Trial Outcomes & Findings for Deep Brain Stimulation (DBS) for the Treatment of Parkinson's Disease (NCT NCT01839396)

NCT ID: NCT01839396

Last Updated: 2023-07-13

Results Overview

Difference in the mean change from baseline to 12 weeks post-randomization between the active and control groups in the ON time as measured by Parkinson's diary. Positive indicates improvement

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

313 participants

Primary outcome timeframe

From baseline to 12 weeks post-randomization

Results posted on

2023-07-13

Participant Flow

Subjects were considered enrolled once informed consent was completed. Only those who met all eligibility criteria went on to receive implant and randomization for study endpoints

Subjects were considered enrolled once informed consent was completed. Only those who met all eligibility criteria went on to receive implant and randomization for study endpoints

Participant milestones

Participant milestones
Measure
Medium Continuous Dose of Stimulation
Subjects in this arm received a medium continuous dose of Deep Brain stimulation that may have been effective in previous DBS patients. Deep Brain Stimulation: The Vercise™ DBS system was implanted in subjects in both study arms. Stimulation parameters varied depending on the study arm assignment. All subjects received therapeutic settings at the end of the blinded period.
Low Intermittent Dose of Stimulation
Subjects in this arm received a lower intermittent dose of Deep Brain stimulation which was less likely to be effective. Deep Brain Stimulation: The Vercise™ DBS system was implanted in subjects in both study arms. Stimulation parameters varied depending on the study arm assignment. All subjects received therapeutic settings at the end of the blinded period.
Overall Study
STARTED
121
39
Overall Study
COMPLETED
121
39
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Information for each group and overall population is provided.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Medium Continuous Dose of Stimulation
n=121 Participants
Subjects in this arm received a medium continuous dose of Deep Brain stimulation that may have been effective in previous DBS patients. Deep Brain Stimulation: The Vercise™ DBS system was implanted in subjects in both study arms. Stimulation parameters varied depending on the study arm assignment. All subjects received therapeutic settings at the end of the blinded period.
Low Intermittent Dose of Stimulation
n=39 Participants
Subjects in this arm received a lower intermittent dose of Deep Brain stimulation which was less likely to be effective. Deep Brain Stimulation: The Vercise™ DBS system was implanted in subjects in both study arms. Stimulation parameters varied depending on the study arm assignment. All subjects received therapeutic settings at the end of the blinded period.
Total
n=160 Participants
Total of all reporting groups
Age, Continuous
Age
60.7 years
STANDARD_DEVIATION 7.9 • n=93 Participants • Information for each group and overall population is provided.
57.5 years
STANDARD_DEVIATION 7.66 • n=4 Participants • Information for each group and overall population is provided.
59.9 years
STANDARD_DEVIATION 7.9 • n=27 Participants • Information for each group and overall population is provided.
Sex: Female, Male
Female
31 Participants
n=93 Participants
13 Participants
n=4 Participants
44 Participants
n=27 Participants
Sex: Female, Male
Male
90 Participants
n=93 Participants
26 Participants
n=4 Participants
116 Participants
n=27 Participants

PRIMARY outcome

Timeframe: From baseline to 12 weeks post-randomization

Difference in the mean change from baseline to 12 weeks post-randomization between the active and control groups in the ON time as measured by Parkinson's diary. Positive indicates improvement

Outcome measures

Outcome measures
Measure
Medium Continuous Dose of Stimulation
n=118 Participants
Subjects in this arm received a medium continuous dose of Deep Brain stimulation that may have been effective in previous DBS patients. Deep Brain Stimulation: The Vercise™ DBS system was implanted in subjects in both study arms. Stimulation parameters were varied depending on the study arm assignment. All subjects received therapeutic settings at the end of the blinded period.
Low Intermittent Dose of Stimulation
n=38 Participants
Subjects in this arm received a lower intermittent dose of Deep Brain stimulation which was less likely to be effective. Deep Brain Stimulation: The Vercise™ DBS system was implanted in subjects in both study arms. Stimulation parameters were varied depending on the study arm assignment. All subjects received therapeutic settings at the end of the blinded period.
Change in ON Time as Measured by Parkinson's Disease Diary
3.74 hours
Standard Deviation 4.79
0.72 hours
Standard Deviation 3.56

SECONDARY outcome

Timeframe: From baseline to 12 weeks post-randomization

Change in Unified Parkinson's Disease Rating Scale (UDPRS) Part III (stim on/meds off) from baseline to 12 weeks post randomization. Range of UPDRS III is 0 - 108 with greater scores indicating worse disease state.

