- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT07306104
The Effect of Long-term Daily Stimulation of the Brain With Pulsed Electromagnetic Fields on Parkinsons Disease
The Effect of Long-term Treatment of Parkinson's Disease With T-PEMF
The goal of this clinical trial is to learn to what extent daily stimulation of the brain with transcranial pulsed electromagnetic fields (T-PEMF) works to treat persons with Parkinson's Disease. The main questions it aims to answer are:
- How does 6 months of daily treatment (30 minutes/day) with T-PEMF affects neuro-mechanical and molecular biological factors compared with placebo treatment in persons with Parkinson's disease?
- How does 12 months of daily treatment (30 minutes/day) with T-PEMF affects neuro-mechanical and molecular biological factors in persons with Parkinson's disease an does 12 months of T-PEMF alters the need for medication intake?
The neuro-mechanical outcomes are compared with the "natural" progression of the disease as well as with a healthy reference group. Furthermore, it will be examined whether 12 months of T-PEMF treatment alters the need for medication intake.
Participants in the intervention group will:
- receive one 30 min treatment session daily for 12 months
- receive either T-PEMF or sham treatment for the first 6 months
- receive active T-PEMF treatment the last 6 months
- visit for tests before treatment initiation, after 6 months of treatment and after 12 months of treatment.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Anne Sofie Bøgh Malling, Ph.d.
- Phone Number: +45 28903733
- Email: amalling@health.sdu.dk
Study Contact Backup
- Name: Bente Rona Jensen, Professor
- Email: brjensen@health.sdu.dk
Study Locations
-
-
-
Odense, Denmark, 5000
- Recruiting
- Odense University Hospital
-
Contact:
- Christian Winterberg, MD
- Phone Number: +45 65411833
- Email: christian.winterberg@rsyd.dk
-
Principal Investigator:
- Christian Winterberg, MD
-
Odense, Denmark, 5230
- Recruiting
- University of Southern Denmark
-
Contact:
- Anne Sofie Bøgh Malling, Ph.d.
- Phone Number: +45 28903733
- Email: amalling@health.sdu.dk
-
Contact:
- Jens Bojsen-Møller, Ass. proffessor
- Email: jbojsen@health.sdu.dk
-
Principal Investigator:
- Anne Sofie B Malling, Ph.d.
-
Sub-Investigator:
- Mikkel C Juhl, MSc
-
Sub-Investigator:
- Morten Meyer, Professor
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Sub-Investigator:
- Bente R Jensen, Professor
-
Sub-Investigator:
- Jens Bojsen-Møller, Ass. Professor
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Intervention Groups
Inclusion Criteria:
- Diagnosed with idiopathic Parkinson's disease
- The participant must be able to understand, accept, and complete the planned procedures
- Parkinson's symptoms in the medicated state must correspond to Hoehn & Yahr stage 1 or 2
- Mini Mental-State Examination score > 22
Exclusion Criteria:
- Cancer in the brain, neck, or head area
- Presence of active medical implants
- Epilepsy
- Alcoholism
- Substance abuse
- Open wound on the scalp
- Severe psychopathological disorders
- Pregnancy
- Changes in pharmacological anti-Parkinson medication within the last 6 weeks prior to the start of T-PEMF treatment
- Anticoagulant treatment with Marevan, Marcoumar, Pradaxa, Eliquis, Xarelto, Lixiana, Novostan, Fragmin, or Innohep
- Neurological disease other than Parkinson's disease
- Previous stroke
- Reduced motor function caused by conditions other than Parkinson's disease
Control Group with Parkinson's Disease
Inclusion Criteria:
- Diagnosed with idiopathic Parkinson's disease
- The patient must be able to understand, accept, and complete the planned procedures
- Parkinson's symptoms in the medicated state must correspond to Hoehn & Yahr stage 1 or 2
- Mini Mental-State Examination score > 22
Exclusion Criteria:
- Neurological disease other than Parkinson's disease
- Reduced motor function caused by conditions other than Parkinson's disease
Healthy Reference Group:
Inclusion Criteria:
-The patient must be able to understand, accept, and complete the planned procedures
Exclusion Criteria:
- Neurological disease
- Reduced motor function caused by condition
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Intervention group 1: Full T-PEMF
Persons with Parkinson's disease receiving 30 min daily active T-PEMF for 12 months.
