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PPMI Clinical - Establishing a Deeply Phenotyped PD Cohort

Recruiting
Conditions
Parkinson Disease
Registration Number
NCT04477785
Lead Sponsor
Michael J. Fox Foundation for Parkinson's Research
Brief Summary

The Parkinson Progression Marker Initiative (PPMI) is a longitudinal, observational, multi-center natural history study to assess progression of clinical features, digital outcomes, and imaging, biologic and genetic markers of Parkinson's disease (PD) progression in study participants with manifest PD, prodromal PD, and healthy controls.

The overall goal of PPMI is to identify markers of disease progression for use in clinical trials of therapies to reduce progression of PD disability.

Detailed Description

PPMI is a broad program, expanding the goals of the original PPMI study, that includes this PPMI Clinical protocol, as well as other program initiatives such as the PPMI Remote, PPMI Digital App and PPMI Online protocols. Participants in PPMI may be asked to be enrolled in other PPMI program protocols, but depending on their method of recruitment, participants may be enrolled sequentially in varying order, as appropriate. PPMI participants may also be asked to participate in additional PPMI program initiatives (as they are developed), which may only involve a subset of PPMI participants based on their cohort designation and/or site location.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
4500
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Comparison between Rates of ChangeStudy intervals ranging from 3 months to 156 months

Use clinical and biological data to estimate the mean rates of change and the variability around the mean of clinical, digital, imaging, biological and genetic outcomes in study participants with PD diagnosis (including patients with a LRRK2, GBA, SNCA or rare genetic variants (such as Parkin or Pink1) and individuals with prodromal Parkinson's disease (including individuals with REM sleep behavior disorder (RBD)), olfactory loss, LRRK2, GBA, SNCA or rare genetic variants (such as Parkin or Pink1) and/or other risk factors for PD with and without dopamine transporter (DAT) deficit and in healthy participants.

Establish the probability of phenoconversion to PDstudy intervals ranging from baseline to 156 months.

Evaluate the probability of phenoconversion to PD for individuals with prodromal PD enrolled in the prodromal cohorts (including individuals with RBD, olfactory loss, a LRRK2, GBA, SNCA or rare genetic variants (such as Parkin or Pink1) and/ or other risk factors for PD with and without DAT deficit).

Establish standardized protocols for acquisition, transfer and analysis of clinical, digital, imaging, biologic and genetic data that can be used by the PD research community.Baseline to 156 months

This protocol will build on the existing PPMI infrastructure

Comprehensive and uniformly acquired datasetBaseline to 156 months

Develop a comprehensive and uniformly acquired clinical, digital and imaging dataset and repository of biological and genetic samples that would be available to the PD research community to test hypotheses of the underlying molecular pathobiology of PD, enable modeling of PD progression to identify clinical and/or data driven PD progression sub-sets, and inform studies testing PD therapeutics (for examples, clinical trials targeting synuclein, LRRK2, GBA as well as other targets)

Prevalence of measures of clinical, imaging and biomic outcomes in various subsetsstudy intervals ranging from baseline to 156 months.

Confirm existing and identify novel clinical, digital, imaging, biologic and genetic PD progression markers to identify quantitative individual measures or combinations of measures that demonstrate optimum interval change in study participants with PD diagnosis (including patients with a LRRK2, GBA, SNCA or rare genetic variants (such as Parkin or Pink1)) and individuals with prodromal Parkinson's disease (including individuals with RBD, olfactory loss, a LRRK2, GBA, SNCA or rare genetic variants (such as Parkin or Pink1) and/or other risk factors for PD with and without DAT deficit in comparison to healthy controls or in sub-sets of study participants with PD diagnosis or prodromal PD defined by baseline assessments, progression milestones and/or rate of clinical, digital, imaging, biologic and genetic change, or other measures.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (50)

