains 33 questions/evaluations. Each question/evaluation score ranges from 0 (normal) to 4 (severe). The minimum score for this sub part III is 0 and the maximum score is 132. Higher scores indicate a greater impact of Parkinson's disease symptoms (i.e., worse symptoms).

    Measured: From Baseline to the 4 month Follow-up Visit (approximately 3-9 months)

  13. Change in MDS-UPDRS Sub Part IV

    Change in Part IV of the MDS-UPDRS from Baseline. The MDS-UPDRS evaluates motor and non-motor symptoms in persons with Parkinson's and contains 4 sub parts. Each sub part is summed to give a total score MDS-UPDRS score. Sub part IV evaluates motor symptoms and contains 6 questions/evaluations. Each question/evaluation score ranges from 0 (normal) to 4 (severe). The minimum score for this sub part IV is 0 and the maximum score is 24. Higher scores indicate a greater impact of Parkinson's disease symptoms (i.e., worse symptoms).

    Measured: From Baseline to the 4-month Follow-up Visit

Timeline

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

  1. First posted13 Jun 2019
  2. Study start15 Oct 2019
  3. Primary completion16 Oct 2020
  4. Study completion16 Oct 2020

Why it stopped: Terminated due to significant protocol updates that resulted in initiating a new study

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 N/A
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Model description
Eligible subjects will be randomized using the Electronic Data Capture (EDC) system in a 1:1 ratio to the PKG- Group (standard of care clinical assessments without use of PKG data) or the PKG+ Group (standard of care clinical assessments plus use of PKG data).
Masking
Single blind
Who is masked
Participant
Enrolment
41 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03984305
Sponsor's protocol ID
Study 003
Acronym
TARGET-PD
Status last verified
Aug 2021
First submitted
7 Jun 2019
Last updated
8 Feb 2022
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Publications

  • Pahwa R, Isaacson SH, Torres-Russotto D, Nahab FB, Lynch PM, Kotschet KE. Role of the Personal KinetiGraph in the routine clinical assessment of Parkinson's disease: recommendations from an expert panel. Expert Rev Neurother. 2018 Aug;18(8):669-680. doi: 10.1080/14737175.2018.1503948. Epub 2018 Jul 26.

    PubMed 30032695
  • Shulman LM, Gruber-Baldini AL, Anderson KE, Fishman PS, Reich SG, Weiner WJ. The clinically important difference on the unified Parkinson's disease rating scale. Arch Neurol. 2010 Jan;67(1):64-70. doi: 10.1001/archneurol.2009.295.

    PubMed 20065131

Questions about this trial

What is this clinical trial studying?

A study testing Personal KinetiGraph® (PKG®) Watch and Personal KinetiGraph® (PKG®) Report in people with Parkinson Disease, run by Global Kinetics Corporation at 17 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 4 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: stopped early, as of the sponsor's last update on 8 Feb 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 17 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. Some participants in this study may receive a placebo. 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?

Yes. Results are posted in the registry (first posted 8 Feb 2022). 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 in Patient Outcomes Using Movement Disorder Specialist - Unified Parkinson's Disease Rating Scale (MDS-UPDRS) (time frame: From Baseline to the 4 month Follow-up Visit (approximately 3-9 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 NCT03984305, 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 8 Feb 2022.

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