Trial Outcomes & Findings for Neurobiological Drivers of Mobility Resilience: The Dopaminergic System (NCT NCT04325503)

NCT ID: NCT04325503

Last Updated: 2024-04-04

Results Overview

Average gait speed as measured using wearable sensors worn during walking tasks. Gait speed is measured in meters per second.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

14 participants

Primary outcome timeframe

7-13 days after beginning treatment.

Results posted on

2024-04-04

Participant Flow

Participant milestones

Participant milestones
Measure
Carbidopa and Carbidopa-Levodopa Treatment
All participants treated with 25 mg carbidopa three times daily (TID) and 1.5 pills of 25/100 mg carbidopa-levodopa TID for parkinsonian signs in older persons (standard dosing, frequency for a duration for 1-2 weeks).
Overall Study
STARTED
14
Overall Study
COMPLETED
11
Overall Study
NOT COMPLETED
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Carbidopa and Carbidopa-Levodopa Treatment
All participants treated with 25 mg carbidopa three times daily (TID) and 1.5 pills of 25/100 mg carbidopa-levodopa TID for parkinsonian signs in older persons (standard dosing, frequency for a duration for 1-2 weeks).
Overall Study
Withdrawal by Subject
1
Overall Study
PI decided to remove them from trial as they lacked motor symptoms being studied.
2

Baseline Characteristics

Average gait speed was not collected for 3 participants because they withdrew (Two participants were withdrawn from the study due to lack of motor symptoms. One participant withdrew from study due to personal time constraints). Gait data was not collected for one participant due to software error.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment
n=14 Participants
carbidopa and carbidopa-levodopa treatment for parkinsonian signs in older persons using standard dosing, frequency for a duration for 1-2 weeks carbidopa: carbidopa and carbidopa-levodopa standard treatment
Age, Continuous
73 years
STANDARD_DEVIATION 6.56 • n=14 Participants
Sex: Female, Male
Female
6 Participants
n=14 Participants
Sex: Female, Male
Male
8 Participants
n=14 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=14 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
14 Participants
n=14 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=14 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=14 Participants
Race (NIH/OMB)
Asian
0 Participants
n=14 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=14 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=14 Participants
Race (NIH/OMB)
White
14 Participants
n=14 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=14 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=14 Participants
Region of Enrollment
United States
14 Participants
n=14 Participants
Average Gait Speed
0.882 meters/second
STANDARD_DEVIATION 0.072 • n=10 Participants • Average gait speed was not collected for 3 participants because they withdrew (Two participants were withdrawn from the study due to lack of motor symptoms. One participant withdrew from study due to personal time constraints). Gait data was not collected for one participant due to software error.
Montreal Cognitive Assessment (MoCA) Score
26.27 score on a scale
STANDARD_DEVIATION 2.76 • n=11 Participants • MoCA was not collected for 3 participants because they withdrew from the study (two participants were withdrawn from the study due to lack of motor symptoms. One participant withdrew from study due to personal time constraints).
Mini Balance Evaluation Systems Test (Mini-BESTest)
20.09 score on a scale
STANDARD_DEVIATION 4.253 • n=11 Participants • Mini-BESTest was not collected for 3 participants because they withdrew from the study (two participants were withdrawn from the study due to lack of motor symptoms. One participant withdrew from study due to personal time constraints).
Movement Disorder Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS) part III total
29.93 units on a scale
STANDARD_DEVIATION 11.672 • n=14 Participants
Short Activities-specific Balance Confidence (sABC) scale score
76.67 score on a scale
n=10 Participants • sABC was not collected for 3 participants because they withdrew from the study (two participants were withdrawn from the study due to lack of motor symptoms. One participant withdrew from study due to personal time constraints). One participant did not complete questionnaire due to tech error.
Cognitive z-score
-0.151 Z-score
STANDARD_DEVIATION 0.751 • n=10 Participants • Cognitive z-scores were not collected for 3 participants because they withdrew from the study (two participants were withdrawn from the study due to lack of motor symptoms. One participant withdrew from study due to personal time constraints). One participant did not complete all cognitive testing due to language barrier.
Wechsler Adult Intelligence Scale Digit Symbol Test Score
54.67 score on a scale
STANDARD_DEVIATION 22.472 • n=9 Participants • The digit symbol test was not collected for 3 participants because they withdrew from the study (two participants were withdrawn from the study due to lack of motor symptoms. One participant withdrew from study due to personal time constraints). Two participants did not complete testing due to tech error.

PRIMARY outcome

Timeframe: 7-13 days after beginning treatment.

Population: Gait speed data was missing for one participant due to software error.

Average gait speed as measured using wearable sensors worn during walking tasks. Gait speed is measured in meters per second.

Outcome measures

Outcome measures
Measure
Carbidopa and Carbidopa-Levodopa Treatment
n=10 Participants
All participants treated with 25 mg carbidopa three times daily (TID) and 1.5 pills of 25/100 mg carbidopa-levodopa TID for parkinsonian signs in older persons (standard dosing, frequency for a duration for 1-2 weeks).
Average Gait Speed
0.973 meters/second
Standard Deviation 0.123

PRIMARY outcome

Timeframe: 7-13 days after beginning treatment

Population: Two participants did not complete the MoCA during the follow-up visit due to time constraints.

Cognitive assessment used to evaluate individuals for mild cognitive impairment. Scores range from 0-30. Higher scores indicate better performance.

