Parkinson Disease Clinical Trial
— FDOPAOMOfficial title:
Evaluating the Physiological and Psychological Effects of a Novel Meditation Technique on Cerebral Activity Measured With Functional Magnetic Resonance Imaging(fMRI) and F-18 Fluorodopa PET Imaging
The purpose of this research is to use 18 F Fluorodopa positron emission tomography (FDOPA PET) to measure dopamine function, and utilize magnetic resonance imaging (MRI) to measure inflammatory and oxidative stress markers in persons with Parkinson's disease. The overall goal of this study will be to further the understanding of the effects of a novel meditation technique called orgasmic meditation (OM) on these neurophysiological parameters.
Status | Not yet recruiting |
Enrollment | 80 |
Est. completion date | June 1, 2026 |
Est. primary completion date | June 1, 2026 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 25 Years and older |
Eligibility | Inclusion Criteria:(Control Group: 6 healthy, normal couple pairs) 1. No clinical diagnosis of PD 2. Age 25 years old and older 3. Physically independent, ambulatory 4. Women of childbearing potential will confirm a negative pregnancy test and must practice effective contraception during the period of pilot study. In addition, male subjects who have a partner of childbearing age should practice effective contraception. Inclusion Criteria for Female Partner in Couple Pairs in Parkinson's Group who has Parkinson's Disease 1. Clinical diagnosis of PD in female partner 2. Age 30 years old and older 3. Physically independent, ambulatory 4. Hoehn and Yahr score of I-III inclusive. 5. On stable antiparkinsonian medication for at least one month 6. Women of childbearing potential will confirm a negative pregnancy test and must practice effective contraception during the period of pilot study. In addition, male subjects who have a partner of childbearing age should practice effective contraception. Inclusion Criteria for Second Partner with No PD in Couple Pairs in Parkinson's Group 1. No clinical diagnosis of PD 2. Age 25 years old and older 3. Physically independent, ambulatory 4. Women of childbearing potential will confirm a negative pregnancy test and must practice effective contraception during the period of pilot study. In addition, male subjects who have a partner of childbearing age should practice effective contraception. Exclusion Criteria: (In Control Couple Pairs and in Couple Pairs Group in which the Female member has PD) 1. Previous brain surgery. 2. Cognitive impairment by evaluation or known score on Mini-Mental Status examination of 25 or lower. 3. Wheelchair-bound or bed-ridden, non-ambulatory. 4. Intracranial abnormalities that may complicate interpretation of the brain scans (e.g., stroke, tumor, vascular abnormality affecting the target area). 5. Diagnosis of traumatic brain injury with significant impairment. 6. Any medical disorder or physical condition that could reasonably be expected to interfere with the assessment of parkinsonian syndrome symptoms, or with any of the study assessments including the PET-MRI imaging. 7. No metal in their body that would prevent MRI scanning (as determined by the PI). 8. Subjects with evidence of a significant psychiatric disorder by history/examination that would prevent completion of the study will not be allowed to participate. 9. Subjects with current alcohol or drug abuse. 10. Pregnant or lactating women. 11. Enrollment in active clinical trial/ experimental therapy within the prior 30 days. 12. Pending surgery during the course of the study. 13. History of thrombocytopenia or clotting disorders. 14. Cancer patients receiving active chemotherapy. 15. History of uncontrolled diabetes and/or thyroid conditions. 16. History of severe kidney disease (if a subject reports this problem, a serum creatinine will be checked to assess glomerular filtration rate (GFR) and if it is less than 30, they will be excluded). |
Country | Name | City | State |
---|---|---|---|
United States | Thomas Jefferson University, Marcus Institute of Integrative Health Centers | Philadelphia | Pennsylvania |
Lead Sponsor | Collaborator |
---|---|
Andrew Newberg |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | The Speilberger State Trait Anxiety Inventory | The Spielberger State Trait Anxiety Inventory (STAI-Y) Contains a total of 40 questions, The range of possible scores for the STAI-Y form varies from a minimum score of 20 to a maximum score of 80 on both the STAI-Trait and STAI-State subscales. STAI scores are commonly classified as no or low anxiety score range (20-37), moderate anxiety score range (38-44), and high anxiety score range of (45-80). A higher score indicates more anxiety.half of which relate to the way subjects are feeling at the moment and half of which ask them to describe how they usually feel. | These will be obtained initially at baseline or the first imaging appointment | |
