A Wearable Sensor Platform for Remote Monitoring of Individuals on the Frontotemporal Dementia Spectrum (ReMoTe)
2026年5月5日 更新者：BioSensics
The primary objective of this clinical study is to provide the initial validation for monitoring biomarkers of symptoms and functioning for individuals with frontotemporal lobar degeneration (FTLD) syndromes.
Researchers at BioSensics, Johns Hopkins University School of Medicine, and Massachusetts General Hospital will use wearable sensors, computerized speech, psychomotor, and cognitive assessments to create outcome measures and digital biomarkers for FTLD syndromes.
Researchers will deploy this digital health solution to monitor 60 patients with FTLD syndromes for 24 months with study visits every 6 months.
調査の概要
状態
まだ募集していません
詳細な説明
Frontotemporal degeneration (FTD) spans the spectrum of rare neurodegenerative disorders affecting movement, behavior, and cognitive function.
FTD represents a group of disorders including progressive supranuclear palsy (PSP - a severe and rapidly progressive FTD disorder estimated to affect at least 20,000 Americans), frontotemporal dementia (FTD, the second most common cause of early-onset (<65) dementia), primary progressive aphasia (PPA), semantic dementia (SD), and corticobasal syndrome (CBS).
The primary objective of this clinical study is to provide the initial validation for monitoring biomarkers of symptoms and functioning for individuals with FTLD syndromes.
Sixty patients with FTLD syndromes will be recruited from Johns Hopkins University School of Medicine and Massachusetts General Hospital to participate in this 24-month study with visits every 6 months.
The investigators aim to assess the correlation between outcomes as measured by the PAMSys pendant and PAMSys ULM wrist monitoring sensors, and clinical/functional assessments used for FTLD syndromes (behavioral variant frontotemporal dementia (bvFTD), non-fluent primary progressive aphasia (nfPPA), SD, and CBS), including the FTD Rating Scale (FTDRS), Cortical Basal Ganglia Functional Scale (CBFS), PSP Rating Scale (PSPRS), Frontotemporal lobar degeneration - Clinical Dementia Rating (FTLD-CDR) , modified Interpersonal Reactivity Index (mIRI Perspective Taking and Empathic Concern subscales summed to obtain a total Empathy score), the Pyramids and Palm Trees test (PPT), the Bedside Western Aphasia Battery-Revised (BWAB-R), phonemic fluency, and category fluency, in individuals with different stages of FTLD disease severity.
The results will be used to develop and validate monitoring symptoms and function in FTLD syndromes.
In an exploratory aim, the caregiver burden (Zarit Burden Inventory) and its relationship to patients' empathy levels (mIRI) will be assessed.
The secondary objective of this study is to conduct free-flowing interviews with participants and clinical experts using the Technology Acceptance Model (TAM).
This approach will help us examine perceptions of benefit, technology acceptance, technological anxiety, trust, facilitating conditions, perceived risk, and attitudes towards use from the perspectives of both patients and clinicians.
研究の種類
観察的
入学 (推定)
60
連絡先と場所
このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。
研究場所
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Maryland
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Lutherville、Maryland、アメリカ、21093
- Johns Hopkins University School of Medicine
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コンタクト：
- Claudia Waddell
- 電話番号：410-502-3290
- メール：cwaddel4@jh.edu
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主任研究者：
- Alexander Pantelyat, MD
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Massachusetts
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Boston、Massachusetts、アメリカ、02114
- Massachusetts General Hospital
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コンタクト：
- Jesse Wang
- 電話番号：617-643-2400
- メール：mghpsp@partners.org
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主任研究者：
- Anne-Marie Wills, MD,MPH
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参加基準
研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。
適格基準
就学可能な年齢
- 大人
- 高齢者
健康ボランティアの受け入れ
いいえ
サンプリング方法
非確率サンプル
調査対象母集団
The study intends to enroll a diverse population of individuals representative of the general FTLD syndrome population.
There are no restrictions based on race or ethnic origin.
This study will enroll both male and female participants aged 40 years or older with a clinical diagnosis of possible or probable FTLD syndrome phenotype.
