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CompletedNCT05351580DiSCERNUpdated Aug 26, 2025

DiSCERN: Advanced PD Therapy Candidacy and Evaluation System

An observational study in Parkinson Disease, sponsored by Great Lakes NeuroTechnologies Inc.. Completed at 2 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-08-26.

Sponsored by Great Lakes NeuroTechnologies Inc. · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
26
Ages
18 Years and older
Sex
All
01

Study summary

To collect data to develop models that identify when patients with advanced Parkinson's disease (PD) are not responding well to their current therapy and may be ready to consider advanced therapy and when patients receiving advanced therapy are not responding well and need a therapy adjustment.

02

Conditions studied

  • Parkinson Disease

Keywords

  • Dyskinesia
  • Parkinson's Disease
  • Deep brain stimulation
  • Wearable
03

In context

Parkinson Disease

4,488 studies on the registry are indexed under Parkinson Disease; 1,083 are open to participants now.

This study's enrollment of 26 is below the median of 96 across 1,057 observational studies indexed under Parkinson Disease.

Browse Parkinson Disease studies →

Lead sponsor

Great Lakes NeuroTechnologies Inc. is the lead sponsor of 19 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
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Our three clinical sites will recruit a total of 60 individuals diagnosed with advanced PD who regularly take levodopa. At least half the subjects will have already been identified as candidates for DBS or LCIG, but before their surgeries take place. The remainder will be non-demented (MoCA > 24) advanced PD patients as defined by having a UPDRS motor complications scores ≥ 4. All participants must be ambulatory and capable of using the smartphone-based DiSCERN system either independently or with the help of a caregiver.

Inclusion criteria

  • Able to provide informed consent
  • Diagnosed with Parkinson's disease
  • Current levodopa use
  • Hoehn and Yahr scale II-III
  • Ambulatory and capable of using the DiSCERN smartphone system
  • Able to understand and follow instructions regarding using the device
  • Half of participants (10 per site) identified as candidates for deep brain stimulation or drug pump by their treating neurologist, but before their surgeries take place.
  • The remainder (10 per site) will be individuals with advanced PD as defined by having a UPDRS motor complications scores ≥ 4.

Exclusion criteria

Exclusion Criteria:

  • Any subject that does not meet the inclusion criteria will be excluded from this study. Subjects not capable of following the required clinical instruction for this study will be excluded. Potential subjects will be screened to ensure no cognitive impairments exist that would prohibit them from properly using the system. Exclusion criteria includes cognitive impairment as evidenced by a score less than 24 on the Montreal Cognitive Assessment (MoCA) UNLESS the subject has a caregiver able and willing to facilitate use of the DiSCERN system based on the judgement of the treating neurologist.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
26 participants (actual)
Patient registry
No

Groups and cohorts

  • Advanced Parkinson's disease patients who receive advance therapy during the study

    All participants will have advanced Parkinson's disease and undergo smart watch monitoring. Participants in this cohort will be those who receive advance therapy during the study.

    Device: DiSCERN

  • Advanced Parkinson's disease patients who do not receive advance therapy during the study

    All participants will have advanced Parkinson's disease and undergo smart watch monitoring. Participants in this cohort will be those who do not receive advance therapy during the study.

    Device: DiSCERN

Interventions

  • DeviceDiSCERN

    Smart watch Monitoring

06

What researchers measure

Primary outcomes

  1. Symptom severities

    Symptom severities measured by smart watch

    Time frame: Eight (8) months compared to baseline

Secondary outcomes

  1. Unified Parkinson's Disease Rating Scale (UPDRS) Part III

    UPDRS Part III has 33 items assessing motor skills including facial expression and speech, tremors, rigidity, posture, gait, and bradykinesia. Each of the 33 items in the UPDRS part III is measured on a scale of 0 to 4, where 0 is normal and 4 represents severe abnormalities. The motor score ranges from 0 to 132, where the maximum score indicates the worse condition. A negative value in change indicates improvement, whereas a positive value indicates worsening of disease.

    Time frame: Eight (8) months compared to baseline

  2. Kinesia ONE motor assessment

    Time frame: Eight (8) months compared to baseline

  3. Parkinson's Disease Questionnaire (PDQ-39)

    The PD Quality of Life Questionnaire-39 (PDQ-39) is a self-report questionnaire that examines health related difficulties specific to PD in eight quality of life categories within the last month. Items are grouped into eight scales that are scored by expressing summed item scores as a percentage score ranging between 0 and 100, with higher % indicating more health problems.

    Time frame: Eight (8) months compared to baseline

  4. Montreal Cognitive Assessment (MoCA)

    The MoCA consists of 30 test items that assess visuospatial and executive functioning, naming, memory, attention, language, abstraction, delayed recall, and orientation. Each correct answer is awarded one point, which are added to create a total score. A higher score is a better outcome and indicates less cognitive impairment.

    Time frame: Eight (8) months compared to baseline

  5. MANAGE-PD questionnaire

    MANAGE-PD is designed to support healthcare providers in the identification of patients with Parkinson's Disease uncontrolled on oral medications. The questionnaire consists of two sections and should be answered based on symptoms during the last month. Patients are categorized into three categories based on responses: Category 1: Patient may be controlled on the current treatment regimen. Category 2: Patient may not be controlled on the current treatment regimen. Category 3: Patient may not be controlled on the current treatment regimen and may benefit from device-aided therapy.

    Time frame: Eight (8) months compared to baseline

07

Study locations

2 sites
  • University of Cincinnati
    Cincinnati, Ohio 45219, United States
  • Cleveland Clinic
    Cleveland, Ohio 44195, United States
08

References and documents

Publications

  • Heldman DA, Giuffrida JP, Cubo E. Wearable Sensors for Advanced Therapy Referral in Parkinson's Disease. J Parkinsons Dis. 2016 Jul 2;6(3):631-8. doi: 10.3233/JPD-160830. PubMed 27392872 ↗

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 Aug 26, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05351580
Lead sponsor
Great Lakes NeuroTechnologies Inc.
Collaborators
University of Cincinnati, The Cleveland Clinic, National Institute on Minority Health and Health Disparities (NIMHD), Ohio State University
Responsible party
Dustin Heldman (Principal Investigator, Great Lakes NeuroTechnologies Inc.) — Principal investigator
First posted
Apr 28, 2022
Start date
Jul 21, 2022
Primary completion
Jun 30, 2024
Completion
Jun 30, 2024
Last update
Aug 26, 2025

Study contacts

Dustin A Heldman, PhD
principal investigator · Great Lakes NeuroTechnologies Inc.

Oversight

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

Not currently enrolling

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

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