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Pilot Study To Assess Effect of Treatment and Adherence in PD Subjects

11. juni 2015 opdateret af: Duke University

Assessment of the Effect of Treatment Pathways, Adherence, and Treatment Efficacy in Parkinson's Disease Subjects Randomized to SPECT Imaging of the Dopamine Transporter (Ioflupane I123 Injection)

The purpose of this study is to evaluate the impact of imaging the brain as a diagnostic tool in the management of early Parkinson's disease (PD).

Studieoversigt

Detaljeret beskrivelse

The imaging drug used in this study is Ioflupane (123I) Injection, also referred to as DaTscan. DaTscan is FDA approved.

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

20

Fase

  • Fase 1

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

    • North Carolina
      • Durham, North Carolina, Forenede Stater, 27705
        • Duke University Health Center

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år til 80 år (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • age 18-80;
  • diagnosis of idiopathic PD exhibiting at least 2 of 3 cardinal signs (bradykinesia, rigidity and resting tremor);
  • maximum duration of previous exposure to anti-parkinsonian therapy being < 8 weeks;
  • ability to signed informed consent;
  • willingness and ability to complete medication diary and questionnaires;
  • if a female subject of child-bearing potential, the use of an effective method of contraception.

Exclusion Criteria:

  • current treatment with anti-parkinsonian medication;
  • previous treatment with anti-parkinsonian medication for greater than 8 weeks;
  • inability to complete questionnaires;
  • unwillingness to complete all questionnaires and medication diary;
  • subjects with secondary causes of parkinsonism;
  • participant has evidence of clinical significant thyroid disease, gastrointestinal, cardiovascular, hepatic, renal, hematologic, neoplastic, endocrine, neurologic, immunodeficiency, pulmonary, or other medical or psychiatric disorder;
  • positive serum/urine pregnancy test at any time during the study period;
  • the participant has a history of alcohol, narcotic, or any other drug abuse as defined by the DSM-IV within the past 2 years;
  • participation in a concurrent PD trial within 60 days.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Diagnostisk
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Aktiv komparator: Group A - Early Imaging
Group A will receive SPECT imaging 3 times during the study. The first scan will take place prior to the initiation of any treatment, followed by scans at week 26 and week 52.
Total of 3 scans
Andre navne:
  • [123I]-FP-CIT SPECT
Aktiv komparator: Group B - Delayed Imaging
Group B will receive SPECT imaging 2 times during the study. Group B will not have the first scan (prior to the initiation of any treatment). Scan will take place at week 26 and week 52.
Total of 2 scans
Andre navne:
  • [123I]-FP-CIT SPECT

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Patient adherence to treatment plan
Tidsramme: 1 year
Patient and treating physician agree on a treatment plan at visit 3. Patient adherence to medications will be evaluated based on pill count at each follow-up study visit. Additionally, each patient will record their adherence to therapy on the Patient Expectations and Disease-related Questionnaire (PEDQ) at each follow-up study visit, allowing the study team to track compliance with pharmacologic therapy as well as treatments including therapy exercise plans.
1 year

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Unified Parkinson Disease Rating Scale (UPDRS)
Tidsramme: 1 year
Other outcome measures will be between any group differences in UPDRS.
1 year
Life Orientation Test - Revised (LOT-R)
Tidsramme: 1 year
Other outcome measures will be between any group differences in LOT-R. This test assesses individual differences in generalized optimism versus pessimism.
1 year
Marlowe - Crowne Social Desirability Scale (MCSD)
Tidsramme: 1 year
Other outcome measures will be between any group differences in MCSD. This test assesses the extent to which individuals attempt to depict themselves as similar to the norms and standards of their society and community.
1 year
Obsessive - Compulsive Inventory (OCI)
Tidsramme: 1 year
Other outcome measures will be between any group differences in OCI. This self-report scale assesses distress from symptoms commonly experienced in obsessive-compulsive disorder.
1 year
Expectation of Global Response (EGCR)
Tidsramme: 1 year
Other outcome measures will be between any group differences in EGCR.
1 year

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Samarbejdspartnere

Efterforskere

  • Ledende efterforsker: Patrick Hickey, DO, Duke University Health Center

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart

1. juni 2012

Primær færdiggørelse (Faktiske)

1. marts 2015

Studieafslutning (Faktiske)

1. juni 2015

Datoer for studieregistrering

Først indsendt

7. februar 2013

Først indsendt, der opfyldte QC-kriterier

7. februar 2013

Først opslået (Skøn)

11. februar 2013

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Skøn)

12. juni 2015

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

11. juni 2015

Sidst verificeret

1. juni 2015

Mere information

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

Kliniske forsøg med Parkinsons sygdom

Kliniske forsøg med Group A - Early Imaging

Abonner