Low Frequency Subthalamic Nucleus Deep Brain Stimulation to Improve Verbal Fluency

NCT ID: NCT04383665

Last Updated: 2021-07-15

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

12 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-01-31

Study Completion Date

2020-03-03

Brief Summary

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Rationale: Parkinson's disease patients with deep brain stimulation electrodes represent a unique opportunity to study the influence of basal ganglia on neurocognitive function.

Intervention: Patients' deep brain stimulators will be turned off or on and the frequency will be changed to either theta or gamma.

Objectives: To identify differences in higher cognitive functions with stimulation "on" and "off" and theta versus gamma frequency stimulation.

Study population: 12 patients who had previously undergone bilateral STN deep brain stimulation implantation.

Study methodology: Patients will undergo four sessions of neuropsychological testing (RNGT, verbal fluency, D-KEFS CWIT) at baseline, no stimulation, theta stimulation and gamma stimulation, in random order over one day.

Study outcomes: Test results of RNGT, verbal fluency, D-KEFS CWIT. Follow-up: none

Statistics: Test results will be analyzed using within-subjects statistical tests.

Detailed Description

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Conditions

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Parkinson Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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STN DBS off

Group Type SHAM_COMPARATOR

STN DBS off

Intervention Type DEVICE

Existing DBS device turned off

STN DBS 10Hz

Group Type EXPERIMENTAL

STN DBS 10Hz

Intervention Type DEVICE

Stimulation of existing DBS device at 100Hz, with other parameters at baseline

STN DBS 130Hz

Group Type ACTIVE_COMPARATOR

STN DBS 130Hz

Intervention Type DEVICE

Stimulation of existing DBS device at 130Hz, with other parameters at baseline

Interventions

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STN DBS 10Hz

Stimulation of existing DBS device at 100Hz, with other parameters at baseline

Intervention Type DEVICE

STN DBS 130Hz

Stimulation of existing DBS device at 130Hz, with other parameters at baseline

Intervention Type DEVICE

STN DBS off

Existing DBS device turned off

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Male or female patients who had previously undergone bilateral STN deep brain stimulation implantation
2. Age \>18 years old
3. Stable medication regimen for at least 3 months.
4. Patient informed and able to give written consent
5. Able to comply with all testing, follow-ups and study appointments and protocols

Exclusion Criteria

1. History of epilepsy or seizure
2. History of major substance abuse
3. Patients with baseline settings at less than 1.5 V will be excluded from the study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Southern California

OTHER

Sponsor Role lead

Responsible Party

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Darrin J Lee, MD, PhD

Assistant Professor of Neurosurgery

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Darrin J Lee, MD PhD

Role: PRINCIPAL_INVESTIGATOR

University of Southern California

Locations

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Keck hospital of the University of Southern California

Los Angeles, California, United States

Site Status

Countries

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United States

References

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Evans FJ. Monitoring attention deployment by random number generation: An index to measure subjective randomness. Bull Psychon Soc 1978;12:35-8.

Reference Type BACKGROUND

Spatt J, Goldenberg G. Components of random generation by normal subjects and patients with dysexecutive syndrome. Brain Cogn. 1993 Nov;23(2):231-42. doi: 10.1006/brcg.1993.1057.

Reference Type BACKGROUND
PMID: 8292327 (View on PubMed)

Towse JN, Neil D. Analyzing human random generation behavior: A review of methods used and a computer program for describing performance. Behav Res Methods Instrum Comput 1998;30:583-91.

Reference Type BACKGROUND

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Related Links

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Other Identifiers

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HS-19-00518

Identifier Type: -

Identifier Source: org_study_id

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