Effect of Acetylcholinesterase Inhibitors on the Gait of the Patients With Parkinson Disease (EASE-PIGD)
Effect of Acetylcholinesterase Inhibitors on the Gait of the Patients With Parkinson Disease Characterized by Postural Instability and Gait Disturbance
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
PD patients with PIGD subtype will be included.
Assessment:
- Overall features of PD are assessed by Unified Parkinson Disease Rating Scale (UPDRS). Non-motor features including cognition will be assessed by standard scales. Gait and balance will be assessed by gait analysis system, which measures physiological parameters of gait such as velocity, variability and center of pressure. Positron emission tomography using 18F-fluorodeoxyglucose (FDG PET) will be done to brain activities related to gait and balance.
- Clinical evaluation will be done at the baseline, 4th, 8th and 12th week
- Gait analysis and FDG PET will be done at the baseline and 12th week
Drug dosage
- For the first 4 weeks, 5 mg/day
- Then, 10 mg/day for 8 weeks
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Contact
Study Contact
- Name: Tae-Beom Ahn, MD, PhD
- Phone Number: 82-2-958-8499
- Email: taebeom.ahn@khu.ac.kr
Study Locations
-
-
-
Seoul, Korea, Republic of, 02447
- Recruiting
- Kyung Hee Universtiy Hospital
-
Contact:
- Su Jin Hahn, BA
- Phone Number: 82-2-958-9579
- Email: khcri@khmc.or.kr
-
Contact:
- Kyung Wha Hahn, BA
- Phone Number: 82-2-958-9566
- Email: yynam@khmc.or.kr
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Parkinson disease diagnosed by United Kingdom Parkinson's disease Society Brain Bank Criteria
- Postural instability and gait disturbance phenotype
- Hoehn and Yahr stage ≤ 3
- Mini-Mental status examination ≥ 24
Exclusion Criteria:
- Significant motor complication affecting daily activities
- Drugs related to acetylcholine metabolism
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: Donepezil
dosage: 5mg, 10mg frequency: once a day duration: 12 weeks
|
Other Names:
|
|
Placebo Comparator: Placebos
dosage: 5mg, 10mg frequency: once a day duration: 12 weeks
|
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Positron emission tomography using 18F-flurodeoxyglucose
Time Frame: Metabolic change from Baseline at 12 weeks
|
Metabolic change from Baseline at 12 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Montreal Cognitive Assessment
Time Frame: Baseline assessment/ Follow-up assessment at 12th week
|
Baseline assessment/ Follow-up assessment at 12th week
|
|
|
Unified Parkinson disease rating scale (UPDRS)
Time Frame: Baseline assessment/ Follow-up assessment at 4th, 8th and 12th week
|
Baseline assessment/ Follow-up assessment at 4th, 8th and 12th week
|
|
|
Time-Up and Go
Time Frame: Baseline assessment/ Follow-up assessment at 4th, 8th and 12th week
|
Baseline assessment/ Follow-up assessment at 4th, 8th and 12th week
|
|
|
Gait analysis
Time Frame: Baseline assessment/ Follow-up assessment at 4th, 8th and 12th week
|
Composite measures of gait and balance
|
Baseline assessment/ Follow-up assessment at 4th, 8th and 12th week
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Tae-Beom Ahn, MD, PhD, Kyung Hee University Hospital
Publications and helpful links
General Publications
- Bohnen NI, Frey KA, Studenski S, Kotagal V, Koeppe RA, Scott PJ, Albin RL, Muller ML. Gait speed in Parkinson disease correlates with cholinergic degeneration. Neurology. 2013 Oct 29;81(18):1611-6. doi: 10.1212/WNL.0b013e3182a9f558. Epub 2013 Sep 27.
- Henderson EJ, Lord SR, Brodie MA, Gaunt DM, Lawrence AD, Close JC, Whone AL, Ben-Shlomo Y. Rivastigmine for gait stability in patients with Parkinson's disease (ReSPonD): a randomised, double-blind, placebo-controlled, phase 2 trial. Lancet Neurol. 2016 Mar;15(3):249-58. doi: 10.1016/S1474-4422(15)00389-0. Epub 2016 Jan 13.
- Henderson EJ, Lord SR, Close JC, Lawrence AD, Whone A, Ben-Shlomo Y. The ReSPonD trial--rivastigmine to stabilise gait in Parkinson's disease a phase II, randomised, double blind, placebo controlled trial to evaluate the effect of rivastigmine on gait in patients with Parkinson's disease who have fallen. BMC Neurol. 2013 Dec 3;13:188. doi: 10.1186/1471-2377-13-188.
- Bohnen NI, Muller ML, Koeppe RA, Studenski SA, Kilbourn MA, Frey KA, Albin RL. History of falls in Parkinson disease is associated with reduced cholinergic activity. Neurology. 2009 Nov 17;73(20):1670-6. doi: 10.1212/WNL.0b013e3181c1ded6.
- Montero-Odasso M, Muir-Hunter SW, Oteng-Amoako A, Gopaul K, Islam A, Borrie M, Wells J, Speechley M. Donepezil improves gait performance in older adults with mild Alzheimer's disease: a phase II clinical trial. J Alzheimers Dis. 2015;43(1):193-9. doi: 10.3233/JAD-140759.
- Stebbins GT, Goetz CG, Burn DJ, Jankovic J, Khoo TK, Tilley BC. How to identify tremor dominant and postural instability/gait difficulty groups with the movement disorder society unified Parkinson's disease rating scale: comparison with the unified Parkinson's disease rating scale. Mov Disord. 2013 May;28(5):668-70. doi: 10.1002/mds.25383. Epub 2013 Feb 13.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
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
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Parkinsonian Disorders
- Basal Ganglia Diseases
- Movement Disorders
- Synucleinopathies
- Neurodegenerative Diseases
- Parkinson Disease
- Physiological Effects of Drugs
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Cholinergic Agents
- Enzyme Inhibitors
- Nootropic Agents
- Cholinesterase Inhibitors
- Donepezil
Other Study ID Numbers
Other Study ID Numbers
- 2016-08-030-003
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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