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Trial registered on ANZCTR
Registration number
ACTRN12612000119897
Ethics application status
Approved
Date submitted
4/01/2012
Date registered
24/01/2012
Date last updated
2/06/2017
Type of registration
Prospectively registered
Titles & IDs
Public title
Transcranial Magnetic Stimulation in Progressive Supranuclear Palsy diagnosis: a longitudinal study.
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Scientific title
Transcranial Magnetic Stimulation in Progressive Supranuclear Palsy diagnosis: a longitudinal study.
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Secondary ID [1]
279650
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nil
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Universal Trial Number (UTN)
U1111-1126-7750
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Trial acronym
TIPSY
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
PROGRESSIVE SUPRANUCLEAR PALSY
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MULTIPLE SYSTEM ATROPHY
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PARKINSON'S DISEASE
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Condition category
Condition code
Neurological
285640
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0
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Neurodegenerative diseases
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Neurological
285641
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0
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Parkinson's disease
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Transcranial Magnetic Stimulation (TMS)
TMS will be performed on each participant at each 6 month reveiw period. This will include measures of intracortical inhibition and facilitation, resting motor thresholds and motor evoked potentials before and after theta burst stimulation. The TMS protocol is expected to take 2-3 hours each session, and will be conducted on 5 occasions for each participant, separated by 6 months each time, for a total study duration of 2 years.
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Intervention code [1]
283936
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Not applicable
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Comparator / control treatment
All participants will have Transcranial Magnetic Stimulation. Participants will be recruited in 4 groups, thus: Progressive supranuclear Palsy; Multiple System Atrophy; Parkinson's Disease; and Normal controls without neurological disease. Inclusion criteria for each group will be absed on published clinical diagnostic criteria. Comparisons between the included groups will be conducted of short interval cortical inhibition and motor evoked potential resposes to theta burst stimulation between patients in different diagnostic entities.
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Control group
Active
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Outcomes
Primary outcome [1]
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1. Do measured responses in short interval cortical inhibition to theta burst stimulation correlate with clinical features as measured by physical and cognitive rating scales in Progressive Supranuclear Palsy.
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Assessment method [1]
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Timepoint [1]
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Measured 6 monthly for 2 years
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Secondary outcome [1]
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2. Do Transcranial Magnetic Stimulation parameters distinguish between parkinsonian syndromes, ie. Progressive Supranuclear Palsy, Multiple System Atrophy and Parkinson's Disease.
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Assessment method [1]
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Timepoint [1]
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Measured 6 monthly for 2 years
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Eligibility
Key inclusion criteria
Four groups to be recruited:
1. 20 People with Progressive Supranuclear Palsy as defined by National Institute of Neurological Diseases and Stroke criteria
2. 10 People with "probable" or "possible" Multiple System Atrophy according to published consensus criteria
3. 10 People with Parkinson's Disease according to Queens Square Brain Bank criteria
4. 10 normal controls
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Minimum age
40
Years
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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?
No
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Key exclusion criteria
1.People with epilepsy
2.People with intracranial metal whith may increase the risk of seizures or injury due to Transcranial Magnetic Stimulation
3. People not able to complete clinical rating scales including cognitive assessment at baseline
4. Patients deemed not cabable of consenting to involvement in the study and for whom an appropriate person responsible is not available to participate in the consenting process
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Study design
Purpose
Natural history
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Duration
Longitudinal
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
12/01/2012
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Actual
3/05/2012
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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
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Actual
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Sample size
Target
65
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Monash University
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Address [1]
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Van Cleef Roet Centre for Nervous Diseases
Monash University
Level 4 Central Block
Commercial Road
Alfred Hospital
Melbourne
Victoria 3000
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Country [1]
284441
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Australia
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Primary sponsor type
Individual
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Name
A/Prof David Williams
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Address
Van Cleef Roet Centre for Nervous Diseases
Monash University
Level 4 Central Block
Commercial Road
Alfred Hospital
Melbourne
Victoria 3000
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Country
Australia
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Secondary sponsor category [1]
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Hospital
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Name [1]
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Alfred Hospital
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Address [1]
283364
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Neurosciences
Alfred Hospital
Commercial road
Melbourne
Victoria 3000
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Country [1]
283364
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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THE ALFRED HUMAN ETHICS COMMITTEE
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Ethics committee address [1]
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ALFRED HOSPITAL COMMERCIAL ROAD MELBOURNE Victoria 3000
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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19/09/2011
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Approval date [1]
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23/09/2011
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Ethics approval number [1]
286407
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1/11/0342
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Summary
Brief summary
Progressive Supranuclear Palsy (PSP) is an idiopathic, rapidly progressive neurodegenerative disease for which there is currently no diagnostic test or any disease modifying treatment. It is caused by an accumulation of mictotubule associated tau protein in the basal ganglia, midbrain and cortical regions. There is selective loss of inhibitory interneurones and corticocortical projections leading to frontal atrophy which may correlate with the motor and cognitive disabilities. Transcranial Magnetic Stimulation is capable of inducing action potentials in cortical neurones, and provides the capacity to measure cortical neuronal excitabilityand interneuronal function. Preliminary data shows this may be a method for measuring neuronal function in PSP, which may enable its use as a biomarker. The intention of this study is to determine if these measure ments are able to distinguish PSP from other parkinsonian syndromes with similar clinical features, and if these measurements correlate with advancing clinical features over time.
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Trial website
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Trial related presentations / publications
1. Conte, C. Belvisi, D. Bologna, M. Ottaviani, D. Fabbrini, G. Colosimo, C. Williams, DR. Berardelli, A. Abnormal cortical synaptic plasticity in primary motor area in progressive supranuclear palsy. Cerebral Cortex 2011:jun 15 2. Bologna, M. Bertram, K. Conte, A. Scott, K. Williams, DR. Berardelli, A. Reversal of long term potentiation-like plasticity in paimary motor cortex in patients with Progressive Supranuclear Palsy. (abstract) International Congress of Parkinson's disease and other movement disorders, June 2013
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Public notes
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Contacts
Principal investigator
Name
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A/Prof David Williams
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Address
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Van Cleef Roet Centre for Neurosciences
Level 4, central block
Alfred Hospital
Commercial Road
Melbourne
Victoria 3000
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Country
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Australia
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Phone
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+ 61 3 9076 2000
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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DR KELLY BERTRAM
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Address
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Neurosciences
Level 4 Central block
Alfred Hospital
Commercial Road
Melbourne
Victoria 3000
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Country
16816
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Australia
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Phone
16816
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+61 3 9076 2000
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Fax
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+61 3 9076 2671
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Email
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[email protected]
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Contact person for scientific queries
Name
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DR KELLY BERTRAM
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Address
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Neurosciences
Level 4 Central block
Alfred Hospital
Commercial Road
Melbourne
Victoria 3000
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Country
7744
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Australia
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Phone
7744
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+61 3 9076 2000
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Fax
7744
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+ 61 3 9076 2671
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Email
7744
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[email protected]
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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
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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