- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04361188
UPDRS-III Comparisons of DBS for PD Between Patients Receiving MAC and AAA Anesthesia
August 16, 2021 updated by: ZhiHeng Liu, Shenzhen Second People's Hospital
UPDRS-III Comparisons of Deep Brain Stimulation for Parkinson's Disease Between Patients Receiving MAC and AAA Anesthesia: a Randomized Controlled Trial
Compares the patients' scores of UPDRS-III before and six-month after receiving deep brain stimulation for Parkinson's disease under MAC or AAA anesthesia.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
Compares the patients' scores of UPDRS-III before and six-month after receiving deep brain stimulation for Parkinson's disease under MAC or AAA anesthesia.
Besides, the research also compares the adverse events, LED, dosage of anesthetic drugs, wake-up time, surgical time, Hoehn&Yahr, PQD-39, MMSE, MoCA, HAMA, HAMD and patients' satisfaction between the two groups mentioned above.
Study Type
Interventional
Enrollment (Actual)
30
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
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Guangdong
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Shenzhen, Guangdong, China, 518035
- Shenzhen Second People's Hospital
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (ADULT, OLDER_ADULT)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Age greater than 18 years old
- Diagnosis of primary Parkinson's disease
- Parkinson's disease-related symptoms remain difficult to control with appropriate anti-parkinsonian medications.
Exclusion Criteria:
- Refusal to Participate in the research
- Patients with severe comorbidities such as severe sleep apnea syndrome and metal disorder
- Previous functional neurosurgery: DBS, thalamic incision, etc.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: SCREENING
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: TRIPLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: MAC anesthesia group
Parkinson's disease patients receiving deep brain stimulation under MAC anesthesia.
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Patients receives DBS under monitored anesthesia care.
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ACTIVE_COMPARATOR: AAA anesthesia group
Parkinson's disease patients receiving deep brain stimulation under AAA anesthesia.
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Patients receives DBS under asleep-awake-asleep anesthesia.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Scores' change of Unified Parkinson's Rating Scale (part III/motor part)
Time Frame: Before and six-month after DBS.
|
Compares the scores' change of Unified Parkinson's Rating Scale (part III/motor part) between the two groups.
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Before and six-month after DBS.
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change of Levodopa Equivalent Dose
Time Frame: Before and six-month after DBS.
|
Compares the change of Levodopa equivalent dose between the two groups.
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Before and six-month after DBS.
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Rates of Adverse Events
Time Frame: Intra-operative.
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Compares the rates of adverse events between the two groups.
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Intra-operative.
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Dosage of Anesthetic Drugs
Time Frame: Within surgery.
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Compares the dosage of anesthetic between the two groups.
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Within surgery.
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Wake-up Time
Time Frame: Within surgery.
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Compares the wake-up time between the two groups.
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Within surgery.
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Surgical Time
Time Frame: Within surgery.
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Compares the surgical time between the two groups.
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Within surgery.
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Hoehn&Yahr
Time Frame: Before surgery.
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Compares the Hoehn&Yahr classification between the two groups' patients.
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Before surgery.
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Patients' Satisfaction(Visual Analogue Scale)
Time Frame: 24 hours after surgery.
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Compares the scores of patients' satisfaction between the two groups' patients by Using a visual analogue scale.
The minimum value is 0 and maximum value is 10.
Higher value means greater satisfaction.
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24 hours after surgery.
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Scores' change of 39-item Parkinson's Disease Questionnaire
Time Frame: Before and six-month after DBS.
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Compares the scores' change of 39-item Parkinson's Disease Questionnaire between the two groups.
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Before and six-month after DBS.
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Scores' change of Mini-mental State Examination
Time Frame: Before and six-month after DBS.
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Compares the scores' change of Mini-mental State Examination between the two groups.
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Before and six-month after DBS.
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Scores' change of Montreal Cognitive Assessment
Time Frame: Before and six-month after DBS.
|
Compares the scores' change of Montreal Cognitive Assessment between the two groups.
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Before and six-month after DBS.
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Scores' change of Hamilton Anxiety Scale
Time Frame: Before and six-month after DBS.
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Compares the scores' change of Hamilton Anxiety Scale between the two groups.
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Before and six-month after DBS.
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Scores' change of Hamilton Depression Scale
Time Frame: Before and six-month after DBS.
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Compares the scores' change of Hamilton Depression Scale between the two groups.
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Before and six-month after DBS.
