NCT06418152

Brief Summary

The goal of this project is to evaluate the safety and preliminary effectiveness of utilizing a digital therapeutic, Dual-task Augmented Reality Treatment (DART) protocol, for the treatment of postural instability and gait dysfunction (PIGD) in individuals with PD with a previously implanted deep brain stimulator (DBS).

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
7

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started May 2024

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

May 9, 2024

Completed
8 days until next milestone

First Posted

Study publicly available on registry

May 17, 2024

Completed
4 days until next milestone

Study Start

First participant enrolled

May 21, 2024

Completed
8 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 30, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 30, 2025

Completed
8 months until next milestone

Results Posted

Study results publicly available

September 30, 2025

Completed
Last Updated

September 30, 2025

Status Verified

September 1, 2025

Enrollment Period

8 months

First QC Date

May 9, 2024

Results QC Date

August 5, 2025

Last Update Submit

September 10, 2025

Conditions

Outcome Measures

Primary Outcomes (1)

  • Movement Disorder Society Unified Parkinson's Disease Rating Scale Part III: Motor Examination Score

    Movement Disorder Society Unified Parkinson's Disease Rating Scale Part III: Motor Examination score, measured off medication. Range of scores is 0 to 132, with lower score indicating better motor function. Change in MDS-UPDRS III score from baseline through completion.

    Baseline and through study completion, average 8 weeks

Secondary Outcomes (1)

  • Two Minute Walk Test

    Baseline and through study completion, average 8 weeks

Study Arms (1)

Interventional Arm

EXPERIMENTAL

Five to ten individuals with PD and DBS will receive the DART intervention. The 16 DART sessions will be delivered over an 8-week period (but not more than 10-weeks). Each DART session will consist of approximately 30-minutes of dual-task activity and will be scheduled over a 1 hour period. A physical therapist or physical therapist assistant will oversee each session. Exercises will be progressed based on results from the DART platform, feedback from the participant, and the clinical expertise of the physical therapist or physical therapist assistant

Behavioral: Multi-modal treatment

Interventions

Multi-modal treatment was designed to target PD-specific declines in the areas of cognitive function and gait and posture impairments. MMT consists of simultaneously training a motor and cognitive task.

Interventional Arm

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Adult with a diagnosis of idiopathic PD
  • History of deep brain stimulator placement for treatment of PD
  • Ability to ambulate \> 10 minutes continuously without an assistive device

You may not qualify if:

  • Medical diagnosis of dementia or any neurocognitive impairment that compromises the ability to provide informed consent
  • \>2 errors on the Short Portable Mental Status Questionnaire
  • Musculoskeletal or cardiopulmonary issue that limits one's ability to engage in exercise
  • Neurological disease other than Parkinson's disease that impacts motor or cognitive function

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Cleveland Clinic Foundation

Cleveland, Ohio, 44195, United States

Location

MeSH Terms

Conditions

Parkinson Disease

Condition Hierarchy (Ancestors)

Parkinsonian DisordersBasal Ganglia DiseasesBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesMovement DisordersSynucleinopathiesNeurodegenerative Diseases

Results Point of Contact

Title
Jay Alberts, PhD
Organization
Cleveland Clinic

Publication Agreements

PI is Sponsor Employee
Yes

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Model Details: 5 to 10 individuals with previously implanted deep brain stimulation and Parkinson's disease
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Center Director

Study Record Dates

First Submitted

May 9, 2024

First Posted

May 17, 2024

Study Start

May 21, 2024

Primary Completion

January 30, 2025

Study Completion

January 30, 2025

Last Updated

September 30, 2025

Results First Posted

September 30, 2025

Record last verified: 2025-09

Data Sharing

IPD Sharing
Will not share

Locations