Deep Brain Stimulation for Obsessive Compulsive Disorder (OCD PMCF)

NCT ID: NCT01135745

Last Updated: 2018-01-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

32 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-04-30

Study Completion Date

2015-05-31

Brief Summary

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The purpose of the study is to monitor the safety and performance of Reclaim® Deep Brain Stimulation (DBS) Therapy in patients with chronic, severe, treatment-resistant Obsessive Compulsive Disorder.

Detailed Description

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OCD is an anxiety disorder characterized by intrusive thoughts or images (obsessions), which increase anxiety, commonly accompanied by repetitive or ritualistic actions (compulsions), which decrease anxiety. The most frequent symptoms are contamination concerns with consequent washing or concerns about harm to self or others with consequent checking.

Although many OCD patients benefit from pharmacotherapy or CBT, between 7% and 10% of OCD patients fail to benefit from these standard treatments and may be considered treatment-resistant with a chronic deteriorating course. The most severely afflicted and disabled of these patients may be indicated for neurosurgical treatments, often considered as a therapy of last resort.

Neurosurgical procedures currently used in the treatment of severe, treatment-resistant OCD include anterior cingulotomy, subcaudate tractotomy, limbic leucotomy (which is a combination of the first two procedures) and anterior capsulotomy. The commonality between the different neurosurgical procedures is the irreversible lesioning of bilateral neuroanatomical structures and/or interconnecting pathways that are believed to be involved in the control of affect and limbic function.

An alternative neurosurgical treatment option to the standard lesioning procedures is Reclaim® Deep Brain Stimulation (DBS) Therapy for OCD, which received CE mark in July 2009.

Conditions

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Obsessive Compulsive Disorder

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Deep Brain Stimulation Therapy for OCD

Reclaim® DBS Therapy uses thin wires to deliver electric current (stimulation) to a very specific target in the brain. These wires are implanted surgically. They are attached to internal neurostimulators implanted under the skin of the chest below the collarbone, similar to cardiac pacemakers, or in the abdominal wall. The study doctor will adjust the settings of the electrical stimulation to optimize treatment for each participant.

Group Type EXPERIMENTAL

Reclaim® Deep Brain Stimulation

Intervention Type DEVICE

Implant of leads in pre-defined brain area; implant of neurostimulators

Interventions

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Reclaim® Deep Brain Stimulation

Implant of leads in pre-defined brain area; implant of neurostimulators

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* signing and dating of Informed Consent
* male and female patients at least 18 years of age
* diagnosis of Obsessive Compulsive Disorder
* meeting the definition of treatment resistance

Exclusion Criteria

* Axis-I disorder primary to OCD
* contraindication to implantation
* suicide risk
* risk of non-compliance
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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MedtronicNeuro

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Loes Gabriels, MD PhD MsEng

Role: PRINCIPAL_INVESTIGATOR

Professor of Psychiatry at UZ Leuven

Andreas Wahl-Kordon, MD

Role: PRINCIPAL_INVESTIGATOR

University Hospital Lübeck

Ludger Tebartz van Elst, MD

Role: PRINCIPAL_INVESTIGATOR

University Hospital Freiburg

Jose M Menchon, MD

Role: PRINCIPAL_INVESTIGATOR

University Hospital Bellvitge Barcelona

Antonio Higueras, MD

Role: PRINCIPAL_INVESTIGATOR

University Hospital Granada

Orsola Gambini, MD

Role: PRINCIPAL_INVESTIGATOR

University Hospital San Paolo Milan

Michael Schüpbach, MD

Role: PRINCIPAL_INVESTIGATOR

Insel Gruppe AG, University Hospital Bern

Siegried Kasper, MD

Role: PRINCIPAL_INVESTIGATOR

Department of Psychiatry and Psychotherapy Medical University of Vienna

Diana Radu-Djurfeldt

Role: PRINCIPAL_INVESTIGATOR

Karolinska Institutet, Stockholm

Renana Eitan

Role: PRINCIPAL_INVESTIGATOR

Hadassah-Hebrew University and Medical Center, Jerusalem

Locations

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Universitaire Ziekenhuis Leuven

Leuven, , Belgium

Site Status

Universitätsklinikum Schleswig-Holstein Campus Lübeck

Lübeck, , Germany

Site Status

Hadassah-Hebrew University Medical Center

Jerusalem, , Israel

Site Status

A.O. San Paolo Polo Universitario

Milan, , Italy

Site Status

Hospital Ciutat Sanitaria I Universitaria de Bellvitge

Barcelona, , Spain

Site Status

Hospital Virgen de las Nieves

Granada, , Spain

Site Status

Karolinska University Hospita

Stockholm, , Sweden

Site Status

Inselspital Bern

Bern, , Switzerland

Site Status

Countries

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Belgium Germany Israel Italy Spain Sweden Switzerland

References

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Rauch SL, Dougherty DD, Malone D, Rezai A, Friehs G, Fischman AJ, Alpert NM, Haber SN, Stypulkowski PH, Rise MT, Rasmussen SA, Greenberg BD. A functional neuroimaging investigation of deep brain stimulation in patients with obsessive-compulsive disorder. J Neurosurg. 2006 Apr;104(4):558-65. doi: 10.3171/jns.2006.104.4.558.

Reference Type BACKGROUND
PMID: 16619660 (View on PubMed)

Other Identifiers

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OCD PMCF Study 1.02.7003

Identifier Type: -

Identifier Source: org_study_id

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