Assessment of Pupil Light Responses in Patients With Parkinson Disease

NCT ID: NCT04117555

Last Updated: 2023-11-22

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

RECRUITING

Total Enrollment

200 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-11-20

Study Completion Date

2024-12-31

Brief Summary

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Parkinson diseases (PD) is the second most common degenerative disease of the central nervous system. The development of early diagnostic biomarkers may help identify at-risk individuals and allow precocious interventions at the onset of disease and more precise monitoring of therapies that may slow disease progression.

Proof of concept studies indicated significant differences in pupil light response between PD patients and healthy controls. The feasibility of using pupillometry for assesment of PD will be examined.

Detailed Description

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Conditions

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Parkinson Disease

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Control

Diagnostic Test: Pupillometry

Pupil response to light stimuli

Intervention Type DIAGNOSTIC_TEST

Objective and accurate measurement of pupillary responses to light stimuli

Parkinson patients

Diagnostic Test: Pupillometry

Pupil response to light stimuli

Intervention Type DIAGNOSTIC_TEST

Objective and accurate measurement of pupillary responses to light stimuli

Interventions

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Pupil response to light stimuli

Objective and accurate measurement of pupillary responses to light stimuli

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

1. Age 30-75 years old
2. Signed written informed consent
3. Gender: Both (Male and Female)
4. Pupillary reflex to light.
5. Clear ocular media


Patients with clinical presentations of the neurodegenerative forms of parkinsonism (bradykinesia, extrapyramidal rigidity, tremor, postural instability and gait disturbance) including: idiopathic Parkinson disease (PD), Lewy body disease (LBD), progressive supranuclear palsy (PSP), multiple system atrophy (MSA), corticobasal degeneration (CBD) and secondary parkinsonisms.


1. Normal eye examination
2. Best-corrected visual acuity (BCVA) of 20/20
3. Normal color vision test (Farnsworth/Lanthon D-15 Test)
4. No present ocular disease
5. No past ocular disease or surgery within last 6 months
6. No use of any topical or systemic medications that could adversely influence efferent pupil movements
7. Normal 24-2 Humphrey visual field and

* Short duration (≤10 minutes)
* Minimal fixation losses, False positive errors and False negative errors (less than 30% for each one of reliability indices)

Exclusion Criteria

1. Diagnosis of dementia.
2. Cognitive decline that may impair obtaining informed consent.
3. Tremor or dyskinesia that could interfere with ophthalmic evaluation
4. History of past (last 3 months) or present ocular disease or ocular surgery
5. Use of any topical or systemic medications that could adversely influence pupillary reflex
6. Psychiatric illness, active psychosis.
7. Previous neurosurgical interventions, including stereotactic neurosurgical procedures.
8. Past or current strokes or brain injury and other brain disorders (except PD/parkinsonism for patient group)
9. Anti-dopaminergic drugs.
10. Intolerance to gonioscopy, slit lamp examination, Goldmann applanation tomometry or other schedule study procedure.
11. Visual media opacity including cloudy corneas.
12. Any condition preventing accurate measurement or examination of the pupil.
Minimum Eligible Age

30 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sheba Medical Center

OTHER_GOV

Sponsor Role lead

Responsible Party

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Dr. Sharon Hassin

Prof.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Sharon Hassin-Baer, Prof.

Role: PRINCIPAL_INVESTIGATOR

Sheba Medical Center

Locations

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Goldschleger Eye Research Institute, Sheba Medical Center,

Tel Litwinsky, , Israel

Site Status RECRUITING

Countries

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Israel

Central Contacts

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Lori Gueta

Role: CONTACT

972527485888

Facility Contacts

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Lori Gueta

Role: primary

972-52-7485888

Other Identifiers

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5956-19

Identifier Type: -

Identifier Source: org_study_id