- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02978924
Trans-spinal Direct Current Stimulation in Primary Orthostatic Tremor (STOP)
Study Overview
Detailed Description
Regain of function and improvement of motor skills is a major challenge in motor disorders in which spinal cord functions play a key role. The growing development of non-invasive brain stimulations in the past decade led to significant progress in the understanding of neuronal abnormalities in patients with movement disorders that opens up new vistas for experimental treatments. However, these treatments are currently limited due to their high cost and lack of possibility to use in outpatients. Recently, trans-spinal direct current stimulation (tsDCS) has emerged as a novel tool to modulate non-invasively spinal cord excitability. This may be an excellent alternative to epidural stimulation, the sole technique available up to now to alter spinal functions in an invasive fashion. The overall goal of this study is to assess the potential of tsDCS to restore spinal cord functions in patients with primary orthostatic tremor (POT), a disorder with little or no current therapeutic resources and high disability for patients.
Using a crossover, randomized, double-blinded approach, cathodal (2mA, 20 min) or sham tsDCS (with the active electrodes over the thoracic level and the reference electrode on the right shoulder) will be delivered to 15 patients with POT. The maximal time in upright position determined by a force platform, the cortical excitability assessed by transcranial magnetic stimulation (input / output curve of the tibialis anterior muscle and short-latency afferent inhibition) and EMG activities of lower extremity muscles will be measured before (PRE), immediately and 30 minutes after current offset (POST0 and POST30 respectively). Cathodal and sham tsDCS will be delivered in two different sessions with a washout period of at least 7 days. The investigators anticipate that cathodal tsDCS but not sham tsDCS will be able to modulate both sensory and motor functions in POT and will, in turn, lead to functional improvement.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Paris, France, 75013
- Centre investigation clinique
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients with POT diagnosed since at least 1 year
- Normal neurological examination with the exception of POT
- Patients with or without treatment for TOP, or with treatment not sufficiently effective
- Affiliated with the French social security scheme, universal medical coverages (CMU), or an equivalent scheme
- Signed informed consent
Exclusion Criteria:
- Psychiatric or neurological conditions (with the exception of POT)
- Presence of potential tsDCS risk factors including an electrically, magnetically or mechanically activated implant (including cardiac pacemaker, epidural stimulation electrodes, etc.), an intravascular clip or any other electrically sensitive support system, damaged skin at the stimulation sites (i.e., skin with ingrown hairs, acne, razor nicks, wounds that have not healed, recent scar tissue, broken skin, etc.)
- Presence of TMS risk factor including cardiac pacemaker, history of epilepsy, traumatic brain injury with loss of consciousness, intracerebral clips, cochlear or ocular implants
- Pregnancy in women (as determined by a urine pregnancy test in pre-menopausal women), or lactating women or women planning pregnancy during the course of the study
- Patients enrolled in another biomedical research at the time of the study
- Participant who does not wish to be informed of any clinically relevant abnormalities (as determined by the investigators) identified during the course of the study
- Patient under guardianship or curatorship, or under judicial supervision
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Cathodal tsDCS
20 min of active treatment
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20 min of treatment applied at the thoracic level (active electrode) with reference placed on the right shoulder
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Sham Comparator: Sham tsDCS
20 min of sham treatment
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20 min of treatment applied at the thoracic level (active electrode) with reference placed on the right shoulder
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in maximal time in the upright position without support
Time Frame: Before (PRE) and immediately after current offset (POST0)
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Force plateform
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Before (PRE) and immediately after current offset (POST0)
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Quantitative assessment of tremor (EMG)
Time Frame: Before (PRE), immediately after (POST0) and 30min (POST30) current offset
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Before (PRE), immediately after (POST0) and 30min (POST30) current offset
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Cortical excitability assessed by Transcranial Magnetic Stimulation
Time Frame: Before (PRE), immediately after (POST0) and 30min (POST30) current offset
|
Before (PRE), immediately after (POST0) and 30min (POST30) current offset
|
Collaborators and Investigators
Investigators
- Principal Investigator: Marie Vidailhet, MD, marie.vidailhet@psl.aphp.fr
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- C16-26
- 2016-A01202-49 (Registry Identifier: IDRCB)
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
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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