AzTrials
AzTrials

Parkinson Disease (PD)SO-TOPNCT07074119

Sensor-Based Optimization of Therapy for Parkinson's Disease Patients With Motor Fluctuations

A study testing wearable-based adjustment therapy in people with Parkinson Disease (PD), run by Assistance Publique - Hôpitaux de Paris at 1 site in France.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
Search all trials

Trial summary

Although numerous tools have been developed in recent years with the enhancement of new technologies precision and the reduction of their size, still few medical devices are used in clinical routine in Parkinson's Disease. Read more about this study

Who is it for?
Ages 46 to 83 years
Conditions the study is for
Parkinson Disease (PD)
What is being tested?
wearable-based adjustment therapy
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
218 participants
Where
1 siteFrance
Study dates
Oct 2026to Oct 2029
Phase
Interventional
Are there results?
Not yet: the study is under way

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

  • Parkinson's since > 4 years
  • Patient between years 46-83 (according to the BWS range of validity)
  • Presence of motor fluctuations as defined by a score ≥ 2 (item 4.3) and a score ≥ 1 (item 4.4) of the MDS-UPDRS part IV
  • At least 3 doses per day of L-Dopa
  • Need of therapeutic adjustment because of motor fluctuations according to the neurologist opinion
  • Hoehn and Yahr stage ≤ 3 in OFF state

Who cannot join

  • No signature of informed consent
  • Anticipated uncompliance or inability to use the self-reported diary or to wear the devices
  • Cognitive impairment (MMSE < 24)
  • Patient treated with second line therapies ((Subcutaneous or digestive pump therapies or deep brain stimulation) or planed for the 6 next months.
  • Pregnant or breastfeeding women
  • Patients living in nursing home
  • Patient already participating in another clinical investigation or interventional study.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

David Grabli, Professor contact

01 42 16 24 61

david.grabli@aphp.fr

Sofia Zemouri, Master contact

01 42 16 75 75

sofia.zemouri@aphp.fr

France1 site
  • Centre d'investigations cliniques Pitié-Salpêtrière University Hospital

    Paris, Île-de-France Region, 75013

    David Grabli, Professor, 01 42 16 24 61, david.grabli@aphp.fr

    Sofia Zemouri, Master-Project Manager, 01 42 16 24 61, jean-christophe.corvol@aphp.fr

Other trials in France

About this study

Although numerous tools have been developed in recent years with the enhancement of new technologies precision and the reduction of their size, still few medical devices are used in clinical routine in Parkinson's Disease. Knowledge about Parkinson's Disease motor symptoms has been widely improved especially thanks to objective monitoring of movements. However, patients are mostly observed in defined environment during scripted activities, which is per se distinct from the real life conditions. Besides, experts may agree on the limitations of the diary that is supposed to reflect the patient's status at home, while outpatients' visits may also not correctly enable the neurologist to catch up the everyday life condition of the patient. In order to overcome some of these issues, we hypothesize that the implementation of body-worn sensors at home monitoring could provide promising solutions. Yet, important information is missing: there is no previous randomized trial studying the additional value of body-worn sensors to improve motor symptoms, quality of life and ability to perform everyday life activities for example. To our knowledge, our study proposal is the first one to adjust therapy of patients with Parkinson's Disease based on the reports of body-worn sensors monitoring. If the efficacy and reliability of at home monitoring with sensors is proven, new healthcare guidelines could arise with the objective of a better and continuous patient's follow-up, remotely from the outpatient's visit.

Read the detailed description

The study is Single Blind Randomized clinical trial. The participants are patients with Parkinson's Disease at the stage of motor fluctuations without dementia or levodopa-resistant axial symptoms who need therapeutic adjustments according to the neurologist opinion. The primary objectif is to assess the efficacy of the Body Worn Sensors (BWS)-based adjustment therapy, on add-on to usual care, on change in time spent in OFF state in PD patients with motor fluctuation requiring treatment adaptation. The primary endpoint is the change in daily time spent in OFF state between baseline and 6 months visit, measured as the mean daily time in OFF state upon 3 days on self-reported diary. Medical device under investigation, CE-marked (class IIA) under regulation UE 2017/745, is a body-worn sensor (BWS) that measures movements and analyses accelerometry data to report motor symptoms of Parkinson's Disease. The product is the PKG system (Global Kinetics Corporation, Melbourne Australia). This BWS embarks a dedicated algorithm that continuously reports severity scores of bradykinesia, dyskinesia and tremor over a week of monitoring. All the patients will wear the PKG Watch but results from BWS recording will be available for the neurologist to adapt the treatment, according to randomization allocation (Available in the experimental group only). In both groups (experimental and control group), the treatment will be adapted according to current guidelines. Four follow-up visits will be performed at M0 (W0), M1 (W4 +/- 7 days), M3 (W12 +/- 7 days) and M6 (W24 +/- 7 days) during outpatients clinics (except for M1 = phone call) where participants are usually followed. 13 centers in France participating to the NS-PARK network (French research Network for PD). The duration of recruitment will be 24 months. The duration of participation for each participant will be 6 months, the total duration of the study will be 31 months. For this study, 218 patients will be recruited.

