- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04367116
The Study to Evaluate the Safety and Efficacy of Spinal Cord Stimulation on Progressive Supranuclear Palsy
Study Overview
Status
Intervention / Treatment
Detailed Description
The Study to Evaluate the Safety and Efficacy of Spinal Cord Stimulation on Progressive Supranuclear Palsy is an open-label, prospective, single-arm, unicentral and exploratory clinical trial.
In the screening stage, patients clinically and radiologically diagnosed as progressive supranuclear palsy with prominent gait disturbance will be enrolled. Then comprehensive evaluations and spinal cord stimulation will be performed on patients eligible for stimulation. In the subsequent process of neuromodulation, changes of clinical presentations and cerebral metabolism of participants will be assessed. Any unsafe incidents in process will be recorded in detail.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Jian-Jun Wu, MD
- Phone Number: 86-21-52888163
- Email: jungliw@gmail.com
Study Contact Backup
- Name: Feng-Tao Liu, MD
- Phone Number: 86-21-52888163
- Email: liufengtao@fudan.edu.cn
Study Locations
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Shanghai
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Shanghai, Shanghai, China, 200040
- Huashan Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Clinical diagnosis is Progressive Supranuclear Palsy according to International Movement Disorder society criteria for Progressive Supranuclear Palsy (2017).
2.18FDG-PET imaging was completed within three months before the operation, and the imaging results were consistent with characteristics of Progressive Supranuclear Palsy, supporting the clinical diagnosis of Progressive Supranuclear Palsy.
3. The clinical manifestation is prominent gait balance disorder with "freezing gait", "turn difficulties" and "feet like a stick on the ground", "instabillity" and a fall history in the nearly 6 months (fall number less than or equal to 3 times).Or the researchers observe the existence of gait balance disorder, but patients can still walk without using external things with new freezing gait questionnaire survey more than 1 minute.
4.Those who fully understand the research and sign the informed consent.
Exclusion Criteria:
- Severe mental symptoms or depression state.
- Severe cognitive dysfunction with MMSE less than 20.
- Severe loss of postural reflexes (inability to stand and work independently) and depend on a walker or wheelchair.
- Depend on nasal feeding tube.
- Female in pregnant state when grouped.
- Clear and definite history of neurological diseases (stroke, trauma, tumor, hydrocephalus.
- Complicated with severe heart, liver or renal diseases.
- Clear and definite contraindications for surgery, electrical stimulation and PET examination.
- Unsuitable for surgery according to evaluation before the surgery.
- Other conditions that researchers think unsuitable surgery.
- Those who participant in other clinical trials at the same time.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: spinal cord stimulation
the spinal cord stimulation was performed and operated
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Spinal cord stimulation is a treatment that implants a electrode in posterior epidural space of patient's spinal canal to send mild electric current to stimulate conducting bundle of the posterior column of the spinal cord and posterior horn sensory neurons.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Safety of Spinal Cord Stimulation
Time Frame: 3 months
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Safety evaluation will be performed 3 months after Spinal Cord Stimualtion
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3 months
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Efficacy of Spinal Cord Stimulation on walk gait.
Time Frame: 3 months after Spinal Cord Stimualtion.
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The change of 10 Meter Walk Test (10MWT) scores.
The 10MWT recorded the time to finish the test, and the maximum time is 5 minutes.
The longer time suggest more severe condition.
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3 months after Spinal Cord Stimualtion.
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Efficacy of Spinal Cord Stimulation on walk time.
Time Frame: 3 months after Spinal Cord Stimualtion.
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Changes of the Time Up & Go (TUG) test score.
TUG test recorded the time to finish the test, the minimum time is 0 and the maximum time is 5 minutes.
The longer time suggest more severe condition.
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3 months after Spinal Cord Stimualtion.
