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Assessing Imaging as a Tool in Monitoring and Predicting the Progression of Parkinson Disease
This study has been completed.
Sponsors and Collaborators: Institute for Neurodegenerative Disorders
Department of Defense
Information provided by: Institute for Neurodegenerative Disorders
ClinicalTrials.gov Identifier: NCT00404170
  Purpose

The purpose of this study is to investigate the utility of dopamine transporter imaging in monitoring and predicting the progression of Parkinson disease. This study will be performed in the PRECEPT cohort, an already existing cohort of 806 subjects recruited to participate in the study called, A Randomized, Double-Blind, Placebo-Controlled, Dose-Finding Study to Assess the Efficacy and Safety of CEP-1347 in Patients With Early Parkinson’s Disease - (PRECEPT), sponsored by Cephalon and Lundbeck and coordinated by the Parkinson Study Group. The imaging data from this long-term PRECEPT follow-up study will allow us to evaluate the long-term progression of DAT loss in PD, the long-term follow-up of SWEDD subjects, the relationship between long-term clinical and imaging PD outcomes, and the relationship between long-term imaging outcomes and genetic and biochemical biomarkers of PD progression.


Condition Intervention Phase
Parkinson Disease
Procedure: B-CIT injection and SPECT scanning
Phase II

Genetics Home Reference related topics: familial paroxysmal nonkinesigenic dyskinesia Parkinson disease
MedlinePlus related topics: Degenerative Nerve Diseases Parkinson's Disease
Drug Information available for: Dopamine Dopamine hydrochloride
U.S. FDA Resources
Study Type: Interventional
Study Design: Diagnostic, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Safety/Efficacy Study
Official Title: Assessing the Determinants of PD Progression - Long-Term Dopamine Transporter Imaging in the PRECEPT Cohort

Further study details as provided by Institute for Neurodegenerative Disorders:

Primary Outcome Measures:
  • The percent reduction of striatal [123I] ß-CIT uptake during a 70-month period.

Secondary Outcome Measures:
  • Correlations between imaging and clinical measures of progression such as UPDRS, time to disease milestones such as need for PD medication, change to bilateral disease and onset of motor fluctuations.

Estimated Enrollment: 800
Study Start Date: November 2006
Detailed Description:

The 800 early PD subjects in this study have already been evaluated clinically and have undergone longitudinal dopamine transporter (DAT) imaging with [123I] ß-CIT (baseline and 22 months). In Follow-up imaging will be performed at 24-month intervals (46 and 70 months following PRECEPT baseline). All scanning procedures will be performed at the Institute for Neurodegenerative Disorders (IND) using methods previously employed in the PRECEPT study.

Subjects willing to participate will travel to New Haven for their 46-month imaging visit. At IND a study coordinator and a neurologist will evaluate all subjects. The coordinator and neurologist will discuss the study procedures and evaluate the patient for eligibility. Written informed consent for the study will be obtained prior to performing any study-related procedures.

If eligible, participants will be injected with ß-CIT and 24 hours later an imaging procedure will be used to obtain pictures of brain activity using single photon emission computed tomography (SPECT). This 2-day procedure will be repeated at 70 months (following PRECEPT baseline).

  Eligibility

Ages Eligible for Study:   30 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Subject was a participant in the PRECEPT clinical and imaging study
  • Participant must be willing and able to comply with study procedures
  • Participant must be willing and able to give informed consent.

Exclusion Criteria:

  • The participant has a clinically significant clinical laboratory value and/or medical or psychiatric illness
  • The participant has dementia (MMSE≤24)
  • Pregnancy
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00404170

Locations
United States, Connecticut
Institute for Neurodegenerative Disorders
New Haven, Connecticut, United States, 06510
Sponsors and Collaborators
Institute for Neurodegenerative Disorders
Investigators
Principal Investigator: Danna Jennings, MD Institute for Neurodegenerative Disorders
  More Information

Study ID Numbers: PostCEPT Imaging
Study First Received: November 22, 2006
Last Updated: June 1, 2007
ClinicalTrials.gov Identifier: NCT00404170  
Health Authority: United States: Food and Drug Administration

Keywords provided by Institute for Neurodegenerative Disorders:
imaging
Parkinson
progression

Study placed in the following topic categories:
Dopamine
Ganglion Cysts
Movement Disorders
Parkinson Disease
Basal Ganglia Diseases
Disease Progression
Central Nervous System Diseases
Parkinsonian Disorders
Neurodegenerative Diseases
Brain Diseases

Additional relevant MeSH terms:
Disease Attributes
Pathologic Processes
Nervous System Diseases

ClinicalTrials.gov processed this record on January 14, 2009