Parkinson DiseaseMARS-PDNCT05621772
Meridian Activation Remedy System for Parkinson's Disease
A study testing Meridian Activation Remedy System for Parkinson's Disease (MARS-PD) in people with Parkinson Disease, run by Korea Health Industry Development Institute at 1 site in South Korea.
Trial summary
In this study, the investigators aim to evaluate the clinical efficacy and cost-effectiveness of MARS-PD. Conventional, usual care will be used as the comparator because this trial aims to assess the add-on effect of MARS-PD. Read more about this study
- Who is it for?
- Ages 45 to 75 years
- Conditions the study is for
- Parkinson Disease
- What is being tested?
- Meridian Activation Remedy System for Parkinson's Disease (MARS-PD)
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 88 participants
- Where
- 1 siteSouth Korea
- Study dates
- 8 Apr 2022to 31 Jul 2025
- 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 45 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- 45 to 75 years of age
- Patients with PD, diagnosed according to the United Kingdom Parkinson's Diseases Society Brain Bank Criteria
- Hoehn and Yahr scale stage I to III
- Patients who have voluntarily decided to participate in the clinical study and signed the informed consent form
Who cannot join
- Clinically unstable patients (e.g., elevated aspartate transaminase (AST) or alanine aminotransferase (ALT) more than three-fold the upper limit of normal in the research institute's laboratory, heart failure, respiratory failure, etc.)
- Patients who are planning to undergo deep brain stimulation within the study period
- Pregnant or lactating women
- Patients with MMSE-K (Mini-Mental State Exam) score of 18 or less
- If there has been a change in the dosage of antiparkinsonian drugs (e.g., L-dopa, COMT (catechol-O-methyltransferase) inhibitor, Dopamine agonist, MAO-B (monoamine oxidase B) inhibitor, etc.) according to a doctor's prescription within the last 4 weeks prior to enrollment
- Patients who are receiving manual therapy, exercise therapy, or rehabilitation therapy for Parkinson's disease according to a doctor's prescription within the last 4 weeks prior to enrollment, or are planning to receive such therapy within the study period
- Patients who are not suitable for participation in this clinical study according to the judgment of the researcher
Trial locations and contacts
1 site in 1 country.
South Korea1 site
Clinical Trial Center, Daejeon Korean Medicine Hospital of Daejeon University
Daejeon, 35235
About this study
Official title: MARS-PD: Meridian Activation Remedy System for Parkinson's Disease - A Single-center, Rater-blinded, Parallel Randomized Controlled Trial
In this study, the investigators aim to evaluate the clinical efficacy and cost-effectiveness of MARS-PD. Conventional, usual care will be used as the comparator because this trial aims to assess the add-on effect of MARS-PD. The investigators hypothesize that the complex therapy will relieve motor and nonmotor symptoms, improve gait performance, and enhance neuroplasticity in PD patients, and will be safe and cost-effective.
Read the detailed description
This study is a randomized controlled trial conducted at a single center with raters blinded to the intervention. We will look at the clinical effect of MARS-PD, consisting of 16 interventions over an 8-week period, in 88 individuals with Parkinson's disease. Patients will be assigned to either the experimental (n=44) or control (n=44) groups at random. he experimental group will receive the MARS intervention, while the control group will receive usual care only. The treatment duration is 8 weeks, followed by a 12-week follow-up. The primary outcome is the change in MDS-UPDRS Part III (Movement Disorder Society Unified Parkinson's Disease Rating Scale Part III) score from baseline to 8 weeks. Secondary outcomes include assessments such as MDS-UPDRS, International Physical Activity Questionnaire Short Form, Parkinson Self Questionnaire, Parkinson's Disease Sleep Scale, Timed Up and Go test, GAITRite metrics, Functional Near-Infrared Spectroscopy measurements, smart band results, gut microbiome composition and diversity, and iris connective tissue texture.
