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Parkinson's DiseaseNCT05034263

Imaging a Cholinergic Biomarker of Cognition in Parkinson's Disease

An observational study of Parkinson's Disease, run by Stony Brook University at 1 site 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

This is an imaging study designed to illuminate the function of the cholinergic system and its association with cognitive skills in people with Parkinson's disease. The hypothesis of this study is that there will be an association between cholinergic terminal density, sex hormones, and cognitive functioning. Read more about this study

Who is it for?
Ages 50 to 80 years
Conditions the study is for
Parkinson's Disease
How many people
6 participants
Where
1 siteUnited States
Study dates
27 May 2021to 27 May 2024
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 50 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: People with Parkinson's disease who have normal cognition or mild cognitive impairment

Who may be able to join

  • Age 50-80
  • Diagnosis of Parkinson's disease
  • Ability to provide informed consent
  • Ability to speak English
  • Normal cognition or mild cognitive impairment
  • Willingness to go off parkinsonian medication for 12 hours prior to two of the study visits

Who cannot join

  • Contraindication for MRI
  • Abnormal clinical brain MRI, specifically with evidence of large-vessel stroke or mass lesion
  • History of stereotactic or ablative brain surgery
  • Pregnancy
  • Recent participation in other research studies involving radiation such that the annual research radiation dose would exceed FDA Limit if participating in this study
  • Prior brain injury (eg., TBI)
Show all 10Show fewer
  • Baseline cognitive impairment due to genetic or developmental disorder
  • Active illicit drug use or alcohol abuse
  • Incapable of staying still for a 2-hour PET or MRI study
  • Use of CNS-penetrating medications affecting the cholinergic system, including cholinesterase inhibitors and anticholinergics, up to 60 days prior to study participation

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Stony Brook Medical Center

    Stony Brook, New York, 11794

Other trials in United States

About this study

This is an imaging study designed to illuminate the function of the cholinergic system and its association with cognitive skills in people with Parkinson's disease. The hypothesis of this study is that there will be an association between cholinergic terminal density, sex hormones, and cognitive functioning. Participants will receive a PET and MRI scan along with a battery of neurocognitive tests at baseline and again at 18 months follow-up. Hormone levels will be measured at baseline.

Read the detailed description

This is an imaging study designed to illuminate the functioning of the cholinergic system in people with Parkinson's disease. Some people with Parkinson's disease develop trouble with certain aspects of thinking such as memory. Studies have shown an association between a decline in thinking skills and dysfunction of the cholinergic system. This study will use the novel PET tracer [18F]VAT to provide more specific information about how the cholinergic system works by enabling direct measurement of cholinergic terminal density and projections. The hypothesis of this study is that there will be an association between cholinergic terminal density, sex hormones, and cognitive functioning. This is a longitudinal observational study that involves a screening visit and four study visits over the course of 18 months. The visits consist of neurocognitive assessments and imaging (MRI and PET scans) administered at baseline and at 18 months follow-up. Hormone levels will also be measured at baseline. This study is open to people with Parkinson's disease who have either normal cognition or mild cognitive impairment.

Keywords
Acetylcholine, PET, MRI
Medical subject headings
Parkinson Disease

What is being measured

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

  1. Cholinergic terminal density at baseline

    Measured by PET scan 18F[VAT] distribution volume

    Measured: Baseline

  2. Cholinergic terminal density change between baseline and 18-months follow-up

    Measured by the difference in PET scan 18F[VAT] distribution volume at baseline and 18-months follow-up

    Measured: Baseline and 18 months follow-up

  3. Overall cognitive functioning at baseline

    As measured by the Montreal Cognitive Assessment (MoCA). The MoCA measures eight domains commonly affected by mild cognitive impairment. The one-page 30-point test includes assessments of short-term and delayed memory recall, visuospatial abilities, language, orientation to time and space, and executive functions including attention, concentration, and working memory. The MoCA has been shown to be sensitive to change over time. Scores on the MocA range from 0-30 with higher scores indicating better cognitive functioning.

