Parkinson DiseaseNCT04288583
Bringing Parkinson Care Back Home
An observational study of Parkinson Disease, run by Radboud University Medical Center at 1 site in Netherlands.
Trial summary
SUMMARY Rationale: For persons with Parkinson's disease (PD), medical decisions are based almost exclusively on periodic in-clinic evaluations by a neurologist or a nurse. For a variety of reasons, such "snapshots" are unable to capture the actual impact of PD on the patient's functioning in their own home… Read more about this study
- Who is it for?
- Ages 18 to 100 years
- Conditions the study is for
- Parkinson Disease
- How many people
- 200 participants
- Where
- 1 siteNetherlands
- Study dates
- 1 Mar 2021to 30 Jun 2023
- 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 100 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: 200 patients diagnosed with Parkinson's disease with an increased fall risk (i.e. who reported at least one fall in the last 6 months).
Who may be able to join
- Subjects must confirm that they have been diagnosed with Parkinson's Disease by a neurologist (self-reported)
- Age 18 or older
- At least 1 fall incident in the previous 6 months. A fall is defined as any unexpected event that caused the person to unintentionally land on any lower surface (object, floor, or ground), regardless of any sustained injury (self-reported)
- Able and willing to provide written informed consent in accordance with Good Clinical Practice, and national and local regulation
- Fluent in Dutch
Who cannot join
- The patients receives advanced therapy for their Parkinson's disease (deep brain stimulation, duodopa pump, apomorphine pump);
- The patients shows cognitive of psychiatric impairments that may hinder successful completion of the study protocol (as judged by the researcher running the recruitment).
Trial locations and contacts
1 site in 1 country.
About this study
SUMMARY
Rationale: For persons with Parkinson's disease (PD), medical decisions are based almost exclusively on periodic in-clinic evaluations by a neurologist or a nurse. For a variety of reasons, such "snapshots" are unable to capture the actual impact of PD on the patient's functioning in their own home environment. Outpatient evaluations cannot detect rare and typically domestic events, such as falls. In addition, episodic visits are not well suited to detect changes in important lifestyle issues, such as gradual declines in physical activity.
Read more
Objective: To objectively, continuously and accurately collect detailed information on (changes in) physical activity and fall patterns among patients with PD in daily life.
Study design: Observational cohort study in 200 patients with PD, with a 12 month follow-up period.
Study population: Patients with PD (n=200), with an increased fall risk (i.e. at least one fall within the last six months).
Intervention (if applicable): This study does not include an intervention. After a baseline assessment on demographics and PD symptoms, patients will use a remote monitoring system at home (a pendant falls detector) combined with an smartphone application aimed at falls self-reporting, and an application to report medication intake for 12 months. A similar set up (i.e.Vital@Home) has been previously tested on feasibility (Dossiernummer: 2017-3382). Additionally, patients will report sleep patterns through paper-based diaries.
Main study parameters/endpoints: The main study parameters are physical activity and number of falls. They are remotely registered by the pendant falls detector.
Nature and extent of the burden and risks associated with participation, benefit and group relatedness: In this study, no invasive measurements will be performed. The participation is free of risks. Subjects could potentially benefit personally from participating in this study, as they can use the devices for free during the study and receive periodically feedback about physical activity and the occurrence of falls.
- Conditions
- Parkinson Disease
- Keywords
- Wearable sensors, Falls, Physical activity, Parkinson's disease
- Medical subject headings
- Parkinson Disease, Motor Activity
What is being measured
The primary outcome is the main question the study is designed to answer.
Falls
Number of alls measured with wearable sensors
Measured: Continuously over 12 months
Physical activity
Minutes of physical activity performed during daily-life measured with wearable sensors
Measured: Continuously over 12 months
Secondary outcomes (17)
Physical activity
LASA physical activity questionnaire, in which the higher the score the better
Measured: Twice - baseline and after 12 months
Walking capacity
6-meter walking test, in which the higher the distance walked the better
Measured: Once - baseline
Falls
Falls history questionnaire
Measured: Twice - baseline and after 12 months
Functional lower extremity strength
Five-times-sit-to-stand, in which the faster the task is completed the better
Measured: Once - baseline
Fear of falling
Falls Efficacy Scale International, with scores ranging from 16 to 64 points, in which the a higher score indicates worse fear of falling
Measured: Twice - baseline and after 12 months
Compliance
Number of days in which participants worn the device for more than 8 hours
Measured: Continuously over 12 months
Patients demographics
Demographics questionnaire (age, gender, education, disease duration)
Measured: Once - baseline
Disease severity
Movement Disorders Society - Unified Parkinson's Disease Rating Scale part I-IV, with scores ranging from 0 to 272, in which the higher the score the worse symptoms are.
Measured: Part III - once at baseline. Part I, II and IV - twice baseline and after 12 months
Disease status
Hoehn \& Yahr stadia, ranging from 0-5, in which the higher the worse the disease status is.
Measured: Once - baseline
Medication
Medication intake diary
Measured: Continuously over 12 months
Balance - I
Mini-BESTest, ranging from 0 to 28, in which the higher the score the better the balance
Measured: Once - baseline
Balance - II
Single leg stance test
Measured: Once - baseline
Freezing of gait - I
New freezing of gait questionnaire, ranging from 0 to 24, in which the higher the score the worse is the freezing of gait.
Measured: Twice - baseline and after 12 months
Freezing of gait - II
Rapid turns test
Measured: Once - baseline
Cognition
Montreal Cognitive Assessment, with scores ranging from 0 to 30, in which the higher the better the cognition.
Measured: Once - baseline
Sleep quality
Pittsburgh Sleep Quality Index, with scores ranging from 0 to 21, in which the higher the worse the sleep quality.