The first 6 months are blinded, the last 6 months are not.
|
30 min daily stimulation with transcranial pulsed electromagnetic fields (50 Hz)
|
|
Sham Comparator: Intervention group 2: sham + T-PEMF
Persons with Parkinson's disease receiving 30 min daily sham T-PEMF for 6 months followed by 6 moths of 30 min daily active T-PEMF.
The first 6 month is blinded, the last 6 months are not.
|
30 min daily stimulation with transcranial pulsed electromagnetic fields (50 Hz)
30 min daily the participants are using/wearing the T-PEMF device but no stimulation occurs
|
|
No Intervention: Control group
Persons with Parkinson's disease receiving no experimental treatment.
The group is used to monitor natural course of the disease.
|
|
|
No Intervention: Healthy reference group
Health age-matched persons assessed once to obtain age-matched normal intervals of performance.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Sit-to-stand
Time Frame: From enrollment to end of intervention assessed at baseline, after 6 months and after 12 months.
|
Completion time of 5 repetition sit-tot-stand test at maximal speed performed on force plate.
|
From enrollment to end of intervention assessed at baseline, after 6 months and after 12 months.
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Tremor intensity
Time Frame: From enrollment to end of intervention assessed at baseline, after 6 months and after 12 months.
|
Postural tremor intensity assessed by accelerometer
|
From enrollment to end of intervention assessed at baseline, after 6 months and after 12 months.
|
|
Rate of force development
Time Frame: From enrollment to end of intervention assessed at baseline, after 6 months and after 12 months.
|
Isometric rate of force development assessed by handgrip and knee extension
|
From enrollment to end of intervention assessed at baseline, after 6 months and after 12 months.
|
|
Movement Disorder Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS)
Time Frame: From enrollment to end of intervention assessed at baseline, after 6 months and after 12 months.
|
The MDS-UPDRS will be reported as total score (0-260, higher scores indicate greater disease severity) and motor score (part III, 0-132, higher scores indicate greater disease severity).
|
From enrollment to end of intervention assessed at baseline, after 6 months and after 12 months.
|
|
Cerebrospinal fluid biomarkers
Time Frame: From enrollment to end of intervention assessed at baseline, after 6 months and after 12 months. Assessment in the intervention groups only.
|
Concentration of growth factors, cytokines and cytoskeletal proteins with special emphasis on erythropoietin (EPO), vascular endothelial growth factor (VEGF), brain-derived neutrophic factor (BDNF), glia cell derived neutrophilic factor (GDNF), Glucagon Like Peptide 1 (GLP1), interleukins and neurofilament light chain (NfL).
|
From enrollment to end of intervention assessed at baseline, after 6 months and after 12 months. Assessment in the intervention groups only.
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
EMG
Time Frame: From enrollment to end of intervention assessed at baseline, after 6 months and after 12 months.
|
Electromyographic recordings of forearm and thigh muscles during motor assessments (sit-to-stand, isometric contractions, postural tremor assessment, handwriting).
Applied for explorative analyses, thus exact outcomes are not yet specified.
However, agonist drive and co-contraction ratio may be assessed.
|
From enrollment to end of intervention assessed at baseline, after 6 months and after 12 months.
|
|
Hand writing
Time Frame: From enrollment to end of intervention assessed at baseline, after 6 months and after 12 months.
|
Hand writing test performed with ink pen on paper on top of tablet (digitalizing handwriting).
Performed as an explorative assessment.
|
From enrollment to end of intervention assessed at baseline, after 6 months and after 12 months.
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Anne Sofie Bøgh Malling, Ph.d., University of Southern Denmark
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- SDURio #12.562
- 2501906 (Other Identifier: The Danish Medical Research Ethics Committees)
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
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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