Trial Outcomes & Findings for Dopaminergic Enhancement of Rehabilitation Therapy Early After Stroke (NCT NCT05369533)

NCT ID: NCT05369533

Last Updated: 2025-03-24

Results Overview

Measures arm function using a scale that runs from 0 to 57 points, with higher scores indicating greater arm function.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

25 participants

Primary outcome timeframe

Measured at baseline and 3 months later

Results posted on

2025-03-24

Participant Flow

Participant milestones

Participant milestones
Measure
Telerehabilitation + Sinemet
Patients will receive 36 telerehabilitation (TR) sessions targeting arm motor function. TR consists of 70 minutes/day of activities targeting arm function, 6 days/week for 6-8 weeks. Half of these sessions are supervised by a licensed therapist, and the other half are done independently. A study pill (Sinemet) is taken one hour before starting TR, for the first 18 sessions. Telerehabilitation: The telerehabilitation system will deliver rehabilitation treatment sessions via a secured internet-connected computer. TR sessions will be a combination of games, exercises, stroke education, assessments, in addition to videoconferencing with therapists to discuss progress, issues, goals, and changes to the treatment plan.
Telerehabilitation + Placebo
Patients will receive 36 telerehabilitation (TR) sessions targeting arm motor function. TR consists of 70 minutes/day of activities targeting arm function, 6 days/week for 6-8 weeks. Half of these sessions are supervised by a licensed therapist, and the other half are done independently. A study pill (placebo) is taken one hour before starting TR, for the first 18 sessions. Telerehabilitation: The telerehabilitation system will deliver rehabilitation treatment sessions via a secured internet-connected computer. TR sessions will be a combination of games, exercises, stroke education, assessments, in addition to videoconferencing with therapists to discuss progress, issues, goals, and changes to the treatment plan.
Usual Care
Participants in the usual care group will receive no TR or study pill, but will continue with the recommendations made by their care team. All participants will be offered TR at the end of the study.
Overall Study
STARTED
6
10
9
Overall Study
COMPLETED
4
8
9
Overall Study
NOT COMPLETED
2
2
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Dopaminergic Enhancement of Rehabilitation Therapy Early After Stroke

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Telerehabilitation + Sinemet
n=6 Participants
Patients will receive 36 telerehabilitation sessions targeting arm motor function. TR consists of 70 minutes/day of activities targeting arm function, 6 days/week for 6-8 weeks. Half of these sessions are supervised by a licensed therapist, and the other half are done independently. A study pill (Sinemet) is taken one hour before starting TR, for the first 18 sessions. Telerehabilitation: The telerehabilitation system will deliver rehabilitation treatment sessions via a secured internet-connected computer. TR sessions will be a combination of games, exercises, stroke education, assessments, in addition to videoconferencing with therapists to discuss progress, issues, goals, and changes to the treatment plan.
Telerehabilitation + Placebo
n=10 Participants
Patients will receive 36 telerehabilitation sessions targeting arm motor function. TR consists of 70 minutes/day of activities targeting arm function, 6 days/week for 6-8 weeks. Half of these sessions are supervised by a licensed therapist, and the other half are done independently. A study pill (Placebo) is taken one hour before starting TR, for the first 18 sessions.
Usual Care
n=9 Participants
Participants in the usual care group will receive no TR or study pill, but will continue with the recommendations made by their care team. All participants will be offered TR at the end of the study.
Total
n=25 Participants
Total of all reporting groups
Age, Continuous
59.8 years
n=5 Participants
65.2 years
n=7 Participants
66.4 years
n=5 Participants
64.4 years
n=4 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
5 Participants
n=7 Participants
3 Participants
n=5 Participants
8 Participants
n=4 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
5 Participants
n=7 Participants
6 Participants
n=5 Participants
17 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
3 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
2 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
3 Participants
n=7 Participants
1 Participants
n=5 Participants
6 Participants
n=4 Participants
Race (NIH/OMB)
White
2 Participants
n=5 Participants
5 Participants
n=7 Participants
7 Participants
n=5 Participants
14 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Action Research Arm Test
20.7 units on a scale
STANDARD_DEVIATION 8.9 • n=5 Participants
18 units on a scale
STANDARD_DEVIATION 12.2 • n=7 Participants
18.3 units on a scale
STANDARD_DEVIATION 12.7 • n=5 Participants
18.8 units on a scale
STANDARD_DEVIATION 11.3 • n=4 Participants

PRIMARY outcome

Timeframe: Measured at baseline and 3 months later

Measures arm function using a scale that runs from 0 to 57 points, with higher scores indicating greater arm function.

