Spoken Discourse Biomarker of PD Cognitive Impairment

NCT ID: NCT05909163

Last Updated: 2023-06-18

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

COMPLETED

Total Enrollment

140 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-03-05

Study Completion Date

2023-02-15

Brief Summary

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The purpose of this study is to identify unique profiles of speech and language changes that distinguish individuals with Parkinson's disease from adults without Parkinson's disease and individuals with Parkinson's disease with cognitive (e.g., memory, thinking skills) impairment from those without cognitive impairment.

Detailed Description

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Aim 1 will characterize PD-MCI (Parkinson's disease mild cognitive impairment), PDN (Parkinson's disease without cognitive impairment), and HA (healthy adult) spoken discourse, cognitive, and motor speech profiles. Phase 2 biomarker development requires robustly characterized cohorts in which to test candidate biomarkers. Using a standardized battery of cognitive, language, and motor speech tests PD participants will be assigned to PD-MCI (single/multi-domain) or PDN groups. The investigators propose collecting spoken discourse samples using standardized elicitation protocols. The same tasks will be extracted from the extant HA database. Researchers will transcribe, code, and analyze discourse samples. Group differences (including sub-analyses for single and multi-domain MCI subtypes), elicitation stimuli effects, and group x stimuli interactions will be examined using multivariate and mixed-design ANOVA procedures.

Aim 2 will develop and evaluate the classification accuracy of an optimally weighted discourse classification function for PD-MCI and PDN. The investigators propose using discriminant function analysis to identify an optimized composite variable that best predicts PD-MCI, PDN, and HA group membership. Sensitivity/specificity analyses, positive/negative predictive values, and receiver operating characteristic curves will be used to evaluate the discourse classification function properties.

The primary endpoint is an optimally weighted discourse function that can classify PD-MCI with \> 80% sensitivity/specificity.

Conditions

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Parkinson Disease

Study Design

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Observational Model Type

COHORT

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Pakinson's disease without cognitive impairment

* Age 50-90 years
* Diagnosis of idiopathic Parkinson's disease (UK Brain Bank criteria) made by a movement disorders specialist
* Under the care of a movement disorders specialist for a minimum of 1-year duration
* Native monolingual English speaker
* Hoehn \& Yahr score between 1.5 and 4
* Grade 10 education, or higher
* Sufficient vision and hearing (aided or unaided) for all experiment tasks
* Montreal Cognitive Assessment (or MoCA-converted MMSE score) greater than or equal to 25
* No subjective complaints of cognitive difficulty or word finding issues

No interventions assigned to this group

Pakinson's disease with cognitive impairment

* Age 50-90 years
* Diagnosis of idiopathic Parkinson's disease (UK Brain Bank criteria) made by a movement disorders specialist
* Under the care of a movement disorders specialist for a minimum of 1-year duration
* Native monolingual English speaker
* Hoehn \& Yahr score between 1.5 and 4
* Grade 10 education, or higher
* Sufficient vision and hearing (aided or unaided) for all experiment tasks
* Montreal Cognitive Assessment (or MoCA-converted MMSE score) greater than or equal to 17
* Subjective complaints of cognitive difficulty or word finding issues, without significant impact on activities of daily living

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

Only individuals with PD will be newly recruited and enrolled as part of the study. Healthy adult data will be extracted from extant databases (publicly available) from NIH-funded studies.


* Age 50-90 years
* Diagnosis of idiopathic Parkinson's disease (UK Brain Bank criteria) made by a movement disorders specialist
* Under the care of a movement disorders specialist for a minimum of 1-year duration
* Native monolingual English speaker
* Hoehn \& Yahr score between 1.5 and 4
* Grade 10 education, or higher
* Sufficient vision and hearing (aided or unaided) for all experiment tasks
* Montreal Cognitive Assessment (or MoCA-converted MMSE score) greater than or equal to 25
* No subjective complaints of cognitive difficulty or word finding issues


* Age 50-90 years
* Diagnosis of idiopathic Parkinson's disease (UK Brain Bank criteria) made by a movement disorders specialist
* Under the care of a movement disorders specialist for a minimum of 1-year duration
* Native monolingual English speaker
* Hoehn \& Yahr score between 1.5 and 4
* Grade 10 education, or higher
* Sufficient vision and hearing (aided or unaided) for all experiment tasks
* Montreal Cognitive Assessment (or MoCA-converted MMSE score) greater than or equal to 17
* Subjective complaints of cognitive difficulty or word finding issues, without significant impact on activities of daily living

