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Evidence of Neuroplasticity After Performing a Cognitive Task in Idiopathic Parkinson's Disease Patients

Primary Purpose

Parkinson Disease

Status
Unknown status
Phase
Not Applicable
Locations
Israel
Study Type
Interventional
Intervention
Playing a computer game simulating a car race
Sponsored by
Dr. Sharon Hassin
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Parkinson Disease focused on measuring Parkinson Disease, MRI

Eligibility Criteria

30 Years - 80 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Patients with IPD based on a clinical diagnosis of PD according to the United Kingdom Parkinson's Disease Society Brain Bank criteria (however patients with a positive family history and symmetrical onset may be included)
  • Healthy subjects should have no known neurological disease matched for age and sex with the study group

Exclusion Criteria:

  • History of cranial surgery, radiation therapy, tumor, stroke or significant head trauma
  • History of psychiatric disease (major depression, bipolar affective disorder, schizophrenia)
  • Patients with severe tremor or dyskinesias that may interfere with performance of the MRI scan
  • Patients with Montreal Cognitive Assessment (MoCA) score of 22 or under
  • Contraindications for MRI (metal objects: implants/shrapnel/bullet; any electrically, magnetically or mechanically activated implants: cardiac pacemakers/defibrillator, biostimulators, neurostimulators, cochlear implants, hearing aids, insulin pump; claustrophobia)
  • Subjects who are familiar and have played on multiple occasions the computer game "need for speed"

Sites / Locations

  • Movement Disorders Institute, Sheba Medical center

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

Healthy controls

IPD patients

Arm Description

Healthy controls with no known neurological disease matched for sex and age with the patients group

Men and women diagnosed with idiopathic parkinson's disease

Outcomes

Primary Outcome Measures

seeing evidence of microstructural brain tissue changes in Diffusion Tensor Imaging (DTI) MRI

Secondary Outcome Measures

Full Information

First Posted
July 8, 2015
Last Updated
July 9, 2015
Sponsor
Dr. Sharon Hassin
Collaborators
Bar-Ilan University, Israel, Tel Aviv University, Sheba Medical Center
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1. Study Identification

Unique Protocol Identification Number
NCT02494908
Brief Title
Evidence of Neuroplasticity After Performing a Cognitive Task in Idiopathic Parkinson's Disease Patients
Official Title
Can Diffusion Tensor MRI Brain Scan Demonstrate Microstructural Changes as Evidence of Neuroplasticity Following a Learning Process in Patients With Idiopathic Parkinson's Disease ?
Study Type
Interventional

2. Study Status

Record Verification Date
July 2015
Overall Recruitment Status
Unknown status
Study Start Date
July 2015 (undefined)
Primary Completion Date
January 2018 (Anticipated)
Study Completion Date
July 2018 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Dr. Sharon Hassin
Collaborators
Bar-Ilan University, Israel, Tel Aviv University, Sheba Medical Center

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
As seen in previous studies Diffusion Tensor Imaging (DTI) MRI is able to detect very subtle changes in brain tissue even after a very short timescale of hours resulting from performing a cognitive task and learning, We wish to explore and compare those changes to patients with idiopathic PD (IPD) and see if there are changes in the learning process and can we detect them using widely available noninvasive techniques such as MRI.
Detailed Description
Aim: to utilize high sensitivity DTI MRI methodology to explore evidence for subtle microstructural brain alterations after performing a cognitive task and to compare those changes in patients with PD to healthy controls of the same age. PD patients and controls will undergo a full cranial MRI scan for depiction of anatomy and structural abnormalities (scan duration ~40 min). Immediately afterwards the subjects will play a car race computer game (Need for Speed) for 90 minutes. Following the game, the patients will undergo an additional DTI MRI scan (~15 minutes).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Parkinson Disease
Keywords
Parkinson Disease, MRI

7. Study Design

Primary Purpose
Basic Science
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
80 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Healthy controls
Arm Type
Active Comparator
Arm Description
Healthy controls with no known neurological disease matched for sex and age with the patients group
Arm Title
IPD patients
Arm Type
Active Comparator
Arm Description
Men and women diagnosed with idiopathic parkinson's disease
Intervention Type
Behavioral
Intervention Name(s)
Playing a computer game simulating a car race
Intervention Description
Playing a computer game simulating a car race
Primary Outcome Measure Information:
Title
seeing evidence of microstructural brain tissue changes in Diffusion Tensor Imaging (DTI) MRI
Time Frame
2 hours

