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- Klinische proef NCT07599592
Open Label Study for the Use of Low Intensity Focused Ultrasound for Essential Tremor
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Studietype
Inschrijving (Geschat)
Fase
- Vroege fase 1
Contacten en locaties
Studiecontact
- Naam: Andrew Bishay
- Telefoonnummer: 4243719869
- E-mail: andrewbishay@ucla.edu
Studie Locaties
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California
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Los Angeles, California, Verenigde Staten, 90024
- Werving
- UCLA Semel Institute for Neuroscience and Human Behavior
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Contact:
- Andrew Bishay
- Telefoonnummer: 4243719869
- E-mail: andrewbishay@ucla.edu
-
Hoofdonderzoeker:
- William Zeiger, MD, PhD
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Onderonderzoeker:
- John Stern, MD
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Onderonderzoeker:
- Ausaf Bari, MD, PhD
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Volwassen
- Oudere volwassene
Accepteert gezonde vrijwilligers
Beschrijving
Inclusion Criteria:
- Confirmed clinical diagnosis of ET
- Isolated tremor syndrome, at least 3 years duration
- Subjective complaint of tremor assessed and validated by physician
- Must be willing to comply with the study protocol
- English Proficiency
- At least 18 years of age
- At most 90 years of age
Exclusion Criteria:
- Severe microvascular disease or structural brain lesions equivalent to Fazekas scale of 3 or higher in the periventicular or deep white matter.
- Subjects on blood thinning medications (e.g. Eliquis)
- Recent stroke (within the last 6 months)
- Implanted electrodes (e.g. DBS) in brain
- History of aneurysm
- History of cranial trauma resulting in fracture or traumatic brain injury
- Subjects who are unable to cooperate with the testing.
- Subjects who lack capacity to consent
- Subjects with severe cardiac disease, increased intracranial pressure, or using a transcutaneous electrical nerve stimulation (TENS) unit.
Severe cardiac disease will be defined as any of the following:
i) History of myocardial infarction within the past 6 months ii) Diagnosis of congestive heart failure with NYHA Class III or IV symptoms iii) History of unstable angina, life-threatening arrhythmias, or use of an implantable cardioverter-defibrillator (ICD) iv) Uncontrolled hypertension (SBP >180 mmHg or DBP >110 mmHg) despite medication v) Any condition judged by the study physician to place the subject at increased risk from study participation
- Subjects with implanted medical devices
- Subjects with a history of seizure disorder.
- Subjects with contraindications to enter MRI environment
- Subjects with a history of substance abuse.
- Subjects who are currently pregnant. This will be verified by a urine test prior to beginning the study.
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: NVT
- Interventioneel model: Opdracht voor een enkele groep
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
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Experimenteel: LIFU Open Label Group
All subjects will be in the open-label arm of the study in which they will receive LIFU of the Vim
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Participants will receive low-intensity focused ultrasound pulsation (LIFUP) delivered using the BrainSonix BX Pulsar 1002 investigational device targeting the ventral intermediate nucleus (Vim) of the thalamus.
Andere namen:
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Accelerometric Data of Tremor Severity
Tijdsspanne: From enrollment until the end of treatment at 2 weeks
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Accelerometric trackers will be used to quantify and track tremor severity at each study session.
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From enrollment until the end of treatment at 2 weeks
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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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TETRAS
Tijdsspanne: From enrollment to the end of treatment at 2 weeks.
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The Essential Tremor Rating Scale is a clinically verified scale to track the severity of tremor.
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From enrollment to the end of treatment at 2 weeks.
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Fahn-Tolosa-Marin Tremor Rating Scale
Tijdsspanne: From enrollment to the end of treatment at 2 weeks.
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The Fahn-Tolosa-Marin Tremor Rating Scale is a clinically verified scale to track tremor severity.
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From enrollment to the end of treatment at 2 weeks.
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Medewerkers en onderzoekers
Onderzoekers
- Hoofdonderzoeker: William Zeiger, MD, PhD, University of California, Los Angeles
Publicaties en nuttige links
Algemene publicaties
- Zesiewicz TA, Elble RJ, Louis ED, Gronseth GS, Ondo WG, Dewey RB Jr, Okun MS, Sullivan KL, Weiner WJ. Evidence-based guideline update: treatment of essential tremor: report of the Quality Standards subcommittee of the American Academy of Neurology. Neurology. 2011 Nov 8;77(19):1752-5. doi: 10.1212/WNL.0b013e318236f0fd. Epub 2011 Oct 19.
- Tysnes OB, Storstein A. Epidemiology of Parkinson's disease. J Neural Transm (Vienna). 2017 Aug;124(8):901-905. doi: 10.1007/s00702-017-1686-y. Epub 2017 Feb 1.
- Stern JM, Spivak NM, Becerra SA, Kuhn TP, Korb AS, Kronemyer D, Khanlou N, Reyes SD, Monti MM, Schnakers C, Walshaw P, Keselman I, Cohen MS, Yong W, Fried I, Jordan SE, Schafer ME, Engel J Jr, Bystritsky A. Safety of focused ultrasound neuromodulation in humans with temporal lobe epilepsy. Brain Stimul. 2021 Jul-Aug;14(4):1022-1031. doi: 10.1016/j.brs.2021.06.003. Epub 2021 Jun 23.
- Jankovic J, Aguilar LG. Current approaches to the treatment of Parkinson's disease. Neuropsychiatr Dis Treat. 2008 Aug;4(4):743-57. doi: 10.2147/ndt.s2006.