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Alteration of cerebral metabolism in 18F-FDG-PET imaging
Time Frame: 6 months
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Alteration of cerebral metabolism in 18F-FDG-PET imaging 6 months after Spinal Cord Stimualtion
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6 months
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Alteration of gait, balance and motor score
Time Frame: 1 month, 6 months
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Alteration of gait, balance and motor score 1 month, 6 months after Spinal Cord Stimualtion.
The New Freezing of Gait Questionnaire (NFOG-Q) will be assessed, with the minimum score to be 0 and the maximum score to be 30 scores, with higher scores suggest more severe condition.
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1 month, 6 months
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Collaborators and Investigators
Sponsor
Investigators
- Study Director: Feng-Tao Liu, MD, Huashan Hospital
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 (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- KY2019-506
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.
Clinical Trials on Progressive Supranuclear Palsy
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Novartis PharmaceuticalsActive, not recruitingProgressive Supranuclear Palsy (PSP)Germany, United Kingdom, Canada, United States
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AbbVieTerminatedProgressive Supranuclear Palsy (PSP)United States, Australia, Canada, Italy, Japan
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AbbVieCompletedProgressive Supranuclear Palsy (PSP)United States
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Assistance Publique Hopitaux De MarseilleCompletedProgressive Supranuclear Palsy (PSP)France
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Oregon Health and Science UniversityEunice Kennedy Shriver National Institute of Child Health and Human Development... and other collaboratorsRecruitingSupranuclear Palsy, Progressive | Palsy SupranuclearUnited States
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University of California, San FranciscoNational Institutes of Health (NIH); National Institute on Aging (NIA)Active, not recruitingProgressive Supranuclear Palsy (PSP) | Corticobasal Degeneration (CBD) | Nonfluent Variant Primary Progressive Aphasia (nfvPPA) | Corticobasal Syndrome (CBS) | Cortical-basal Ganglionic Degeneration (CBGD) | Oligosymptomatic/Variant Progressive Supranuclear Palsy (o/vPSP)United States, Canada
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University of California, San FranciscoTau Consortium; CBD SolutionsCompletedProgressive Supranuclear Palsy (PSP) | Corticobasal Degeneration (CBD) | Corticobasal Syndrome (CBS) | Primary Four Repeat Tauopathies (4RT)United States
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UCB Biopharma SRLCompletedProgressive Supranuclear PalsyBelgium, Germany, Spain, United Kingdom
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Centre Hospitalier Universitaire de Pointe-a-PitreGroupe Hospitalier Pitie-Salpetriere; University Hospital Center of MartiniqueCompletedProgressive Supranuclear Palsy
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University of LouisvilleCompletedProgressive Supranuclear PalsyUnited States
Clinical Trials on Spinal Cord Stimulation
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Barts & The London NHS TrustBoston Scientific CorporationUnknown
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University of British ColumbiaProvidence Health & Services; International Spinal Research Trust; International...RecruitingSexual Dysfunction, Physiological | Spinal Cord Injuries | Neurogenic Bowel | Neurogenic Bladder | Spinal Cord StimulationCanada
-
St. Olavs HospitalNorwegian University of Science and TechnologyRecruiting
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Universitair Ziekenhuis BrusselMedtronicCompletedFailed Back Surgery SyndromeBelgium
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James J. Peters Veterans Affairs Medical CenterRecruitingOrthostatic HypotensionUnited States
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Imperial College LondonRecruitingParkinson Disease | Freezing of GaitUnited Kingdom
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University of Sao Paulo General HospitalActive, not recruitingParkinson Disease | Gait Disorders, NeurologicBrazil
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University of CalgaryInternational Collaboration on Repair DiscoveriesUnknownSpinal Cord Injuries | Autonomic Dysreflexia | Orthostatic Hypotension, DysautonomicCanada
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Stanford UniversityActive, not recruitingChronic PainUnited States
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Boston Scientific CorporationTerminatedPain | Peripheral Neuropathy | Diabetic NeuropathyUnited States