idiopathic Parkinson's disease Parkinson's disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. idiopathic PD with bradykinesia and at least two of the following signs; resting tremor, rigidity, and asymmetry (in accordance with clinical diagnostic criteria of the UK PD Society Brain Bank);;2. the presence of minor visual hallucinations for at least 4 weeks, defined by a score of 1 or 2 on the hallucinations item of the Unified Parkinson*s Disease rating Scale (UPDRS)1-MDS;;3. age 40 years and over.
Exclusion criteria
Exclusion criteria: 1. Parkinson's disease associated psychosis, defined as the need for antipsychotic drug treatment in the opinion of the treating neurologist;;2. Parkinson's disease dementia, defined by a score of 26 or lower on the Mini Mental State Examination (MSSE);;3. current delirium (caused by infection or metabolic disturbance);;4. current treatment with drugs that have important central anticholinergic effects;5. current or recent (
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome measure is the median time until PD patients with minor VH progress to major VH without insight. The clinical endpoint is defined as the start with antipsychotic treatment. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome measures are changes in motor control, psychotic symptoms, cognitive impairment, mood disorders, daytime sleepiness, cholinergic deficiency, the number of adverse events, compliance, disability and caregiver burden. All relevant costs will be measured and valued.The median time until PD patients with minor VH progress to PD dementia is measured by means of changes in cognitive function. The secondary neurophysiological outcome measures are peak frequency, functional connectivity, topological network organisation and the direction of information flow. All relevant costs will be measured and valued. | — |
Countries
Netherlands