- Conditions
- Parkinson Disease
- Being tested
- Meridian Activation Remedy System for Parkinson's Disease (MARS-PD)
- Medical subject headings
- Parkinson Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Meridian Activation Remedy System for Parkinson's Disease (MARS-PD)Other
MARS-PD is a complex therapy developed by researchers to enhance the synergistic effects of acupuncture and exercise.
| Study group | Role | What they receive |
|---|---|---|
| Experimental group (Meridian Activation Remedy System for Parkinson's Disease) | Experimental | Meridian Activation Remedy System for Parkinson's Disease (MARS-PD) treatment (16 times/8 weeks total, 2 times/week) Receives: Other: Meridian Activation Remedy System for Parkinson's Disease (MARS-PD) |
| Control group (Usual Care) | No intervention | Usual care (all participants will be allowed to continue their prescribed medication and treatment (except Korean Medicine therapy), and they will not receive any additional treatment or therapy in the research institute), and lifestyle advice (all participants will receive a smart band and application-based guidance about their lifestyle) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Movement Disorder Society Unified Parkinson's Disease Rating Scale Part Ⅲ
MDS-UPDRS Part Ⅲ (maximum: 132, minimum: 0; higher scores mean a worse outcome)
Measured: Change from baseline MDS-UPDRS Part Ⅲ score at 8 weeks
Secondary outcomes (12)
Movement Disorder Society Unified Parkinson's Disease Rating Scale Part Ⅲ
MDS-UPDRS Part Ⅲ
Measured: Change from baseline MDS-UPDRS Part Ⅲ score at 4 and 12 weeks
International Physical Activity Questionnaire Short Form
IPAQ
Measured: Change from baseline IPAQ score at 4, 8 and 12 weeks
Parkinson Self Questionnaire
Parkinson Self Questionnaire, developed by researchers
Measured: Change from baseline Parkinson Self Questionnaire results at 4, 8 and 12 weeks
Parkinson's disease Sleep Scale
PDSS
Measured: Change from baseline PDSS score at 4, 8 and 12 weeks
Timed up and go test
TUG
Measured: Change from baseline TUG time in seconds at 8 and 12 weeks
GAITRite Electronic Walkway Platinum
GAITRite
Measured: Change from baseline GAITRite parameters at 8 and 12 weeks
Functional near-infrared spectroscopy
fNIRS
Measured: Change from baseline fNIRS results at 8 and 12 weeks
Smart band outcomes
Number of steps per day
Measured: Change from baseline daily steps at 4, 8 and 12 weeks
Iris imaging 1
Visible light image
Measured: Iris connective tissue texture, baseline
Iris imaging 2
Infrared image
Measured: Iris connective tissue density, baseline
Movement Disorder Society Unified Parkinson's Disease Rating Scale
MDS-UPDRS
Measured: Change from baseline MDS-UPDRS score at 4, 8 and 12 weeks
Gut microbiome test
Gut microbiome diversity and composition, fecal samples
Measured: Change from baseline gut microbiome analysis results at 8 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Nov 2022
- Study start8 Apr 2022
- Primary completion3 Jul 2025
- Study completion31 Jul 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- 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
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- A Single-center, Rater-blinded, Parallel Randomized Controlled Trial
- Masking
- Double blind
- Who is masked
- Investigator, Outcomes assessor
- Enrolment
- 88 participants (actual)
Sponsor and investigators
- Lead sponsor
- Korea Health Industry Development Institute
- Sponsor type
- Other government
- Responsible party
- Principal investigator, HoRyong Yoo, Daejeon University
- Investigators
- Ho Ryong Yoo, Prof. Dr., Principal investigator, Daejeon University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05621772
- Sponsor's protocol ID
- DJ_PD_21_02
- Acronym
- MARS-PD
- Status last verified
- Jul 2025
- First submitted
- 4 Nov 2022
- Last updated
- 5 Aug 2025
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Hur WJ, Seo JW, Park MS, Yoo HR. Visual self-reporting for symptom communication in Parkinson's disease. Technol Health Care. 2026 Mar;34(2):287-299. doi: 10.1177/09287329251414326. Epub 2026 Feb 5.
