Evaluation of a Millimeter Wave Emission Bracelet for Improving Parkinson's Disease Symptoms

Not Applicable

Completed

Conditions: Parkinson Disease

Interventions: Device: Evaluation of a millimeter wave emission bracelet for improving Parkinson's disease symptoms

Registration Number: NCT04648150

Lead Sponsor: Fondation Ophtalmologique Adolphe de Rothschild

Brief Summary: Idiopathic Parkinson's disease is a common neurodegenerative disease, with a prevalence of around 2% in people over 65 years of age in France.

This pathology affects the dopaminergic pathway but also other systems: cholinergic, noradrenergic and serotoninergic.

The symptoms of Parkinson's disease are motor but also non-motor with sleep, smell, cognitive, psychiatric, digestive, urinary, dysautonomic, painful disorders. The discomfort can be such that invasive and expensive solutions have been developed. Invasive or expensive techniques (deep brain stimulation, lesional microsurgery by gamma knife or ultrasound, duodopa or apokinon pumps) brought significant benefits to patients. Opportunities for clinical improvement using less expensive and lighter devices should be sought.

The Remedee endorphin band device is a device that emits millimeter-band electromagnetic waves on the wrist. The device stimulates subcutaneous nerve endings and activates a physiological response leading to the release of endorphins in the brain. Endorphins are involved in several physiological processes, including pain control.

Mu-opioid receptor (MOR) agonists do not only relieve pain, but have effects related to mesolimbic dopaminergic pathways. Indeed, the opioid and dopaminergic systems are closely linked at the cellular level. Endorphins, through inhibition of the release of the neurotransmitter GABA upon binding to the μ receptor, are also linked to an increase in dopamine.

Detailed Description: Intervention 1 Name : VERUM

Description :

Experimental arm (VERUM): delivery of an active medical device for a period of 2 months. Then delivery of a second active medical device for a period of 4 months.

Intervention 2 Name : SHAM

Description:

Control arm (SHAM): delivery of an inactive medical device for a period of 2 months of use then delivery of an active medical device from M2 to M6 after inclusion

Recruitment & Eligibility

Status: COMPLETED

Sex: All

Target Recruitment: 60

Inclusion Criteria

Patient over 18 years old
Follow-up for Parkinson's disease for more than 5 years
Treatment stable for at least 3 months
Having retained sufficient autonomy to allow participation in the study
Hoehn and Yahr score in ON DOPA <4

Exclusion Criteria

Genetic forms of the disease
EVA> 7 over the previous week
Moderate to severe cognitive impairment
Pathology or condition (other than Parkinson's disease) that can generate motor disorders
Allergy to metals and / or silicone
Dermatological pathology on the wrists
Metal object at one of the wrists (implanted metal material, piercing)
Presence of a tattoo on one of the wrists
Wrist circumference <14.5 cm or> 21 cm i.e. wrist incompatible with the MD template
Inability of the patient to put on and / or wear the template of the medical device
Pregnant or breastfeeding woman

Study & Design

Study Type: INTERVENTIONAL

Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
SHAM	Evaluation of a millimeter wave emission bracelet for improving Parkinson's disease symptoms	An inactive wave emission bracelet for a period of 2 months of use then delivery of an active medical device from M2 to M6 after inclusion.
VERUM	Evaluation of a millimeter wave emission bracelet for improving Parkinson's disease symptoms	An active wave emission bracelet for a period of 2 months. Then delivery of a second active medical device for a period of 4 months

Primary Outcome Measures

Name	Time	Method
Assessment of the Effectiveness of Two Months of Use of the Remedee Endorphin Band Medical Device in Improving Motor Disorders in Patients With Parkinson's Disease	two months after inclusion	Decrease of 3.25 points or more in the Movement Disorder Society Unified Parkinson Disease Rating Scale III from inclusion. The Movement Disorder Society Unified Parkinson Disease Rating Scale III (MDS-UPDRS III score evaluation) will be performed under ON Dopa conditions and blinded from the randomization arm. The MDS-UPDRS III varies from 0 to199, a higher score meaning a worse outcome.

Secondary Outcome Measures