Being tested
wearable-based adjustment therapy
Keywords
Adjusment Therapy, Dyskinesis, Time ON, Time OFF, Bradykinesia, Parkinson Kinetic Graff, Body-worn Sensors, self-reported diary
Medical subject headings
Parkinson Disease, Dyskinesias, Hypokinesia

What participants receive

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

  • wearable-based adjustment therapyDevice

    • Patients will wear the BWS for 7 days prior to each of the visit : baseline (V1) at week 0, V2 at week 4 (phone call at 1 month), V3 at week 12 (3 months visit) and V4 at week 24 (6 months).
    • Data extracted from each session of monitoring with the BWS will be made available to the neurologist (only in the experimental group) prior to V1 (W0), V2 (W4), V3 (W12) and V4 (W24) respectively
    • Treatment adjustment will be guided by the current consensus guidelines for treatment adjustment for motor fluctuations in PD using reports from BWS data. Reports will be screened by neurologists before the patient's visit so the groups blinding is correctly observed
Study groups in NCT07074119
Study groupRoleWhat they receive
Experimental groupExperimentalPatients of the control group will undergo the same protocol as patients in the experimental arm. However, data extracted from the BWS will be made available to the neurologist.
Receives: Device: wearable-based adjustment therapy
Control groupActive comparatorPatients of the control group will undergo the same protocol as patients in the experimental arm. However, data extracted from the BWS will be blinded and NOT be made available to the neurologist.
Receives: Device: wearable-based adjustment therapy

What is being measured

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

  1. Change in daily time spent in OFF state between baseline and 6 months visit, measured as the mean daily time in OFF state upon 3 days on self-reported diary.

    The daily time spent in OFF states will be reported by the patient on his/her diary per periods of thirty minutes each day for a duration of 3 days before baseline visit and before 6 months visit. For each day, the total daily time spent OFF will be calculated as the sum of every 30 minutes' periods stated as OFF time. This duration will be averaged over the 3 days period at baseline (W0 +/-7 days) and 6 months (W24 +/- 7 days) visits and the difference between the two visits will be calculated.

    Measured: Baseline (W0) and 6 months visit (W24)

Secondary outcomes (11)
  1. Change in time spent in good ON state without troublesome dyskinesia (i.e. good time ON) between baseline and 6 months on self-reported diary (mean of previous 3 days)

    For each day, the total time spent in ON state without troublesome dyskinesia will be calculated as the sum of every 30 minutes periods stated as time spent in ON state without troublesome dyskinesia.

    Measured: Baseline (W0) and 6 months visits (W24)

  2. Change in time spent in ON state with troublesome dyskinesia between baseline and 6 months on self-reported diary (mean of previous 3 days)

    For each day, the total time spent in ON state with troublesome dyskinesia will be calculated as the sum of every 30 minutes periods stated as time spent in ON state with troublesome dyskinesia in the diary. These durations will be averaged over the 3 days period at baseline (W0 +/- 7 days) and 6 months visits (W24 +/- 7 days) and the difference between the two visits will be calculated.

    Measured: baseline (W0) and 6 months visits (W24)

  3. Change of Movement Disorder Society-Unified Parkinson's Disease Rating Scale part II (MDS-UPDRS part II-motor aspects of experiences of daily living) between baseline and 6 months

    The Movement Disorder Society-Unified Parkinson's Disease Rating Scale part II (MDS-UPDRS part II ) score will be assessed at baseline and 6 months visits. The change will be calculated as the difference between the scores obtained at 6 months visit (W24 +/- 7 days) and baseline visit (W0 +/- 7 days).

    The minimum score of the MDS-UPDRS part II is 0 and the maximum score is 52, the higher score means a worse outcome.

