Enabling Women With Parkinson's Disease to Identify and Better Manage Hormonal Triggers of Parkinsonian Symptoms (Lady-PD)
Enabling Women With Parkinson's Disease to Identify and Better Manage Hormonal Triggers
Forty percent of people living worldwide with Parkinson's disease (PD) are women. Twenty percent of patients have PD onset under the age of 60 years, a time when women may encounter significant caregiving responsibilities along with occupational and other competing demands.
Studies with surveys of women with PD (WwPD) have reported worsening of PDrelated symptoms especially in the week prior and the week of menses. However, prospective evidence is scarce and clinical guidelines to manage this issue do not exist. As a result, care is either non-existent or fragmented.
The investigators propose a French multicentre prospective pilot study to capture changes in PD symptoms in relation to the stages of the menstrual cycle aiming at reducing hormonal related worsening in PD symptoms through neurologist intervention and/or patient selfmanagement.
Digital technology will remotely enable patient reported outcome (PRO) tracking through the My Moves Matter app changes in PD symptoms during several months. This information will then help neurologists to customize treatment.
Changes in motor symptoms will also be highlighted by tracking through the use of a wearable device (PDMonitor) to objectively detect motor changes together with the app.
This will further support the reliability of the app. This study will provide evidence for the impact of the menstrual cycle on PD and help neurologists and patients to better manage PD symptoms related to these hormonal changes.
Przegląd badań
Status
Status
Warunki
Warunki
Interwencja / Leczenie
Interwencja / Leczenie
Szczegółowy opis
This is a prospective multicentre pilot study of the impact of the menstrual/hormonal cycle on PD symptoms and their treatment in pre-menopausal WwPD based on the remote tracking of PD symptoms and menstrual/hormonal cycle through the MMM digital health app in the French language.
There is an ongoing European preliminary study investigating the usability of the MMM App to track menstrual symptoms in WwPD, endorsed by the Parkinson's Disease Research Cluster in the University College Cork in Ireland.
The aim of that study does not overlap with the current proposal.
The aims of the LADY-PD project are:
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Aim 1. To determine the reliability of using our new mobile application to track motor and non-motor symptoms in pre-menopausal WwPD. French WwPD will use the My Moves Matter (MMM) application downloaded in their mobile phone to track their PD symptoms during their hormonal cycle. Changes during the cycle can be identified using a linear system to quantify changes in each symptom. The investigators will measure drop-out rate, missing data, usability, and acceptability (the latter with questionnaires for patients and neurologists).
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Aim 2. To compare the mobile application subjective motor data against the gold standard clinical scale, the motor part of the Movement Disorders Society Unified Parkinson Disease Rating Scale (MDS-UPDRS). This will be done acquiring data coming from a subset of WwPD who will have an objective measurement of the MDS-UPDRS (using the PDMonitor, a digital device able to measure bradykinesia, tremor, gait, posture, rigidity, dyskinesia) while using the mobile application.
Statistical analysis will compare data between the two devices.
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Aim 3. To determine the clinical efficacy of interventions (changes on medication, physiotherapy, et cetera) suggested by the neurologists to improve motor and nonmotor symptoms detected by the mobile application during the initial 3-month period of evaluation. Effects of pharmacological and non-pharmacological interventions will be measured using the mobile app after a 3-month period of evaluation.
The investigators hypothesize that
- pre-menopausal WwPD will experience a worsening of motor and NMS during their menstrual/hormonal cycle (and possibly independently by OCP treatment);
- these changes will have a relevant impact on the well-being of patients, and on their daily and social activities;
- appropriate management of these changes can effectively improve quality of life of pre-menopausal WwPD.
Typ studiów
Typ studiów
Zapisy (Szacowany)
Zapisy
Faza
Faza
- Nie dotyczy
Kontakty i lokalizacje
Kontakt w sprawie studiów
Kontakt w sprawie studiów
- Nazwa: Elena MORO
- Numer telefonu: 0476769452
- E-mail: emoro@chu-grenoble.fr
Kopia zapasowa kontaktu do badania
- Nazwa: PIERRE PELISSIER
- Numer telefonu: 0476769459
- E-mail: ppelissier@chu-grenoble.fr
Lokalizacje studiów
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-
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Grenoble, Francja
- Rekrutacyjny
- CHU Grenoble Alpes
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Kontakt:
- ELENA MORO
- E-mail: emoro@chu-grenoble.fr
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Kontakt:
- Pierre PELISSIER
- Numer telefonu: 0476769452
- E-mail: ppelissier@chu-grenoble.fr
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Nantes, Francja, 44000
- Rekrutacyjny
- CHU Nantes Hôpital Laennec
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Kontakt:
- Philippe DAMIER, Pr
- Numer telefonu: 33 (0)2.40.16.52.12
- E-mail: philippe.damier@chu-nantes.fr
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Kontakt:
- Régis FRENAIS
- Numer telefonu: 33 (0)2 44 76 87 57
- E-mail: regis.frenais@chu-nantes.fr
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Rennes, Francja, 35000
- Rekrutacyjny
- CHU Rennes -Site Pontchaillou
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Kontakt:
- Sophie DRAPIER, PH
- Numer telefonu: +33 2 99 28 42 93
- E-mail: Sophie.Drapier@chu-rennes.fr
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Kontakt:
- Françoise KESTENS
- Numer telefonu: 33 (0)2 99 28 93 34
- E-mail: ide recherche neuro PPEV <ide.recherche.neuro.PPEV@chu-rennes.fr>
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Toulouse, Francja, 31000
- Rekrutacyjny
- Chu Toulouse
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Kontakt:
- Estelle HARROCH
- Numer telefonu: +33 5 61 77 55 41
- E-mail: harroch.e@chu-toulouse.fr
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Kontakt:
- Christine BREFEL-COURBON, PH
- Numer telefonu: 33 (0)5 61 14 59 62
- E-mail: christine.brefel-courbon@univ-tlse3.fr
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Kryteria uczestnictwa
Kryteria kwalifikacji
Kryteria kwalifikacji
Wiek uprawniający do nauki
Akceptuje zdrowych ochotników
Płeć kwalifikująca się do nauki
Opis
Inclusion Criteria:
- Non-menopausal women
- Diagnosis of PD according to the MDS criteria onset of PD symptoms since at least two years before inclusion
- Age 18-56 years
- On stable medication regimen for PD for at least two months without foreseen need to modify it within the next three months
- With and without OCP or intrauterine devices (IUD
Exclusion Criteria:
- Post-menopausal women with PD
- Any condition that, in the opinion of the investigator, will preclude the participant from successfully or safely completing study procedures (i.e., dementia, severe depression, etc.)
