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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04643327
Registration number
NCT04643327
Ethics application status
Date submitted
18/11/2020
Date registered
25/11/2020
Date last updated
4/11/2022
Titles & IDs
Public title
Uncovering a Novel Therapeutic Target to Reduce Dementia Risk in Parkinson's Disease
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Scientific title
Double-blind Randomised-controlled Within-subject Crossover Trial to Determine Levetiracetam Efficacy for Memory Impairment in Parkinson's Disease: A Proof-of-concept Study
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Secondary ID [1]
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HREC/2020/QRBW/69379
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Universal Trial Number (UTN)
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Trial acronym
TRIP
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Parkinson Disease
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Mild Cognitive Impairment
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Memory Impairment
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Condition category
Condition code
Neurological
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Parkinson's disease
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Mental Health
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Other mental health disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Levetiracetam
Treatment: Drugs - Placebo
Experimental: Active arm - 125mg Levetiracetam capsules taken twice daily (morning and evening) for 14 days
Placebo comparator: Placebo arm - 125mg maize starch-based placebo capsules taken twice daily (morning and evening) for 14 days
Treatment: Drugs: Levetiracetam
Levetiracetam is currently approved in Australia and the U.S.A. for epilepsy. We will be providing levetiracetam in capsule form, 125mg levetiracetam in each capsule.
Treatment: Drugs: Placebo
Placebo intervention will be maize-starch filled capsules with identical physical features to the active capsules.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Pattern separation performance (behavioural outcome)
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Assessment method [1]
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Participants' behavioural performance on the pattern separation fMRI paradigm, as measured by their proportionate accuracy of identifying the critical "lure" trials.
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Timepoint [1]
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Immediately after 2 weeks of treatment
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Primary outcome [2]
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Hippocampal DG/CA3 subfield activity
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Assessment method [2]
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Participants' brain activation during the pattern separation fMRI paradigm, as measured by their activation in the critical dentate gyrus (DG)/CA3 subfield of the hippocampus during the critical "lure" trials of the pattern separation task.
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Timepoint [2]
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Immediately after 2 weeks of treatment
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Eligibility
Key inclusion criteria
* Parkinson's Disease patients with amnestic Mild Cognitive Impairment
* Parkinson's Disease patients with no memory impairment
* Healthy volunteers
* All participants must be eligible to take MRI scans
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Minimum age
No limit
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
* Dementia
* Contraindication to having MRI
* Bipolar disorder, Schizophrenia, Alcohol or substance abuse
* Major depression
* Suicidal Ideation
* Difficulty complying with protocol requirements
* Significant non-PD neurological disease
* Vascular dementia
* Sensitivity to levetiracetam
* Use of anticonvulsant medications
* Use of other excluded medications
* Severe renal impairment
* Clinically significant abnormalities in B12 or thyroid function test (below normative range for elderly)
* Females of childbearing potential
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Crossover
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
9/02/2021
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/12/2023
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Actual
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Sample size
Target
28
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
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University of Queensland Centre for Clinical Research - Brisbane
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Recruitment postcode(s) [1]
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4029 - Brisbane
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Funding & Sponsors
Primary sponsor type
Other
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Name
The University of Queensland
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Address
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Other collaborator category [1]
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Other
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Name [1]
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Queensland University of Technology
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Address [1]
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Other collaborator category [2]
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Other
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Name [2]
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Johns Hopkins University
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Address [2]
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Country [2]
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Other collaborator category [3]
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Other
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Name [3]
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Cleveland Clinic Lou Ruvo Center for Brain Health
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Address [3]
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Country [3]
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Other collaborator category [4]
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Government body
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Name [4]
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Royal Brisbane and Women's Hospital
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Address [4]
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Country [4]
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Ethics approval
Ethics application status
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Summary
Brief summary
The present study is a proof-of-concept clinical trial to test the efficacy of low doses of a repurposed anti-epileptic drug (levetiracetam) in treating memory problems in Parkinson's disease (PD). Neuroimaging techniques will be used to determine the effect of the drug on specific brain regions (hippocampal subfields). Finally, baseline brain activity of PD patients with memory problems will be compared to PD patients without memory problems and healthy older adults to determine if activity in specific brain regions (hippocampal subfields) can be used to predict memory problems in PD. This information will be useful for future clinical trials to target drugs to these brain regions.
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Trial website
https://clinicaltrials.gov/study/NCT04643327
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
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Address
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Phone
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Fax
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Email
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Contact person for public queries
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Address
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT04643327
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