Parkinson’s Disease

Parkinson’s disease patients suffer from many symptoms impacting their everyday lives. Motor impairment may be most visible, but drug development teams are increasingly looking to address non-motor aspects based on patient feedback.

Cogstate can help your team gather quality data via sensitive and reliable digital cognitive testing, as well as supporting endpoint data quality programs for the full range of PD symptoms including motor function, quality of life, depression, suicidality, symptom severity, and sleep.

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Improve Strategic Study Design

The Cogstate team of cognitive scientists and statisticians have the expertise to advise your team on vital study considerations, help you answer key drug development questions, and reduce risk and uncertainty in your trial.

With access to thousands of cognitive data profiles—and from decades supporting drug development work—Cogstate can advise your team on endpoint selection, powering decisions, and interpretation of study results supportive of product efficacy, safety, and differentiating claims.

Implement Robust Endpoint Data Quality Programs

From helping you establish rater qualification criteria, to tailored certification pathways that credit the experience of expert raters, to central monitoring programs that target clinician reviews where they’re needed most, Cogstate supports all aspects of rater training and endpoint data quality programs. Studies also benefit from our global network of 180 highly trained expert clinicians who provide assessment support in 40+ languages.

Cogstate has expertise collaborating with the Movement Disorder Society (MDS) to coordinate training on commonly used MDS scales including the MDS-UPDRS and UDysRS; we have produced training materials on commonly used scales in PD studies (e.g., PDQ-39, PDSS-2, etc).

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Leverage Sensitive and Reliable Digital Tests 

Cogstate digital assessments provide rapid and reliable measurement of distinct domains affected by PD and enable you to capture a complete and nuanced picture of a subject’s cognitive state.

Cogstate tests are culture- and education-neutral and designed for repeated administration with minimal practice or learning effects, making them ideal for use in global clinical trials. Normative data is available for both clinical samples and healthy controls. Study teams can choose the tests that best suit their research questions. Each test has been used in drug trials.

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Sample Parkinson’s Disease Battery

The tests included are a sample battery based on domains commonly impacted by PD. Final battery recommendations vary based on study needs.

Cogstate Tests:• International Shopping List (Verbal Learning)
• Detection (Psychomotor Function)
• Identification (Attention)
• One Card Learning (Visual Learning)
• One Back (Working Memory)
• Two Back (Working Memory)
• Groton Maze Learning (Executive Function)
Length:Between 5-40 minutes
(depending on the number of tests included in the battery)
Administration:Standardized
Data Processing and Scoring:Automated
Application:Phase I-IV
Culture and Language Neutral:Yes

Case Studies of Parkinson’s Disease Solutions in Action

Acetylcholine M1 Receptor–Positive Allosteric Modulator (M1 PAM) Improved Cognition in Phase 2 Parkinson’s Disease Clinical Trial

A large pharmaceutical team was running a Phase 2 trial in Parkinson’s disease to evaluate the safety and efficacy of their novel M1 PAM compound (TAK-071). The team selected Cogstate to provide a battery of digital cognitive tests to measure treatment impact on cognition.

  • 54 participants took place in the trial with 6 weeks of treatment.
  • A cognitive composite score was developed consisting of 7 performance-based tests covering 3 cognitive domains that are commonly affected early in PD-MCI and PDD: attention, executive function, and memory.
  • Statistically significant improvements in the executive function and attention domain scores, as well as for both individual tests within the executive function domain, were observed for treatment compared with placebo.

Results from the cognitive battery showed that TAK-071 was well tolerated and improved the secondary efficacy outcome (cognitive composite score) vs placebo.

Shanbhag et al., JAMA Neurology (2025), doi:10.1001/jamaneurol.2024.4519

Cognitive Impact of Novel Parkinson’s Disease Therapeutic Observed in Ph 2 Trial

A large pharmaceutical team was running a phase 2 trial of AQW051 in patients with Parkinson’s disease and levodopa-induced dyskinesia. Because Parkinson’s disease patients are known to be impacted by cognitive impairment, the study team included digital tests of cognition as secondary measures in their trial.

  • 67 patients completed the study and took a battery of Cogstate digital cognitive assessments, including the One Back and International Shopping List tests.
  • Exploratory repeated measures analysis from the digital tests showed that compared with placebo, AQW051 50 mg/day yielded a change corresponding to a standardized effect size of 0.5, and an effect size of 0.4 at 10mg/day. Individual memory tasks also improved moderately at both doses.

The study team noted several statistically significant differences in cognition between drug and placebo based on the data collected using Cogstate digital tests.

Trenkwalder et al., Movement Disorders (2016), DOI: 10.1002/mds.26569

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