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.
COMPLETED
PHASE1/PHASE2
14 participants
7-13 days after beginning treatment.
2024-04-04
Participant Flow
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).
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|---|---|
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Overall Study
STARTED
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14
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Overall Study
COMPLETED
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11
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Overall Study
NOT COMPLETED
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3
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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).
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Overall Study
Withdrawal by Subject
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1
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Overall Study
PI decided to remove them from trial as they lacked motor symptoms being studied.
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2
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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Average gait speed was not collected for 3 participants because they withdrew (Two participants were withdrawn from the study due to lack of motor symptoms.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
| 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
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Age, Continuous
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73 years
STANDARD_DEVIATION 6.56 • n=14 Participants
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Sex: Female, Male
Female
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6 Participants
n=14 Participants
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Sex: Female, Male
Male
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8 Participants
n=14 Participants
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Ethnicity (NIH/OMB)
Hispanic or Latino
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0 Participants
n=14 Participants
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Ethnicity (NIH/OMB)
Not Hispanic or Latino
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14 Participants
n=14 Participants
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Ethnicity (NIH/OMB)
Unknown or Not Reported
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0 Participants
n=14 Participants
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Race (NIH/OMB)
American Indian or Alaska Native
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0 Participants
n=14 Participants
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Race (NIH/OMB)
Asian
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0 Participants
n=14 Participants
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Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
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0 Participants
n=14 Participants
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Race (NIH/OMB)
Black or African American
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0 Participants
n=14 Participants
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Race (NIH/OMB)
White
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14 Participants
n=14 Participants
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Race (NIH/OMB)
More than one race
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0 Participants
n=14 Participants
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Race (NIH/OMB)
Unknown or Not Reported
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0 Participants
n=14 Participants
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Region of Enrollment
United States
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14 Participants
n=14 Participants
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Average Gait Speed
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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.
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Montreal Cognitive Assessment (MoCA) Score
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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).
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Mini Balance Evaluation Systems Test (Mini-BESTest)
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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).
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Movement Disorder Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS) part III total
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29.93 units on a scale
STANDARD_DEVIATION 11.672 • n=14 Participants
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Short Activities-specific Balance Confidence (sABC) scale score
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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.
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Cognitive z-score
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-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.
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Wechsler Adult Intelligence Scale Digit Symbol Test Score
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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.
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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
| 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).
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|---|---|
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Average Gait Speed
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0.973 meters/second
Standard Deviation 0.123
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PRIMARY outcome
Timeframe: 7-13 days after beginning treatmentPopulation: 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
| 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).
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|---|---|
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Montreal Cognitive Assessment (MoCA)
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27.44 score on a scale
Standard Deviation 1.59
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PRIMARY outcome
Timeframe: 7-13 days after beginning treatmentPopulation: 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
| 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).
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|---|---|
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Mini Balance Evaluation Systems Test (Mini-BESTest)
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22.89 score on a scale
Standard Deviation 3.951
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PRIMARY outcome
Timeframe: 7-13 days after beginning treatmentMDS-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
| 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).
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|---|---|
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Movement Disorder Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Part III Total
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31.18 units on a scale
Standard Deviation 10.998
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PRIMARY outcome
Timeframe: 7-13 days after beginning treatmentPopulation: 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
| 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).
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|---|---|
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Cognitive Z-score
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0.271 Z-score
Standard Deviation 0.524
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PRIMARY outcome
Timeframe: 7-13 days after beginning treatmentPopulation: 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
| 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).
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|---|---|
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Wechsler Adult Intelligence System Digit Symbol Substitution Test
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65.89 score on a scale
Standard Deviation 20.829
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SECONDARY outcome
Timeframe: 7-13 days after beginning treatmentParticipants 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
| 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).
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|---|---|
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Short Activities-specific Balance Confidence Scale Score
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70.00 score on a scale
Interval 21.67 to 93.3
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Adverse Events
Carbidopa and Carbidopa-Levodopa Treatment
Serious adverse events
Adverse event data not reported
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).
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|---|---|
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Gastrointestinal disorders
Nausea
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28.6%
4/14 • Number of events 4 • Up to 14 days
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General disorders
Vivid dreams
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14.3%
2/14 • Number of events 2 • Up to 14 days
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Gastrointestinal disorders
Mild Changes to Bowel Movement
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7.1%
1/14 • Number of events 1 • Up to 14 days
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General disorders
Mild Nasal Congestion
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14.3%
2/14 • Number of events 2 • Up to 14 days
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Psychiatric disorders
Anxiety
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7.1%
1/14 • Number of events 2 • Up to 14 days
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General disorders
Headache
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14.3%
2/14 • Number of events 2 • Up to 14 days
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Metabolism and nutrition disorders
Change in Blood Glucose Level
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7.1%
1/14 • Number of events 1 • Up to 14 days
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Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place