Fernüberwachte häusliche transkranielle temporale Interferenzstimulation bei motorischen Symptomen der Parkinson-Krankheit
Fernüberwachte häusliche transkranielle temporäre Interferenzstimulation bei motorischen Symptomen der Parkinson-Krankheit: Protokoll für eine doppelblinde randomisierte kontrollierte Studie
The goal of this clinical trial is to learn if home-based temporal interference stimulation (TIS) works to improve motor symptoms in people with Parkinson's disease (PD). It will also learn about the safety of this treatment. The main questions it aims to answer are:
- Does home-based TIS improve movement problems such as slow movement, stiffness, and walking difficulty?
- Are the effects maintained after the treatment ends?
- What medical problems (adverse events) occur during treatment? Researchers will compare active TIS to a sham treatment (a look-alike procedure that does not deliver active stimulation) to see if TIS works.
Participants will:
- Receive active TIS or sham stimulation once a day for 4 weeks at home under remote supervision
- Visit the clinic at specific time points for movement assessments
- Complete online questionnaires about symptoms and quality of life
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Studientyp
Studientyp
Einschreibung (Geschätzt)
Einschreibung
Phase
Phase
- Unzutreffend
Kontakte und Standorte
Studienkontakt
Studienkontakt
- Name: Yu Liu, Prof.
- Telefonnummer: +86 21 65507351
- E-Mail: yuliu@sus.edu.cn
Studieren Sie die Kontaktsicherung
- Name: Zijun Lu
- Telefonnummer: +86 21 65507862
- E-Mail: luzijun@snnu.edu.cn
Studienorte
-
-
Shanghai Municipality
-
Shanghai, Shanghai Municipality, China, 200438
- Rekrutierung
- Shanghai University of Sport
-
Kontakt:
- Zijun Lu
- Telefonnummer: +86 21 65507862
- E-Mail: luzijun@snnu.edu.cn
-
Shanghai, Shanghai Municipality, China, 200438
- Noch keine Rekrutierung
- Shanghai University of Sport
-
Kontakt:
- Zijun Lu
- Telefonnummer: +86 21 65507862
- E-Mail: luzijun@snnu.edu.cn
-
-
Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
Inclusion Criteria:
- Diagnosis of Parkinson's disease according to established clinical criteria
- Mild-to-moderate disease severity, defined as Hoehn and Yahr stage 1.5-3;
- Age between 40 and 80 years;
- Stable anti-parkinsonian medication regimen;
- Ability to walk unaided for at least 2 minutes.
Exclusion Criteria:
- contraindications to TIs (e.g., metal implantation, pacemakers, etc.);
- the use of DBS;
- significant cognitive impairment as defined by the diagnosis of Alzheimer's disease or dementia, or Montreal Cognitive Assessment (MoCA) total score<21, a recommended threshold for dementia in PD;
- diagnosis of other neurological conditions such as multiple sclerosis, previous stroke;
- report of severe lower-extremity arthritis, pain, or orthopedic problems significantly affecting gait;
- physician-diagnosis of schizophrenia or other psychiatric illness;
- an unwillingness to cooperate or participate in the study protocol. Eligible and interested participants will then be enrolled and complete baseline assessments before the randomization.
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Verdreifachen
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
|---|---|
|
Experimental: TIs-Group
Participants in this arm will receive active transcranial temporal interference stimulation targeting the internal globus pallidus over a four-week intervention period. |
Transcranial temporal interference stimulation (TIS) is a noninvasive brain stimulation technique that delivers two high-frequency alternating currents through scalp electrodes to generate a low-frequency interference field in deep brain regions. In this study, TIS targets the internal globus pallidus (GPi) to modulate neural activity in people with Parkinson's disease. Participants will receive one stimulation session per day, seven days per week, for four weeks in a home-based setting under real-time remote supervision. The electrode placement is based on a standard 10-10 electroencephalography (EEG) system. For stimulation targeting the right GPi, electrode pairs will be positioned at CP3-CP6 and F3-F6; for stimulation targeting the left GPi, electrode pairs will be positioned at CP4-CP5 and F4-F5. The sham TIS condition uses the same setup and procedures but does not deliver effective stimulation, thereby maintaining blinding. |
|
Schein-Komparator: Sham-TIs Group
Participants in this arm will receive sham transcranial temporal interference stimulation using the same electrode placement and experimental setup as the active intervention. The sham procedure consists of 28 sessions delivered over a four-week period, without therapeutic stimulation. |
