Parkinson DiseaseSODIPARKNCT06155942
Early Biomarkers of Neurodegeneration in Parkinsonian Syndromes
A study testing 7 Tesla MRI in people with Parkinson Disease and Progressive Supranuclear Palsy, run by Assistance Publique Hopitaux De Marseille at 6 sites in France.
Trial summary
Parkinson's disease (PD) is the most common degenerative Parkinson's syndrome and is linked, among other things, to the excessive accumulation of an abnormally aggregating protein, alpha-synuclein. Read more about this study
- Who is it for?
- Ages 40 to 80 yearsHealthy volunteers can take part
- Conditions the study is for
- Parkinson Disease, Progressive Supranuclear Palsy
- What is being tested?
- 7 Tesla MRI
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 63 participants
- Where
- 6 sitesFrance
- Study dates
- 15 Jan 2024to 15 Jan 2028
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 40 to 80 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Patients aged between 40 and 80
- Fulfilling the diagnostic criteria for MPI (Postuma et al., 2015)
- First motor symptom (rigidity, akinesia, tremor) less than 36 months ago
- Patient entitled to or affiliated with a social security scheme
- Patients who understood, completed and signed the consent form for study participation.
- Patients aged 40 to 80
Show all 13Show fewer
- Fulfilling the diagnostic criteria for soPSP (Höglinger et al., 2017) :
- First motor symptom (rigidity, akinesia, tremor) or falls or cognitive impairment (frontal syndrome or language disorder or cortico-basal syndrome) occurring less than 36 months ago
- Patients benefiting from or affiliated to a social security scheme
- Patients who have understood, completed and signed the study participation consent form
- Subjects aged between 40 and 80
- Subjects benefiting from or affiliated with a social security plan
- Subjects who have understood, completed and signed the study participation consent form
Who cannot join
- Patient with a neurological disease of the central nervous system other than those studied (including history of stroke, repeated head trauma, documented encephalitis). In case of doubt, this criterion will be left to the discretion of the principal investigator, who is a neurologist.
- Contraindications to 7T MRI: presence of an ocular metallic foreign body (accidental shrapnel or other), pacemaker (cardiac simulator) or neurostimulator (pain treatment), cochlear implants or any implanted electronic medical equipment in general, metallic heart valve, vascular clips implanted on a cranial aneurysm.
- Claustrophobia or any other condition preventing full MRI.
- Montreal Cognitive Assessment (MOCA) test < 25/30
- Pregnant or breast-feeding woman or protected person (under guardianship, curatorship, deprived of liberty).
- For Progressive Supra-nuclear Palsy:
Show all 15Show fewer
- Patient with a neurological disease of the central nervous system other than those studied (including history of stroke, repeated head trauma, documented encephalitis). In case of doubt, this criterion will be left to the discretion of the principal investigator, who is a neurologist.
- Contraindications to 7T MRI: presence of an ocular metallic foreign body (accidental shrapnel or other), pacemaker (cardiac simulator) or neurostimulator (pain treatment), cochlear implants or any implanted electronic medical equipment in general, metallic heart valve, vascular clips implanted on a cranial aneurysm.
- Claustrophobia or any other condition preventing MRI.
- Pregnant or breast-feeding woman or protected person (under guardianship, curatorship, deprived of liberty).
- For Control group:
- Subjects with a known history of neurological disease of the central nervous system (e.g. Parkinson's disease, Alzheimer's, stroke, brain tumor, multiple sclerosis, amyotrophic lateral sclerosis, repeated head trauma, documented encephalitis, etc.). In case of doubt, this criterion will be left to the discretion of the principal investigator, who is a neurologist.
- Contraindications to 7T MRI: presence of an ocular metallic foreign body (accidental shrapnel or other), pacemaker (cardiac simulator) or neurostimulator (pain treatment), cochlear implants or any implanted electronic medical equipment in general, metallic heart valve, vascular clips implanted on a cranial aneurysm.
- Claustrophobia or any other condition preventing MRI.
- Pregnant or breast-feeding women or protected persons (under guardianship, curatorship, deprived of liberty).
Trial locations and contacts
6 sites in 1 country. Contact the study team or a site near you to ask about taking part.
