Hallucinations in Parkinson's Disease

NCT ID: NCT04592965

Last Updated: 2020-10-19

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-08-17

Study Completion Date

2021-12-01

Brief Summary

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Investigation on how robotically mediated sensorimotor stimulation induces and triggers presence hallucinations in different clinical groups of parkinsonian patients, and in aged-matched controls

Detailed Description

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Parkinson's Disease (PD) is a condition mostly known and characterized by motor symptoms, such as tremors, rigidity, bradykinesia, amongst others. Yet, recent bodies of research have identified a significant number of non-motor symptoms that also accompany the unfolding of this disease. These non-motor symptoms mainly focus on hallucinations that will develop with the course of the disease, and will affect approximately 50% of the patients suffering from Parkinson's. This number rises to 70% if minor hallucinations, mild phenomena and poorly-structured hallucinations, are included. Despite the potential impact in the patients' lives, and previous efforts to study these phenomena, the brain changes that underly hallucinations in PD are still poorly understood. With the current study the investigators aim to improve this understanding, by studying the most common minor hallucination in Parkinson's Disease, the Presence Hallucination (PH), which can be defined as the strange sensation of perceiving someone behind when no one is actually there. To study it in a controlled manner, the investigators will induce this hallucination with an extensively verified paradigm, which gives rise to this sensation through robotically-mediated sensorimotor stimulation, in both healthy individuals, and PD patients. The researchers intend to discern the sensitivity of different groups of PD patients to the induction of this hallucination, by targeting PD patients, with hallucinations including PH, with hallucinations but without PH, without any hallucinations, and an aged match control group with no neurological comorbidities. The investigators intended to extend previous work on the induction of the PH in PD patients, by identifying the neural correlates of this induction in these patients, in a similar fashion to previous work in healthy individuals. Moreover, the researchers also intend to extend the general understanding of the basis for hallucinations in PD by extending what was done in previous work, to more stratified cohorts of PD patients, that will not only be analysed in terms of static during rest, but also in terms of dynamic connectivity, and will also perform the PH-inducing task in the scanner, as mentioned before.

Conditions

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Parkinson Disease Psychosis

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Clinical and neuropsychological examinations

Participants will be assessed by means of validated and lab-tailored clinical scales, alongside with semi-structured interviews, to assess the status of the disease (PD), amongst others, such as cognitive capabilities.

Group Type EXPERIMENTAL

Clinical and neuropsychological assessments

Intervention Type BEHAVIORAL

The assessment of disease state, clinical condition, and of cognitive and neuropsychological attributes.

Robot induced PH, through sensorimotor stimulation

Participants will manipulate a patented robotic system designed to induce the PH and other accompanying bodily illusions. At the end, participants will report on various subjective experiences, by answering a structured questionnaire.

Group Type EXPERIMENTAL

Induction of PH and associated bodily states

Intervention Type BEHAVIORAL

Assessment of subjective sensitivity to the induction of the PH and associated bodily states, for different populations of PD patients and healthy aged-matched controls

Resting-state fMRI acquistion

We will acquire resting-state data in the MRI scanner for all the participants. Respiration and heart beat rate data will also be acquired.

Group Type EXPERIMENTAL

Resting-state fMRI acquisition

Intervention Type OTHER

Investigation of neural mechanisms at rest, that are potentially disrupted at different degrees, for the different clinical groups of PD patients, compared to the healthy aged-matched controls

Robot induced PH, through sensorimotor stimulation (MRI)

All healthy participants, and all patients who are deemed capable of performing the robotic manipulation task in the MRI scanner, will take part on this arm. Participants will perform a robotic manipulation task, with a patented robotic system, capable of inducing the PH and other accompanying bodily illusions in the MRI scanner. At the end participants will report on the various subjective experiences, by answering a structured questionnaire.

Group Type EXPERIMENTAL

Induction of PH and associated bodily states (MRI)

Intervention Type OTHER

Assessment of subjective sensitivity to the induction of the PH and associated bodily states, for different populations of PD patients and healthy aged-matched controls Assessment and comparison of the neural mechanisms responsible for the induction of the PH and associated bodily illusions, in different groups of PD patients and healthy aged-matched controls

Interventions

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Clinical and neuropsychological assessments

The assessment of disease state, clinical condition, and of cognitive and neuropsychological attributes.