Other | The Speilberger State Trait Anxiety Inventory | The Spielberger State Trait Anxiety Inventory (STAI-Y) Contains a total of 40 questions, The range of possible scores for the STAI-Y form varies from a minimum score of 20 to a maximum score of 80 on both the STAI-Trait and STAI-State subscales. STAI scores are commonly classified as no or low anxiety score range (20-37), moderate anxiety score range (38-44), and high anxiety score range of (45-80). A higher score indicates more anxiety.half of which relate to the way subjects are feeling at the moment and half of which ask them to describe how they usually feel. | Change from Baseline at 60-90 days ( approximately 2-3 months) to access changes | |
Other | The Profile of Moods Scale | Profile of Mood States is a standardized self-report inventory will be administered to evaluate changes in mood, current state or traits. is a psychological rating scale used to assess transient, distinct mood states. The questionnaire contains 65 words that are rated on a scale of zero for not at all to 4 for extremely. There are 5 mood subscales: tension-anxiety, depression, anger-hostility, vigor, fatigue, and confusion. A higher score for the total mood indicates a greater degree of mood disturbance.A Total Mood Disturbance (TMD) can be calculated by adding the raw scores from tension, depression, anger, fatigue and confusion and then subtracting the vigour score. This will give a value between -24 and 177, with lower scores indicative of people with more stable mood profiles. | These will be obtained initially at baseline or the first imaging appointment | |
Other | The Profile of Moods Scale | Profile of Mood States is a standardized self-report inventory will be administered to evaluate changes in mood, current state or traits. is a psychological rating scale used to assess transient, distinct mood states. The questionnaire contains 65 words that are rated on a scale of zero for not at all to 4 for extremely. There are 5 mood subscales: tension-anxiety, depression, anger-hostility, vigor, fatigue, and confusion. A higher score for the total mood indicates a greater degree of mood disturbance.A Total Mood Disturbance (TMD) can be calculated by adding the raw scores from tension, depression, anger, fatigue and confusion and then subtracting the vigour score. This will give a value between -24 and 177, with lower scores indicative of people with more stable mood profiles. | Change from Baseline at 60-90 days ( approximately 2-3 months) to access changes | |
Other | The Beck Depression Inventory | Beck Depression Inventory (Beck 1972) is a 21 question self report inventory to access depression and changes in mood. The highest possible total for the whole test would be 63; the lowest possible score for the test would be zero. A higher score indicates worse symptoms of depression and mood. | Subjects will be obtained initially at baseline or the first imaging appointment | |
Other | The Beck Depression Inventory | Beck Depression Inventory Beck 1972) is a 21 question self report inventory to access depression and changes in mood. The highest possible total for the whole test would be 63; the lowest possible score for the test would be zero. A higher score indicates worse symptoms of depression and mood. | Change from Baseline at 60-90 days ( approximately 2-3 months) to access changes | |
Other | Marital Intimacy Questionnaire | The Marital Intimacy Questionnaire (MIQ) is a theory-based self-report questionnaire assessing 5 components of marital intimacy. Construct validity was established by examining the correlations of the MIQ with measures of marital satisfaction, perceived global intimacy, and communication intimacy, and discriminant validity by showing its ability to discriminate between maritally distressed and non-distressed couples. The MIQ is a 56-item, Likert-type questionnaire designed to measure communication styles and levels of intimacy among married or cohabitating couples.Subscales on communication, intimacy and satisfaction are correlated in couple-pairs. | Subjects will be obtained initially at baseline or the first imaging appointment | |