6 sites in 1 country
France6 sites
Ch Pays D'Aix
Aix-en-Provence, 13080
Silvia Di Legge, MD, sdilegge@ch-aix.fr
Hôpital Privé La Casamance - Service de Neurologie
Aubagne, 13400
Emmanuelle Boutin-Grob, boutinemmanuelle@gmail.com
Centre Hospitalier Avignon - Service de Neurologie
Avignon, 84000
CENTRE HOSPITALIER UNIVERSITAIRE NICE - Service de Neurologie
Nice, 06000
Cosmin Alecu, MD, alecu.c@chu-nice.fr
CENTRE HOSPITALIER NIMES - Service de Neurologie
Nîmes, 30000
Giovanni Castelnovo, MD, giovanni.castelnovo@chu-nimes.fr
CENTRE HOSPITALIER SAINTE MUSSE - Toulon
Toulon, 83000
Elena Rusu, elena-camelia.rusu@ch-toulon.fr
About this study
Official title: Early Biomarkers of Neurodegeneration in Parkinsonian Syndromes: Analysis in Very High Field (7T) Brain MRI.
Parkinson's disease (PD) is the most common degenerative Parkinson's syndrome and is linked, among other things, to the excessive accumulation of an abnormally aggregating protein, alpha-synuclein. Progressive Supranuclear Palsy (PSP) is another Parkinson's syndrome, linked, among other things, to the abnormal accumulation of the protein Tau, and expressed clinically by falls, early cognitive impairment and oculomotor disorders, not present in PD. The onset of these disorders is so gradual that differential diagnosis between the two diseases is only possible at a late stage, on average 3 to 5 years after the onset of symptoms.
To date, there is a lack of validated imaging biomarkers for diagnosing and monitoring PD and PSP. There is therefore an urgent need for the development of robust biomarkers capable of detecting neurodegeneration at an early stage, in order to aid differential diagnosis as soon as symptoms appear, and to potentially enable these patients to be included in specific therapeutic trials (as these diseases are pathophysiologically different) with potential neuroprotective effects.
The development of cutting-edge technologies such as 7T MRI, combined with optimized image processing methods, now enable non-invasive in vivo exploration and analysis of these small structures in terms of ion homeostasis (sodium), microstructure (volumetry, amount of iron and neuromelanin) and connectivity.
- Conditions
- Parkinson Disease, Progressive Supranuclear Palsy
- Being tested
- 7 Tesla MRI
- Keywords
- MRI, Parkinson disease, progressive supranuclear palsy, biomarkers
- Medical subject headings
- Parkinson Disease, Supranuclear Palsy, Progressive
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
7 Tesla MRIProcedure or surgery
Also called Questionnaires
Patients will have a 7T MRI and questionnaires
| Study group | Role | What they receive |
|---|---|---|
| Patients with Parkinson Disease | Other | Not described Receives: Procedure: 7 Tesla MRI |
| Patients with Progressive Supranuclear Palsy | Other | Not described Receives: Procedure: 7 Tesla MRI |
| Healthy volunteers | Other | Not described Receives: Procedure: 7 Tesla MRI |
What is being measured
The primary outcome is the main question the study is designed to answer.
Sodium accumulation between Parkinson disease patients and Progressive Supranuclear Palsy
Comparison of intracerebral sodium accumulation measured by very high-field (7T) cerebral MRI between subjects with Idiopathic Parkinson's Disease and subjects with early-stage Progressive Supra-Nuclear Palsy
Measured: Between month 0 and month 3 after inclusion
Secondary outcomes (91)
Sodium accumulation between Parkinson disease patients (MPI) and control subjects
Comparison of intracerebral sodium accumulation between subjects with early-stage Parkinson's Disease (PD) and control subjects.
Measured: Between month 0 and month 3 after inclusion
Sodium accumulation between Progressive Supra-nuclear patients (soPSP) and control subjects
Comparison of intracerebral sodium accumulation between subjects with soPSP and control subjects.
