Prevalence of Age Related Macular Degeneration (ARMD) in Parkinson's Patients and Assesment of the Role of L-DOPA

NCT ID: NCT03415984

Last Updated: 2019-02-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

133 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-01-19

Study Completion Date

2019-01-15

Brief Summary

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Age related macular degeneration (ARMD) is a major and irreversible cause of blindness among the elderly. The sub-retinal space, located between the retinal pigmentary epithelium (RPE) and the external segments of the retinal photoreceptors, plays a crucial role in this pathology. A recent epidemiologic study in the US, has shown that Parkinson patients treated with L-DOPA, developed only later an ARMD when compared to the untreated patients.

The L-Dopa is an endogenous ligand of the GPR43 receptor (G protein-coupled receptors), located on the RPE's cell's apical pole.

This receptor, via several intracellular mechanisms, regulates the cell's exosomal and endosomal pathways: it would appear that the L-DOPA, by stimulating this receptor, decreases significantly the RPE's exosome release.

The contents of the exosomes is still uncertain, however in addition to their signalization role, it seems they transport pro-inflammatory components, possibly helping the cellular recruitment due to the mononuclear phagocytic systems, particularly toxic for the photoreceptors.

The aim of this study is to estimate the prevalence of ARMD in a sample of Parkinson's Patients followed at Fondation Ophtalmologique Adolphe de Rothschild and to compared it to the prevalence of ARMD of the general population.

Furthermore the study aims to explore a possible causal link between L-DOPA treatment and ARMD.

Detailed Description

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Conditions

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Parkinson Disease Age Related Macular Degeneration

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Exposed patients

Patients with Parkinson's disease treated with L-DOPA

Color retinography

Intervention Type DIAGNOSTIC_TEST

Color retinography

Optical coherence tomography

Intervention Type DIAGNOSTIC_TEST

Optical coherence tomography

Fundus autofluorescence imaging

Intervention Type DIAGNOSTIC_TEST

Fundus autofluorescence imaging

Non exposed patients

Patients with Parkinson's disease not treated with L-DOPA

Color retinography

Intervention Type DIAGNOSTIC_TEST

Color retinography

Optical coherence tomography

Intervention Type DIAGNOSTIC_TEST

Optical coherence tomography

Fundus autofluorescence imaging

Intervention Type DIAGNOSTIC_TEST

Fundus autofluorescence imaging

Interventions

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Color retinography

Color retinography

Intervention Type DIAGNOSTIC_TEST

Optical coherence tomography

Optical coherence tomography

Intervention Type DIAGNOSTIC_TEST

Fundus autofluorescence imaging

Fundus autofluorescence imaging

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Patients aged of 50 years old and more
* Parkinson's disease

Exclusion Criteria

* Patient under a measure of legal protection
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fondation Ophtalmologique Adolphe de Rothschild

NETWORK

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Martine MAUGET FAYSSE, MD

Role: PRINCIPAL_INVESTIGATOR

Fondation Ophtalmologique A. de Rothschild

Locations

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Fondation ophtalmologique Adolphe de Rothschild

Paris, , France

Site Status

Countries

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France

Other Identifiers

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MMT_2017_24

Identifier Type: -

Identifier Source: org_study_id

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