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RecruitingNCT07330258Updated Sep 4, 2026

A US Study That Observes How Parkinson's Disease Changes Over Time in Patients Who Still Have Movement Symptoms Despite Taking Parkinson's Medications

An observational study in Parkinson's Disease, sponsored by Bayer. Recruiting at 27 sites in United States. Open to participants aged 45 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-09-04.

Sponsored by Bayer · Observational

From the registry’s dates

  • Started Jul 2026; still recruiting 2 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
300
Ages
45 Years to 75 Years
Sex
All
01

Study summary

This is an observational study in which data are collected and studied from Parkinson's disease patients who have movement symptoms despite taking standard Parkinson's medications. In observational studies, observations are made without any changes to the participant's healthcare or treatment plan. No investigational product will be administered in this study, as participants will be treated with the standard of care that medical experts currently consider most appropriate.

Parkinson's disease (PD) is a condition that affects the brain and causes problems with movement and other body functions. The symptoms of Parkinson's disease can worsen over time. People with Parkinson's disease may experience shaking (tremor), slow movements, stiff muscles, trouble walking, and problems with balance. They can also have other symptoms, such as difficulty thinking clearly, changes in mood, or difficulty sleeping. Parkinson's disease mostly affects older adults, but it can happen to younger people too. There is no cure, but treatments can help manage the symptoms and improve quality of life.

While doctors and researchers know that Parkinson's disease affects people in different ways and can worsen over time, there are still many things they don't fully understand-especially for people who experience movement symptoms despite taking their usual Parkinson's medicines. Earlier studies did not follow these patients long enough or collect all the important information needed. This study is being done to fill those gaps.

The main purpose of this study is to better understand how Parkinson's disease changes over time in patients who experience movement symptoms while taking standard oral Parkinson's medications, what challenges patients and their care partners face, and how their treatments are working in real life. To do this, researchers will collect data on:

  • Sociodemographics (e.g. age, gender, race/ethnicity, insurance provider).
  • Medical history and vital signs (e.g. comorbidities, family history of Parkinson's, height, weight, blood pressure).
  • Medications and treatments (e.g. Parkinson's and non-Parkinson's medications and other treatments, rehabilitation therapy sessions, use of mobility assistance devices).
  • Movement symptoms (e.g. tremor, slow movement, balance).
  • Non-movement symptoms (e.g. cognition, mood, sleep, activities of daily living).
  • Molecular data (e.g. genetics, α-synuclein).
  • Burden of care (e.g. economic cost).

Data will come from questionnaires or rating scales conducted by the doctor with the patient during study visits, diaries and logs completed by the patient, medical records, health insurance claims records, blood samples and skin biopsies, a digital device that records movement/non-movement symptoms, and questionnaires completed by the care partner.

Data will be collected from December 2025 to December 2032. Each participant may be followed for up to 5 years.

02

Conditions studied

  • Parkinson's Disease

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Keywords

  • Natural history study
  • Parkinson's disease
  • PD Motor (Hauser) Diary
  • MDS-UPDRS
  • Electronic health/medical records
  • Administrative claims data
  • Biological samples
  • Digital health technology
  • Care partner
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 planned enrollment of 300 is above the median of 96 across 1,057 observational studies indexed under Parkinson Disease.

Browse Parkinson Disease studies →

Lead sponsor

Bayer is the lead sponsor of 1,643 studies on the registry; 57 are open to participants now.

Of its 209 completed or terminated interventional studies of FDA-regulated products, 129 (62%) have results posted.

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

04

Who can participate

Ages eligible
45 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with Parkinson's disease experiencing motor complications while on antiparkinsonian medications

Eligibility criteria

Inclusion Criteria for Patient:

  • Individual of any sex ≥45 to ≤75 years of age at informed consent (at least 30% ≤60 years of age).
  • Diagnosis of clinically established Parkinson's disease (PD) as defined by the Movement Disorder Society (MDS) Clinical Diagnostic Criteria for PD ≥4 and \<12 years from time of PD diagnosis at informed consent.
  • Modified H\&Y stage II-III in the practically defined OFF-medication state (≥12 hours from last dose of antiparkinsonian medications).
  • Score of ≥30 on MDS-Unified Parkinson's Disease Rating Scale (MDS-UPDRS) part III in the OFF-medication state.
  • Presence of motor fluctuations with ≥1 hour of absolute time in the OFF state per day as assessed by clinician/patient at screening.
  • Receiving stable antiparkinsonian medication regimen for ≥4 weeks prior to screening with a levodopa daily dose ≥300 mg or a dosing frequency of ≥3 times per day.
  • Responsiveness to levodopa as determined by change in the following measures from the practically defined OFF state to ON state after taking typical first-daily dose of PD-medications: i. any degree of improvement (≥0.5 point) in modified H\&Y stage OR. ii. ≥30% improvement in MDS-UPDRS part III score.
  • Montreal Cognitive Assessment (MoCA) score of ≥24.
  • Agree to participate and provide signed informed consent.