Measured: Between month 0 and month 3 after inclusion
Brain atrophy between MPI and soPSP patients
3D mapping of brain atrophy differences measured in Voxel Based Morphometry (VBM), value in cm3
Measured: Between month 0 and month 3 after inclusion
Brain atrophy between MPI and control group
3D mapping of brain atrophy differences measured in Voxel Based Morphometry (VBM), value in cm3
Measured: Between month 0 and month 3 after inclusion
Brain atrophy between soPSP and control group
3D mapping of brain atrophy differences measured in Voxel Based Morphometry (VBM), value in cm3
Measured: Between month 0 and month 3 after inclusion
Iron accumulation between soPSP and control group
3D mapping of iron accumulation differences measured by Quantitative Susceptibility Mapping (QSM), values in ppm
Measured: Between month 0 and month 3 after inclusion
Iron accumulation between MPI and soPSP patients
3D mapping of iron accumulation differences measured by Quantitative Susceptibility Mapping (QSM), values in ppm
Measured: Between month 0 and month 3 after inclusion
Iron accumulation between soPSP patients and control group
3D mapping of iron accumulation differences measured by Quantitative Susceptibility Mapping (QSM), values in ppm
Measured: Between month 0 and month 3 after inclusion
Accumulation of neuromelanin between MPI and soPSP patients
3D mapping of neuromelanin differences (signal/MT ratio)
Measured: Between month 0 and month 3 after inclusion
Accumulation of neuromelanin between MPI patients and control group
3D mapping of neuromelanin differences (signal/MT ratio)
Measured: Between month 0 and month 3 after inclusion
Accumulation of neuromelanin between soPSP patients and control group
3D mapping of neuromelanin differences (signal/MT ratio)
Measured: Between month 0 and month 3 after inclusion
Movement of water molecules between MPI and soPSP patients
3D mapping of differences in mean diffusivity (DM), values in mm2/s
Measured: Between month 0 and month 3 after inclusion
Movement of water molecules between MPI patients and control group
3D mapping of differences in mean diffusivity (DM), values in mm2/s
Measured: Between month 0 and month 3 after inclusion
Movement of water molecules between soPSP patients and control group
3D mapping of differences in mean diffusivity (DM), values in mm2/s
Measured: Between month 0 and month 3 after inclusion
Structural connectivity between MPI and soPSP patients
3D mapping of anisotropy fraction (AF) differences, values between 0 and 1
Measured: Between month 0 and month 3 after inclusion
Structural connectivity between soPSP patients and control group
3D mapping of anisotropy fraction (AF) differences, values between 0 and 1
Measured: Between month 0 and month 3 after inclusion
Structural connectivity between MPI patients and control group
3D mapping of anisotropy fraction (AF) differences, values between 0 and 1
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between sodium accumulation and age
Correlation between sodium concentration (mmol/L) and age
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between sodium accumulation and sex
Correlation between sodium concentration (mmol/L) and sex
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between sodium accumulation and laterality
Correlation between sodium concentration (mmol/L) and laterality
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between brain atrophy and sex
Measure by Voxel Based Morphometry (VBM) in cm3 and sex
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between brain atrophy and age
Measure by Voxel Based Morphometry (VBM) in cm3 and age
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between brain atrophy and laterality
Measure by Voxel Based Morphometry (VBM) in cm3 and laterality
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between iron accumulation and age
Measure by Quantitative Susceptibility Mapping (QSM) in ppm and age
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between iron accumulation and sex
Measure by Quantitative Susceptibility Mapping (QSM) in ppm and sex
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between iron accumulation and laterality
Measure by Quantitative Susceptibility Mapping (QSM) in ppm and laterality
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between accumulation of neuromelanin and age
Correlation between ratio of signal/MT and age
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between accumulation of neuromelanin and sex
Correlation between ratio of signal/MT and sex
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between accumulation of neuromelanin and laterality
Correlation between ratio of signal/MT and laterality
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between structural connectivity and age
Correlation between anisotropy fraction (AF) and age
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between structural connectivity and sex
Correlation between anisotropy fraction (AF) and sex
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between structural connectivity and laterality
Correlation between anisotropy fraction (AF) and laterality
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between structural connectivity and duration of disease progression
Correlation between anisotropy fraction (AF) and duration of the disease
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between accumulation of neuromelanin and duration of disease progression
Correlation between ratio of signal/MT and duration of the disease