PubMed 41641966Park MS, Park S, Kang JY, Jung IC, Yoo H. The efficacy and safety of MARS-PD: Meridian activation remedy system for Parkinson's disease-A single-center, assessor and statistician-blinded, parallel-group randomized, controlled trial protocol. PLoS One. 2024 May 6;19(5):e0303156. doi: 10.1371/journal.pone.0303156. eCollection 2024.
PubMed 38709746
Study at a glance
From the registry record, last updated by the sponsor on 5 Aug 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- MARS-PD: Meridian Activation Remedy System for Parkinson's Disease - A Single-center, Rater-blinded, Parallel Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT05621772
- Acronym / sponsor ID
- MARS-PD / DJ_PD_21_02
- Conditions
- Parkinson Disease
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 88 participants (actual)
- Lead sponsor
- Korea Health Industry Development InstituteOther government
- Study start
- 8 Apr 2022 (actual)
- Primary completion
- 3 Jul 2025 (actual)
- Study completion
- 31 Jul 2025 (actual)
- First posted
- 18 Nov 2022 (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.
In this study, the investigators aim to evaluate the clinical efficacy and cost-effectiveness of MARS-PD. Conventional, usual care will be used as the comparator because this trial aims to assess the add-on effect of MARS-PD. The investigators hypothesize that the complex therapy will relieve motor and nonmotor symptoms, improve gait performance, and enhance neuroplasticity in PD patients, and will be safe and cost-effective.
Detailed description
This study is a randomized controlled trial conducted at a single center with raters blinded to the intervention. We will look at the clinical effect of MARS-PD, consisting of 16 interventions over an 8-week period, in 88 individuals with Parkinson's disease. Patients will be assigned to either the experimental (n=44) or control (n=44) groups at random. he experimental group will receive the MARS intervention, while the control group will receive usual care only. The treatment duration is 8 weeks, followed by a 12-week follow-up. The primary outcome is the change in MDS-UPDRS Part III (Movement Disorder Society Unified Parkinson's Disease Rating Scale Part III) score from baseline to 8 weeks. Secondary outcomes include assessments such as MDS-UPDRS, International Physical Activity Questionnaire Short Form, Parkinson Self Questionnaire, Parkinson's Disease Sleep Scale, Timed Up and Go test, GAITRite metrics, Functional Near-Infrared Spectroscopy measurements, smart band results, gut microbiome composition and diversity, and iris connective tissue texture.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (investigator, outcomes assessor)
- Number of arms
- 2
- Model description
- A Single-center, Rater-blinded, Parallel Randomized Controlled Trial
| Arm | Type | Receives |
|---|---|---|
| Experimental group (Meridian Activation Remedy System for Parkinson's Disease) | Experimental | Other: Meridian Activation Remedy System for Parkinson's Disease (MARS-PD)Meridian Activation Remedy System for Parkinson's Disease (MARS-PD) treatment (16 times/8 weeks total, 2 times/week) |
| Control group (Usual Care) | No intervention | –Usual care (all participants will be allowed to continue their prescribed medication and treatment (except Korean Medicine therapy), and they will not receive any additional treatment or therapy in the research institute), and lifestyle advice (all participants will receive a smart band and application-based guidance about their lifestyle) |
Who may qualify
- Ages
- 45 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- 45 to 75 years of age
- Patients with PD, diagnosed according to the United Kingdom Parkinson's Diseases Society Brain Bank Criteria
- Hoehn and Yahr scale stage I to III
- Patients who have voluntarily decided to participate in the clinical study and signed the informed consent form
Key exclusion criteria (7 listed)
- Clinically unstable patients (e.g., elevated aspartate transaminase (AST) or alanine aminotransferase (ALT) more than three-fold the upper limit of normal in the research institute's laboratory, heart failure, respiratory failure, etc.)
