This is a prospective observational study to identify biomarkers in parkinson syndromes. Patients with parkinsonian syndromes at the early stages of disease will be recruited and will be followed up until their established clinical diagnosis or for at least 5 years. In this population, imaging and wet biomarkers as well as clinical data will b systematically collected.
Study Type
OBSERVATIONAL
Enrollment
200
HYGEIA Hospital, Parkinson's disease and Movement Disorders Department
Athens, Greece
RECRUITINGDemographics
Age, gender, education, origin, race
Time frame: At enrolment
Family history
Family history of Parkinson's, dementia, tremor, other movement disorders, other neurological disorders
Time frame: At enrolment
Age
Age at onset in years
Time frame: At enrolment
Disease duration
Disease duration in years
Time frame: At enrolment
First motor symptom
First motor symptom time of onset
Time frame: At enrolment
First non-motor symptom
First non-motor symptom time of onset
Time frame: At enrolment
Side of onset
Side of onset of first motor symptom
Time frame: At enrolment
Staging
Hoehn and Yahr stage (H\&Y) stage (1-5, higher score indicate higher impairment)
Time frame: At enrolment and every six months over 5 years
Clinical scales - Unified Parkinson's disease rating scale (UPDRS)
Unified Parkinson's disease rating scale I-IV (UPDRS I-IV, 0-260; higher scores indicate higher impairment)
Time frame: At enrolment and every six months over 5 years
Clinical scales for Progressive supranuclear palsy (PSP)
Progressive supranuclear palsy rating scale (PSP-RS) (0-100; higher scores indicate higher impairment)
Time frame: At enrolment and every six months over 5 years
Clinical scales for Multiple system atrophy (MSA)
Unified Multiple system atrophy rating scale (UMSAPRS)(0-104; higher scores indicate higher impairment)
Time frame: At enrolment and every six months over 5 years
Clinical scales for PSP short
Progressive Supranuclear Palsy Clinical Deflicts Scale (PSP-CDS)(0-21; higher scores indicate higher impairment)
Time frame: At enrolment and every six months over 5 years
Clinical scales for apathy
Starkstein Apathy Scale (SAS) (0-56; higher scores indicate higher impairment)
Time frame: At enrolment and every six months over 5 years
Clinical scale for autonomic dysfunction
The Scale for Outcomes in Parkinson's disease for Autonomic symptoms - (0-100; higher scores indicate higher impairment)
Time frame: At enrolment and every six months over 5 years
Clinical scale for cognition
Montreal Cognitive Assessment (MOCA) (0-30, lower scores indicate higher impairment)
Time frame: At enrolment and every six months over 5 years
Clinical scale for frontal dysfunction
Frontal assessment battery (FAB) (0-18, lower scores indicate higher impairment)
Time frame: At enrolment and every six months over 5 years
Imaging outcome measures - nuclear medicine investigations
(meta-iodobenzylguanidine) MIBG-Scintigraphy heart
Time frame: At enrolment
Imaging outcome measures - Positron emission tomography (PET)
fluorodeoxyglucose (FDG) -PET brain
Time frame: At enrolment
Imaging outcome measures - Dopamine Transporters imaging (DaTScan)
MRI brain
Time frame: At enrolment
Imaging outcome measures - Magnetic resonance imaging (MRI)
MRI brain
Time frame: At enrolment
Blood samples analysis (DNA)
Whole exome sequencing - genetic testing
Time frame: At enrolment
Blood samples analysis (biomarkers, exosomes)
Peripheral blood mononuclear cell (PBMCs), peripheral blood mononuclear cells, exosomes
Time frame: At enrolment and after 2 years
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