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Active, not recruitingNCT03741920APPRISEUpdated Sep 4, 2025

Evaluation of the Personal KinetiGraph™ (PKG™) to Improve Insight Into Parkinson's Disease Status

An interventional study of Personal KinetiGraph™ (PKG™) in Parkinson Disease, sponsored by Global Kinetics Corporation. Active, not recruiting at 12 sites in United States. Open to participants aged 46 Years to 83 Years. Per ClinicalTrials.gov, last updated 2025-09-04.

Sponsored by Global Kinetics Corporation · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Registered 1 year 5 months after the study started (first participant enrolled May 2017, registered Nov 2018).
Phase
Not applicable
Study type
Interventional
Enrollment
231
Allocation
Randomized
Ages
46 Years to 83 Years
Sex
All
01

Study summary

The primary objective is to understand the utility of Personal KinetiGraph movement recording system data in the clinical management of Parkinson's disease (PD) in routine clinical care at a movement disorders clinic. Specifically:

  1. Measure medication use and clinical management plan changes in a large, multicenter cohort among participants undergoing a clinical assessment with an MDS in which the MDS reviews the participant's PKG during the clinical assessment in half of the enrolled participants (PKG + Group) and in half of the enrolled participants the MDS completes the clinical assessment without the PKG (PKG- Group).
  2. Determine the association between frequency of medication changes, the PKG information, and other clinical assessments among participants with and without a PKG report of their PD motor status available to the clinician at the time of evaluation.
Read the detailed description

This is a prospective, multicenter, randomized controlled trial. The study consists of 3 phases as follows:

  • Randomization phase: subjects undergo screening, baseline, interim and 90-day follow-up visits

    • PKG+ Group (standard of care clinical evaluation plus use of PKG data)
    • PKG- Group (standard of care clinical evaluation without use of PKG data - the MDS is blinded to PKG data)
    • Randomization ratio will be 1:1 with assignments generated in advance of the start of the trial by the unblinded statistician who will provide a list containing group assignments that will be available in an Electronic Database (EDC) for site use.
    • The clinical investigator, study site staff, and subject will not be blinded to the randomization assignment during the randomization phase of the study
  • Open-label phase: at the end of the 90-day randomization phase visit for PKG- Group subjects, the MDS will report on the PKG and review it with the subject, the subject will complete follow-ups with the MDS using the PKG information during the clinical assessment following the same process as the PKG+ Group during the randomization phase
  • Extended open-label follow-up phase: annual follow-ups for all subjects at 1, 2, and 3 years during which the MDS will use the PKG information during clinical assessments for all subjects.
02

Conditions studied

  • Parkinson Disease

Browse trials for

Keywords

  • Personal KinetiGraph (PKG) Movement Recording System
03

In context

Parkinson Disease

4,487 studies on the registry are indexed under Parkinson Disease; 1,082 are open to participants now.

This study's enrollment of 231 is above the median of 40 across 3,294 interventional studies indexed under Parkinson Disease.

Browse Parkinson Disease studies →

Lead sponsor

Global Kinetics Corporation is the lead sponsor of 4 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
46 Years to 83 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Able and willing to sign a written informed consent for study participation
  • Age 46 - 83 years at the time of consent (per PKG Indications for Use, see Technical Instructions Manual)
  • Responsive to dopaminergic medications

Exclusion criteria

Exclusion Criteria:

  • Contraindication to increasing dopaminergic therapy, such as current or treated freezing gait, symptomatic postural hypotension, or bothersome hallucinations
  • Wheelchair bound or bedridden
  • Utilizing or planning advanced PD therapies (DBS, infusion, etc.)
  • History of delirium in the past year
  • In the investigator's or sponsor's opinion, subject has any unstable or clinically significant condition that would impair the participant's ability to comply with study requirements or interfere with interpretation of the study endpoints (e.g., subject able to complete PKG wear instructions per Patient Instruction Manual, or ability to comply with required study procedures and visit schedule)
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
231 participants (actual)

Study arms

  • Experimental
    Personal KinetiGraph™ (PKG™) +

    For subjects in the PKG+ Group, the study MDS will review and report on the PKG prior to the visit and use the information to guide the discussion with the subject during the clinical assessment. PKG results will be recorded in the PKG Reporting case report form (CRF). The study MDS will complete the MDS-Clinician Assessment CRF to denote patient-reported symptoms, treatable findings, and clinical management planning based on his/her routine clinical assessment procedures along with the PKG information.

