- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05193825
Evaluation of Remote DBS Programming. (REMOTE)
March 23, 2022 updated by: Thomas Köglsperger
Evaluation of a Visual-Analog Scale (VAS) for Remote DBS Programming
Deep brain stimulation (DBS) represents the treatment of choice for advanced stages of Parkinson's disease (PD).
Currently, adaptive closed-loop stimulation systems that apply disease-specific biomarkers, such as local field potentials (LFPs), are being actively examined to facilitate DBS programming.
However, the most suitable feedback signal, still remains to be determined.
The investigators previously tested the usefulness of the patient's subjective rating on a visual analogue scale (VAS) as a potential feedback signal for DBS adjustment and found that VAS-based programming lead to similar results as our standard approach.
One of the practical advantages of using VAS-based programming strategies - in addition to saving time - is the principal applicability of such an approach to a remote programming setting, although a validation of such an approach is required.
Within the scope of a prospective, randomized multicenter clinical trial (the REMOTE Trial), the investigators will examine the effectiveness and safety of VAS-based remote DBS programming in PD by using a novel and recently introduced software platform (Abbott NeurosphereTM Virtual Clinic) that allows for the programming through a smartphone-based video connection with the patient.
Therefore, n = 50 PD patients undergoing STN-DBS surgery will be randomized and subsequent to surgery will have their IPG settings adjusted either during regular visits at the hospital or alternatively be programmed remotely through a VAS-based approach.
Prior to surgery and after a 90 days follow-up period, we will assess specific clinical (MDS-Unified Parkinson's Disease Rating Scale = UPDRS, Parkinson's Disease Questionnaire-39 sum index = PDQ-39 SI, Beck Depression Inventory = BDI, Montreal Cognitive Assessment Scale = MOCA) parameters to determine the effectivity and safety of the two different strategies on the patient outcome and to correlate it with VAS ratings and MRI data.
The results will support the examination of remote-based DBS programming and evaluate the patient's subjective judgment as a valid feedback signal.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Anticipated)
50
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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Bavaria
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Munich, Bavaria, Germany, 81377
- Recruiting
- Ludwig Maximilian University Hospital
-
Contact:
- Thomas Köglsperger, MD
- Phone Number: +49440043106
- Email: thomas.koeglsperger@med.uni-muenchen.de.de
-
-
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
35 years to 80 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Age between 35 and 80 yrs.
- Ability to communicate with the study physician and to understand the requirements of the study
- Idiopathic Parkinson's Syndrome; IPS (according to MDS-Criteria)
- Implantation of a DBS device for the stimulation of the subthalamic nucleus (STN) to treat PD.
Exclusion Criteria:
- Any inability to communicate with the study physician and to understand the requirements of the study
- Exclusion criteria of an idiopathic Parkinson's syndrome (IPS)
- Fulfills the criteria of dementia (according to the International Classification of Diseases (ICD) 10)
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: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Group A
Patients in Group A (active comparator) will have their internal pulse generator (IPG) adjusted by conventional procedures, i.e. by regular visits at their caregivers hospital.
|
Patients in the active comparator group (Group A) will have their internal pulse generators (IPGs) adjusted through a standard procedure at their caregivers institution.
|
Experimental: Group B
Patients in Group B (experimental) will have their internal pulse generator (IPG) adjusted by using a novel software (Abbot NeurosphereTM Virtual Clinics) that allows for remote IPG programming and with the aid of a visual analogue scale (VAS).
|
Patients in the experimental group (Group B) will have their internal pulse generators (IPGs) adjusted through a novel software that allows for remote DBS programming (NeurosphereTM Virtual Clinic)
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in UPDRS-III (Stimulation ON/Medication ON = STIM-ON/MED-ON)
Time Frame: Assessed at Day 90
|
Part III of the MDS-Unified Parkinson's Disease Rating Scale (Range 0-128 pts.
with high values indicating a more severe disease symptoms)
|
Assessed at Day 90
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in UPDRS-I
Time Frame: Assessed at day -1 and +90 (day 0 = implantation of DBS electrodes)
|
Part I of the MDS-Parkinson's Disease Rating Scale (Range 0-52 pts.
with high values indicating more severe disease symptoms)
|
Assessed at day -1 and +90 (day 0 = implantation of DBS electrodes)
|
Change in UPDRS-II
Time Frame: Assessed at day -1 and +90 (day 0 = implantation of DBS electrodes)
|
Part II of the MDS-Parkinson's Disease Rating Scale (Range 0-52 pts.
with high values indicating more severe disease symptoms)
|
Assessed at day -1 and +90 (day 0 = implantation of DBS electrodes)
|
Change in UPDRS-IV
Time Frame: Assessed at day -1 and +90 (day 0 = implantation of DBS electrodes)
|
Part IV of the MDS-Parkinson's Disease Rating Scale (Range 0-24 pts.
with high values indicating more severe disease symptoms)
|
Assessed at day -1 and +90 (day 0 = implantation of DBS electrodes)
|
Change in PDQ-39-SI
Time Frame: Assessed at day -1 and +90 (day 0 = implantation of DBS electrodes)
|
Parkinson's Disease Questionnaire-39 Sum Index (Range 0-100 pts.
with high values indicating more severe disease symptoms)
|
Assessed at day -1 and +90 (day 0 = implantation of DBS electrodes)
|
Change in Patient Rating (Patient Diary)
Time Frame: Assessed on a weekly basis by the patient between day +5 and +90 (day 0 = implantation of DBS electrodes)
|
Number of hours spent with bothersome dyskinesia or in a reduced mobility state (OFF)
|
Assessed on a weekly basis by the patient between day +5 and +90 (day 0 = implantation of DBS electrodes)
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Number of visits at the the hospital or remotely
Time Frame: Assessed at day +90 (day 0 = implantation of DBS electrodes)
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Number of doctor-patient contacts either in person at the hospital (Group A) or remotely (Group B)
|
Assessed at day +90 (day 0 = implantation of DBS electrodes)
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Change in TEED
Time Frame: Assessed at day +5 and +90 (day 0 = implantation of DBS electrodes)
|
Total Electrical Energy Delivered by the IPG; TEED (1s) = (voltage2 × frequency × pulsewidth) / impedance (1s)
|
Assessed at day +5 and +90 (day 0 = implantation of DBS electrodes)
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
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)
March 22, 2022
Primary Completion (Anticipated)
August 1, 2023
Study Completion (Anticipated)
December 1, 2023
Study Registration Dates
First Submitted
December 21, 2021
First Submitted That Met QC Criteria
January 14, 2022
First Posted (Actual)
January 18, 2022
Study Record Updates
Last Update Posted (Actual)
March 24, 2022
Last Update Submitted That Met QC Criteria
March 23, 2022
Last Verified
March 1, 2022
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- Remote DBS Programming
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
Yes
product manufactured in and exported from the U.S.
Yes
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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