Apathy, Parkinson Disease
Conditions
Brief summary
Clinical description and pathophysiological study of recently diagnosed untreated patients with Parkinson's Disease. Effect of a dopamine agonist (rotigotine) on apathy in de novo patients with Parkinson disease: A controlled, randomized, double blind study.
Detailed description
This study aims to show the impact of a treatment with a D2/D3 receptor-specific dopamine agonist on the hypo-dopaminergic syndrome and quality of life of patients with de-novo Parkinson's disease. The study consists of three parts: 1. The first part consists of a detailed clinical description of these patients, focusing on neuropsychological symptoms. The objective is to describe patients with and without apathy and hypo-dopaminergic syndrome. 2. From this population, a small number of patients with and without hypo-dopaminergic syndrome will be selected in order to compare serotoninergic and dopaminergic denervation by positron emission tomography (PET). 3. In patients with hypo-dopaminergic syndrome the motivational effects of a dopamine agonist will be tested in a randomized, double-blind, placebo-controlled study. We hypothesize a significant improvement of apathy in the rotigotine group versus placebo
Interventions
6 months treatment with Rotigotine up to 8 mg per day with a titration period for one month
6 months treatment with Placebo up to 8 mg per day with a titration period for one month
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with Parkinson disease without treatment for Parkinson disease * Recent diagnosis (\< 2 years) * Without cognitive troubles
Exclusion criteria
* Patients with cognitive troubles * Treated patients with L-Dopa or Dopamine agonists * Other severe illness * Pregnant or parturient woman
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change of LARS (Lille Apathy Rating Scale) score in the rotigotine versus placebo group | 6 months |
Countries
France