- Elias WJ, Lipsman N, Ondo WG, Ghanouni P, Kim YG, Lee W, Schwartz M, Hynynen K, Lozano AM, Shah BB, Huss D, Dallapiazza RF, Gwinn R, Witt J, Ro S, Eisenberg HM, Fishman PS, Gandhi D, Halpern CH, Chuang R, Butts Pauly K, Tierney TS, Hayes MT, Cosgrove GR, Yamaguchi T, Abe K, Taira T, Chang JW. A Randomized Trial of Focused Ultrasound Thalamotomy for Essential Tremor. N Engl J Med. 2016 Aug 25;375(8):730-9. doi: 10.1056/NEJMoa1600159.
- Deveney CM, Surya JR, Haroon JM, Mahdavi KD, Hoffman KR, Enemuo KC, Jordan KG, Becerra SA, Kuhn T, Bystritsky A, Jordan SE. Transcranial focused ultrasound for the treatment of tremor: A preliminary case series. Brain Stimul. 2024 Jan-Feb;17(1):35-38. doi: 10.1016/j.brs.2023.12.007. Epub 2023 Dec 19.
- Bishay AAED, Swenson AJ, Spivak NM, Schafer S, Bych BP, Gilles SD, Dorobczynski C, Korb AS, Schafer ME, Kuhn TP, Monti MM, Bystritsky A. Preliminary Examination of the Effects of Focused Ultrasound on Living Skin and Temperature at the Skin-Transducer Interface. Bioengineering (Basel). 2024 Nov 8;11(11):1126. doi: 10.3390/bioengineering11111126.
- Zeng Q, Guan X, Guo T, Law Yan Lun JCF, Zhou C, Luo X, Shen Z, Huang P, Zhang M, Cheng G. The Ventral Intermediate Nucleus Differently Modulates Subtype-Related Networks in Parkinson's Disease. Front Neurosci. 2019 Mar 11;13:202. doi: 10.3389/fnins.2019.00202. eCollection 2019.
- Spivak NM, Korb AS, Reyes SD, Bych BP, Schafer SF, Khanlou N, Johnson EA, Schafer ME, Cohen MS, Kuhn T, Bystritsky A. Histological examination of focused ultrasound effects on human brain tissue. Brain Stimul. 2021 Nov-Dec;14(6):1486-1488. doi: 10.1016/j.brs.2021.09.015. Epub 2021 Oct 1. No abstract available.
- Spivak NM, Bishay AAED, Haroon J, Hopkins AR, Tanabe J, Halavi S, Hoang-Dang B, Swenson AJ, Schafer SF, Schafer ME, Bystritsky A, Bookheimer SY, Monti MM. Dose-Escalation Study of Amygdalar Transcranial Focused Ultrasound in Healthy Volunteers. medRxiv [Preprint]. 2025 Oct 29:2025.10.21.25338018. doi: 10.1101/2025.10.21.25338018.
- Shanker V. Essential tremor: diagnosis and management. BMJ. 2019 Aug 5;366:l4485. doi: 10.1136/bmj.l4485.
- Schafer ME, Spivak NM, Korb AS, Bystritsky A. Design, Development, and Operation of a Low-Intensity Focused Ultrasound Pulsation (LIFUP) System for Clinical Use. IEEE Trans Ultrason Ferroelectr Freq Control. 2021 Jan;68(1):54-64. doi: 10.1109/TUFFC.2020.3006781. Epub 2020 Dec 23.
- Su JH, Choi EY, Tourdias T, Saranathan M, Halpern CH, Henderson JM, Pauly KB, Ghanouni P, Rutt BK. Improved Vim targeting for focused ultrasound ablation treatment of essential tremor: A probabilistic and patient-specific approach. Hum Brain Mapp. 2020 Dec;41(17):4769-4788. doi: 10.1002/hbm.25157. Epub 2020 Aug 6.
- Rohani M, Fasano A. Focused Ultrasound for Essential Tremor: Review of the Evidence and Discussion of Current Hurdles. Tremor Other Hyperkinet Mov (N Y). 2017 May 5;7:462. doi: 10.7916/D8Z89JN1. eCollection 2017.
- Owens-Walton C, Jakabek D, Power BD, Walterfang M, Velakoulis D, van Westen D, Looi JCL, Shaw M, Hansson O. Increased functional connectivity of thalamic subdivisions in patients with Parkinson's disease. PLoS One. 2019 Sep 4;14(9):e0222002. doi: 10.1371/journal.pone.0222002. eCollection 2019.
- Duval C, Daneault JF, Hutchison WD, Sadikot AF. A brain network model explaining tremor in Parkinson's disease. Neurobiol Dis. 2016 Jan;85:49-59. doi: 10.1016/j.nbd.2015.10.009. Epub 2015 Oct 14.
- Deuschl G, Raethjen J, Hellriegel H, Elble R. Treatment of patients with essential tremor. Lancet Neurol. 2011 Feb;10(2):148-61. doi: 10.1016/S1474-4422(10)70322-7.
- Chandran V, Pal PK. Essential tremor: beyond the motor features. Parkinsonism Relat Disord. 2012 Jun;18(5):407-13. doi: 10.1016/j.parkreldis.2011.12.003. Epub 2012 Jan 2.
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Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- LIFUP for ET_v8
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Informatie over medicijnen en apparaten, studiedocumenten
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