Outcome measures

Outcome measures
Measure
Telerehabilitation + Sinemet
n=6 Participants
Patients will receive 36 telerehabilitation sessions targeting arm motor function. TR consists of 70 minutes/day of activities targeting arm function, 6 days/week for 6-8 weeks. Half of these sessions are supervised by a licensed therapist, and the other half are done independently. Patients will take Sinemet one hour before starting TR, for the first 18 sessions. Telerehabilitation: The telerehabilitation system will deliver rehabilitation treatment sessions via a secured internet-connected computer. TR sessions will be a combination of games, exercises, stroke education, assessments, in addition to videoconferencing with therapists to discuss progress, issues, goals, and changes to the treatment plan. Sinemet Pill: Sinemet 25/100 will be taken 1 hour prior to TR, for the first 18 sessions.
Telerehabilitation + Placebo
n=10 Participants
Patients will receive 36 telerehabilitation sessions targeting arm motor function. TR consists of 70 minutes/day of activities targeting arm function, 6 days/week for 6-8 weeks. Half of these sessions are supervised by a licensed therapist, and the other half are done independently. Patients will take a study pill (placebo) one hour before starting TR, for the first 18 sessions. Telerehabilitation: The telerehabilitation system will deliver rehabilitation treatment sessions via a secured internet-connected computer. TR sessions will be a combination of games, exercises, stroke education, assessments, in addition to videoconferencing with therapists to discuss progress, issues, goals, and changes to the treatment plan.
Usual Care
n=9 Participants
Participants in the usual care group will receive no TR or study pill, but will continue with the recommendations made by their care team. All participants will be offered TR at the end of the study.
Change in Action Research Arm Test Score From Baseline to 3 Months
23.5 score on a scale
Standard Deviation 6.8
24 score on a scale
Standard Deviation 13.7
15.1 score on a scale
Standard Deviation 7.8

SECONDARY outcome

Timeframe: Measured at baseline and 3 months later

Measures arm motor impairment using a scale that runs from 0 to 66 points, with higher scores indicating greater arm motor function (less impairment)

Outcome measures

Outcome measures
Measure
Telerehabilitation + Sinemet
n=6 Participants
Patients will receive 36 telerehabilitation sessions targeting arm motor function. TR consists of 70 minutes/day of activities targeting arm function, 6 days/week for 6-8 weeks. Half of these sessions are supervised by a licensed therapist, and the other half are done independently. Patients will take Sinemet one hour before starting TR, for the first 18 sessions. Telerehabilitation: The telerehabilitation system will deliver rehabilitation treatment sessions via a secured internet-connected computer. TR sessions will be a combination of games, exercises, stroke education, assessments, in addition to videoconferencing with therapists to discuss progress, issues, goals, and changes to the treatment plan. Sinemet Pill: Sinemet 25/100 will be taken 1 hour prior to TR, for the first 18 sessions.
Telerehabilitation + Placebo
n=10 Participants
Patients will receive 36 telerehabilitation sessions targeting arm motor function. TR consists of 70 minutes/day of activities targeting arm function, 6 days/week for 6-8 weeks. Half of these sessions are supervised by a licensed therapist, and the other half are done independently. Patients will take a study pill (placebo) one hour before starting TR, for the first 18 sessions. Telerehabilitation: The telerehabilitation system will deliver rehabilitation treatment sessions via a secured internet-connected computer. TR sessions will be a combination of games, exercises, stroke education, assessments, in addition to videoconferencing with therapists to discuss progress, issues, goals, and changes to the treatment plan.
Usual Care
n=9 Participants
Participants in the usual care group will receive no TR or study pill, but will continue with the recommendations made by their care team. All participants will be offered TR at the end of the study.
Change in Arm Motor Fugl-Meyer Scale From Baseline to 3 Months
23.8 score on a scale
Standard Deviation 5.4
21.9 score on a scale
Standard Deviation 12
12 score on a scale
Standard Deviation 5.6

