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Imaging Biomarkers of Progression of Mobility Impairment in Parkinson Disease

Completed
Conditions
Parkinson's Disease
Registration Number
NCT01106976
Lead Sponsor
VA Office of Research and Development
Brief Summary

The purpose of this research is to evaluate changes in cholinergic brain activity over time in subjects with Parkinson disease.

Detailed Description

The project will apply positron emission tomography (PET) of acetylcholinesterase to study non-dopaminergic (i.e. cholinergic) brain changes over time in subjects with Parkinson disease. Acetylcholinesterase PET imaging was used to assess cholinergic changes over time in this study. Acetylcholinesterase PET imaging is a diagnostic test as the investigator does not assign specific interventions to the subjects of the study based on the acetylcholinesterase PET. Therefore, this is an observational study as defined as following: studies in human beings in which biomedical and/or health outcomes are assessed in pre-defined groups of individuals. Subjects in the study may receive diagnostic, therapeutic, or other interventions, but the investigator does not assign specific interventions to the subjects of the study.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
67
Inclusion Criteria
  • Patients who meet the UK Parkinson's Disease Society Brain Bank Research Center clinical diagnostic criteria for PD.
  • Hoehn and Yahr stages 1-2.5 at initial recruitment in baseline study.
  • Absence of dementia confirmed by neuropsychological testing at initial recruitment in baseline study.
Exclusion Criteria
  • contra-indication for magnetic resonance study
  • Pregnancy or breastfeeding

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
AChE PET Neuroimaging4 yr

AChE PMP PET hydrolysis rate outcome measure. AChE \[11C\]PMP hydrolysis rates (k3) were estimated using the striatal volume of interest (defined by manual tracing on the MRI scan of the putamen and caudate nucleus) as the tissue reference for the integral of the precursor delivery. This measure is a proxy measure for the count of cholinergic nerve terminals in the basal forebrain innervation the cortical mantle.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

VA Ann Arbor Healthcare System, Ann Arbor, MI

🇺🇸

Ann Arbor, Michigan, United States

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