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Ho AL, Pendharkar AV, Brewster R, Martinez DL, Jaffe RA, Xu LW, Miller KJ, Halpern CH. Frameless Robot-Assisted Deep Brain Stimulation Surgery: An Initial Experience. Oper Neurosurg (Hagerstown). 2019 Oct 1;17(4):424-431. doi: 10.1093/ons/opy395.
- Kulikov A, Lubnin A. Anesthesia for awake craniotomy. Curr Opin Anaesthesiol. 2018 Oct;31(5):506-510. doi: 10.1097/ACO.0000000000000625.
- Krauss P, Marahori NA, Oertel MF, Barth F, Stieglitz LH. Better Hemodynamics and Less Antihypertensive Medication: Comparison of Scalp Block and Local Infiltration Anesthesia for Skull-Pin Placement in Awake Deep Brain Stimulation Surgery. World Neurosurg. 2018 Dec;120:e991-e999. doi: 10.1016/j.wneu.2018.08.210. Epub 2018 Sep 7.
- Kochanski RB, Sani S. Awake versus Asleep Deep Brain Stimulation Surgery: Technical Considerations and Critical Review of the Literature. Brain Sci. 2018 Jan 19;8(1):17. doi: 10.3390/brainsci8010017.
- Ho AL, Ali R, Connolly ID, Henderson JM, Dhall R, Stein SC, Halpern CH. Awake versus asleep deep brain stimulation for Parkinson's disease: a critical comparison and meta-analysis. J Neurol Neurosurg Psychiatry. 2018 Jul;89(7):687-691. doi: 10.1136/jnnp-2016-314500. Epub 2017 Mar 1.
- Chen T, Mirzadeh Z, Chapple KM, Lambert M, Shill HA, Moguel-Cobos G, Troster AI, Dhall R, Ponce FA. Clinical outcomes following awake and asleep deep brain stimulation for Parkinson disease. J Neurosurg. 2018 Mar 16;130(1):109-120. doi: 10.3171/2017.8.JNS17883.
- Chen T, Mirzadeh Z, Chapple KM, Lambert M, Evidente VGH, Moguel-Cobos G, Oravivattanakul S, Mahant P, Ponce FA. Intraoperative test stimulation versus stereotactic accuracy as a surgical end point: a comparison of essential tremor outcomes after ventral intermediate nucleus deep brain stimulation. J Neurosurg. 2018 Aug;129(2):290-298. doi: 10.3171/2017.3.JNS162487. Epub 2017 Oct 13.
- Sheshadri V, Rowland NC, Mehta J, Englesakis M, Manninen P, Venkatraghavan L. Comparison of General and Local Anesthesia for Deep Brain Stimulator Insertion: A Systematic Review. Can J Neurol Sci. 2017 Nov;44(6):697-704. doi: 10.1017/cjn.2017.224. Epub 2017 Sep 18.
- Grant R, Gruenbaum SE, Gerrard J. Anaesthesia for deep brain stimulation: a review. Curr Opin Anaesthesiol. 2015 Oct;28(5):505-10. doi: 10.1097/ACO.0000000000000230.
- Erickson KM, Cole DJ. Anesthetic considerations for awake craniotomy for epilepsy and functional neurosurgery. Anesthesiol Clin. 2012 Jun;30(2):241-68. doi: 10.1016/j.anclin.2012.05.002. Epub 2012 Jul 3.
- Bronstein JM, Tagliati M, Alterman RL, Lozano AM, Volkmann J, Stefani A, Horak FB, Okun MS, Foote KD, Krack P, Pahwa R, Henderson JM, Hariz MI, Bakay RA, Rezai A, Marks WJ Jr, Moro E, Vitek JL, Weaver FM, Gross RE, DeLong MR. Deep brain stimulation for Parkinson disease: an expert consensus and review of key issues. Arch Neurol. 2011 Feb;68(2):165. doi: 10.1001/archneurol.2010.260. Epub 2010 Oct 11.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (ACTUAL)
November 1, 2019
Primary Completion (ACTUAL)
September 30, 2020
Study Completion (ACTUAL)
May 31, 2021
Study Registration Dates
First Submitted
April 21, 2020
First Submitted That Met QC Criteria
April 23, 2020
First Posted (ACTUAL)
April 24, 2020
Study Record Updates
Last Update Posted (ACTUAL)
August 17, 2021
Last Update Submitted That Met QC Criteria
August 16, 2021
Last Verified
August 1, 2021
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- FS20191119007
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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