    Measured: Baseline

  4. Change in overall cognitive functioning

    As measured by the difference between the Montreal Cognitive Assessment (MoCA) score at baseline and at 18-months follow-up.The MoCA measures eight domains commonly affected by mild cognitive impairment. The one-page 30-point test includes assessments of short-term and delayed memory recall, visuospatial abilities, language, orientation to time and space, and executive functions including attention, concentration, and working memory. The MoCA has been shown to be sensitive to change over time. Scores on the MocA range from 0-30 with higher scores indicating better cognitive functioning.

    Measured: Baseline and 18 Months

  5. Attention/working memory at baseline as measured by the Trail Making A Test

    The Trail Making Test is a quickly and easily administered test which assesses cognitive abilities such as visual-conceptual and visual-motor tracking, sustained attention, and task alternation abilities. Administration time for the Trail Making Test A is 5 minutes.

    Measured: Baseline

  6. Attention/working memory change from baseline to 18-months follow-up as measured by the Trail Making A Test

    The Trail Making Test is a quickly and easily administered test which assesses cognitive abilities such as visual-conceptual and visual-motor tracking, sustained attention, and task alternation abilities. Administration time for the Trail Making Test A is 5 minutes.

    Measured: 18 months

  7. Attention/working memory at baseline as measured by the Symbol Digit Modalities Test (SDMT)

    Symbol Digit Modalities Test (SDMT) takes five minutes to complete and has demonstrated sensitivity in detecting changes in cognitive functioning over time.

    Measured: Baseline

  8. Attention/working memory change from baseline to 18-months follow-up as measured by the Symbol Digit Modalities Test

    Symbol Digit Modalities Test (SDMT) takes five minutes to complete and has demonstrated sensitivity in detecting changes in cognitive functioning over time.

    Measured: Baseline and 18- months follow-up

  9. Executive function at baseline as measured by the Clock Drawing Test

    The Clock Drawing Test is a quick screening test for cognitive dysfunction secondary to a range of neurological disorders and takes less than 5 minutes to administer.

    Measured: Baseline

  10. Executive function change from baseline to 18-months follow-up as measured by the Clock Drawing Test

    The Clock Drawing Test is a quick screening test for cognitive dysfunction secondary to a range of neurological disorders and takes less than 5 minutes to administer.

    Measured: Baseline and 18-month follow-up

  11. Executive function at baseline as measured by the Trail Making Test B

    The Trail Making Test is a quickly and easily administered test which assesses cognitive abilities such as visual-conceptual and visual-motor tracking, sustained attention, and task alternation abilities. Administration time for the Trail Making Test B is 10 minutes.

    Measured: Baseline

  12. Executive function change from baseline to 18-months follow-up as measured by the Trail Making Test B

    The Trail Making Test is a quickly and easily administered test which assesses cognitive abilities such as visual-conceptual and visual-motor tracking, sustained attention, and task alternation abilities. Administration time for the Trail Making Test B is 10 minutes.

    Measured: Baseline and 18-month follow-up

  13. Language at baseline as measured by the Animal Naming Test

    The Animal Naming Test is a semantic fluency test that takes one minute to administer.

    Measured: Baseline

  14. Language change from baseline to 18-month follow-up as measured by the Animal Naming Test

    The Animal Naming Test is a semantic fluency test that takes one minute to administer.

    Measured: Baseline and 18-months follow-up

  15. Language at baseline as measured by the Boston Naming Test

    The Boston Naming Test measures confrontational word retrieval and takes about 15 minutes to administer.

    Measured: Baseline

  16. Language change from baseline to 18-months follow-up as measured by the Boston Naming Test

    The Boston Naming Test measures confrontational word retrieval and takes about 15 minutes to administer.

    Measured: Baseline and 18-months follow-up

  17. Language change between baseline and 18-month follow-up as measured by the Boston Naming Test

    The Boston Naming Test measures confrontational word retrieval and takes about 15 minutes to administer.

    Measured: Baseline

  18. Memory at baseline as measured by the Free and Cued Selective Reminding Test

    The Free and Cued Selective Reminding Test is an episodic memory test which assesses immediate and delayed free and cued-facilitated recall.

