Actively Recruiting

Phase Not Applicable
Age: 50Years +
All Genders
NCT06193252

Slow-SPEED-NL: Slowing Parkinson's Early Through Exercise Dosage-Netherlands

Led by Radboud University Medical Center · Updated on 2025-06-03

110

Participants Needed

1

Research Sites

202 weeks

Total Duration

On this page

Sponsors

R

Radboud University Medical Center

Lead Sponsor

S

Stichting ParkinsonNL

Collaborating Sponsor

AI-Summary

What this Trial Is About

The goal of this clinical trial is to investigate the feasibility if a remotely administered smartphone app can increase the volume and intensity of physical activity in daily life in patients with isolated Rapid Eye Movement (REM) sleep behaviour disorder over a long period of time (24 months). Participants will be tasked to achieve an incremental increase of daily steps (volume) and amount of minutes exercised at a certain heart rate (intensity) with respect to their own baseline level. Motivation with regards to physical activity will entirely be communicated through the study specific Slow Speed smartphone app. Primary outcomes will be compliance expressed as longitudinal change in digital measures of physical activity (step count) measured using a Fitbit smartwatch. Exploratory outcomes entail retention rate, completeness of remote digital biomarker assessments, digital prodromal motor and non-motor features of PD, blood biomarkers and brain imaging markers. Using these biomarkers, we aim to develop a composite score (prodromal load score) to estimate the total prodromal load. An international exercise study with fellow researchers in the United States and United Kingdom are currently in preparation (Slow-SPEED). Our intention is to analyse overlapping outcomes combined where possible through a meta-analysis plan, to obtain insight on (determinants of) heterogeneity in compliance and possible efficacy across subgroups

CONDITIONS

Official Title

Slow-SPEED-NL: Slowing Parkinson's Early Through Exercise Dosage-Netherlands

Who Can Participate

Age: 50Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Previously diagnosed with isolated REM sleep behavior disorder (iRBD) according to ICSD-3 criteria
  • Able to understand the Dutch language
  • Able to walk independently inside the home without a walking aid
  • Not in a high physical activity range during the 4-week eligibility and baseline period
  • Own a suitable smartphone compatible with the Slow-SPEED app, Fitbit app, and Roche PD Research Mobile application
Not Eligible

You will not qualify if you...

  • Clinically diagnosed or self-reported neurodegenerative disease
  • Self-reported weekly falls in the previous 3 months
  • Dexterity problems or cognitive impairments that prevent smartphone use
  • Do not wish to be informed about an increased risk of diseases associated with iRBD
  • Not living in the community
  • For MRI only: history of epilepsy, structural brain abnormalities, or brain surgery
  • Claustrophobia
  • Implanted electrical devices like pacemaker, deep-brain stimulator, or neurostimulator
  • Metal implants or metal splinters
  • Pregnancy
  • Fear of incidental findings during MRI

AI-Screening

AI-Powered Screening

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Trial Site Locations

Total: 1 location

1

Radboud University Medical Center

Nijmegen, Gelderland, Netherlands, 6525 GA

Actively Recruiting

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Research Team

T

Thomas Oosterhof, MSc

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

PREVENTION

Number of Arms

2

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