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between iron accumulation and duration of disease progression
Measure by Quantitative Susceptibility Mapping (QSM) in ppm and duration of the disease
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between brain atrophy and duration of disease progression
Measure by Voxel Based Morphometry (VBM) in cm3 and duration of disease progression
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between sodium accumulation and duration of disease progression
Correlation between sodium concentration (mmol/L) and duration of disease
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between sodium accumulation and sense of smell
Correlation between sodium concentration (mmol/L) and sense of smell (questionnaire)
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between brain atrophy and sense of smell
Measure by Voxel Based Morphometry (VBM) in cm3 and sense of smell (questionnaire)
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between iron accumulation and sense of smell
Measure by Quantitative Susceptibility Mapping (QSM) in ppm and sense of smell (questionnaire)
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between accumulation of neuromelanin and sense of smell
Correlation between ratio of signal/MT and sense of smell (questionnaire)
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between structural connectivity and sense of smell
Correlation between anisotropy fraction (AF) and sense of smell (questionnaire)
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between structural connectivity and severity of disease
Unified Parkinson's Disease Rating Scale (UPDRS), 0 to 199, 0 means better outcome
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between structural connectivity and quality of life
Schwab \& England score, 0 to 100%, 0 means better outcome
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between accumulation of neuromelanin and quality of life
Schwab \& England score, 0 to 100%, 0 means better outcome
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between iron accumulation and quality of life
Schwab \& England score, 0 to 100%, 0 means better outcome
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between brain atrophy and quality of life
Schwab \& England score, 0 to 100%, 0 means better outcome
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between sodium accumulation and quality of life
Correlation between Schwab \& England score (Schwab \& England score, 0 to 100%, 0 means better outcome) and sodium concentration (mmol/L)
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between accumulation of neuromelanin and severity of disease
Unified Parkinson's Disease Rating Scale (UPDRS), 0 to 199, 0 means better outcome
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between iron accumulation and severity of disease
Unified Parkinson's Disease Rating Scale (UPDRS), 0 to 199, 0 means better outcome
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between brain atrophy and severity of disease
Unified Parkinson's Disease Rating Scale (UPDRS), 0 to 199, 0 means better outcome
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between sodium accumulation and Hospital Anxiety and Depression
HAD Echelle (Hospital Anxiety and Depression), 0 to 3, 0 means better outcome
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between brain atrophy and Hospital Anxiety and Depression
HAD Echelle (Hospital Anxiety and Depression), 0 to 3, 0 means better outcome
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between iron accumulation and Hospital Anxiety and Depression
HAD Echelle (Hospital Anxiety and Depression), 0 to 3, 0 means better outcome
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between accumulation of neuromelanin and Hospital Anxiety and Depression
HAD Echelle (Hospital Anxiety and Depression), 0 to 3, 0 means better outcome
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between structural connectivity and Hospital Anxiety and Depression
HAD Echelle (Hospital Anxiety and Depression), 0 to 3, 0 means better outcome
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between structural connectivity and Sleep Behavior Disorder
REM Sleep Behavior Disorder Screening Questionnaire, 0 to 13, 0 means better outcome
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between accumulation of neuromelanin and Sleep Behavior Disorder
REM Sleep Behavior Disorder Screening Questionnaire, 0 to 13, 0 means better outcome
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between iron accumulation and Sleep Behavior Disorder
REM Sleep Behavior Disorder Screening Questionnaire, 0 to 13, 0 means better outcome
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between brain atrophy and Sleep Behavior Disorder
REM Sleep Behavior Disorder Screening Questionnaire, 0 to 13, 0 means better outcome
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between sodium accumulation and Sleep Behavior Disorder
REM Sleep Behavior Disorder Screening Questionnaire, 0 to 13, 0 means better outcome
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between sodium accumulation and motivation scale
Starkstein motivation scale, 0 to 42, 0 means worse outcome
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between brain atrophy and motivation scale
Starkstein motivation scale, 0 to 42, 0 means worse outcome
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between iron accumulation and motivation scale
Starkstein motivation scale, 0 to 42, 0 means worse outcome