- Patients who are planning to undergo deep brain stimulation within the study period
- Pregnant or lactating women
- Patients with MMSE-K (Mini-Mental State Exam) score of 18 or less
- If there has been a change in the dosage of antiparkinsonian drugs (e.g., L-dopa, COMT (catechol-O-methyltransferase) inhibitor, Dopamine agonist, MAO-B (monoamine oxidase B) inhibitor, etc.) according to a doctor's prescription within the last 4 weeks prior to enrollment
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 |
|---|---|---|
| Meridian Activation Remedy System for Parkinson's Disease (MARS-PD)MARS-PD is a complex therapy developed by researchers to enhance the synergistic effects of acupuncture and exercise. | Other | Experimental group (Meridian Activation Remedy System for Parkinson's Disease) |
Primary outcome
Movement Disorder Society Unified Parkinson's Disease Rating Scale Part Ⅲ
Time frame: Change from baseline MDS-UPDRS Part Ⅲ score at 8 weeks
MDS-UPDRS Part Ⅲ (maximum: 132, minimum: 0; higher scores mean a worse outcome)
12 secondary outcomes
Movement Disorder Society Unified Parkinson's Disease Rating Scale Part Ⅲ
Time frame: Change from baseline MDS-UPDRS Part Ⅲ score at 4 and 12 weeks
International Physical Activity Questionnaire Short Form
Time frame: Change from baseline IPAQ score at 4, 8 and 12 weeks
Parkinson Self Questionnaire
Time frame: Change from baseline Parkinson Self Questionnaire results at 4, 8 and 12 weeks
Parkinson's disease Sleep Scale
Time frame: Change from baseline PDSS score at 4, 8 and 12 weeks
Timed up and go test
Time frame: Change from baseline TUG time in seconds at 8 and 12 weeks
GAITRite Electronic Walkway Platinum
Time frame: Change from baseline GAITRite parameters at 8 and 12 weeks
Functional near-infrared spectroscopy
Time frame: Change from baseline fNIRS results at 8 and 12 weeks
Smart band outcomes
Time frame: Change from baseline daily steps at 4, 8 and 12 weeks
Iris imaging 1
Time frame: Iris connective tissue texture, baseline
Iris imaging 2
Time frame: Iris connective tissue density, baseline
Movement Disorder Society Unified Parkinson's Disease Rating Scale
Time frame: Change from baseline MDS-UPDRS score at 4, 8 and 12 weeks
Gut microbiome test
Time frame: Change from baseline gut microbiome analysis results at 8 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 Aug 2025.
- Derived from this study: PubMed 41641966Hur WJ, Seo JW, Park MS, Yoo HR. Visual self-reporting for symptom communication in Parkinson's disease. Technol Health Care. 2026 Mar;34(2):287-299. doi: 10.1177/09287329251414326. Epub 2026 Feb 5.
- Derived from this study: PubMed 38709746Park MS, Park S, Kang JY, Jung IC, Yoo H. The efficacy and safety of MARS-PD: Meridian activation remedy system for Parkinson's disease-A single-center, assessor and statistician-blinded, parallel-group randomized, controlled trial protocol. PLoS One. 2024 May 6;19(5):e0303156. doi: 10.1371/journal.pone.0303156. eCollection 2024.
- Individual participant dataSharing planned: No
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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.
Ho Ryong Yoo, Prof. Dr. principal investigator
Daejeon University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Meridian Activation Remedy System for Parkinson's Disease (MARS-PD) in people with Parkinson Disease, run by Korea Health Industry Development Institute at 1 site in South Korea.
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 7 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 5 Aug 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 South Korea. 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 is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Movement Disorder Society Unified Parkinson's Disease Rating Scale Part Ⅲ (time frame: Change from baseline MDS-UPDRS Part Ⅲ score at 8 weeks). 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 NCT05621772, 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 5 Aug 2025.