Effectiveness and Safety of Directional Deep Brain Stimulation for Parkinson's Disease
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Jianguang Sun
- Phone Number: 010-60736388
- Email: sunjianguang@pinsmedical.com
Study Locations
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-
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Beijing, China
- Beijing Tiantan Hospital, Capital Medical University
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Beijing, China
- Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University
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Chengdu, China
- West China Hospital of Sichuan University
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Kunming, China
- First Affiliated Hospital of Kunming Medical University
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Nanjing, China
- Nanjing Brain Hospital Affiliated to Nanjing Medical University
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Shanghai, China
- ChangHai Hospital, The Second Military Medical University
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Shenzhen, China
- Shenzhen Second People's Hospital (the First Affiliated Hospital of Shenzhen University)
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Tianjin, China
- Tianjin Medical University General Hospital
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Wuhan, China
- Zhongnan Hospital of Wuhan University
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age at the time of enrollment: 18 ~ 75;
- Idiopathic Parkinson's disease;
- Patient whose symptoms are not adequately controlled by best medical therapy;
- Hoehn and Yahr stage≥2.5;
- Patient whose symptoms are improved by at least 30% with levodopa challenge test;
- Must be an appropriate candidate for the surgical procedures required for bilateral DBS;
- Is willing and able to comply with all visits and study related procedures;
- Patient understands the study requirements and the treatment procedures and provides written informed consent before any study-specific tests or procedures are performed.
Exclusion Criteria:
- Had received lesioning surgical treatment;
- A female who is breastfeeding or of child-bearing potential with a positive urine pregnancy test or not using adequate contraception;
- Any current drug or alcohol abuse;
- Cognitive impairment (MMSE≦17 for primary school education or MMSE≦24 for middle school education and above);
- Any significant psychiatric problems, including unrelated clinically significant depression;
- Any history of craniocerebral injury, tumor, or severe cerebrovascular disease;
- Severe brain atrophy (confirmed by CT or MRI);
- A condition requiring or likely to require the use of diathermy;
- Abnormal blood routine or biochemical test, coagulation dysfunction, serious abnormal liver or kidney function;
- Uncontrolled high blood pressure, serious heart disease or serious medical or respiratory diseases;
- Long-term of immunosuppressive or hormone therapy;
- Other diseases requiring the stimulators;
- A condition requiring or likely to require the use of MRI;
- Participated in any other clinical trials within the preceding 3 months;
- Unwilling or unable to cooperate with the implantation of DBS system;
- Unwilling or unable to cooperate with postoperative follow-up;
- Not considered to be applicable by the investigator.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Directional deep brain stimulation
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Directional deep brain stimualtion in the treatment of Parkinson's disease using L305/L306 leads and G107R/G107 implanted pulse generators (Beijing Pins Medical Co.).
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Therapeutic Window
Time Frame: 1 month post the device implanted
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Therapeutic window is the range of stimulation amplitude that produces symptom relief without causing side effects.
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1 month post the device implanted
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
On time(h/d) without troublesome dyskinesia
Time Frame: 3 months post device-activation
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3 months post device-activation
|
|
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Adverse events
Time Frame: 3 months post device-activation
|
3 months post device-activation
|
|
|
Motor Function
Time Frame: 3 months post device-activation
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Change in Movement Disorder Society-Sponsored Revision of the Unified Parkinson's Disease Rating (MDS-UPDRS) Part III score.
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3 months post device-activation
|
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Total Electrical Energy Delivered(TEED)
Time Frame: 3 months post device-activation
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TEED=(Voltage^2×frequency×pulse width)/impedance×1 s
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3 months post device-activation
|
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The dosage of anti-parkinsonian medications
Time Frame: 3 months post device-activation
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3 months post device-activation
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|
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Change in PDQ-39 score
Time Frame: 3 months post device-activation
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Using the Parkinson's Disease Questionnaire to acquire a score ranging from 0 to 156 as a summary of all subscores from 39 items.
The higher score indicates lower quality of life.
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3 months post device-activation
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- PINS-DBS-2101
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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