Intervention Type BEHAVIORAL

Induction of PH and associated bodily states

Assessment of subjective sensitivity to the induction of the PH and associated bodily states, for different populations of PD patients and healthy aged-matched controls

Intervention Type BEHAVIORAL

Resting-state fMRI acquisition

Investigation of neural mechanisms at rest, that are potentially disrupted at different degrees, for the different clinical groups of PD patients, compared to the healthy aged-matched controls

Intervention Type OTHER

Induction of PH and associated bodily states (MRI)

Assessment of subjective sensitivity to the induction of the PH and associated bodily states, for different populations of PD patients and healthy aged-matched controls Assessment and comparison of the neural mechanisms responsible for the induction of the PH and associated bodily illusions, in different groups of PD patients and healthy aged-matched controls

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Diagnosed with Parkinson's disease (expect for healthy controls)
* Able to understand instructions and provide informed consent.
* Native speaking language of experimental site (or acquisition of language of experimental site before 6 years old).
* Montreal Cognitive Assessment (Nasreddine \& Patel, 2016) with score ≥ 22.
* Able to manipulate the robotic device.

Exclusion Criteria

* For PD patients only: Neurological comorbidities other than Parkinson's disease (e.g. Alzheimer's disease, vascular dementia, multiple sclerosis, stroke, traumatic brain injury, epilepsy, chronic migraine, etc.)
* For healthy controls only: Parkinson's disease or other neurological illnesses
* History or current condition of substance abuse and/or dependence (e.g., alcohol, drugs).
* Suffering from or diagnosed with psychiatric illnesses according to DSM-V criteria (e.g., schizophrenia, bipolar disorders, autism, personality disorders, phobia etc.).
* Family history (1st and 2nd degree) of psychiatric disorders (e.g., schizophrenia or bipolar disorders).
* Severe somatic illnesses (e.g., cancer).
* Severe tremors or physical disability preventing optimal use of robotic device.
* Participating in a pharmacological study.
* Local or general anaesthesia 30 days prior experiment
* Inability to provide informed consent (legal guardianship)
* For the MRI part only: body weight exceeding 160kg, implanted metallic devices, implant for deep brain stimulation, foreign metallic objects, unstable angina, cardio-vascular diseases, tattoos with metallic components, external metallic objects, claustrophobia, pregnancy.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University Hospital, Geneva

OTHER

Sponsor Role collaborator

Hôpital du Valais

OTHER

Sponsor Role collaborator

Insel Gruppe AG, University Hospital Bern

OTHER

Sponsor Role collaborator

Centre Hospitalier Universitaire Vaudois

OTHER

Sponsor Role collaborator

Hospital de Sant Pau

OTHER

Sponsor Role collaborator

Olaf Blanke

OTHER

Sponsor Role lead

Responsible Party

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Olaf Blanke

Professor Doctor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Olaf Blanke

Role: PRINCIPAL_INVESTIGATOR

Ecole Polytechnique Fédérale de Lausanne

Locations

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Hospital de la Santa Creu I Sant Pau

Barcelona, , Spain

Site Status NOT_YET_RECRUITING

Centre Hospitalier Universitaire Vaudois

Lausanne, Canton of Vaud, Switzerland

Site Status NOT_YET_RECRUITING

Inselspital

Bern, , Switzerland

Site Status RECRUITING

Campus Biotech

Geneva, , Switzerland

Site Status ACTIVE_NOT_RECRUITING

Geneva University Hospital

Geneva, , Switzerland

Site Status RECRUITING

Hôpital du Valais

Sion, , Switzerland

Site Status RECRUITING

Countries

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Spain Switzerland

Central Contacts

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Olaf Blanke

Role: CONTACT

+41 21 693 9621

Jevita Potheegadoo

Role: CONTACT

+41 21 693 95 68

Facility Contacts

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Jaime Kulisevsky

Role: primary

+34 935565986

Javier Pagonabarraga

Role: backup

+34 647618844

David Benninger

Role: primary

+41 21 314 1 90

Paul Krack

Role: primary

+41 21 664 03 71

Pierre Burkhard

Role: primary

+41 22 372 83 18

Joseph-André Ghika

Role: primary

+41 27 603 40 89

References

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Other Identifiers

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UH_PD

Identifier Type: -

Identifier Source: org_study_id

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