- People not able to give an informed consent.
Plan studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Diagnostyczny
- Przydział: Nie dotyczy
- Model interwencyjny: Zadanie dla jednej grupy
- Maskowanie: Brak (otwarta etykieta)
Liczba ramion
Broń i interwencje
Grupa uczestników / ArmGrupa uczestników / Arm |
Interwencja / LeczenieInterwencja / Leczenie |
|---|---|
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Eksperymentalny: Aplikacja mobilna MyMovesMatter
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Patients with Parkinson's disease will use a mobile application (Mymovesmatter) to evaluate changes in motor and non motor symptoms during their hormonal cycles. |
Co mierzy badanie?
Podstawowe miary wyniku
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Reliability of the MyMovesMatter mobile application
Ramy czasowe: Inclusion, 3 months and 6 months
|
Changes in PD symptoms collected during the menstrual/hormonal cycle versus those collected in the other days of the month. These changes will be evaluated using a linear system included in the My Moves Matter application. In particular, bradykinesia, tremor, gait, posture, dyskinesia, fatigue, anxiety, pain, urinary disturbances and sweating will be assessed. |
Inclusion, 3 months and 6 months
|
Miary wyników drugorzędnych
Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Subjective versus objective evaluation of Parkinson's disease symptoms
Ramy czasowe: Inclusion, 3 months and 6 months
|
Subjective motor variables obtained with the mobile application will be compared to the the gold standard clinical scale, the related items Movement Disorders Society -Unified Parkinson Disease Rating Scale part III (0-132) and IV (0-24). Lower scores mean a better outcome. |
Inclusion, 3 months and 6 months
|
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To determine the clinical efficacy of interventions
Ramy czasowe: At 3 months and 6 months
|
Clinical efficacy of interventions suggested by the neurologists to improve motor and non-motor symptoms detected by the mobile application during the initial 3-month period of evaluation will be evaluated by analysing the scores' differences between T1 and T2 using the My Moves Matter application. |
At 3 months and 6 months
|
|
To evaluate whether Woman with Parkinson's disease with and without contraception have different clinical outcomes
Ramy czasowe: Inclusion, 3 months and 6 months
|
To evaluate whether Woman with Parkinson's disease with and without contraception have different clinical outcomes. The total sample will be divided into two sub-groups (with vs. without contraception) and the effect of Period will be compared between the two sub-groups using ANOVA (GLM) for repeated measures, with Group as an inter-subjects' factor and Period as an intra-subject factor. |
Inclusion, 3 months and 6 months
|
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Usability of the system
Ramy czasowe: At 6 months
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Usability of the system will be examined using the System Usability Scale score (max 100) averaged across participants. Higher scores mean better outcome. |
At 6 months
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Współpracownicy i badacze
Sponsor
Sponsor
Śledczy
Śledczy
- Główny śledczy: Elena MORO, CHU Grenoble Alpes
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów (Rzeczywisty)
Rozpoczęcie studiów
Zakończenie podstawowe (Szacowany)
Zakończenie podstawowe
Ukończenie studiów (Szacowany)
Ukończenie studiów
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Rzeczywisty)
Pierwszy wysłany
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Rzeczywisty)
Ostatnia wysłana aktualizacja
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Dodatkowe istotne warunki MeSH
Inne numery identyfikacyjne badania
Inne numery identyfikacyjne badania
- 38RC24.0082
- 2024-A00598-39 (Inny identyfikator: ID RCB)
Plan dla danych uczestnika indywidualnego (IPD)
Planujesz udostępniać dane poszczególnych uczestników (IPD)?
Informacje o lekach i urządzeniach, dokumenty badawcze
Bada produkt leczniczy regulowany przez amerykańską FDA
Bada produkt urządzenia regulowany przez amerykańską FDA
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