Deep Brain Stimulation (DBS) for the Treatment of Parkinson's Disease

NCT ID: NCT01839396

Last Updated: 2023-07-13

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

313 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-05-17

Study Completion Date

2022-12-05

Brief Summary

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The purpose of this study is to evaluate the safety and effectiveness of Boston Scientific's Vercise Deep Brain Stimulation (DBS) system in the treatment of patients with with advanced, levodopa-responsive bilateral Parkinson's disease (PD) which is not adequately controlled with medication.

Detailed Description

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The study is multi-center, prospective, double-blind, randomized (3:1) controlled trial.

GUIDE XT may be used for planning of programming as needed.

Conditions

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Parkinson's Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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Medium continuous dose of stimulation

Subjects in this arm will receive stimulation settings at a medium continuous dose of Deep Brain stimulation that may have been effective in previous DBS patients.

Group Type ACTIVE_COMPARATOR

Deep Brain Stimulation

Intervention Type DEVICE

The Vercise™ DBS system will be implanted in subjects in both study arms. Stimulation parameters will vary depending on the study arm assignment. All subjects will receive therapeutic settings at the end of the blinded period.

Low intermittent dose of stimulation

Subjects in this arm will receive stimulation settings at a lower intermittent dose of Deep Brain stimulation which is less likely to be effective.

Group Type SHAM_COMPARATOR

Deep Brain Stimulation

Intervention Type DEVICE

The Vercise™ DBS system will be implanted in subjects in both study arms. Stimulation parameters will vary depending on the study arm assignment. All subjects will receive therapeutic settings at the end of the blinded period.

Interventions

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Deep Brain Stimulation

The Vercise™ DBS system will be implanted in subjects in both study arms. Stimulation parameters will vary depending on the study arm assignment. All subjects will receive therapeutic settings at the end of the blinded period.

Intervention Type DEVICE

Other Intervention Names

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Vercise™ Deep Brain Stimulation (DBS) system.

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of bilateral idiopathic PD (H\&Y ≥ 2) with a duration of PD ≥ 5 years.
* Persistent disabling Parkinson's disease symptoms or drug side effects (e.g., dyskinesias, motor fluctuations, or disabling "off" periods) despite optimal medical therapy.
* Able to understand the study requirements and the treatment procedures and provides written informed consent before any study-specific tests or procedures are performed.

Exclusion Criteria

* Any intracranial abnormality or medical condition that would contraindicate DBS surgery.
* Have any significant psychiatric condition likely to compromise the subject's ability to comply with requirements of the study protocol
* Any other active implanted devices including neurostimulators and /or drug delivery pumps
* Any previous thalamotomy, pallidotomy or subjects who have undergone a DBS procedure.
* Have any significant medical condition that is likely to interfere with study procedures or likely to confound evaluation of study endpoints.
* A female who is breastfeeding or of child-bearing potential with a positive urine pregnancy test or not using adequate contraception.
Minimum Eligible Age

22 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Boston Scientific Corporation

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jerrold Vitek, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Minnesota, Neurology Department

Philip Starr, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Universiry of California, San Francisco, Surgical Movement Disorders Clinic

Locations

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Muhammad Ali Parkinson Research Center and Movement Disorders Clinic

Phoenix, Arizona, United States

Site Status

Cedars-Sinai Medical Center

Los Angeles, California, United States

Site Status

Kaiser Permanente, Sacramento

Sacramento, California, United States

Site Status

University of California, San Francisco

San Francisco, California, United States

Site Status

Carepoint, PC d/b/a Blue Sky Neurology

Englewood, Colorado, United States

Site Status

University of Florida Shands Hospital

Gainesville, Florida, United States

Site Status

Mayo Clinic, Jacksonville

Jacksonville, Florida, United States

Site Status

University of Miami, School of Medicine

Miami, Florida, United States

Site Status

Emory University

Atlanta, Georgia, United States

Site Status

Northwestern Memorial Hospital

Chicago, Illinois, United States

Site Status

Rush University Medical Center

Chicago, Illinois, United States

Site Status

University of Kansas Hospital

Kansas City, Kansas, United States

Site Status

University of Minnesota

Minneapolis, Minnesota, United States

Site Status

Albany Medical Center

Albany, New York, United States

Site Status

NYU Medical Center

New York, New York, United States

Site Status

Wake Forest Health Sciences

Winston-Salem, North Carolina, United States

Site Status

University of Cincinnati

Cincinnati, Ohio, United States

Site Status

Cleveland Clinic Foundation

Cleveland, Ohio, United States

Site Status

Allegheny Health Network

Pittsburgh, Pennsylvania, United States

Site Status

Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

Vanderbilt University

Nashville, Tennessee, United States

Site Status

University of Utah

Salt Lake City, Utah, United States

Site Status

Countries

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United States

References

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Vitek JL, Jain R, Chen L, Troster AI, Schrock LE, House PA, Giroux ML, Hebb AO, Farris SM, Whiting DM, Leichliter TA, Ostrem JL, San Luciano M, Galifianakis N, Verhagen Metman L, Sani S, Karl JA, Siddiqui MS, Tatter SB, Ul Haq I, Machado AG, Gostkowski M, Tagliati M, Mamelak AN, Okun MS, Foote KD, Moguel-Cobos G, Ponce FA, Pahwa R, Nazzaro JM, Buetefisch CM, Gross RE, Luca CC, Jagid JR, Revuelta GJ, Takacs I, Pourfar MH, Mogilner AY, Duker AP, Mandybur GT, Rosenow JM, Cooper SE, Park MC, Khandhar SM, Sedrak M, Phibbs FT, Pilitsis JG, Uitti RJ, Starr PA. Subthalamic nucleus deep brain stimulation with a multiple independent constant current-controlled device in Parkinson's disease (INTREPID): a multicentre, double-blind, randomised, sham-controlled study. Lancet Neurol. 2020 Jun;19(6):491-501. doi: 10.1016/S1474-4422(20)30108-3. Epub 2020 May 26.

Reference Type DERIVED
PMID: 32470421 (View on PubMed)

Other Identifiers

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CDM00049710/90876693

Identifier Type: OTHER

Identifier Source: secondary_id

G120075

Identifier Type: -

Identifier Source: org_study_id

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