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between accumulation of neuromelanin and motivation scale
Starkstein motivation scale, 0 to 42, 0 means worse outcome
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between structural connectivity and motivation scale
Starkstein motivation scale, 0 to 42, 0 means worse outcome
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between structural connectivity and non-motor fluctuations
Number of non-motor fluctuations
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between accumulation of neuromelanin and non-motor fluctuations
Number of non-motor fluctuations
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between iron accumulation and non-motor fluctuations
Number of non-motor fluctuations
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between brain atrophy and non-motor fluctuations
Number of non-motor fluctuations
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between sodium accumulation and non-motor fluctuations
Number of non-motor fluctuations
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between sodium accumulation and cognitives functions
Score Montreal Cognitive Assessment (MoCA), 0 to 30, 0 means worse outcome
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between brain atrophy and cognitives functions
Score Montreal Cognitive Assessment (MoCA), 0 to 30, 0 means worse outcome
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between iron accumulation and cognitives functions
Score Montreal Cognitive Assessment (MoCA), 0 to 30, 0 means worse outcome
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between accumulation of neuromelanin and cognitives functions
Score Montreal Cognitive Assessment (MoCA), 0 to 30, 0 means worse outcome
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between structural connectivity and cognitives functions
Score Montreal Cognitive Assessment (MoCA), 0 to 30, 0 means worse outcome
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between structural connectivity and quality of life
Parkinson's Disease Questionnaire (PDQ 39), 0 to 156, 0 means better outcome
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between accumulation of neuromelanin and quality of life
Parkinson's Disease Questionnaire (PDQ 39), 0 to 156, 0 means better outcome
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between iron accumulation and quality of life
Parkinson's Disease Questionnaire (PDQ 39), 0 to 156, 0 means better outcome
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between brain atrophy and quality of life
Parkinson's Disease Questionnaire (PDQ 39), 0 to 156, 0 means better outcome
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between sodium accumulation and quality of life
Parkinson's Disease Questionnaire (PDQ 39), 0 to 156, 0 means better outcome
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between sodium accumulation and hypotension
Blood pressure test for orthostatic hypotension
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between brain atrophy and hypotension
Blood pressure test for orthostatic hypotension
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between iron accumulation and hypotension
Blood pressure test for orthostatic hypotension
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between accumulation of neuromelanin and hypotension
Blood pressure test for orthostatic hypotension
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between structural connectivity and hypotension
Blood pressure test for orthostatic hypotension
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between structural connectivity and hallucinations
Miami Questionnaire, 0 to 70, 0 means better outcome
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between accumulation of neuromelanin and hallucinations
Miami Questionnaire, 0 to 70, 0 means better outcome
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between iron accumulation and hallucinations
Miami Questionnaire, 0 to 70, 0 means better outcome
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between brain atrophy and hallucinations
Miami Questionnaire, 0 to 70, 0 means better outcome
Measured: Between month 0 and month 3 after inclusion
Measurement of the dependency between sodium accumulation and hallucinations
Miami Questionnaire, 0 to 70, 0 means better outcome
Measured: Between month 0 and month 3 after inclusion
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Dec 2023
- Study start15 Jan 2024 (estimated)
- Primary completion15 Jan 2026 (estimated)
- Study completion15 Jan 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Parkinson DiseaseStudies of the same condition, open and under way.
- More trials run by Assistance Publique Hopitaux De MarseilleThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Diagnosis
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 63 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Assistance Publique Hopitaux De Marseille
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Francois Cremieux, Study director, AP-HM
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06155942
- Sponsor's protocol ID
- RCAPHM22_0291
- Other IDs
- ID-RCB
- Acronym
- SODIPARK
- Status last verified
- Nov 2023
- First submitted
- 17 Nov 2023
- Last updated
- 5 Dec 2023
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 5 Dec 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Early Biomarkers of Neurodegeneration in Parkinsonian Syndromes: Analysis in Very High Field (7T) Brain MRI.