Inclusion Healthy Adults (from extant data base - no new recruiting)

* Age 50-90 years
* Montreal Cognitive Assessment (or MoCA-converted MMSE score) greater than or equal to 26
* Native monolingual English speaker
* Grade 10 education, or higher
* Sufficient vision and hearing (aided or unaided) for all experiment tasks

Exclusion Criteria

* History of unmanaged or untreated depression or major psychiatric illness
* History of deep brain stimulation surgery (DBS)
* Diagnosis of Dementia with Lewy Bodies
Minimum Eligible Age

50 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Northwestern University

OTHER

Sponsor Role lead

Responsible Party

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Angela Roberts

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Northwestern University

Evanston, Illinois, United States

Site Status

Countries

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United States

References

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Nicholas LE, Brookshire RH. A system for quantifying the informativeness and efficiency of the connected speech of adults with aphasia. J Speech Hear Res. 1993 Apr;36(2):338-50. doi: 10.1044/jshr.3602.338.

Reference Type BACKGROUND
PMID: 8487525 (View on PubMed)

Brookshire RH, Nicholas LE. Speech sample size and test-retest stability of connected speech measures for adults with aphasia. J Speech Hear Res. 1994 Apr;37(2):399-407. doi: 10.1044/jshr.3702.399.

Reference Type BACKGROUND
PMID: 8028321 (View on PubMed)

Capilouto G, Wright HH, Wagovich SA. CIU and main event analyses of the structured discourse of older and younger adults. J Commun Disord. 2005 Nov-Dec;38(6):431-44. doi: 10.1016/j.jcomdis.2005.03.005. Epub 2005 Apr 26.

Reference Type BACKGROUND
PMID: 16199238 (View on PubMed)

Roberts A, Post D. Information Content and Efficiency in the Spoken Discourse of Individuals With Parkinson's Disease. J Speech Lang Hear Res. 2018 Sep 19;61(9):2259-2274. doi: 10.1044/2018_JSLHR-L-17-0338.

Reference Type BACKGROUND
PMID: 30208482 (View on PubMed)

Thompson CK, Cho S, Hsu CJ, Wieneke C, Rademaker A, Weitner BB, Mesulam MM, Weintraub S. Dissociations Between Fluency And Agrammatism In Primary Progressive Aphasia. Aphasiology. 2012;26(1):20-43. doi: 10.1080/02687038.2011.584691.

Reference Type BACKGROUND
PMID: 22199417 (View on PubMed)

Thompson, C. K., Shapiro, L. P., Li, L., & Schendel, L. (1995). Analysis of verbs and verb-argument structure: A method for quantification of aphasic language production. Clinical Aphasiology, 23, 121-140.

Reference Type BACKGROUND

Harris Wright, H., Koutsoftas, A., Fergadiotis, G., & Capilouto, G. (2010). Coherence in Stories Told by Adults With Aphasia.

Reference Type BACKGROUND

Wright HH, Capilouto GJ. Considering a multi-level approach to understanding maintenance of global coherence in adults with aphasia. Aphasiology. 2012 Jan 1;26(5):656-672. doi: 10.1080/02687038.2012.676855. Epub 2012 May 10.

Reference Type BACKGROUND
PMID: 22962509 (View on PubMed)

Glosser G, Deser T. Patterns of discourse production among neurological patients with fluent language disorders. Brain Lang. 1991 Jan;40(1):67-88. doi: 10.1016/0093-934x(91)90117-j.

Reference Type BACKGROUND
PMID: 2009448 (View on PubMed)

Van Leer E, Turkstra L. The effect of elicitation task on discourse coherence and cohesion in adolescents with brain injury. J Commun Disord. 1999 Sep-Oct;32(5):327-48; quiz 348-9. doi: 10.1016/s0021-9924(99)00008-8.

Reference Type BACKGROUND
PMID: 10498013 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Related Links

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Other Identifiers

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STU00209602

Identifier Type: -

Identifier Source: org_study_id

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