Adverse Events

Telerehabilitation + Sinemet

Serious events: 1 serious events
Other events: 2 other events
Deaths: 0 deaths

Telerehabilitation + Placebo

Serious events: 3 serious events
Other events: 1 other events
Deaths: 0 deaths

Usual Care

Serious events: 4 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Telerehabilitation + Sinemet
n=6 participants at risk
Patients will receive 36 telerehabilitation (TR) sessions targeting arm motor function. TR consists of 70 minutes/day of activities targeting arm function, 6 days/week for 6-8 weeks. Half of these sessions are supervised by a licensed therapist, and the other half are done independently. A study pill (Sinemet) is taken one hour before starting TR, for the first 18 sessions. Telerehabilitation: The telerehabilitation system will deliver rehabilitation treatment sessions via a secured internet-connected computer. TR sessions will be a combination of games, exercises, stroke education, assessments, in addition to videoconferencing with therapists to discuss progress, issues, goals, and changes to the treatment plan.
Telerehabilitation + Placebo
n=10 participants at risk
Patients will receive 36 telerehabilitation (TR) sessions targeting arm motor function. TR consists of 70 minutes/day of activities targeting arm function, 6 days/week for 6-8 weeks. Half of these sessions are supervised by a licensed therapist, and the other half are done independently. A study pill (placebo) is taken one hour before starting TR, for the first 18 sessions. Telerehabilitation: The telerehabilitation system will deliver rehabilitation treatment sessions via a secured internet-connected computer. TR sessions will be a combination of games, exercises, stroke education, assessments, in addition to videoconferencing with therapists to discuss progress, issues, goals, and changes to the treatment plan.
Usual Care
n=9 participants at risk
Participants in the usual care group will receive no TR or study pill, but will continue with the recommendations made by their care team. All participants will be offered TR at the end of the study.
Musculoskeletal and connective tissue disorders
Hospitalization (unrelated to study procedures)
16.7%
1/6 • Number of events 1 • 3 months
0.00%
0/10 • 3 months
11.1%
1/9 • Number of events 1 • 3 months
Gastrointestinal disorders
Hospitalization due to GI-related issues (unrelated to study procedures)
0.00%
0/6 • 3 months
10.0%
1/10 • Number of events 1 • 3 months
11.1%
1/9 • Number of events 1 • 3 months
Respiratory, thoracic and mediastinal disorders
Hospitalization due to fluid build-up (unrelated to study procedures)
0.00%
0/6 • 3 months
20.0%
2/10 • Number of events 2 • 3 months
0.00%
0/9 • 3 months
Cardiac disorders
Hospitalization due to cardiac issues (unrelated to study procedures)
0.00%
0/6 • 3 months
0.00%
0/10 • 3 months
11.1%
1/9 • Number of events 1 • 3 months
Nervous system disorders
Hospitalization due to neurological issue (unrelated to study procedures)
0.00%
0/6 • 3 months
0.00%
0/10 • 3 months
11.1%
1/9 • Number of events 1 • 3 months

Other adverse events

Other adverse events
Measure
Telerehabilitation + Sinemet
n=6 participants at risk
Patients will receive 36 telerehabilitation (TR) sessions targeting arm motor function. TR consists of 70 minutes/day of activities targeting arm function, 6 days/week for 6-8 weeks. Half of these sessions are supervised by a licensed therapist, and the other half are done independently. A study pill (Sinemet) is taken one hour before starting TR, for the first 18 sessions. Telerehabilitation: The telerehabilitation system will deliver rehabilitation treatment sessions via a secured internet-connected computer. TR sessions will be a combination of games, exercises, stroke education, assessments, in addition to videoconferencing with therapists to discuss progress, issues, goals, and changes to the treatment plan.
Telerehabilitation + Placebo
n=10 participants at risk
Patients will receive 36 telerehabilitation (TR) sessions targeting arm motor function. TR consists of 70 minutes/day of activities targeting arm function, 6 days/week for 6-8 weeks. Half of these sessions are supervised by a licensed therapist, and the other half are done independently. A study pill (placebo) is taken one hour before starting TR, for the first 18 sessions. Telerehabilitation: The telerehabilitation system will deliver rehabilitation treatment sessions via a secured internet-connected computer. TR sessions will be a combination of games, exercises, stroke education, assessments, in addition to videoconferencing with therapists to discuss progress, issues, goals, and changes to the treatment plan.
Usual Care
n=9 participants at risk
Participants in the usual care group will receive no TR or study pill, but will continue with the recommendations made by their care team. All participants will be offered TR at the end of the study.
Injury, poisoning and procedural complications
Loss of balance (unrelated to study)
0.00%
0/6 • 3 months
10.0%
1/10 • Number of events 1 • 3 months
0.00%
0/9 • 3 months
Musculoskeletal and connective tissue disorders
Pain (not related to study)
33.3%
2/6 • Number of events 2 • 3 months
0.00%
0/10 • 3 months
0.00%
0/9 • 3 months

Additional Information

Steven Cramer

University of California, Los Angeles

Phone: 424-522-7874

Results disclosure agreements

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