Exclusion Criteria for Patient:

  • Known history or presence of conditions that may provide an alternative to a PD diagnosis including but not limited to: multiple system atrophy, progressive supranuclear palsy, striatonigral degeneration, corticobasal syndrome/degeneration, vascular Parkinsonism, drug-induced Parkinsonism, essential tremor, diffuse Lewy body disease, Lewy body dementia, Huntington's disease, Wilson's disease, Fahr's disease, Alzheimer's disease, cerebrovascular disease, brain tumor, trauma, and infection.
  • Known history or presence of significant vascular and/or cardiovascular disease limited to: stroke, transient ischemic attacks, poorly controlled hypertension, poorly controlled diabetes, unstable angina pectoris, or unstable myocardial infarction.
  • Known history or presence of significant psychosis or impulse control disorder, or untreated or sub optimally treated depression.
  • Known history or presence of human immunodeficiency virus, hepatitis B virus, hepatitis C virus, syphilis, or tuberculosis.
  • Current or previously active malignant disease within the past 5 years, except definitively treated cutaneous squamous cell carcinoma, basal cell carcinoma, or in situ uterine cervical carcinoma.
  • Currently pregnant, nursing, lactating, breastfeeding, or plan to be during study duration.
  • Known history or current use of percutaneous levodopa/carbidopa intestinal gel, subcutaneous levodopa, or apomorphine pump.
  • Prior history of brain surgery, including but not limited to: deep brain stimulation (DBS), pallidotomy, focused ultrasound thalamotomy, or other experimental neurosurgical procedure.
  • Known history or current participation in cell or gene therapy procedures.
  • Current participation in any interventional clinical trial.

Inclusion Criteria for Care Partner:

  • ≥18 years of age at informed consent.
  • Identified by the PD patient as their primary care partner.
  • Agree to participate and the ability to provide signed informed consent independently, without the need for a legal representative.

Exclusion Criteria for Care Partner:

  • Not applicable.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
300 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Parkinson's Disease Cohort

    A single cohort of patients with Parkinson's disease experiencing motor complications while receiving standard-of-care oral therapies. The care partner of the patient may also participate in the study.

    Other: Standard of Care

  • Care Partners Cohort

    The care partner of the patient may also participate in the study.

Interventions

  • OtherStandard of Care

    Follow clinical practice/administration. No investigational products will be administered in this study. Patients will be treated in accordance with standard of care as determined by their clinician.

06

What researchers measure

Primary outcomes

  1. Descriptive summary of motor outcomes among Parkinson's disease patients treated with oral antiparkinsonian medications who experience motor complications.

    This outcome will be assessed using Parkinson's disease (PD) Motor (Hauser) Diary, Movement Disorder Society-Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Parts II-IV (each part has several items scored from 0-normal to 4-severe; with higher scores indicating greater impairment), modified Hoehn \& Yahr (stages Parkinson's disease severity from 1 \[unilateral involvement only\] to 5 \[wheelchair-bound or bedridden unless aided\]), Universal Dyskinesia Rating Scale (UDysRS) (items scored from 0-none to 4-severe; higher scores indicate more severe dyskinesia), medical records, and digital health technology.

    Time frame: From baseline up to 5 years

  2. Descriptive summary of non-motor outcomes among Parkinson's disease patients treated with oral antiparkinsonian medications who experience motor complications.

    This outcome will be assessed using Montreal Cognitive Assessment (MoCA, score 0-30, higher = better cognition), MDS-UPDRS I (4-point scale, higher = greater impairment), modified Schwab \& England Activities of Daily Living (0-100%, higher = greater independence), MDS Non-Motor Rating Scale (MDS-NMS, 4-point scale, higher = more severe non-motor symptoms), Parkinson's Disease Questionnaire-39 (PDQ-39, 0-100 scale, higher = worse quality of life), Parkinson's Disease Health Index (PD-HI, higher = worse health status), Parkinson's Disease Sleep Scale 2 (PDSS-2, 4-point scale, higher = more severe sleep problems), Clinical Global Impressions Severity (CGI-S, 7-point scale, higher = greater severity of illness), Patient Global Impression Severity (PGI-S, 7-point scale, higher = greater severity), EuroQoL 5-Dimension 5-Level (EQ-5D-5L, 5 dimensions, 5 levels, plus visual analogue scale (VAS) 0-100 \[100=best imaginable health\]), medical records, and digital health technology.

    Time frame: From baseline up to 5 years

  3. Descriptive summary of Parkinson's medications and treatments received

    This outcome will be assessed by the logs (Parkinson's medications, Parkinson's advanced therapies, rehabilitation therapies \& mobility assistance devices) completed by the patient, medical records, and health insurance claims records.

