Multiple System Atrophy, Multiple System Atrophy, Parkinson Variant, Parkinson's Disease
Conditions
Keywords
MSA, MSA-P, PD, Observational, Natural History
Brief summary
The objective of this study is to describe disease progression in study participants diagnosed with early Parkinson's Disease or Multiple System Atrophy - Parkinsonian Type up to 18 months as delineated by clinical and biochemical parameters.
Interventions
This is an observational study.
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosis of Idiopathic PD * Diagnosis of MSA-P * One to six years from clinical diagnosis of PD * Less than 4 years from clinical diagnosis of MSA with expected survival \>3 years * Stable medication regimen * Ability to walk with or without an assistive device
Exclusion criteria
* Movement disorder due to known cerebrovascular disease, brain tumor, trauma, exposure to parkinsonian-linked toxicants or other neurological diseases * Presence of dementia, psychosis, substance abuse or poorly controlled depression * Prior brain surgery (i.e. deep brain stimulation) or other brain imaging abnormalities * History of cancer or poorly controlled medical conditions * Receiving an investigational drug NOTE: Other protocol defined Inclusion/
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Motor symptoms as assessed by the Movement Disorder Society's Unified Parkinson's Disease Rating Scale (MDS-UPDRS) | 18 months | Change from baseline in the MDS-UPDRS. The MDS-UPDRS contains 4 subscales: Part I, non-motor aspects of experiences of daily living (13 items); Part II, motor aspects of experiences of daily living (13 items); Part III, motor examination (33 scores based on 18 items); Part IV, motor complications (6 items). The rating for each item, or sub-item, is from 0 (normal) to 4 (severe). The total score for each Part is obtained from the sum of the corresponding item scores. |
| MSA symptoms/signs as assessed by the Unified Multiple System Atrophy Rating Scale (UMSARS) | 18 Months | Change from baseline in the Unified Multiple System Atrophy Rating Scale (UMSARS) and compared to placebo. UMSARS total scores range from 0-104 points with higher scores indicating greater severity of impairment. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in the quality of life as measured by Parkinson's Disease Questionnaire (PDQ-39) | 18 months | Change from baseline in the Parkinson's Disease Questionnaire (PDQ-39). PDQ-39 is a self-reported 39-item questionnaire designed to measure health related quality of life in Parkinson's Disease patients. It provides scores in 8 domains: mobility, activities of daily living, emotions, stigma, social support, cognitive function, bodily discomfort and communication, as well as a summary index score for quality of life. |
| Change in the quality of life as measured by Multiple System Atrophy Quality of Life (MSA-QoL) | 18 months | Change from baseline in the Multiple System Atrophy Quality of Life (MSA-QoL) scale. MSA-QoL is a self-reported questionnaire that measures MSA impact in day to day activities. Scale consists of 40 items with a five response option format (0 - no problem to 4 extreme problem) and a "not applicable" response option. |
Countries
Poland, United States