- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04682678
Spinal Cord Stimulation for Gait Disorders in Parkinson's Disease (SCM-PARK)
Spinal Cord Stimulation for Gait Disorders in Parkinson's Disease: a Pilot Study
Our project is based on the fundamental hypothesis that epidural spinal cord stimulation (SCS) improves Freezing of gait (FOG) in patients with Parkinson's disease. In eight patients implantation of electrodes for SCS at the epidural thoracic level will be performed under general anaesthesia.
Evaluation of gait and motor symptoms will be performed with and without stimulation, after a 3-month period for each of the stimulation conditions.This is a pilot, single centre, prospective, randomized, double blinded, cross-over study.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Grenoble, France, 38043
- CHU Grenoble Alpes
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion criteria:
- Patients with diagnosis of idiopathic PD
- Aged 50-85 years
- Having a FOG (score> 14 at New-FOG-Questionnaire; score> = 1 at item 2.13 of the Movement Disorders Society-Unified Parkinson's Disease Rating Scale) despite the optimization of medical treatment
- Drug treatment stable for at least 2 months
- Able to give written consent.
Exclusion criteria:
- Pain syndrome (score> = 2 at item 1.9 of the MDS-UPDRS II)
- Psychosis
- Severe depression
- Severe cognitive impairment (Mini Mental Score Examination <19)
- Patient receiving STN DBS treatment
- Presence of other neurological or medical pathologies interfering with walking
- Subject in period of exclusion from another study
- Subject under administrative or judicial supervision
- Subject who cannot be contacted in an emergency.
- Person with any administrative or judicial measure of deprivation of rights and liberty
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Sham Comparator: OFF STIM
without stimulation
|
The implantation of electrodes for SCS at the epidural thoracic level connected to a neurostimulator at the abdominal level will be performed under general anaesthesia (hospitalization for 3 days in the Neurosurgery Department, CHUGA) in a maximum delay of 1 month following the preoperative assessment.
During the first postoperative month, the optimization of SCS parameters will be performed by an experienced movement disorders neurologist.
|
Active Comparator: ON STIM
stimulation with the most effective parameters
|
The implantation of electrodes for SCS at the epidural thoracic level connected to a neurostimulator at the abdominal level will be performed under general anaesthesia (hospitalization for 3 days in the Neurosurgery Department, CHUGA) in a maximum delay of 1 month following the preoperative assessment.
During the first postoperative month, the optimization of SCS parameters will be performed by an experienced movement disorders neurologist.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
frequency and duration of Freezing Of Gait (FOG) episodes, objective
Time Frame: Month 6
|
gait testing
|
Month 6
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
frequency and duration of Freezing Of Gait (FOG) episodes, subjective 1
Time Frame: Month 12
|
New FOG-questionnaire (NFOG-Q)
|
Month 12
|
frequency and duration of Freezing Of Gait (FOG) episodes, subjective 2
Time Frame: Month 12
|
patient diary
|
Month 12
|
impact of spinal cord stimulation on FOG, long term outcome
Time Frame: Month 12
|
New Freezing Of Gait-questionnaire (NFOG-Q)
|
Month 12
|
impact of spinal cord stimulation on quality of life, long term outcome
Time Frame: Month 12
|
Parkinsons disease questionnaire (PDQ39)
|
Month 12
|
impact of SCS on gait during a dual cognitive-motor task test
Time Frame: Month 12
|
New FOG-questionnaire (NFOG-Q)
|
Month 12
|
impact of SCS on other non-motor symptoms
Time Frame: Month 12
|
SCales for Outcomes in PArkinson's disease - Autonomic Dysfunction (SCOPA-AUT)
|
Month 12
|
impact of SCS on gait during timed up and go test
Time Frame: Month 12
|
timed up and go test
|
Month 12
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Elena MORO, CHUGA
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 (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 38RC20.165
- 2020-A02361-38 (Other Identifier: ID RCB)
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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