- ClinicalTrials.gov ID
- NCT06155942
- Acronym / sponsor ID
- SODIPARK / RCAPHM22_0291
- Conditions
- Parkinson Disease, Progressive Supranuclear Palsy
- Keywords
- MRI, Parkinson disease, progressive supranuclear palsy, biomarkers
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 63 participants (estimated)
- Lead sponsor
- Assistance Publique Hopitaux De MarseilleUniversity, hospital or other
- Study start
- 15 Jan 2024 (estimated)
- Primary completion
- 15 Jan 2026 (estimated)
- Study completion
- 15 Jan 2028 (estimated)
- First posted
- 5 Dec 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Parkinson's disease (PD) is the most common degenerative Parkinson's syndrome and is linked, among other things, to the excessive accumulation of an abnormally aggregating protein, alpha-synuclein. Progressive Supranuclear Palsy (PSP) is another Parkinson's syndrome, linked, among other things, to the abnormal accumulation of the protein Tau, and expressed clinically by falls, early cognitive impairment and oculomotor disorders, not present in PD. The onset of these disorders is so gradual that differential diagnosis between the two diseases is only possible at a late stage, on average 3 to 5 years after the onset of symptoms.
To date, there is a lack of validated imaging biomarkers for diagnosing and monitoring PD and PSP. There is therefore an urgent need for the development of robust biomarkers capable of detecting neurodegeneration at an early stage, in order to aid differential diagnosis as soon as symptoms appear, and to potentially enable these patients to be included in specific therapeutic trials (as these diseases are pathophysiologically different) with potential neuroprotective effects.
The development of cutting-edge technologies such as 7T MRI, combined with optimized image processing methods, now enable non-invasive in vivo exploration and analysis of these small structures in terms of ion homeostasis (sodium), microstructure (volumetry, amount of iron and neuromelanin) and connectivity.
Study design
- Primary purpose
- Diagnosis
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Patients with Parkinson Disease | Other | Procedure: 7 Tesla MRI |
| Patients with Progressive Supranuclear Palsy | Other | Procedure: 7 Tesla MRI |
| Healthy volunteers | Other | Procedure: 7 Tesla MRI |
Who may qualify
- Ages
- 40 to 80 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (13 listed)
- Patients aged between 40 and 80
- Fulfilling the diagnostic criteria for MPI (Postuma et al., 2015)
- First motor symptom (rigidity, akinesia, tremor) less than 36 months ago
- Patient entitled to or affiliated with a social security scheme
- Patients who understood, completed and signed the consent form for study participation.
Key exclusion criteria (15 listed)
- Patient with a neurological disease of the central nervous system other than those studied (including history of stroke, repeated head trauma, documented encephalitis). In case of doubt, this criterion will be left to the discretion of the principal investigator, who is a neurologist.
- Contraindications to 7T MRI: presence of an ocular metallic foreign body (accidental shrapnel or other), pacemaker (cardiac simulator) or neurostimulator (pain treatment), cochlear implants or any implanted electronic medical equipment in general, metallic heart valve, vascular clips implanted on a cranial aneurysm.
- Claustrophobia or any other condition preventing full MRI.
- Montreal Cognitive Assessment (MOCA) test < 25/30
- Pregnant or breast-feeding woman or protected person (under guardianship, curatorship, deprived of liberty).
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| 7 Tesla MRIAlso: QuestionnairesPatients will have a 7T MRI and questionnaires | Procedure or surgery | Healthy volunteers, Patients with Parkinson Disease, Patients with Progressive Supranuclear Palsy |
Primary outcome
Sodium accumulation between Parkinson disease patients and Progressive Supranuclear Palsy
Time frame: Between month 0 and month 3 after inclusion
Comparison of intracerebral sodium accumulation measured by very high-field (7T) cerebral MRI between subjects with Idiopathic Parkinson's Disease and subjects with early-stage Progressive Supra-Nuclear Palsy
91 secondary outcomes
Sodium accumulation between Parkinson disease patients (MPI) and control subjects
Time frame: Between month 0 and month 3 after inclusion
Sodium accumulation between Progressive Supra-nuclear patients (soPSP) and control subjects
Time frame: Between month 0 and month 3 after inclusion
Brain atrophy between MPI and soPSP patients
Time frame: Between month 0 and month 3 after inclusion
Brain atrophy between MPI and control group
Time frame: Between month 0 and month 3 after inclusion
Brain atrophy between soPSP and control group
Time frame: Between month 0 and month 3 after inclusion
Iron accumulation between soPSP and control group
Time frame: Between month 0 and month 3 after inclusion
Iron accumulation between MPI and soPSP patients
Time frame: Between month 0 and month 3 after inclusion
Iron accumulation between soPSP patients and control group
