Study of Axial and Cognitive Symptoms and Biomarkers of Neurodegeneration in Brain-first and Body-first PD
NCT07187843 · Status: RECRUITING · Type: OBSERVATIONAL · Enrollment: 150
Last updated 2026-04-23
Summary
This observational study aims to systematically characterize a cohort of patients with early-stage Parkinson's disease (PD) attending the Movement Disorders Center of AUSL-IRCCS Reggio Emilia, Italy. PD is the second most common neurodegenerative disorder, affecting about 1% of individuals over 60 years of age. The project will explore clinical and biological differences between the recently proposed "Brain-First" and "Body-First" phenotypes of PD. Patients will undergo detailed clinical evaluation, neuroimaging, and biomarker assessments (including neurodegeneration and neuroinflammation markers). Particular attention will be given to the progression of axial and cognitive symptoms, which represent major contributors to disability.
Findings from this study are expected to improve early patient stratification, clarify disease mechanisms, and support the development of precision medicine strategies and future disease-modifying therapies.
Conditions
- Parkinson Disease
- Parkinsonian Disorders
- Brain Disease
- Basal Ganglia Diseases
- Synucleinopathies
Interventions
- OTHER
-
Clinical assessments
standardized neurological examination, motor and non-motor symptom scales, cognitive testing, and autonomic symptom questionnaires.
- OTHER
-
Phenotypic classification
patients will be stratified into Brain-First and Body-First phenotypes based on the presence of RBD and instrumental findings.
Sponsors & Collaborators
-
Azienda USL Reggio Emilia - IRCCS
lead OTHER_GOV
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-09-04
- Primary Completion
- 2025-10-30
- Completion
- 2031-05-31
Countries
- Italy
Study Locations
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