Other | Marital Intimacy Questionnaire | The Marital Intimacy Questionnaire (MIQ) is a theory-based self-report questionnaire assessing 5 components of marital intimacy. Construct validity was established by examining the correlations of the MIQ with measures of marital satisfaction, perceived global intimacy, and communication intimacy, and discriminant validity by showing its ability to discriminate between maritally distressed and non-distressed couples. The MIQ is a 56-item, Likert-type questionnaire designed to measure communication styles and levels of intimacy among married or cohabitating couples. Subscales on communication, intimacy and satisfaction are correlated in couple-pairs. | Change from Baseline at 60-90 days ( approximately 2-3 months) to access changes | |
Other | The Female Sexual Function Index | The Female Sexual Function Index (FSFI) is a 19-item questionnaire, has been developed as a brief, multidimensional self report instrument for assessing the key dimensions of sexual function in women. The Questionnaire described was designed and validated for assessment of female sexual function and quality of life in clinical trials or epidemiological studies.The Female Sexual Function Scale total score is the sum of the 6 domain/subscale scores and has a maximum score of 36. Higher scores indicate better functioning. A total score 26.0 has been validated as a cutoff score for diagnosing Female Sexual Dysfunction. | Subjects will be obtained initially at baseline or the first imaging appointment | |
Other | The Female Sexual Function Index | The Female Sexual Function Index (FSFI) is a 19-item questionnaire, has been developed as a brief, multidimensional self report instrument for assessing the key dimensions of sexual function in women. The Questionnaire described was designed and validated for assessment of female sexual function and quality of life in clinical trials or epidemiological studies.The Female Sexual Function Scale total score is the sum of the 6 domain/subscale scores and has a maximum score of 36. Higher scores indicate better functioning. A total score 26.0 has been validated as a cutoff score for diagnosing Female Sexual Dysfunction. | Change from Baseline at 60-90 days ( approximately 2-3 months) to access changes | |
Other | Parkinson's Disease Questionnaire-39 | Parkinson's Disease Questionnaire-39 (PDQ).is a self report inventory that will be used to access changes in Parkinson's Disease symptoms. The total score for the PDQ is the sum of the scores for the 20 items. The highest possible total for the whole test would be 100; the lowest possible score for the test would be zero. Individual subscale scores for attention/concentration, retrospective memory, prospective memory, and planning/organization can also be generated by calculating the sum of specific sets of items. The highest possible total for the whole test would be 100; the lowest possible score for the test would be zero. | Subjects will be obtained initially at baseline or the first imaging appointment | |
Other | Parkinson's Disease Questionnaire-39 | Parkinson's Disease Questionnaire-39 (PDQ).is a self report inventory that will be used to access changes in Parkinson's Disease symptoms. The total score for the PDQ is the sum of the scores for the 20 items. The highest possible total for the whole test would be 100; the lowest possible score for the test would be zero. Individual subscale scores for attention/concentration, retrospective memory, prospective memory, and planning/organization can also be generated by calculating the sum of specific sets of items. The highest possible total for the whole test would be 100; the lowest possible score for the test would be zero. | Change from Baseline at 60-90 days ( approximately 2-3 months) to access changes | |
Primary | FDOPA PET | The primary outcome measure will be the specific uptake values at 3 to 4 hours post administration, when the distribution of FDOPA has approached a transient, near equilibrium like state that reflects the ratio of k3/k4, which is related to binding potential. This allows for a quantitative assessment of dopamine activity. | Subjects will receive FDOPA imaging at baseline | |
Primary | FDOPA PET | The primary outcome measure will be the specific uptake values at 3 to 4 hours post administration, when the distribution of FDOPA has approached a transient, near equilibrium like state that reflects the ratio of k3/k4, which is related to binding potential. This allows for a quantitative assessment of dopamine activity. | Change from Baseline at 60-90 days ( approximately 2-3 months) to access changes in Dopaminergic Function.] |
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