    Time frame: From baseline up to 5 years

  4. Descriptive summary on the burden of care - psychological dimension

    This outcome will be assessed using the Zarit Burden Interview (ZBI), a 22-item questionnaire scored 0-88 (higher scores indicate greater burden).

    Time frame: From baseline up to 5 years

  5. Descriptive summary on the burden of care - economic dimension

    This outcome will be assessed using the Caregiver Indirect and Informal Care Cost Assessment Questionnaire (CIIQ), which includes 13 questions on work status, productivity, and informal care costs.

    Time frame: From baseline up to 5 years

07

Study locations

7 of 27 sites recruiting
  • Banner Alzheimer's Institute (BAI)-Phoenix
    Phoenix, Arizona 85006, United States
    Recruiting
  • University of Arizona - Movement Disorder Clinic
    Tucson, Arizona 85719, United States
    Not yet recruiting
  • The Parkinson's & Movement Disorder Institute
    Fountain Valley, California 92708, United States
    Recruiting
  • Keck School of Medicine
    Los Angeles, California 90033, United States
    Recruiting
  • Yale School of Medicine's Stephen and Denise Adams Center for Parkinson's Disease Research
    New Haven, Connecticut 06510, United States
    Not yet recruiting
  • Baptist Health Miami Neuroscience Institute
    Miami, Florida 33176, United States
    Recruiting
  • AdventHealth Neuroscience Institute
    Orlando, Florida 32804, United States
    Not yet recruiting
  • University of South Florida
    Tampa, Florida 33612, United States
    Not yet recruiting
  • Morehouse Healthcare
    Atlanta, Georgia 30310, United States
    Not yet recruiting
  • Medical College of Georgia at Augusta University
    Augusta, Georgia 30912, United States
    Recruiting
  • Northwestern Memorial HealthCare at Central DuPage Hospital
    Winfield, Illinois 60190, United States
    Not yet recruiting
  • MedStar Montgomery Medical Center
    Olney, Maryland 20832, United States
    Not yet recruiting
  • Boston Medical Center
    Boston, Massachusetts 02215, United States
    Not yet recruiting
  • University of Michigan
    Ann Arbor, Michigan 48109, United States
    Not yet recruiting
  • Rutgers - Robert Wood Johnson Medical School
    New Brunswick, New Jersey 08901, United States
    Not yet recruiting
  • Northwell Health
    New York, New York 10016, United States
    Not yet recruiting
  • Stony Brook University
    Stony Brook, New York 11794, United States
    Not yet recruiting
  • University of Buffalo Jacobs School of Medicine
    Williamsville, New York 14203, United States
    Recruiting
  • Cleveland Clinic
    Cleveland, Ohio 44195, United States
    Not yet recruiting
  • Thomas Jefferson University
    Philadelphia, Pennsylvania 19107, United States
    Not yet recruiting
  • Baylor College of Medicine
    Houston, Texas 77030, United States
    Not yet recruiting
  • University of Texas Health Science Center at Houston
    Houston, Texas 77030, United States
    Not yet recruiting
  • Intermountain Health
    Murray, Utah 84107, United States
    Not yet recruiting
  • University of Vermont
    Burlington, Vermont 05402, United States
    Not yet recruiting
  • University of Virginia
    Charlottesville, Virginia 22903, United States
    Recruiting
  • Sentara Neurology Specialists
    Norfolk, Virginia 23510, United States
    Withdrawn
  • VA Puget Sound Health Care System
    Seattle, Washington 98108, United States
    Not yet recruiting
08

References and documents

Individual participant data

Plan to share: No — Currently, there is no established plan for the sharing of Individual Patient Data (IPD) from this study. The availability of this study's data will later be determined according to Bayer's commitment to the EFPIA/PhRMA 'Principles for responsible clinical trial data sharing.' This pertains to the scope, timepoint, and process of data access. As such, Bayer commits to considering requests from qualified researchers for patient- / study-level clinical trial data, and documents from clinical trials involving medicines and indications approved in the US and EU. However, this commitment does not reflect an active IPD sharing plan. This applies to data on new medicines and indications that have been approved by the EU and US regulatory agencies on or after January 01, 2014. Researchers can use www.vivli.org to request access to IPD and documents from clinical studies to conduct research. Information on Bayer's criteria for listing studies is provided in the member section of the portal.

No publications or documents are linked to this record.

09

Updates

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

Registry details

Key details

Study ID
NCT07330258
Lead sponsor
Bayer
Responsible party
Sponsor
First posted
Jan 9, 2026
Start date
Jul 21, 2026
Primary completion
Dec 21, 2032 (estimated)
Completion
Jun 1, 2033 (estimated)
Last update
Sep 4, 2026

Study contacts

Bayer Clinical Trials Contact
Contact
clinical-trials-contact@bayer.com
(+)1-888-84 22937

Oversight

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

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