Clock and Narcolepsy Genetic Variants and the Effects of Stalevo® (Levodopa/Carbidopa/Entacapone) on Sleep Disorders in Parkinson's Disease
Trial Snapshot
- Phase
- Not Applicable
- Sponsor
- Asan Medical Center
- Enrollment
- 100
- Locations
- 1
- Primary Endpoint
- The correlation of the genetic variants of central circadian clock and narcolepsy genes with regard to the treatment effect of Stalevo® in sleep disturbance of parkinson's disease.
Study Overview
Brief Summary
The purpose of this study is to investigate the genetic variants of clock and narcolepsy genes that determine the therapeutic effects of Stalevo® on the quality of sleep in patients with Parkinson's Disease.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 20 Years to 79 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients diagnosed with PD in accordance with UK Parkinson's Disease Society Brain Bank Clinical Diagnostic Criteria (Hughes AJ, et al. 1992).
- •Patients with PD who have wearing off phenomenon.
- •Patients with PD with Hoehn and Yahr stage 1-
- •Patients with PD who have sleep problems (PDSS score ≤120 or Epworth Sleepiness Scale(ESS) score ≥ 8).
- •Patients with PD who showed Montreal Cognitive Assessment (MoCA) score ≥
- •Patients with PD who have no major depression (Geriatric depression scale, GDS ≤ 24)
Exclusion Criteria
- •Secondary parkinsonism
- •Parkinson-plus syndromes (multiple system atrophy, progressive supranuclear palsy, and corticobasal degeneration.
- •Patients with PD who have history of severe side effect of Stalevo®.
Arms & Interventions
Stalevo®
Participants who are assigned to Stalevo Arm will take Stalevo® at bedtime for 3 month.
Intervention: Stalevo® (Drug)
Outcomes
Primary Outcomes
The correlation of the genetic variants of central circadian clock and narcolepsy genes with regard to the treatment effect of Stalevo® in sleep disturbance of parkinson's disease.
Time Frame: 2 years
To determine whether the genetic variants of clock and narcolepsy genes are associated with the effectiveness of Stalevo® in bedtime on the quality of sleep in PD patients with motor fluctuation.
Secondary Outcomes
- The effectiveness of Stalevo® in bedtime on the quality of sleep in PD patients with motor fluctuation (using Parkinson's Disease Sleep Scale)(up to 3 months from enrollment.)
- The effectiveness about improving the EDS(Excessive daytime sleepiness) in PD patients with motor fluctuation after taking Stalevo® in bedtime.(up to 3 months from enrollment.)
- The effectiveness about improving the morning motor symptoms in PD patients with motor fluctuation after taking Stalevo® in bedtime.(up to 3 months from enrollment)
Investigators
Sun Ju Chung
Professor
Asan Medical Center