    Device: Personal KinetiGraph™ (PKG™)

  • Active comparator
    Personal KinetiGraph™ (PKG™) -

    For subjects in the PKG- Group (control group), the study Movement Disorder Specialist (MDS) will complete the MDS - Clinician Assessment CRF to denote patient-reported symptoms, treatable findings, and clinical management planning based on his/her routine clinical assessment procedures. The study Movement Disorder Specialist will be blinded to the PKG information until the second part of the 90-day follow-up visit.

    Device: Personal KinetiGraph™ (PKG™)

Interventions

  • DevicePersonal KinetiGraph™ (PKG™)

    The Personal KinetiGraph™ (PKG™) Movement Recording System was developed by neurologists at the Melbourne-based Florey Institute of Neuroscience and Mental Health. The product is manufactured and marketed by Global Kinetics (GKC). The Personal KinetiGraph™ (PKG™) Movement Recording System consists of the following: * A wrist-worn data logger designed to acquire data on the kinematics of movement disorder symptoms over a 6-10 day period. * An application to configure the data logger and transfer the acquired data at the end of a recording. * A series of algorithms that analyze the uploaded data, producing a report that is delivered to the clinician. The report contains objective data distinguishing the movement patterns consistent with tremor, bradykinesia, dyskinesia and immobility.

06

What researchers measure

Primary outcomes

  1. Evaluation of treatment changes with or without the use of PKG data

    The proportion of patients in which the clinical management plan was changed in patients followed in the PKG- Group (clinician standard of care) compared to the PKG+ Group (clinician standard of care with the use of PKG data).

    Time frame: 90 day

07

Study locations

12 sites
  • Sutter Health
    Sacramento, California 95816, United States
  • University of California
    San Diego, California 92037, United States
  • Parkinson's Disease and Movement Disorders Center
    Boca Raton, Florida 33486, United States
  • University of Florida
    Gainesville, Florida 32604, United States
  • University of Miami
    Miami, Florida 33136, United States
  • University of South Florida
    Tampa, Florida 33613, United States
  • University of Kansas Medical Center
    Kansas City, Kansas 66103, United States
  • Johns Hopkins Medical Institute
    Baltimore, Maryland 21287, United States
  • Michigan State University
    East Lansing, Michigan 49824, United States
  • Northwell Health
    Great Neck, New York 11021, United States
  • New York University
    New York, New York 10017, United States
  • University of Texas
    Houston, Texas 77030, United States
08

References and documents

Publications

  • Maetzler W, Klucken J, Horne M. A clinical view on the development of technology-based tools in managing Parkinson's disease. Mov Disord. 2016 Sep;31(9):1263-71. doi: 10.1002/mds.26673. Epub 2016 Jun 7. PubMed 27273651 ↗
  • Pahwa R, Isaacson SH, Torres-Russotto D, Nahab FB, Lynch PM, Kotschet KE. Role of the Personal KinetiGraph in the routine clinical assessment of Parkinson's disease: recommendations from an expert panel. Expert Rev Neurother. 2018 Aug;18(8):669-680. doi: 10.1080/14737175.2018.1503948. Epub 2018 Jul 26. PubMed 30032695 ↗

Related links

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 4, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03741920
Lead sponsor
Global Kinetics Corporation
Responsible party
Sponsor
First posted
Nov 15, 2018
Start date
May 17, 2017
Primary completion
Feb 18, 2021
Completion
Oct 2025 (estimated)
Last update
Sep 4, 2025

Study contacts

Rajesh Pahwa, MD
principal investigator · University of Kansas Medical Center

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Aug 2025. You cannot join it, but the record below documents what was studied.

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