North American Prodromal Synucleinopathy Consortium Stage 2
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- Это наблюдательное исследование: исследуемое лечение участникам по протоколу не назначают.
- Кому может быть актуально
- Состояния в реестре: REM Sleep Behavior Disorder, Parkinson Disease, Lewy Body Dementia, Dementia With Lewy Bodies. Базовые параметры: от 18 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- США, Канада
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Обзор
This study will enroll participants with idiopathic REM sleep behavior disorder (RBD) and healthy controls for the purpose of preparing for a clinical trial of neuroprotective treatments against synucleinopathies.
Подробное описание
REM sleep behavior disorder (RBD) is a disorder where people act out their dreams. People with RBD often, but not always, develop Parkinson's Disease, dementia with Lewy bodies, multiple system atrophy, or other neurodegenerative diseases of the synucleinopathy type.
The North American Prodromal Synucleinopathy Consortium Stage 2 (NAPS2) was formed with the purpose of enrolling participants with RBD, in anticipation of a future clinical trial of a neuroprotective trreatment against synucleinopathies. The NAPS Consortium will collect standardized clinical assessments, biofluids, and neuroimaging data. The RBD group will also undergo two overnight sleep studies. Some of this data will be used to develop biomarkers for synucleinopathies in the prodromal (presymptomatic) stage as well as a trial-ready registry of participants.
RBD group procedures include a clinical assessment, questionnaires, blood draw, neuroimaging (MRI and DaTscan), polysomnogram (sleep study), and optional lumbar puncture.
Control group procedures include a clinical assessment, questionnaires, blood draw, neuroimaging (MRI), and lumbar puncture.
Первичные конечные точки
- Prodromal Synucleinopathy Rating Scale [Срок оценки: up to 5 years]
Критерии участия
Inclusion Criteria for RBD Group
- Polysomnogram-confirmed RBD by ICSD-3 criteria
- Capable of providing informed consent at time of study enrollment
- Age > 18 years
Exclusion Criteria for RBD Group
- Diagnosis of PD, dementia of any type, or MSA unless previous participant in NAPS1.
- Narcolepsy-associated RBD
- RBD secondary to any known cause except prodromal synucleinopathy.
- Participation in a clinical trial, except by specific permission by the Executive Committee
- In the opinion of the investigator, the individual has a clinically significant uncontrolled medical condition that would impede safe completion of the study protocol
Inclusion Criteria for Control Group
- Ability to provide written consent
- Age > 18 years
- Must meet age, sex, and race matching criteria per the Data Management and Statistical core recommendations for the site
- Must be willing to undergo all testing procedures, including neuroimaging and lumbar puncture.
- Normal capacity to perform complex activities of daily living independently based on informant or physician report
Exclusion Criteria for Control Group
- History of dream enactment behavior to suggest RBD
- Parkinsonism, MSA, dementia, or mild cognitive impairment
- Active central nervous system, systemic, psychiatric condition or use of psychoactive medication that would adversely affect cognitive, neuropsychiatric, motor, or autonomic functioning.
- Contraindications to complete MRI.
- Contraindications to lumbar puncture.
- Participation in a clinical trial, except by specific permission by the Executive Committee
- In the opinion of the investigator, the individual has a clinically significant uncontrolled medical condition that would impede safe completion of the study protocol
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Да
Дизайн исследования
- Модель наблюдения
- Случай-контроль
Центры проведения
США · 8 центров
- University of California Los Angeles — Los Angeles
- Stanford University — Redwood City
- Emory University — Atlanta
- Massachusetts General Hospital — Boston
- University of Minnesota — Minneapolis
- Mayo Clinic Rochester — Rochester
- Washington University School of Medicine — St Louis
- Oregon Health Sciences University — Portland
Канада · 1 центр
- McGill University Health Centre Research Institute — Montreal
Публикации
- Boeve BF, Nie Y, Lu R, De La Cruz H, Avidan AY, Bliwise DL, Campbell MC, Criswell SR, Davis AA, Duff K, Elliott J, Ferman TJ, Fields JA, Forsberg LK, Gagnon JF, Howell M, Huddleston DE, Lim MM, Locke J, McCarter SJ, McLeland J, Miglis MG, Miyagawa T, Neilson LE, Nichols K, Pelletier A, Schenck CH, Louis EKS, Sum-Ping O, Trotti LM, Videnovic A, Xiong C, Postuma R, Ju YS; NAPS Consortium. The Prodro PMID 42302227
- Lim MM, Neilson LE, Elliott JE, Hoang-Dang B, Locke JR, Cunningham H, Brewer J, Dennis L, Dovek L, Pelletier A, St Louis EK, McCarter SJ, Miyagawa T, Davis AA, McLeland JS, Criswell S, Howell MJ, Schenck CH, Avidan AY, Trotti LM, Bliwise DL, Huddleston DE, Videnovic A, Miglis MG, Sum-Ping O, Lee-Iannotti JK, Shprecher DR, Duff K, Ferman TJ, Campbell MC, Fields JA, Gagnon JF, Kotzbauer P, Singer W, PMID 41725984
Идентификаторы
NCT: NCT05826457 · 202110108 · U19AG071754