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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT04603326
Other study ID # ECV-004
Secondary ID
Status Completed
Phase
First received
Last updated
Start date May 6, 2021
Est. completion date July 1, 2023

Study information

Verified date October 2023
Source Michael J. Fox Foundation for Parkinson's Research
Contact n/a
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

The goal of this study is to identify reliable markers of LRRK2 activity in human CSF.


Description:

Specific aims of this project are: Primary Objectives: To evaluate each assay performance for its ability to detect LRRK2, its activity and/or the detection and activity of the pathways it impacts using a variety of different approaches (quantitative western blot, immunoassays and LC-MS). Assay performance will be assessed and those demonstrating high sensitivity and consistency will be considered for further development. Secondary Objectives: To assess the ability of the assay or a combination of assays to differentiate pathogenic LRRK2 variant manifesting and non-manifesting carriers, idiopathic PD and healthy non-carriers.


Recruitment information / eligibility

Status Completed
Enrollment 140
Est. completion date July 1, 2023
Est. primary completion date July 1, 2023
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 30 Years and older
Eligibility Non-manifesting LRRK2 mutation carriers Inclusion: - Ability to provide informed consent - Confirmed LRRK2 G2019S mutation - Age 30 years or older at date of informed consent. Exclusion: - Inability to provide informed consent - Known GBA mutation carrier - Participation in a blinded clinical trial of any kind or an unblinded trial of an investigational product that is not currently approved for use in humans. Participants that have had a 6 - month washout period between ending participation in a clinical trial with an investigational agent and enrollment into the ECV-004 study are eligible. - The presence of rest tremor, bradykinesia or rigidity. - The presence of any other neurological sign that in the opinion of the site investigator raises suspicion for an atypical parkinsonian syndrome (e.g. supranuclear gaze palsy) - Treatment for cancer in the last 5 years or cancer patient receiving immunotherapy or targeted therapy. Individuals with cancers that have not been treated with systemic chemotherapy, immunotherapy, targeted therapies or radiation therapy are eligible to enroll in the study. - Diagnosis of an autoimmune disorder - Current treatment with anticoagulants that might preclude safe completion of the lumbar puncture and that cannot be safely paused in the opinion of the site investigator. - Any condition that, in the investigator's opinion, precludes the safe performance of routine lumbar puncture, such as prohibitive lumbar spinal disease, bleeding diathesis, or clinically significant coagulopathy or thrombocytopenia. - Diagnosis of dementia - Pregnant females, if fluoroscopy is needed to obtain the spinal fluid sample LRRK2 Parkinson Disease (PD) Participants: Inclusion: - Ability to provide informed consent - Confirmed LRRK2 G2019S mutation - Meet the MDS criteria for Parkinson's disease - Disease duration: any - Age 30 years or older at time of PD diagnosis. Exclusion: - Known GBA mutation carrier - Participation in a blinded clinical trial of any kind or an unblinded trial of an investigational product that is not currently approved for use in humans. Participants that have had a 6 - month washout period between ending participation in a clinical trial with an investigational agent and enrollment into the ECV-004 study are eligible. - Treatment for cancer in the last 5 years or cancer patient receiving immunotherapy or targeted therapy. Individuals with cancers that have not been treated with systemic chemotherapy, immunotherapy, targeted therapies or radiation therapy are eligible to enroll in the study. - Diagnosis of an autoimmune disorder - Current treatment with anticoagulants that might preclude safe completion of the lumbar puncture and that cannot be safely paused in the opinion of the site investigator. - Any condition that, in the investigator's opinion, precludes the safe performance of routine lumbar puncture, such as prohibitive lumbar spinal disease, bleeding diathesis, or clinically significant coagulopathy or thrombocytopenia. - Diagnosis of dementia - Pregnant females, if fluoroscopy is needed to obtain the spinal fluid sample Idiopathic PD (iPD) Particpants: Inclusion: - Ability to provide informed consent - Meet the MDS criteria for Parkinson's disease. - Disease duration: any - Age 30 years or older at time of PD diagnosis. Exclusion: - Known LRRK2 G2019S and/or GBA mutation carrier - Participation in a blinded clinical trial of any kind or an unblinded trial of an investigational product that is not currently approved for use in humans. Participants that have had a 6 - month washout period between ending participation in a clinical trial with an investigational agent and enrollment into the ECV-004 study are eligible. - Treatment for cancer in the last 5 years or cancer patient receiving immunotherapy or targeted therapy. Individuals with cancers that have not been treated with systemic chemotherapy, immunotherapy, targeted therapies or radiation therapy are eligible to enroll in the study. - Diagnosis of an autoimmune disorder - Current treatment with anticoagulants that might preclude safe completion of the lumbar puncture and that cannot be safely paused in the opinion of the site investigator. - Any condition that, in the investigator's opinion, precludes the safe performance of routine lumbar puncture, such as prohibitive lumbar spinal disease, bleeding diathesis, or clinically significant coagulopathy or thrombocytopenia. - Diagnosis of dementia - Pregnant females, if fluoroscopy is needed to obtain the spinal fluid sample Control (C) Participants: Inclusion: - Ability to provide informed consent - Age 30 years or older at date of informed consent. Exclusion: - Known GBA mutation carrier - In the absence of prior genetic testing for LRRK2 G2019S mutations: Family history of Parkinson's disease is an exclusion criterion. If genetic testing for LRRK2 G2019S mutations has been performed and is negative, individuals with a family history of PD may be enrolled. - The presence of rest tremor, bradykinesia or rigidity. - The presence of any other neurological sign that in the opinion of the site investigator raises suspicion for an atypical parkinsonian syndrome (e.g. supranuclear gaze palsy) - Treatment for cancer in the last 5 years or cancer patient receiving immunotherapy or targeted therapy. Individuals with cancers that have not been treated with systemic chemotherapy, immunotherapy, targeted therapies or radiation therapy are eligible to enroll in the study. - Diagnosis of an autoimmune disorder. - Current treatment with anticoagulants that might preclude safe completion of the lumbar puncture and that cannot be safely paused in the opinion of the site investigator. - Any condition that, in the investigator's opinion, precludes the safe performance of routine lumbar puncture, such as prohibitive lumbar spinal disease, bleeding diathesis, or clinically significant coagulopathy or thrombocytopenia. - Diagnosis of dementia - Pregnant females, if fluoroscopy is needed to obtain the spinal fluid sample

Study Design


Related Conditions & MeSH terms


Intervention

Procedure:
Lumbar Puncture
Lumbar Puncture for collection of Cerebrospinal Fluids

Locations

Country Name City State
United States Northwestern University Chicago Illinois
United States The Trustees of Columbia University New York New York
United States The Trustees of the University of Pennsylvania Philadelphia Pennsylvania
United States Oregon Health Sciences Univeristy Portland Oregon

Sponsors (4)

Lead Sponsor Collaborator
Michael J. Fox Foundation for Parkinson's Research Indiana University, University Health Network, Toronto, University of Rochester

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Assay Evaluation Evaluate each assay performance for ability to detect LRRK2, its activity and/or the detection and activity of the pathways it impacts using a variety of different approaches (quantitative western blot, immunoassays and LC-MS). 1 year
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