University of Alabama at Birmingham

🇺🇸

Birmingham, Alabama, United States

Barrow Neurological Institute

🇺🇸

Phoenix, Arizona, United States

Mayo Foundation for Medical Education and Research

🇺🇸

Scottsdale, Arizona, United States

Banner Research Institute

🇺🇸

Sun City, Arizona, United States

University of California San Diego

🇺🇸

La Jolla, California, United States

Paracelsus-Elena Klinik

🇩🇪

Kassel, Germany

University of Luebeck

🇩🇪

Luebeck, Germany

University of Tuebingen

🇩🇪

Tuebingen, Germany

Foundation for Biomedical Research of the Academy of Athens

🇬🇷

Athens, Greece

Tel Aviv Sourasky Medical Center

🇮🇱

Tel Aviv, Israel

Radboud University

🇳🇱

Nijmegen, Gelderland, Netherlands

Lagos College of Medicine, University of Lagos

🇳🇬

Lagos, Nigeria

Keck School of Medicine of USC

🇺🇸

Los Angeles, California, United States

University of Salerno

🇮🇹

Salerno, Italy

Parkinson Research Clinic

🇱🇺

Luxembourg, Luxembourg

NYU Langone Health

🇺🇸

New York, New York, United States

University of Rochester

🇺🇸

Rochester, New York, United States

University of Cincinnati/Cincinnati Children's Hospital

🇺🇸

Cincinnati, Ohio, United States

Cleveland Clinic

🇺🇸

Cleveland, Ohio, United States

Oregon Health &Science University

🇺🇸

Portland, Oregon, United States

University of Pennsylvania

🇺🇸

Philadelphia, Pennsylvania, United States

University of Pittsburgh

🇺🇸

Pittsburgh, Pennsylvania, United States

Hospital Clinic de Barcelona

🇪🇸

Barcelona, Spain

Hospital Donostia

🇪🇸

San Sebastian, Spain

Queen Mary University of London

🇬🇧

London, Britain, United Kingdom

University of California, San Francisco

🇺🇸

San Francisco, California, United States

University of Colorado Anschutz Medical Campus

🇺🇸

Aurora, Colorado, United States

Institute For Neurodegenerative Disorders

🇺🇸

New Haven, Connecticut, United States

Parkinson's Disease& Movement Disorder Center of Boca Raton

🇺🇸

Boca Raton, Florida, United States

University of Florida

🇺🇸

Gainesville, Florida, United States

University of South Florida

🇺🇸

Tampa, Florida, United States

Emory University School of Medicine

🇺🇸

Atlanta, Georgia, United States

Northwestern University

🇺🇸

Chicago, Illinois, United States

University of Kansas Medical Center

🇺🇸

Kansas City, Kansas, United States

Johns Hopkins University

🇺🇸

Baltimore, Maryland, United States

Boston University

🇺🇸

Boston, Massachusetts, United States

Massachusetts General Hospital

🇺🇸

Boston, Massachusetts, United States

University of Michigan

🇺🇸

Ann Arbor, Michigan, United States

Cleveland Clinic Lou Ruvo Center for Brain Health

🇺🇸

Las Vegas, Nevada, United States

Beth Israel Medical Center

🇺🇸

New York, New York, United States

Baylor College of Medicine

🇺🇸

Houston, Texas, United States

Univ of Washington and VA Puget Sound Health Care System

🇺🇸

Seattle, Washington, United States

Innsbruck Medical University

🇦🇹

Innsbruck, Austria

The Ottawa Hospital - Civic Campus

🇨🇦

Ottawa, Ontario, Canada

Toronto Western Hospital

🇨🇦

Toronto, Ontario, Canada

McGill University

🇨🇦

Montréal, Quebec, Canada

Philipps-University of Marburg

🇩🇪

Hessen, Germany

Newcastle University

🇬🇧

Newcastle Upon Tyne, Tyne And Wear, United Kingdom

Imperial College London

🇬🇧

London, United Kingdom

John Radcliffe Hospital Oxford and Oxford University

🇬🇧

Oxford, United Kingdom

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