Outcome measures

Outcome measures
Measure
Medium Continuous Dose of Stimulation
n=115 Participants
Subjects in this arm received a medium continuous dose of Deep Brain stimulation that may have been effective in previous DBS patients. Deep Brain Stimulation: The Vercise™ DBS system was implanted in subjects in both study arms. Stimulation parameters were varied depending on the study arm assignment. All subjects received therapeutic settings at the end of the blinded period.
Low Intermittent Dose of Stimulation
n=37 Participants
Subjects in this arm received a lower intermittent dose of Deep Brain stimulation which was less likely to be effective. Deep Brain Stimulation: The Vercise™ DBS system was implanted in subjects in both study arms. Stimulation parameters were varied depending on the study arm assignment. All subjects received therapeutic settings at the end of the blinded period.
Secondary Endpoints
12.02 units on a scale
Standard Deviation 11.4
1.19 units on a scale
Standard Deviation 8.9

Adverse Events

Medium Continuous Dose of Stimulation

Serious events: 14 serious events
Other events: 35 other events
Deaths: 0 deaths

Low Intermittent Dose of Stimulation

Serious events: 4 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Medium Continuous Dose of Stimulation
n=121 participants at risk
Subjects in this arm received a medium continuous dose of Deep Brain stimulation that may have been effective in previous DBS patients. Deep Brain Stimulation: The Vercise™ DBS system was implanted in subjects in both study arms. Stimulation parameters were varied depending on the study arm assignment. All subjects received therapeutic settings at the end of the blinded period.
Low Intermittent Dose of Stimulation
n=39 participants at risk
Subjects in this arm received a lower intermittent dose of Deep Brain stimulation which was less likely to be effective. Deep Brain Stimulation: The Vercise™ DBS system was implanted in subjects in both study arms. Stimulation parameters were varied depending on the study arm assignment. All subjects received therapeutic settings at the end of the blinded period.
Nervous system disorders
Aphasia
0.83%
1/121 • Number of events 1 • Adverse event data was collected up to 12 weeks and up to Dec 2016.
Serious Adverse Events related to hardware, stimulation or procedure are reported
0.00%
0/39 • Adverse event data was collected up to 12 weeks and up to Dec 2016.
Serious Adverse Events related to hardware, stimulation or procedure are reported
Psychiatric disorders
Confusional postoperative
1.7%
2/121 • Number of events 2 • Adverse event data was collected up to 12 weeks and up to Dec 2016.
Serious Adverse Events related to hardware, stimulation or procedure are reported
0.00%
0/39 • Adverse event data was collected up to 12 weeks and up to Dec 2016.
Serious Adverse Events related to hardware, stimulation or procedure are reported
Psychiatric disorders
Confusional state
0.83%
1/121 • Number of events 1 • Adverse event data was collected up to 12 weeks and up to Dec 2016.
Serious Adverse Events related to hardware, stimulation or procedure are reported
0.00%
0/39 • Adverse event data was collected up to 12 weeks and up to Dec 2016.
Serious Adverse Events related to hardware, stimulation or procedure are reported
Psychiatric disorders
Convulsion
0.83%
1/121 • Number of events 1 • Adverse event data was collected up to 12 weeks and up to Dec 2016.
Serious Adverse Events related to hardware, stimulation or procedure are reported
2.6%
1/39 • Number of events 1 • Adverse event data was collected up to 12 weeks and up to Dec 2016.
Serious Adverse Events related to hardware, stimulation or procedure are reported
Infections and infestations
Device related Infection
2.5%
3/121 • Number of events 3 • Adverse event data was collected up to 12 weeks and up to Dec 2016.
Serious Adverse Events related to hardware, stimulation or procedure are reported
0.00%
0/39 • Adverse event data was collected up to 12 weeks and up to Dec 2016.
Serious Adverse Events related to hardware, stimulation or procedure are reported
Respiratory, thoracic and mediastinal disorders
Hypoventilation
0.83%
1/121 • Number of events 1 • Adverse event data was collected up to 12 weeks and up to Dec 2016.
Serious Adverse Events related to hardware, stimulation or procedure are reported
0.00%
0/39 • Adverse event data was collected up to 12 weeks and up to Dec 2016.
Serious Adverse Events related to hardware, stimulation or procedure are reported
General disorders
Implant Site Edema
0.00%
0/121 • Adverse event data was collected up to 12 weeks and up to Dec 2016.
Serious Adverse Events related to hardware, stimulation or procedure are reported
2.6%
1/39 • Number of events 1 • Adverse event data was collected up to 12 weeks and up to Dec 2016.
Serious Adverse Events related to hardware, stimulation or procedure are reported
Infections and infestations
Implant Site Infection
0.83%
1/121 • Number of events 1 • Adverse event data was collected up to 12 weeks and up to Dec 2016.
Serious Adverse Events related to hardware, stimulation or procedure are reported
0.00%
0/39 • Adverse event data was collected up to 12 weeks and up to Dec 2016.
Serious Adverse Events related to hardware, stimulation or procedure are reported
Nervous system disorders
Intracranial hypotension
0.00%
0/121 • Adverse event data was collected up to 12 weeks and up to Dec 2016.
Serious Adverse Events related to hardware, stimulation or procedure are reported
2.6%
1/39 • Number of events 1 • Adverse event data was collected up to 12 weeks and up to Dec 2016.
Serious Adverse Events related to hardware, stimulation or procedure are reported
Cardiac disorders
Myocardial Infarction
0.83%
1/121 • Number of events 1 • Adverse event data was collected up to 12 weeks and up to Dec 2016.
Serious Adverse Events related to hardware, stimulation or procedure are reported
0.00%
0/39 • Adverse event data was collected up to 12 weeks and up to Dec 2016.
Serious Adverse Events related to hardware, stimulation or procedure are reported
Nervous system disorders
Pneumocephalus
0.83%
1/121 • Number of events 1 • Adverse event data was collected up to 12 weeks and up to Dec 2016.
Serious Adverse Events related to hardware, stimulation or procedure are reported
0.00%
0/39 • Adverse event data was collected up to 12 weeks and up to Dec 2016.
Serious Adverse Events related to hardware, stimulation or procedure are reported
General disorders
Pyrexia
0.83%
1/121 • Number of events 1 • Adverse event data was collected up to 12 weeks and up to Dec 2016.
Serious Adverse Events related to hardware, stimulation or procedure are reported
0.00%
0/39 • Adverse event data was collected up to 12 weeks and up to Dec 2016.
Serious Adverse Events related to hardware, stimulation or procedure are reported
Infections and infestations
Staphylococcal Skin infection
0.00%
0/121 • Adverse event data was collected up to 12 weeks and up to Dec 2016.
Serious Adverse Events related to hardware, stimulation or procedure are reported
2.6%
1/39 • Number of events 1 • Adverse event data was collected up to 12 weeks and up to Dec 2016.
Serious Adverse Events related to hardware, stimulation or procedure are reported
Injury, poisoning and procedural complications
Wound Heamorhage
0.83%
1/121 • Number of events 1 • Adverse event data was collected up to 12 weeks and up to Dec 2016.
Serious Adverse Events related to hardware, stimulation or procedure are reported
0.00%
0/39 • Adverse event data was collected up to 12 weeks and up to Dec 2016.
Serious Adverse Events related to hardware, stimulation or procedure are reported

