Sensing in Sleep Deep Brain Stimulation
Sensing in Sleep and Deep Brain Stimulation
Participants in this study have Parkinson's Disease and already have a device, called the Percept RC Deep Brain Stimulation device implanted. People with Parkinson's disease often have issues related to sleep such as bad quality of sleep, waking up often and sleep apnea (breathing stops and starts during sleep).
For this study, participants will be sleeping overnight in the study sleep lab for two nights. One night, Deep Brain Stimulation (DBS) device turned on and one night with the DBS off, either in this order or the reverse.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Eleni O Vaou, MD
- Phone Number: 210 450 8048
- Email: vaou@uthscsa.edu
Study Contact Backup
- Name: Omalys Biggs Rodriguez
- Phone Number: 210-450-7547
- Email: biggsrodrigu@uthscsa.edu
Study Locations
-
-
Texas
-
San Antonio, Texas, United States, 78229
- Recruiting
- The University of Texas Health Science Center at San Antonio - Brain Health Center
-
Contact:
- Omalys Biggs Rodriguez
- Phone Number: 210-450-8456
- Email: biggsrodrigu@uthscsa.edu
-
Contact:
- Eleni O Vaou, MD
- Phone Number: 210-450 8048
- Email: vaou@uthscsa.edu
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Ability of subject to understand and the willingness to sign a written informed consent document.
- Males and females; Age 40-80
- Subjects with the diagnosis of idiopathic PD consistent with the United Kingdom Parkinson Disease society brain bank criteria, or documented diagnosis of Parkinson Disease who have a Deep Brain Implant, Percept RC device to subthalamic nucleus (STN) or Globus pallidus internus (GPi).
- Willingness to adhere to the PSG regimen and turn DBS off for one night.
- A score of ≥23 on the Montreal Cognitive Assessment (MoCA)
- Be willing to stop any sleep hypnotics such as benzodiazepines and Ambien, with a 3 day washout period.
Exclusion Criteria:
- History of severe cardiovascular disease, untreated obstructive sleep apnea (OSA).
- History of other neurological disorders affecting the central nervous system such as stroke, multiple sclerosis, tumors, amyotrophic lateral sclerosis or muscle disease such as muscular dystrophy, myopathy.
- History of Dementia.
- Report dopaminergic medication changes in the past month.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Basic Science
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: STN-DBS Group
Participants diagnosed with Parkinson's Disease who have subthalamic nucleus (STN) deep brain stimulation as a primary target for their condition
|
Patients will undergo a 2-night Polysomnography (PSG).
Stimulation will be set to "ON" stimulation for the 1st PSG night, then will cross over the 2nd PSG study night in the opposite stimulation state.
Each subject will act as their own control.
Other Names:
Patients will undergo a 2-night Polysomnography (PSG).
Stimulation will be set to "OFF" stimulation for the 1st PSG night, then will cross over the 2nd PSG study night in the opposite stimulation state.
Each subject will act as their own control.
Other Names:
|
|
Experimental: GPi-DBS Group
Participants diagnosed with Parkinson's Disease who have Globus Pallidus internus (GPi) deep brain stimulation as a primary target for their condition.
|
Patients will undergo a 2-night Polysomnography (PSG).
Stimulation will be set to "ON" stimulation for the 1st PSG night, then will cross over the 2nd PSG study night in the opposite stimulation state.
Each subject will act as their own control.
Other Names:
Patients will undergo a 2-night Polysomnography (PSG).
Stimulation will be set to "OFF" stimulation for the 1st PSG night, then will cross over the 2nd PSG study night in the opposite stimulation state.
Each subject will act as their own control.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Sensing & Sleep: Parkinson's Disease Sleep Assessment
Time Frame: Day 1 to Day 14
|
A 7 item to rate sleep experience scored 0=unsure, 1=No and 2=Yes.
Total range of scores is from 0-14 with a higher score indicating more issues with sleep
|
Day 1 to Day 14
|
|
Motor severity
Time Frame: Baseline to Day 14
|
Motor severity will be assessed by the Movement Disorders Society - Unified Parkinson's Disease Rating Scale - part III.
This scale is the gold standard for measuring the severity and progression of PD.
Part III entails motor examination which consists of 18 questions that are scored on a 0-4 scale.
Higher scores suggest greater severity and progressing disease.
|
Baseline to Day 14
|
|
Epworth Sleepiness Scale (ESS)
Time Frame: Baseline to Day 14
|
The ESS is a short, self-administered survey that asks respondents to rate their likelihood of dozing off in eight different situations on a scale of 0-3.
The total score ranges from 0-24, and is used to estimate if the respondent has excessive daytime sleepiness that may require medical attention.
A score over 10 is abnormal.
Higher scores suggest greater severity of daytime sleepiness.
|
Baseline to Day 14
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Eleni O Vaou, MD, The University of Texas Health Science Center at San Antonio
- Principal Investigator: Pablo Coss, MD, The University of Texas Health Science Center at San Antonio
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
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
- Synucleinopathies
- Neurologic Manifestations
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Mental Disorders
- Neurodegenerative Diseases
- Movement Disorders
- Basal Ganglia Diseases
- Pathological Conditions, Signs and Symptoms
- Signs and Symptoms
- Dyssomnias
- Parkinson Disease
- Sleep Wake Disorders
- Parkinsonian Disorders
Other Study ID Numbers
Other Study ID Numbers
- STUDY00000600
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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