Evaluation of the Personal KinetiGraph™ (PKG™) to Improve Insight Into Parkinson's Disease Status

Parkinson Disease Clinical Trial

— APPRISE  

Official title:

Evaluation of the Personal KinetiGraph™ (PKG™) to Improve Insight Into Parkinson's Disease Status (APPRISE)

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT03741920
• Other study ID #: Study 002
• Status: Active, not recruiting
• Phase: N/A
• Start date: May 17, 2017
• Est. completion date: December 2024

Study information

• Verified date: March 2023
• Source: Global Kinetics Corporation
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The primary objective is to understand the utility of Personal KinetiGraph movement recording system data in the clinical management of Parkinson's disease (PD) in routine clinical care at a movement disorders clinic. Specifically: 1. Measure medication use and clinical management plan changes in a large, multicenter cohort among participants undergoing a clinical assessment with an MDS in which the MDS reviews the participant's PKG during the clinical assessment in half of the enrolled participants (PKG + Group) and in half of the enrolled participants the MDS completes the clinical assessment without the PKG (PKG- Group). 2. Determine the association between frequency of medication changes, the PKG information, and other clinical assessments among participants with and without a PKG report of their PD motor status available to the clinician at the time of evaluation.

Description:

This is a prospective, multicenter, randomized controlled trial. The study consists of 3 phases as follows: - Randomization phase: subjects undergo screening, baseline, interim and 90-day follow-up visits - PKG+ Group (standard of care clinical evaluation plus use of PKG data) - PKG- Group (standard of care clinical evaluation without use of PKG data - the MDS is blinded to PKG data) - Randomization ratio will be 1:1 with assignments generated in advance of the start of the trial by the unblinded statistician who will provide a list containing group assignments that will be available in an Electronic Database (EDC) for site use. - The clinical investigator, study site staff, and subject will not be blinded to the randomization assignment during the randomization phase of the study - Open-label phase: at the end of the 90-day randomization phase visit for PKG- Group subjects, the MDS will report on the PKG and review it with the subject, the subject will complete follow-ups with the MDS using the PKG information during the clinical assessment following the same process as the PKG+ Group during the randomization phase - Extended open-label follow-up phase: annual follow-ups for all subjects at 1, 2, and 3 years during which the MDS will use the PKG information during clinical assessments for all subjects.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 231
• Est. completion date: December 2024
• Est. primary completion date: February 18, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 46 Years to 83 Years

Eligibility

Inclusion Criteria:

• Able and willing to sign a written informed consent for study participation
• Age 46 - 83 years at the time of consent (per PKG Indications for Use, see Technical Instructions Manual)
• Responsive to dopaminergic medications

Exclusion Criteria:

• Contraindication to increasing dopaminergic therapy, such as current or treated freezing gait, symptomatic postural hypotension, or bothersome hallucinations
• Wheelchair bound or bedridden
• Utilizing or planning advanced PD therapies (DBS, infusion, etc.)
• History of delirium in the past year
• In the investigator's or sponsor's opinion, subject has any unstable or clinically significant condition that would impair the participant's ability to comply with study requirements or interfere with interpretation of the study endpoints (e.g., subject able to complete PKG wear instructions per Patient Instruction Manual, or ability to comply with required study procedures and visit schedule)

Related Conditions & MeSH terms

• Parkinson Disease

Intervention

Device:
• Personal KinetiGraph™ (PKG™)
The Personal KinetiGraph™ (PKG™) Movement Recording System was developed by neurologists at the Melbourne-based Florey Institute of Neuroscience and Mental Health. The product is manufactured and marketed by Global Kinetics (GKC). The Personal KinetiGraph™ (PKG™) Movement Recording System consists of the following: A wrist-worn data logger designed to acquire data on the kinematics of movement disorder symptoms over a 6-10 day period. An application to configure the data logger and transfer the acquired data at the end of a recording. A series of algorithms that analyze the uploaded data, producing a report that is delivered to the clinician. The report contains objective data distinguishing the movement patterns consistent with tremor, bradykinesia, dyskinesia and immobility.

Locations

Country	Name	City	State
United States	Johns Hopkins Medical Institute	Baltimore	Maryland
United States	Parkinson's Disease and Movement Disorders Center	Boca Raton	Florida
United States	Michigan State University	East Lansing	Michigan
United States	University of Florida	Gainesville	Florida
United States	Northwell Health	Great Neck	New York
United States	University of Texas	Houston	Texas
United States	University of Kansas Medical Center	Kansas City	Kansas
United States	University of Miami	Miami	Florida
United States	New York University	New York	New York
United States	Sutter Health	Sacramento	California
United States	University of California	San Diego	California
United States	University of South Florida	Tampa	Florida

Sponsors (1)

Lead Sponsor	Collaborator
Global Kinetics Corporation

Country where clinical trial is conducted

United States, 

References & Publications (2)

Maetzler W, Klucken J, Horne M. A clinical view on the development of technology-based tools in managing Parkinson's disease. Mov Disord. 2016 Sep;31(9):1263-71. doi: 10.1002/mds.26673. Epub 2016 Jun 7. — View Citation

Pahwa R, Isaacson SH, Torres-Russotto D, Nahab FB, Lynch PM, Kotschet KE. Role of the Personal KinetiGraph in the routine clinical assessment of Parkinson's disease: recommendations from an expert panel. Expert Rev Neurother. 2018 Aug;18(8):669-680. doi: 10.1080/14737175.2018.1503948. Epub 2018 Jul 26. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Evaluation of treatment changes with or without the use of PKG data	The proportion of patients in which the clinical management plan was changed in patients followed in the PKG- Group (clinician standard of care) compared to the PKG+ Group (clinician standard of care with the use of PKG data).	90 day

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