Transcranial temporal interference stimulation (TIS) is a noninvasive brain stimulation technique that delivers two high-frequency alternating currents through scalp electrodes to generate a low-frequency interference field in deep brain regions. In this study, TIS targets the internal globus pallidus (GPi) to modulate neural activity in people with Parkinson's disease. Participants will receive one stimulation session per day, seven days per week, for four weeks in a home-based setting under real-time remote supervision. The electrode placement is based on a standard 10-10 electroencephalography (EEG) system. For stimulation targeting the right GPi, electrode pairs will be positioned at CP3-CP6 and F3-F6; for stimulation targeting the left GPi, electrode pairs will be positioned at CP4-CP5 and F4-F5. The sham TIS condition uses the same setup and procedures but does not deliver effective stimulation, thereby maintaining blinding. |
Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Movement Disorder Society-Unified Parkinson's Disease Rating Scale-III (MDS-UPDRS III)
Zeitfenster: Baseline, immediately after 1 and 4 weeks of intervention, 2 weeks, 4 weeks, and 8 weeks after intervention
|
Change in motor symptoms assessed using the Movement Disorder Society-Unified Parkinson's Disease Rating Scale-III (MDS-UPDRS III). The total score ranges from 0 to 132, with higher scores indicating more severe motor impairment (worse outcome). |
Baseline, immediately after 1 and 4 weeks of intervention, 2 weeks, 4 weeks, and 8 weeks after intervention
|
|
The time to complete 3-meter instrumented Timed Up and Go (iTUG) test
Zeitfenster: Baseline, immediately after 1 and 4 weeks of intervention, 2 weeks, 4 weeks, and 8 weeks after intervention
|
Participants will wear six wearable sensors of Mobility Lab system (Clario, Philadelphia, PA) to measure the kinematic data when performing iTUG test. In each trial, participants will be asked to stand up from a chair, walk straightforward for 3 meters, make a 180-degree turn, walk back straightly to the chair and sit down. |
Baseline, immediately after 1 and 4 weeks of intervention, 2 weeks, 4 weeks, and 8 weeks after intervention
|
Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
The time to complete sit-to-stand and stand-to-sit transitions in 3m-iTUG
Zeitfenster: Baseline, immediately after 1 and 4 weeks of intervention, 2 weeks, 4 weeks, and 8 weeks after intervention.
|
Time (in seconds) required to stand up from a seated position and return to sitting during the 3m-iTUG test, in which participants stand up from a chair, walk 3 meters, perform a 180-degree turn, walk back, and sit down. Lower values indicate better performance. |
Baseline, immediately after 1 and 4 weeks of intervention, 2 weeks, 4 weeks, and 8 weeks after intervention.
|
|
Turning time during 3m-iTUG
Zeitfenster: Baseline, immediately after 1 and 4 weeks of intervention, 2 weeks, 4 weeks, and 8 weeks after intervention
|
Time (in seconds) required to complete the 180-degree turn during the 3m-iTUG test, which includes standing up from a seated position, walking 3 meters, turning, walking back, and sitting down. Lower values indicate better performance. |
Baseline, immediately after 1 and 4 weeks of intervention, 2 weeks, 4 weeks, and 8 weeks after intervention
|
|
Response rate of MDS-UPDRS-III and gait speed
Zeitfenster: Baseline, immediately after 1 and 4 weeks of intervention
|
The number of participants who had a clinically meaningful improvement after the stimulation within each group. Clinically meaningful improvement will be defined as a reduction of ≥ 5 points in the MDS-UPDRS-III total score. For gait outcomes, an increase in gait speed of ≥ 0.10 m/s or ≥ 10% improvement from baseline will be considered meaningful |
Baseline, immediately after 1 and 4 weeks of intervention
|
|
MDS-UPDRS-III sub scores
Zeitfenster: Baseline, immediately after 1 and 4 weeks of intervention, 2 weeks, 4 weeks, and 8 weeks after intervention
|
Absolute change from baseline in four prespecified MDS-UPDRS-III sub scores in medication- "ON" and- "OFF" states, including rigidity, bradykinesia, tremor, and axial symptoms, with higher scores indicating more severe motor impairment (worse outcome). |
Baseline, immediately after 1 and 4 weeks of intervention, 2 weeks, 4 weeks, and 8 weeks after intervention
|
|
Geriatric Anxiety Inventory (GAI)
Zeitfenster: Baseline, after 2 weeks and 4 weeks of intervention, 2 weeks, 4 weeks, and 8 weeks after intervention