10. Eligibility

Sex
All
Minimum Age & Unit of Time
30 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Patients with IPD based on a clinical diagnosis of PD according to the United Kingdom Parkinson's Disease Society Brain Bank criteria (however patients with a positive family history and symmetrical onset may be included) Healthy subjects should have no known neurological disease matched for age and sex with the study group Exclusion Criteria: History of cranial surgery, radiation therapy, tumor, stroke or significant head trauma History of psychiatric disease (major depression, bipolar affective disorder, schizophrenia) Patients with severe tremor or dyskinesias that may interfere with performance of the MRI scan Patients with Montreal Cognitive Assessment (MoCA) score of 22 or under Contraindications for MRI (metal objects: implants/shrapnel/bullet; any electrically, magnetically or mechanically activated implants: cardiac pacemakers/defibrillator, biostimulators, neurostimulators, cochlear implants, hearing aids, insulin pump; claustrophobia) Subjects who are familiar and have played on multiple occasions the computer game "need for speed"
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Vered Livneh, Dr
Phone
03-5304931
Email
vered.livneh@gmail.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sharon Hassin-Baer, Dr
Organizational Affiliation
Sheba Medical Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Movement Disorders Institute, Sheba Medical center
City
Ramat Gan
ZIP/Postal Code
5265601
Country
Israel
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Vered Livneh, Dr.
Phone
+972-3-5304931
Email
vered.livneh@gmail.com
First Name & Middle Initial & Last Name & Degree
Esther Stein
Phone
+972-3-5304931
Email
Esther.Stein@sheba.health.gov.il
First Name & Middle Initial & Last Name & Degree
Vered Livneh, Dr.
First Name & Middle Initial & Last Name & Degree
Sharon Hassin-Baer, Dr.

12. IPD Sharing Statement

Citations:
PubMed Identifier
22445346
Citation
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Results Reference
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PubMed Identifier
9800094
Citation
Vakil E, Herishanu-Naaman S. Declarative and procedural learning in Parkinson's disease patients having tremor or bradykinesia as the predominant symptom. Cortex. 1998 Sep;34(4):611-20. doi: 10.1016/s0010-9452(08)70518-5.
Results Reference
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PubMed Identifier
12464697
Citation
Exner C, Koschack J, Irle E. The differential role of premotor frontal cortex and basal ganglia in motor sequence learning: evidence from focal basal ganglia lesions. Learn Mem. 2002 Nov-Dec;9(6):376-86. doi: 10.1101/lm.48402.
Results Reference
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PubMed Identifier
19061920
Citation
Doyon J, Bellec P, Amsel R, Penhune V, Monchi O, Carrier J, Lehericy S, Benali H. Contributions of the basal ganglia and functionally related brain structures to motor learning. Behav Brain Res. 2009 Apr 12;199(1):61-75. doi: 10.1016/j.bbr.2008.11.012. Epub 2008 Nov 17.
Results Reference
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PubMed Identifier
22087090
Citation
Gheysen F, Van Opstal F, Roggeman C, Van Waelvelde H, Fias W. The neural basis of implicit perceptual sequence learning. Front Hum Neurosci. 2011 Nov 11;5:137. doi: 10.3389/fnhum.2011.00137. eCollection 2011.
Results Reference
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PubMed Identifier
23904619
Citation
Hofstetter S, Tavor I, Tzur Moryosef S, Assaf Y. Short-term learning induces white matter plasticity in the fornix. J Neurosci. 2013 Jul 31;33(31):12844-50. doi: 10.1523/JNEUROSCI.4520-12.2013.
Results Reference
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PubMed Identifier
24336705
Citation
Hill RA. Do short-term changes in white matter structure indicate learning-induced myelin plasticity? J Neurosci. 2013 Dec 11;33(50):19393-5. doi: 10.1523/JNEUROSCI.4122-13.2013. No abstract available.
Results Reference
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PubMed Identifier
21945835
Citation
Foerde K, Shohamy D. The role of the basal ganglia in learning and memory: insight from Parkinson's disease. Neurobiol Learn Mem. 2011 Nov;96(4):624-36. doi: 10.1016/j.nlm.2011.08.006. Epub 2011 Sep 16.
Results Reference
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PubMed Identifier
25725909
Citation
Schlaug G. Musicians and music making as a model for the study of brain plasticity. Prog Brain Res. 2015;217:37-55. doi: 10.1016/bs.pbr.2014.11.020. Epub 2015 Feb 11.
Results Reference
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PubMed Identifier
21701690
Citation
Blumenfeld-Katzir T, Pasternak O, Dagan M, Assaf Y. Diffusion MRI of structural brain plasticity induced by a learning and memory task. PLoS One. 2011;6(6):e20678. doi: 10.1371/journal.pone.0020678. Epub 2011 Jun 20.
Results Reference
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Evidence of Neuroplasticity After Performing a Cognitive Task in Idiopathic Parkinson's Disease Patients

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