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Trial registered on ANZCTR
Registration number
ACTRN12617000934347
Ethics application status
Approved
Date submitted
1/06/2017
Date registered
28/06/2017
Date last updated
28/06/2017
Type of registration
Retrospectively registered
Titles & IDs
Public title
Transcranial Magnetic Stimulation in the diagnosis of Atypical Parkinsonism
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Scientific title
Transcranial Magnetic Stimulation in the diagnosis of Atypical Parkinsonism
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Secondary ID [1]
292108
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none
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
U1111-1126-7750
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Health condition
Health condition(s) or problem(s) studied:
PROGRESSIVE SUPRANUCLEAR PALSY
303527
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MULTIPLE SYSTEM ATROPHY
303528
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PARKINSON'S DISEASE
303529
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Condition category
Condition code
Neurological
302939
302939
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0
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Parkinson's disease
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Neurological
302951
302951
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0
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Neurodegenerative diseases
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Intervention/exposure
Study type
Observational
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Patient registry
False
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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 including 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. In addition each participant will undergo standardised cognitive tests.
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Intervention code [1]
298254
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Not applicable
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Comparator / control treatment
comparator is between disease entities and with normal control subjects, all participants will undergo the same examination and testing protocol.
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Control group
Active
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Outcomes
Primary outcome [1]
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Short interval cortical inhibition as measured by Transcranial Magnetic Stimulation
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Assessment method [1]
302338
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Timepoint [1]
302338
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single visit for each participant
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Primary outcome [2]
302540
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Excitability response to theta burst transcranial magnetic stimulation
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Assessment method [2]
302540
0
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Timepoint [2]
302540
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single visit for all participants
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Secondary outcome [1]
335560
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Cognitive changes as measured by Addenbrookes cognitive assessment(ACE-r)
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Assessment method [1]
335560
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Timepoint [1]
335560
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single visit per participant
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Secondary outcome [2]
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Cognitive assessment as measured by Frontal Assessment Battery (FAB)
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Assessment method [2]
336342
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Timepoint [2]
336342
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single visit for each participant
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Eligibility
Key inclusion criteria
Four groups to be recruited:
1. 10 People with Progressive Supranuclear Palsy as defined by National Institute of Neurological Diseases and Stroke criteria
2. 15 People with "probable" or "possible" Multiple System Atrophy according to published consensus criteria (Golbe criteria)
3. 15 People with Parkinson's Disease according to Queens Square Brain Bank criteria
4. 20 normal controls over 40 years of age without symptoms of neurodegenerative brain disease or parkinsonism
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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?
Yes
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Key exclusion criteria
1.People with epilepsy
2.People with intracranial metal which 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
4. Patients deemed not capable 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
Screening
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
between groups analysis of TMS measurements will be conducted, and correlation analysis between TMS recordings and cognitive assessment rating scales.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
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Actual
7/07/2016
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Date of last participant enrolment
Anticipated
29/12/2017
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Actual
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Date of last data collection
Anticipated
29/12/2017
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Actual
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Sample size
Target
60
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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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Recruitment hospital [1]
8238
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The Alfred - Prahran
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Recruitment postcode(s) [1]
16296
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3004 - Prahran
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Funding & Sponsors
Funding source category [1]
296641
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Charities/Societies/Foundations
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Name [1]
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Parkinson's Victoria
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Address [1]
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587 Canterbury Rd Surrey Hills Victoria 3127
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Country [1]
296641
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Australia
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Primary sponsor type
University
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Name
Monash University
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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]
295600
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None
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Name [1]
295600
0
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Address [1]
295600
0
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Country [1]
295600
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
297870
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THE ALFRED HUMAN ETHICS COMMITTEE
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Ethics committee address [1]
297870
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ALFRED HOSPITAL COMMERCIAL ROAD MELBOURNE Victoria 3000
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Ethics committee country [1]
297870
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Australia
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Date submitted for ethics approval [1]
297870
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18/02/2016
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Approval date [1]
297870
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29/04/2016
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Ethics approval number [1]
297870
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118/16
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Summary
Brief summary
Transcranial Magnetic Stimulation is capable of inducing action potentials in cortical neurones, and provides the capacity to measure cortical neuronal excitability and interneuronal function. Preliminary data in previous studies shows this may be a method for measuring neuronal function in Progressive Supranuclear Palsy, which may enable its use as a biomarker. The intention of this study is to determine if these measurements are able to distinguish PSP from other parkinsonian syndromes with similar clinical features, ie. Multiple System Atrophy and Parkinson's Disease, and if these measurements correlate with markers of disease activity including cognitive changes. Results will also be compared with a group of healthy control participants to determine the reliability of these measurements.
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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 primary motor cortex in patients with Progressive Supranuclear Palsy. (abstract)
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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
Monash university
Level 4, central block
Alfred Hospital
Commercial Road
Melbourne
Victoria 3000
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Country
75326
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Australia
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Phone
75326
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+ 61 3 9076 2059
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Fax
75326
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+61 3 9076 2671
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Email
75326
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[email protected]
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Contact person for public queries
Name
75327
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Kelly Bertram
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Address
75327
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Van Cleef Roet Centre for Neurosciences
Monash university
Level 4, central block
Alfred Hospital
Commercial Road
Melbourne
Victoria 3000
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Country
75327
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Australia
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Phone
75327
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+ 61 3 9076 2059
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Fax
75327
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+61 3 9076 2671
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Email
75327
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[email protected]
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Contact person for scientific queries
Name
75328
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Kelly Bertram
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Address
75328
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Van Cleef Roet Centre for Neurosciences
Monash University
Level 4, central block
Alfred Hospital
Commercial Road
Melbourne
Victoria 3000
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Country
75328
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Australia
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Phone
75328
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+ 61 3 9076 2059
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Fax
75328
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+61 3 9076 2671
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Email
75328
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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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