    Measured: baseline (W0) and 6 months visits (W24)

  4. Change of the score of Parkinson Disease Quality of life questionnaire (PDQ-39) related between baseline and 6 months

    The Parkinson Disease Quality of life questionnaire (PDQ-39) is a self-questionnaire assessing disease related quality of life in PD. The patient will fill it in at baseline and 6 months visits. The change will be calculated as the difference between the scores obtained at 6 months visit (W24 +/- 7 days) and baseline visit (W0 +/- 7 days).

    The minimum score of the Parkinson Disease Quality of 0 and the maximum score is 156, the higher score means a worse outcome.

    Measured: baseline (W0) and 6 months visits (W24)

  5. Number of patients with at least one dopaminergic drug-related side effects between groups during the study period.

    Dopaminergic drug-related side effects will be collected at each visit: baseline (W0 +/- 7 days), phone call at 1 months (W4 +/- 7 days), 3 months visit (W12 +-/ 7 days), 6 months visit (W24 +/- 7 days). AE will be classified as related or not with anti-parkinsonian drug and rated according to their severity. The number and severity of anti-parkinsonian drug side effects will be compared across groups.

    Measured: baseline (W0), 1 month visit (W4), 3 months visit (W12) and 6 months (W24)

  6. Number of patients with each type of Dopaminergic drug-related

    The side effects will be described in each group

    Measured: baseline (W0), phone call at 2 months (W4 ), 3 months visit (W12 ), 6 months visit (W24)

  7. Change of Movement Disorder Society-Unified Parkinson's Disease Rating Scale part I (MDS-UPDRS part I-non-motor aspects of experiences of daily living) between baseline and 6 months

    Movement Disorder Society-Unified Parkinson's Disease Rating Scale part I (MDS-UPDRS part I) score will be assessed at baseline and 6 months visits. The change will be calculated as the difference between the scores obtained at 6 months visit (W24 +/- 7 days) and baseline visit (W0 +/- 7 days).

    The minimum score of the MDS-UPDRS part I is 0 and the maximum score is 52, the higher score means a worse outcome.

    Measured: baseline (W0) and 6 months visits (W24)

  8. Changes in drug regimen during the study of Levodopa equivalent daily doses (LEDD) between baseline and 6 months

    The change in LEDD between 6 months visit (V4) and baseline visit (V1) will be calculated as the difference.

    Measured: baseline (W0) and 6 months visit (W24)

  9. Changes in drug regimens between baseline and 6 months

    Antiparkinsonian and associated treatments will be systematically collected at baseline (W0 +/- 7 days) and 6 months (W24 +/- 7 days) visits. The number and type of changes (i.e. addition of drugs, discontinuation of drugs, increase / decrease of dosing) between baseline visit (W0) and 6 months visit (W24 +/- 7 days) will be described.

    Measured: baseline (W0) and 6 months visits (W24)

  10. Number of consultations between baseline visit (W0) and 6 months visit

    Number of consultations (general practitioner, neurologist, other specialist, advanced practice nurse) between baseline visit (W0) and 6 months visit (W24 +/- 7 days)

    Measured: baseline (W0) and 6 months visits (W24)

  11. Number of hospitalization days between baseline visit (W0) and 6 months visit

    Measured: baseline (W0) and 6 months visits (W24)

Timeline

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

  1. First posted20 Jul 2025
  2. Study startOct 2026 (estimated)
  3. Primary completion1 Apr 2029 (estimated)
  4. Study completionOct 2029 (estimated)

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
Masking
Single blind
Who is masked
Participant
Enrolment
218 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07074119
Sponsor's protocol ID
APHP180609
Other IDs
2019-A00322-55
Acronym
SO-TOP
Status last verified
Aug 2026
First submitted
26 Jun 2025
Last updated
2 Sep 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Data are available upon reasonable request. The procedures carried out with the French data privacy authority (CNIL, Commission nationale de l'informatique et des libertés) do not provide for the transmission of the database, nor do the information and consent documents signed by the patients. Consultation by the editorial board or interested researchers of individual participant data that underlie the results reported in the article after deidentification may nevertheless be considered, subject to prior determination of the terms and conditions of such consultation and in respect for compliance with the applicable regulations.

Questions about this trial

What is this clinical trial studying?

A study testing wearable-based adjustment therapy in people with Parkinson Disease (PD), run by Assistance Publique - Hôpitaux de Paris 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 6 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: opening soon, as of the sponsor's last update on 2 Sep 2026. 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?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact David Grabli, Professor (01 42 16 24 61, david.grabli@aphp.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in daily time spent in OFF state between baseline and 6 months visit, measured as the mean daily time in OFF state upon 3 days on self-reported diary. (time frame: Baseline (W0) and 6 months visit (W24)). 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 2 Sep 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in