Measured: Twice - baseline and after 12 months
Sleep quality and quantity
Sleep diary
Measured: Once for a full week
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Feb 2020
- Study start1 Mar 2021
- Primary completion30 Jun 2023 (estimated)
- Study completion30 Jun 2023 (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.
- 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
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 200 participants (actual)
Sponsor and investigators
- Lead sponsor
- Radboud University Medical Center
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Nienke M de Vries, Dr, Principal investigator, Radboud University Medical Center
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04288583
- Sponsor's protocol ID
- 2019-5845
- Status last verified
- Oct 2022
- First submitted
- 26 Feb 2020
- Last updated
- 4 Apr 2023
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: All data will be anonymized. The wearable sensor data will not be available for re-use and/or sharing.
Study at a glance
From the registry record, last updated by the sponsor on 4 Apr 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Bringing Parkinson Care Back Home
- ClinicalTrials.gov ID
- NCT04288583
- Acronym / sponsor ID
- 2019-5845
- Conditions
- Parkinson Disease
- Keywords
- Wearable sensors, Falls, Physical activity, Parkinson's disease
- Study type
- Observational
- Recruitment status
- Unknown status
- Enrolment
- 200 participants (actual)
- Lead sponsor
- Radboud University Medical CenterUniversity, hospital or other
- Study start
- 1 Mar 2021 (actual)
- Primary completion
- 30 Jun 2023 (estimated)
- Study completion
- 30 Jun 2023 (estimated)
- First posted
- 28 Feb 2020 (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.
SUMMARY
Rationale: For persons with Parkinson's disease (PD), medical decisions are based almost exclusively on periodic in-clinic evaluations by a neurologist or a nurse. For a variety of reasons, such "snapshots" are unable to capture the actual impact of PD on the patient's functioning in their own home environment. Outpatient evaluations cannot detect rare and typically domestic events, such as falls. In addition, episodic visits are not well suited to detect changes in important lifestyle issues, such as gradual declines in physical activity.
Objective: To objectively, continuously and accurately collect detailed information on (changes in) physical activity and fall patterns among patients with PD in daily life.
Study design: Observational cohort study in 200 patients with PD, with a 12 month follow-up period.
Study population: Patients with PD (n=200), with an increased fall risk (i.e. at least one fall within the last six months).
Intervention (if applicable): This study does not include an intervention. After a baseline assessment on demographics and PD symptoms, patients will use a remote monitoring system at home (a pendant falls detector) combined with an smartphone application aimed at falls self-reporting, and an application to report medication intake for 12 months. A similar set up (i.e.Vital@Home) has been previously tested on feasibility (Dossiernummer: 2017-3382). Additionally, patients will report sleep patterns through paper-based diaries.
Main study parameters/endpoints: The main study parameters are physical activity and number of falls. They are remotely registered by the pendant falls detector.
Nature and extent of the burden and risks associated with participation, benefit and group relatedness: In this study, no invasive measurements will be performed. The participation is free of risks. Subjects could potentially benefit personally from participating in this study, as they can use the devices for free during the study and receive periodically feedback about physical activity and the occurrence of falls.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
Who may qualify
- Ages
- 18 to 100 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- 200 patients diagnosed with Parkinson's disease with an increased fall risk (i.e. who reported at least one fall in the last 6 months).
Key inclusion criteria (5 listed)
- Subjects must confirm that they have been diagnosed with Parkinson's Disease by a neurologist (self-reported)
- Age 18 or older
- At least 1 fall incident in the previous 6 months. A fall is defined as any unexpected event that caused the person to unintentionally land on any lower surface (object, floor, or ground), regardless of any sustained injury (self-reported)
- Able and willing to provide written informed consent in accordance with Good Clinical Practice, and national and local regulation
- Fluent in Dutch
Key exclusion criteria (2 listed)
- The patients receives advanced therapy for their Parkinson's disease (deep brain stimulation, duodopa pump, apomorphine pump);
- The patients shows cognitive of psychiatric impairments that may hinder successful completion of the study protocol (as judged by the researcher running the recruitment).
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Falls
Time frame: Continuously over 12 months
Number of alls measured with wearable sensors
Physical activity
Time frame: Continuously over 12 months
Minutes of physical activity performed during daily-life measured with wearable sensors
17 secondary outcomes
Physical activity
Time frame: Twice - baseline and after 12 months
Walking capacity
Time frame: Once - baseline
Falls
Time frame: Twice - baseline and after 12 months
Functional lower extremity strength
Time frame: Once - baseline
Fear of falling
Time frame: Twice - baseline and after 12 months
Compliance
Time frame: Continuously over 12 months
Patients demographics
Time frame: Once - baseline
Disease severity
Time frame: Part III - once at baseline. Part I, II and IV - twice baseline and after 12 months
Disease status
Time frame: Once - baseline
Medication
Time frame: Continuously over 12 months
Balance - I
Time frame: Once - baseline
Balance - II
Time frame: Once - baseline
Freezing of gait - I
Time frame: Twice - baseline and after 12 months
Freezing of gait - II
Time frame: Once - baseline
Cognition
Time frame: Once - baseline
Sleep quality
Time frame: Twice - baseline and after 12 months
Sleep quality and quantity
Time frame: Once for a full week
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 Apr 2023.
- Individual participant dataSharing planned: Yes. All data will be anonymized. The wearable sensor data will not be available for re-use and/or sharing.
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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.
Nienke M de Vries, Dr principal investigator
Radboud University Medical Center
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Parkinson Disease, run by Radboud University Medical Center at 1 site 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 5 inclusion and 2 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 4 Apr 2023. 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 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.
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?
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?
Falls (time frame: Continuously over 12 months). The study lists 2 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 4 Apr 2023.