Other adverse events

Other adverse events
Measure
Medium Continuous Dose of Stimulation
n=121 participants at risk
Subjects in this arm received a medium continuous dose of Deep Brain stimulation that may have been effective in previous DBS patients. Deep Brain Stimulation: The Vercise™ DBS system was implanted in subjects in both study arms. Stimulation parameters were varied depending on the study arm assignment. All subjects received therapeutic settings at the end of the blinded period.
Low Intermittent Dose of Stimulation
n=39 participants at risk
Subjects in this arm received a lower intermittent dose of Deep Brain stimulation which was less likely to be effective. Deep Brain Stimulation: The Vercise™ DBS system was implanted in subjects in both study arms. Stimulation parameters were varied depending on the study arm assignment. All subjects received therapeutic settings at the end of the blinded period.
Nervous system disorders
Balance Disorder
5.8%
7/121 • Number of events 7 • Adverse event data was collected up to 12 weeks and up to Dec 2016.
Serious Adverse Events related to hardware, stimulation or procedure are reported
0.00%
0/39 • Adverse event data was collected up to 12 weeks and up to Dec 2016.
Serious Adverse Events related to hardware, stimulation or procedure are reported
Nervous system disorders
Dyskinesia
17.4%
21/121 • Number of events 23 • Adverse event data was collected up to 12 weeks and up to Dec 2016.
Serious Adverse Events related to hardware, stimulation or procedure are reported
2.6%
1/39 • Number of events 1 • Adverse event data was collected up to 12 weeks and up to Dec 2016.
Serious Adverse Events related to hardware, stimulation or procedure are reported
General disorders
Implant Site Edema
5.8%
7/121 • Number of events 8 • Adverse event data was collected up to 12 weeks and up to Dec 2016.
Serious Adverse Events related to hardware, stimulation or procedure are reported
7.7%
3/39 • Number of events 3 • Adverse event data was collected up to 12 weeks and up to Dec 2016.
Serious Adverse Events related to hardware, stimulation or procedure are reported

Additional Information

Roshini Jain, Director of Clinical Sciences

Boston Scientific

Phone: 6619494355

Results disclosure agreements

  • Principal investigator is a sponsor employee Clinical Study Agreement that restricts the PIs until official study manuscript is published.
  • Publication restrictions are in place

Restriction type: OTHER