Outcome measures

Outcome measures
Measure
Carbidopa and Carbidopa-Levodopa Treatment
n=9 Participants
All participants treated with 25 mg carbidopa three times daily (TID) and 1.5 pills of 25/100 mg carbidopa-levodopa TID for parkinsonian signs in older persons (standard dosing, frequency for a duration for 1-2 weeks).
Montreal Cognitive Assessment (MoCA)
27.44 score on a scale
Standard Deviation 1.59

PRIMARY outcome

Timeframe: 7-13 days after beginning treatment

Population: Testing was not completed for two participants due to time constraints.

The mini-BESTest is a 14-item evaluation of dynamic balance and postural control. It is scored from 0-28, with higher scores indicating better performance.

Outcome measures

Outcome measures
Measure
Carbidopa and Carbidopa-Levodopa Treatment
n=9 Participants
All participants treated with 25 mg carbidopa three times daily (TID) and 1.5 pills of 25/100 mg carbidopa-levodopa TID for parkinsonian signs in older persons (standard dosing, frequency for a duration for 1-2 weeks).
Mini Balance Evaluation Systems Test (Mini-BESTest)
22.89 score on a scale
Standard Deviation 3.951

PRIMARY outcome

Timeframe: 7-13 days after beginning treatment

MDS-UPDRS part III is the motor examination portion of the UPDRS evaluation. Scores range from 0-132, with higher scores indicating greater severity of motor symptoms.

Outcome measures

Outcome measures
Measure
Carbidopa and Carbidopa-Levodopa Treatment
n=11 Participants
All participants treated with 25 mg carbidopa three times daily (TID) and 1.5 pills of 25/100 mg carbidopa-levodopa TID for parkinsonian signs in older persons (standard dosing, frequency for a duration for 1-2 weeks).
Movement Disorder Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Part III Total
31.18 units on a scale
Standard Deviation 10.998

PRIMARY outcome

Timeframe: 7-13 days after beginning treatment

Population: Data was not collected for 3 participants (one participant did not complete Stroop Color Word Interference tests due to language barrier. One participant did not complete cognitive assessments due to poor vision interfering with test-taking ability. One participant did not complete cognitive testing due to time constraints).

Composite variable calculated based on the Stroop Color Word Interference test I-IV (assessment of attention) and Delis-Kaplan Executive Function System Trail Making test I-V (assessment of executive function and working memory), adjusted based on normative data for older adults. A z-score of 0 represents the control population mean. Scores above the mean indicate better performance, while scores below the mean indicate poorer performance.

Outcome measures

Outcome measures
Measure
Carbidopa and Carbidopa-Levodopa Treatment
n=8 Participants
All participants treated with 25 mg carbidopa three times daily (TID) and 1.5 pills of 25/100 mg carbidopa-levodopa TID for parkinsonian signs in older persons (standard dosing, frequency for a duration for 1-2 weeks).
Cognitive Z-score
0.271 Z-score
Standard Deviation 0.524

PRIMARY outcome

Timeframe: 7-13 days after beginning treatment

Population: Two participants did not complete testing due to time constraints

Evaluation of cognitive functioning in which a participant is given a key of numbers 1-9, each paired with a unique symbol. Below the key, is a series of random numbers which they participant must fill in the corresponding symbol for. They have 120 seconds to complete the task. Participants receive one point for each correct symbol written. Score range from 0-133.

Outcome measures

Outcome measures
Measure
Carbidopa and Carbidopa-Levodopa Treatment
n=9 Participants
All participants treated with 25 mg carbidopa three times daily (TID) and 1.5 pills of 25/100 mg carbidopa-levodopa TID for parkinsonian signs in older persons (standard dosing, frequency for a duration for 1-2 weeks).
Wechsler Adult Intelligence System Digit Symbol Substitution Test
65.89 score on a scale
Standard Deviation 20.829

SECONDARY outcome

Timeframe: 7-13 days after beginning treatment

Participants rate their level of confidence in doing specific activities without losing their balance as a percentage, with 0% indicating they are certain they would lose their balance and 100% indicating that they are certain they can complete the task without losing their balance. Scores on these 6 questions are averaged to determine total sABC score. Scores range from 0-100, with higher scores indicating greater balance confidence.

Outcome measures

Outcome measures
Measure
Carbidopa and Carbidopa-Levodopa Treatment
n=11 Participants
All participants treated with 25 mg carbidopa three times daily (TID) and 1.5 pills of 25/100 mg carbidopa-levodopa TID for parkinsonian signs in older persons (standard dosing, frequency for a duration for 1-2 weeks).
Short Activities-specific Balance Confidence Scale Score
70.00 score on a scale
Interval 21.67 to 93.3

Adverse Events

Carbidopa and Carbidopa-Levodopa Treatment

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Carbidopa and Carbidopa-Levodopa Treatment
n=14 participants at risk
All participants treated with 25 mg carbidopa three times daily (TID) and 1.5 pills of 25/100 mg carbidopa-levodopa TID for parkinsonian signs in older persons (standard dosing, frequency for a duration for 1-2 weeks).
Gastrointestinal disorders
Nausea
28.6%
4/14 • Number of events 4 • Up to 14 days
General disorders
Vivid dreams
14.3%
2/14 • Number of events 2 • Up to 14 days
Gastrointestinal disorders
Mild Changes to Bowel Movement
7.1%
1/14 • Number of events 1 • Up to 14 days
General disorders
Mild Nasal Congestion
14.3%
2/14 • Number of events 2 • Up to 14 days
Psychiatric disorders
Anxiety
7.1%
1/14 • Number of events 2 • Up to 14 days
General disorders
Headache
14.3%
2/14 • Number of events 2 • Up to 14 days
Metabolism and nutrition disorders
Change in Blood Glucose Level
7.1%
1/14 • Number of events 1 • Up to 14 days

Additional Information

Nicolaas Bohnen

Unversity of Michigan

Phone: 734-998-8400

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place