説明
Inclusion Criteria:
- Male and female participants aged 40 years or older with a clinical diagnosis of possible or probable FTLD syndrome phenotype.
- Participants must be fluent in reading and speaking English and must be capable of providing informed consent based on the principal investigator's judgment.
- Individuals eligible for inclusion must be able to comply with the protocol per the investigator's judgment and must have a caregiver or study partner who is willing and able to assist with all study-related procedures.
Exclusion Criteria:
- Any neurological, medical, or psychiatric condition that would preclude or confound participation in study activities based on the investigator's judgment.
- Individuals who have a history of frequent falls defined as more than 5 falls per month.
研究計画
このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。
研究はどのように設計されていますか？
デザインの詳細
コホートと介入
グループ/コホート |
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Frontotemporal Lobar Degeneration (FTLD)
60 patients who have a clinical diagnosis of possible or probable FTLD syndrome phenotype.
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Physical Activity Monitoring
時間枠：24 months
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Following each clinical visit, participants will be asked to wear a PAMSys pendant sensor and two PAMSys ULM wrist sensors for 14 days at home.
The average daily number of steps will be measured using the PAMSys pendant.
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24 months
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Hand Function Monitoring
時間枠：24 months
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Following each clinical visit, participants will be asked to wear two PAMSys ULM wrist sensors for 14 days at home.
Average daily number of hand goal-directed movements will be measured using the PAMSys ULM wrist sensors.
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24 months
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Zarit Burden Interview (ZBI-22)
時間枠：24 months
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The Zarit Burden Interview is completed by a reliable caregiver.
The ZBI scores range from 0-88, where 88 represents a worse outcome.
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24 months
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Montreal Cognitive Assessment (MoCA)
時間枠：24 months
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This is a brief global cognitive screening assessment.
Scores range from 0 to 30 where 0 represents a worse outcome.
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24 months
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Cortical Basal Ganglia Functional Scale (CBFS)
時間枠：24 months
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The CBFS is a rating scale that evaluates experiences in daily living (EDLs) and consists of 14 questions on Motor EDLs and 17 questions on Non-Motor EDLs, each of which are rated on a Likert 5-point scale rating function from 0 to 4, where 0 = Normal or no problems and 4 = Severe problems.
The questions are for the patient, but should be answered by both the patient and their caregiver together.
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24 months
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Progressive Supranuclear Palsy Rating Scale (PSPRS)
時間枠：24 months
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The Progressive Supranuclear Palsy Rating Scale (PSPRS) is a 28-item clinical assessment used to measure the severity and progression of progressive supranuclear palsy (PSP).
Out of the 28 items, 6 are scored on a 3-point scale (0-3) and 22 are scored on a 4-point scale (0-4).
The PSPRS ranges from a score of 0-100 with a higher score representing greater impairment from the disease.
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24 months
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その他の成果指標
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Digital Speech Assessment
時間枠：24 months
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Using a study tablet, participants will perform a series of digital speech assessments.
The collected speech data will be analyzed using BioDigit Speech, an automatic speech analysis software developed by BioSensics.
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24 months
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Digital Cognitive Assessments
時間枠：24 months
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Using a study tablet, participants will perform a series of digital cognitive assessments.
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24 months
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Digital Fine Motor Control Assessment
時間枠：24 months
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Using a study tablet, participants will perform a series of tapping tests.
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24 months
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協力者と研究者
ここでは、この調査に関係する人々や組織を見つけることができます。
研究記録日
これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。
主要日程の研究
研究開始 (推定)
2026年8月1日
一次修了 (推定)
2030年8月15日
研究の完了 (推定)
2030年12月15日
試験登録日
最初に提出
2026年4月29日
QC基準を満たした最初の提出物
2026年4月29日
最初の投稿 (実際)
2026年5月6日
学習記録の更新
投稿された最後の更新 (実際)
2026年5月8日
QC基準を満たした最後の更新が送信されました
2026年5月5日
最終確認日
2026年4月1日
詳しくは
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