Bright Light Therapy for Non-motor Symptoms in Parkinson's Disease
Bright Light Modulation of Non-motor Symptoms in Parkinson's Disease
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Aleksandar Videnovic, MD, MSc
- Phone Number: 617-724-3837
- Email: avidenovic@partners.org
Study Locations
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Massachusetts
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Boston, Massachusetts, United States, 02114
- Massachusetts General Hospital
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion criteria:
- Diagnosis of idiopathic PD as defined by the United Kingdom PD Society Brain Bank Criteria
- PD Hoehn and Yahr stage 2-4
- Pittsburgh Sleep Quality Index (PSQI) score ≥ 5
- Treatment with levodopa and/or dopamine agonist; adjunctive PD medications will be allowed
- Stable dose of PD medications for at least 4 weeks prior to the study screening.
Exclusion criteria:
- Atypical or secondary forms of parkinsonism
- Co-existent significant sleep apnea (as assessed by polysomnography- derived apnea/hypopnea index ≥15 events/hr of sleep)
- Co-existent restless legs syndrome (RLS), as assessed by the International Classification of Sleep Disorders (ICDS) diagnostic criteria for RLS
- Cognitive impairment as determined by the Mini-Mental State Examination (MMSE) score of ≤ 26
- Presence of depression defined as the Beck Depression Inventory (BDI) score >14
- Untreated hallucinations or psychosis (drug-induced or spontaneous)
- Use of hypno-sedative drugs for sleep or stimulants; participants will be allowed to taper these drugs and will become eligible 4 weeks after the taper is completed
- Use of Selective Serotonin Reuptake Inhibitors (SSRIs) / Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs) antidepressants, unless the participant has been on a stable dose for at least 3 months prior to the screening
- Use of medications known to affect melatonin secretion, such as lithium, alpha- and beta-adrenergic antagonists
- Shift work, currently or within the prior 3 months
- Travel through ≥ 2 time zones within 60 days prior to study screening
- Hematocrit <32 mm3
- Pre-existing glaucoma/retinal disease contraindicated for light therapy (LT)
- Dense cataracts
- Use of medications known to photosensitize retinal tissue (phenothiazines, chloroquine, amiodarone, St. John's Wort)
- Unstable/serious medical illness.
- Pregnancy
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Active Comparator: Bright light therapy
Participants will be treated twice daily with bright light therapy.
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Active Comparator: Dim-Red light therapy
Participants will be treated twice daily with dim-red light therapy.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Parkinson's Disease Sleep Scale (PDSS-2) score to measure sleep quality
Time Frame: 8 weeks
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8 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Epworth Sleepiness Scale (ESS) score to measure daytime sleepiness
Time Frame: 8 weeks
|
8 weeks
|
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Non-Motor Symptoms Assessment Scale for Parkinson's Disease (NMSS) score to measure the severity and frequency of non-motor symptoms
Time Frame: 8 weeks
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8 weeks
|
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Plasma melatonin levels collected through blood samples to measure melatonin amplitude and circadian regulation
Time Frame: 8 weeks
|
8 weeks
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Aleksandar Videnovic, MD, MSc, Massachusetts General Hospital
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Synucleinopathies
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Mental Disorders
- Neurodegenerative Diseases
- Sleep Wake Disorders
- Movement Disorders
- Sleep Disorders, Intrinsic
- Dyssomnias
- Parkinsonian Disorders
- Basal Ganglia Diseases
- Parkinson Disease
- Disorders of Excessive Somnolence
Other Study ID Numbers
Other Study ID Numbers
- 2016P001775
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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