    Measured: Baseline

  19. Memory change from baseline to 18-months follow-up as measured by the Free and Cued Selective Reminding Test

    The Free and Cued Selective Reminding Test is an episodic memory test which assesses immediate and delayed free and cued-facilitated recall.

    Measured: Baseline and 18-months follow-up

  20. Memory at baseline as measured by the Brief Visuospatial Memory Test-Revised Selective Reminding Test

    The Brief Visuospatial Memory Test-Revised is a brief measure of visuospatial memory that takes approximately 45 minutes to administer.

    Measured: Baseline

  21. Memory change from baseline to 18-months follow-up as measured by the Brief Visuospatial Memory Test-Revised

    The Brief Visuospatial Memory Test-Revised is a brief measure of visuospatial memory that takes approximately 45 minutes to administer.

    Measured: Baseline and 18-months follow-up

  22. Memory change between baseline and 18-month follow-up

    As measured by the change in Free and Cued Selective Reminding Test and the Brief Visuospatial Memory Test-Revised scores at baseline and at 18-months follow-up.

    Measured: Baseline and 18-month follow-up

  23. Visuospatial at baseline as measured by the Judgement of Line Orientation Test

    Judgement of Line Orientation measures visuospatial perception and takes less than 15 minutes to administer.

    Measured: Baseline

  24. Visuospatial change from baseline to 18-months follow-up as measured by the Judgement of Line Orientation Test

    Judgement of Line Orientation measures visuospatial perception and takes less than 15 minutes to administer.

    Measured: Baseline and 18-months follow-up

  25. Visuospatial at baseline as measured by the Intersecting Pentagons Test

    Intersecting Pentagons is a measure of visuospatial sense that takes less than 5 minutes to administer.

    Measured: Baseline

  26. Visuospatial change from baseline to 18-months follow-up as measured by the Intersecting Pentagons Test

    Intersecting Pentagons is a measure of visuospatial perception that takes less than 5 minutes to administer.

    Measured: Baseline and 18-months follow-up

  27. Estrogen levels in blood at baseline

    Estrogen levels (picograms of estradiol per milliliter of serum) will be measured via blood draw performed at baseline

    Measured: Baseline

  28. Progesterone levels in blood as baseline

    Progesterone levels (nanograms of progesterone per milliliter of serum) will be measured via blood draw at baseline

    Measured: Baseline

  29. Testosterone levels in blood at baseline

    Levels of free testosterone (picograms testosterone per milliliter serum) and total testosterone (nanograms testosterone/deciliter serum) will be measured via blood draw performed at the baseline visit.

    Measured: Baseline

Secondary outcomes (6)
  1. Cholinergic terminal binding potential at baseline

    Measured by PFC [18F]VAT VT and BPND

    Measured: Baseline

  2. Cholinergic terminal binding potential change between baseline and 18-months follow-up

    Measured by PFC [18F]VAT VT and BPND

    Measured: Baseline and 18-month follow-up

  3. MRI Fractional anisotropy (FA) Values at baseline

    As measured by fMRI at baseline

    Measured: Baseline

  4. Change in MRI Fractional anisotropy (FA) Values from baseline to 18-months follow-up

    As measured by fMRI at baseline and 18-months follow-up

    Measured: Baseline and 18-months follow-up

  5. MRI Resting-state functional connectivity at baseline

    As measured by fMRI

    Measured: Baseline

  6. MRI Resting-state functional connectivity change between baseline and 18-months follow-up

    As measured by fMRI

    Measured: Baseline and 18-months follow-up

Timeline

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

  1. First posted5 Sep 2021
  2. Study start27 May 2021
  3. Primary completion27 May 2024
  4. Study completion27 May 2024

Why it stopped: Discontinuation of funding.

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
Cohort
Time perspective
Prospective
Enrolment
6 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05034263
Sponsor's protocol ID
2020-00669
Status last verified
Apr 2025
First submitted
17 Aug 2021
Last updated
6 Apr 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

An observational study of Parkinson's Disease, run by Stony Brook University 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 10 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 6 Apr 2025. 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 was stopped early (reason given: Discontinuation of funding.). 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?

Cholinergic terminal density at baseline (time frame: Baseline). The study lists 29 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 6 Apr 2025.

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