Evidence map›Paper›PMID 24299497›Full record

Trial reportBMC neurology2013

The ReSPonD trial--rivastigmine to stabilise gait in Parkinson's disease a phase II, randomised, double blind, placebo controlled trial to evaluate the effect of rivastigmine on gait in patients with Parkinson's disease who have fallen.

Emily J Henderson, Stephen R Lord, Jacqueline C T Close, Andrew D Lawrence, Alan Whone, Yoav Ben-Shlomo

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in BMC neurology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03011476 (Effect of Acetylcholinesterase Inhibitors on the Gait of the Patients With Parkinson Disease Characterized by Postural Instability and Gait Disturbance), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03011476 phase4unknown statusnot on this mapstarted 2017, after this paper: background citation

Effect of Acetylcholinesterase Inhibitors on the Gait of the Patients With Parkinson Disease Characterized by Postural Instability and Gait Disturbance

TypeinterventionalSponsorKyung Hee University HospitalRan2017 to 2018Enrolled20ConditionsParkinson DiseaseArmsDonepezil, Placebos
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Interventions for preventing falls in Parkinson's disease.The Cochrane database of systematic reviews · 2022
    Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Prevention of Falls in Parkinson's Disease: Guidelines and Gaps.Movement disorders clinical practice · 2023
    Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Gait Disorder in a Cohort of Patients With Mild and Moderate Alzheimer's Disease.American journal of Alzheimer's disease and other dementias · 2016
    Article
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Emily J HendersonDepartment of Social and Community Medicine, University of Bristol, Canynge Hall, 39 Whatley Road, BS8 2PS Bristol, UK. Emily.Henderson@bristol.ac.uk.
Stephen R Lord
Jacqueline C T Close
Andrew D Lawrence
Alan Whone
Yoav Ben-Shlomo
University of Bristol · GBNeuroscience Research Australia · AUCardiff University · GB

Funding

Parkinson's UK F-1003
6 · The paper itself

Abstract

backgroundGait impairment is common in people with Parkinson's disease. There is a lack of effective interventions to target this debilitating complication and therefore a need to identify new therapeutic options. An underlying cholinergic deficit contributes to both the gait and cognitive dysfunction seen in Parkinson's disease. The combined impact of both impairments can be assessed in gait tasks performed with concomitant cognitive tasks. The aim of this trial is to evaluate the impact of a cholinesterase inhibitor on cognitive function and gait performance in people with established Parkinson's disease. METHODS/

designThis is a single centre, double-blind, randomised placebo-controlled trial in 130 people with Hoehn and Yahr stage 2-3 idiopathic Parkinson's disease who have fallen in the past year. Participants will be randomised to two groups, receiving either rivastigmine capsules or identical placebo capsules for 8 months. Assessment will be undertaken at baseline and at the end of medication prescription (i.e. 8 months) with participants remaining enrolled in the trial for a further 4 months to monitor for falls and adverse events. The primary outcome is step time variability, assessed with and without the addition of concurrent cognitive tasks. Secondary outcomes will include other gait parameters, sensorimotor and balance performances, cognitive indices, falls and fall related injury, fear of falling, Parkinson's symptoms and data pertaining to possible harms. DISCUSSION: This randomised controlled trial will examine the effect of cholinesterase inhibitor therapy on gait, balance and falls in Parkinson's disease. If effective, it would offer a new therapeutic option to ameliorating gait and cognitive deficits in a population at high risk of falls.

trial registrationISRCTN19880883, UTN U1111-1124-0244.

Indexed as

Accidental FallsCholinesterase InhibitorsCognition DisordersDouble-Blind MethodFemaleFollow-Up StudiesGait Disorders, NeurologicHumansMaleParkinson DiseasePhenylcarbamatesQuality of LifeRivastigmineStatistics, NonparametricTreatment OutcomeCholinesterase InhibitorsPhenylcarbamatesRivastigmine

Identifiers

PMID24299497
PMCPMC3880104
OpenAlexW2092062103

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.