|
A 20-item self-report scale (range: 0-20), with higher scores indicating greater anxiety severity; scores ≥8-10 suggest clinically relevant anxiety. |
Baseline, after 2 weeks and 4 weeks of intervention, 2 weeks, 4 weeks, and 8 weeks after intervention
|
|
Geriatric Depression Scale (GDS)
Zeitfenster: Baseline, after 2 weeks and 4 weeks of intervention, 2 weeks, 4 weeks, and 8 weeks after intervention
|
A 15-item self-report scale (range: 0-15), with higher scores indicating greater depressive symptom severity; categorized as normal (0-4), mild (5-8), moderate (9-11), and severe (12-15). |
Baseline, after 2 weeks and 4 weeks of intervention, 2 weeks, 4 weeks, and 8 weeks after intervention
|
|
Scales for Outcomes in Parkinson's Disease-Autonomic (SCOPA-AUT)
Zeitfenster: Baseline, after 2 weeks and 4 weeks of intervention, 2 weeks, 4 weeks, and 8 weeks after intervention
|
a 25-item self-report scale assessing autonomic dysfunction in Parkinson's disease (range: 0-69), with higher scores indicating more severe autonomic symptoms. |
Baseline, after 2 weeks and 4 weeks of intervention, 2 weeks, 4 weeks, and 8 weeks after intervention
|
|
Montreal Cognitive Assessment (MOCA)
Zeitfenster: Baseline, after 4 weeks of intervention
|
a 30-point screening tool (range: 0-30), with lower scores indicating worse global cognitive function. |
Baseline, after 4 weeks of intervention
|
|
Trail Making Test (Part A/B)
Zeitfenster: Baseline, after 4 weeks of intervention
|
The Trail Making Test assesses processing speed (Part A) and executive function (Part B), with longer completion times indicating poorer cognitive performance. |
Baseline, after 4 weeks of intervention
|
|
The Digit Span Test evaluates (DST)
Zeitfenster: Baseline, after 4 weeks of intervention
|
The Digit Span Test evaluates (DST) attention and working memory, with higher scores indicating better cognitive performance. |
Baseline, after 4 weeks of intervention
|
|
Parkinson's Disease Sleep Scale-2 (PDSS-II)
Zeitfenster: Baseline, after 2 weeks and 4 weeks of intervention, 2 weeks, 4 weeks, and 8 weeks after intervention
|
a 15-item scale (range: 0-60), with higher scores indicating more severe sleep disturbances. |
Baseline, after 2 weeks and 4 weeks of intervention, 2 weeks, 4 weeks, and 8 weeks after intervention
|
|
Epworth Sleeping Scale (ESS)
Zeitfenster: Baseline, after 2 weeks and 4 weeks of intervention, 2 weeks, 4 weeks, and 8 weeks after intervention
|
an 8-item scale (range: 0-24), with higher scores indicating greater daytime sleepiness; scores ≥10 suggest excessive daytime sleepiness. |
Baseline, after 2 weeks and 4 weeks of intervention, 2 weeks, 4 weeks, and 8 weeks after intervention
|
|
Parkinson's Disease Questionnaire-39 (PDQ-39)
Zeitfenster: Baseline, after 2 weeks and 4 weeks of intervention, 2 weeks, 4 weeks, and 8 weeks after intervention
|
a 39-item questionnaire (range: 0-100, scaled), with higher scores indicating poorer quality of life. |
Baseline, after 2 weeks and 4 weeks of intervention, 2 weeks, 4 weeks, and 8 weeks after intervention
|
|
Home Diary Assessment of Motor States
Zeitfenster: Baseline, immediately after 1, 2, 3, 4 weeks of intervention
|
Participants will record daily information including perceived medication- "ON" and- "OFF" periods [ref], time to medication onset, daily physical activity, sleep duration, and the occurrence of any adverse events. |
Baseline, immediately after 1, 2, 3, 4 weeks of intervention
|
|
Safety related outcomes
Zeitfenster: After each intervention session (28 sessions over 4 weeks).
|
|
After each intervention session (28 sessions over 4 weeks).
|
Mitarbeiter und Ermittler
Sponsor
Sponsor
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Studienbeginn
Primärer Abschluss (Geschätzt)
Primärer Abschluss
Studienabschluss (Geschätzt)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- 102772025RT234
- 11932013 (Andere Zuschuss-/Finanzierungsnummer: National Natural Science Foundation of China)
Plan für individuelle Teilnehmerdaten (IPD)
Planen Sie, individuelle Teilnehmerdaten (IPD) zu teilen?
Arzneimittel- und Geräteinformationen, Studienunterlagen
Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
Diese Informationen wurden ohne Änderungen direkt von der Website clinicaltrials.gov abgerufen. Wenn Sie Ihre Studiendaten ändern, entfernen oder aktualisieren möchten, wenden Sie sich bitte an register@clinicaltrials.gov. Sobald eine Änderung auf clinicaltrials.gov implementiert wird, wird diese automatisch auch auf unserer Website aktualisiert .