Time frame: Between month 0 and month 3 after inclusion
Accumulation of neuromelanin between MPI and soPSP patients
Time frame: Between month 0 and month 3 after inclusion
Accumulation of neuromelanin between MPI patients and control group
Time frame: Between month 0 and month 3 after inclusion
Accumulation of neuromelanin between soPSP patients and control group
Time frame: Between month 0 and month 3 after inclusion
Movement of water molecules between MPI and soPSP patients
Time frame: Between month 0 and month 3 after inclusion
Movement of water molecules between MPI patients and control group
Time frame: Between month 0 and month 3 after inclusion
Movement of water molecules between soPSP patients and control group
Time frame: Between month 0 and month 3 after inclusion
Structural connectivity between MPI and soPSP patients
Time frame: Between month 0 and month 3 after inclusion
Structural connectivity between soPSP patients and control group
Time frame: Between month 0 and month 3 after inclusion
Structural connectivity between MPI patients and control group
Time frame: Between month 0 and month 3 after inclusion
Measurement of the dependency between sodium accumulation and age
Time frame: Between month 0 and month 3 after inclusion
Measurement of the dependency between sodium accumulation and sex
Time frame: Between month 0 and month 3 after inclusion
Measurement of the dependency between sodium accumulation and laterality
Time frame: Between month 0 and month 3 after inclusion
Measurement of the dependency between brain atrophy and sex
Time frame: Between month 0 and month 3 after inclusion
Measurement of the dependency between brain atrophy and age
Time frame: Between month 0 and month 3 after inclusion
Measurement of the dependency between brain atrophy and laterality
Time frame: Between month 0 and month 3 after inclusion
Measurement of the dependency between iron accumulation and age
Time frame: Between month 0 and month 3 after inclusion
Measurement of the dependency between iron accumulation and sex
Time frame: Between month 0 and month 3 after inclusion
Measurement of the dependency between iron accumulation and laterality
Time frame: Between month 0 and month 3 after inclusion
Measurement of the dependency between accumulation of neuromelanin and age
Time frame: Between month 0 and month 3 after inclusion
Measurement of the dependency between accumulation of neuromelanin and sex
Time frame: Between month 0 and month 3 after inclusion
Measurement of the dependency between accumulation of neuromelanin and laterality
Time frame: Between month 0 and month 3 after inclusion
Measurement of the dependency between structural connectivity and age
Time frame: Between month 0 and month 3 after inclusion
Measurement of the dependency between structural connectivity and sex
Time frame: Between month 0 and month 3 after inclusion
Measurement of the dependency between structural connectivity and laterality
Time frame: Between month 0 and month 3 after inclusion
Measurement of the dependency between structural connectivity and duration of disease progression
Time frame: Between month 0 and month 3 after inclusion
Measurement of the dependency between accumulation of neuromelanin and duration of disease progression
Time frame: Between month 0 and month 3 after inclusion
Measurement of the dependency between iron accumulation and duration of disease progression
Time frame: Between month 0 and month 3 after inclusion
Measurement of the dependency between brain atrophy and duration of disease progression
Time frame: Between month 0 and month 3 after inclusion
Measurement of the dependency between sodium accumulation and duration of disease progression
Time frame: Between month 0 and month 3 after inclusion
Measurement of the dependency between sodium accumulation and sense of smell
Time frame: Between month 0 and month 3 after inclusion
Measurement of the dependency between brain atrophy and sense of smell
Time frame: Between month 0 and month 3 after inclusion
Measurement of the dependency between iron accumulation and sense of smell
Time frame: Between month 0 and month 3 after inclusion
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 Dec 2023.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Francois Cremieux study director
AP-HM
6 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing 7 Tesla MRI in people with Parkinson Disease and Progressive Supranuclear Palsy, run by Assistance Publique Hopitaux De Marseille at 6 sites in France.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 13 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: opening soon, as of the sponsor's last update on 5 Dec 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 6 sites in France. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Stephan Grimaldi, MD (0491385266 ext. 33, stephan.grimaldi@ap-hm.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Sodium accumulation between Parkinson disease patients and Progressive Supranuclear Palsy (time frame: Between month 0 and month 3 after inclusion). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Dec 2023.