Trial Outcomes & Findings for Cartesia eXTend 3D Study (NCT NCT04577651)

NCT ID: NCT04577651

Last Updated: 2025-02-21

Results Overview

Mean change in Movement Disorder Society-Sponsored Revision of the Unified Parkinson's Disease Rating (MDS-UPDRS) Part III scores from Baseline in meds off condition to 12 weeks post device-activation in stim on/meds off condition. Range 0 - 108. Higher scores indicate worse function.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

58 participants

Primary outcome timeframe

12 weeks post device-activation

Results posted on

2025-02-21

Participant Flow

Participant milestones

Participant milestones
Measure
16-contact Directional Deep Brain Stimulation
Deep Brain Stimulation with a 16-contact Directional Lead 16-contact Directional Deep Brain Stimulation: Deep Brain Stimulation with 16-contact Directional Lead
Overall Study
STARTED
58
Overall Study
COMPLETED
45
Overall Study
NOT COMPLETED
13

Reasons for withdrawal

Reasons for withdrawal
Measure
16-contact Directional Deep Brain Stimulation
Deep Brain Stimulation with a 16-contact Directional Lead 16-contact Directional Deep Brain Stimulation: Deep Brain Stimulation with 16-contact Directional Lead
Overall Study
Screen Failure
7
Overall Study
Adverse Event
1
Overall Study
Death
1
Overall Study
Physician Decision
1
Overall Study
Withdrawal by Subject
3

Baseline Characteristics

Cartesia eXTend 3D Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
16-contact Directional Deep Brain Stimulation
n=49 Participants
Deep Brain Stimulation with a 16-contact Directional Lead 16-contact Directional Deep Brain Stimulation: Deep Brain Stimulation with 16-contact Directional Lead
Age, Continuous
62.5 years
STANDARD_DEVIATION 6.7 • n=5 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
Sex: Female, Male
Male
40 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
2 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
44 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
3 Participants
n=5 Participants
Region of Enrollment
Netherlands
17 participants
n=5 Participants
Region of Enrollment
United Kingdom
10 participants
n=5 Participants
Region of Enrollment
Germany
22 participants
n=5 Participants
MDS-UPDRS-III score (meds off condition)
47.9 units on a scale
STANDARD_DEVIATION 12.3 • n=5 Participants

PRIMARY outcome

Timeframe: 12 weeks post device-activation

Population: Intent to treat population.

Mean change in Movement Disorder Society-Sponsored Revision of the Unified Parkinson's Disease Rating (MDS-UPDRS) Part III scores from Baseline in meds off condition to 12 weeks post device-activation in stim on/meds off condition. Range 0 - 108. Higher scores indicate worse function.

Outcome measures

Outcome measures
Measure
16-contact Directional Deep Brain Stimulation
n=49 Participants
Deep Brain Stimulation with a 16-contact Directional Lead 16-contact Directional Deep Brain Stimulation: Deep Brain Stimulation with 16-contact Directional Lead
Change in Motor Function
-19.9 units on a scale
Standard Deviation 12.8

SECONDARY outcome

Timeframe: 26 weeks post device-activation

Population: Intent to treat population

Mean change in Movement Disorder Society-Sponsored Revision of the Unified Parkinson's Disease Rating (MDS-UPDRS) Part III scores from Baseline (meds off) to 26 weeks post device-activation (stim on/meds off). Range 0 - 108. Higher scores indicate worse function.

Outcome measures

Outcome measures
Measure
16-contact Directional Deep Brain Stimulation
n=45 Participants
Deep Brain Stimulation with a 16-contact Directional Lead 16-contact Directional Deep Brain Stimulation: Deep Brain Stimulation with 16-contact Directional Lead
Change in Motor Function
-21.4 units on a scale
Standard Deviation 11.9

SECONDARY outcome

Timeframe: 52 weeks post device-activation

Population: Intent to treat population

Mean change in Movement Disorder Society-Sponsored Revision of the Unified Parkinson's Disease Rating (MDS-UPDRS) Part III scores from Baseline (meds off) to 52 weeks post device-activation (stim on/meds off). Range 0 - 108. Higher scores indicate worse function.

Outcome measures

Outcome measures
Measure
16-contact Directional Deep Brain Stimulation
n=41 Participants
Deep Brain Stimulation with a 16-contact Directional Lead 16-contact Directional Deep Brain Stimulation: Deep Brain Stimulation with 16-contact Directional Lead
Change in Motor Function
-21.2 score on a scale
Standard Deviation 14.0

SECONDARY outcome

Timeframe: 12 weeks post device-activation

Population: Intent to Treat population

Mean change in Parkinson's Disease Questionnaire (PDQ-39) summary scores from Baseline (meds on) to 12 weeks post device-activation (stim on/meds on). Scores range from 0 to 100, with 0 representing perfect health and 100 representing worst health.

Outcome measures

Outcome measures
Measure
16-contact Directional Deep Brain Stimulation
n=48 Participants
Deep Brain Stimulation with a 16-contact Directional Lead 16-contact Directional Deep Brain Stimulation: Deep Brain Stimulation with 16-contact Directional Lead
Change in Quality of Life
-6.1 units on a scale
Standard Deviation 11.0

SECONDARY outcome

Timeframe: 26 weeks post device-activation

Population: Intent to Treat population

Mean change in Parkinson's Disease Questionnaire (PDQ-39) summary scores from Baseline (meds on) to 26 weeks post device-activation (stim on/meds on). Scores range from 0 to 100, with 0 representing perfect health and 100 representing worst health.

Outcome measures

Outcome measures
Measure
16-contact Directional Deep Brain Stimulation
n=46 Participants
Deep Brain Stimulation with a 16-contact Directional Lead 16-contact Directional Deep Brain Stimulation: Deep Brain Stimulation with 16-contact Directional Lead
Change in Quality of Life
-5.3 units on a scale
Standard Deviation 11.4

SECONDARY outcome

Timeframe: 52 weeks post device-activation

Population: Intent to Treat population

Mean change in Parkinson's Disease Questionnaire (PDQ-39) summary scores from Baseline (meds on) to 52 weeks post device-activation (stim on/meds on). Scores range from 0 to 100, with 0 representing perfect health and 100 representing worst health.

Outcome measures

Outcome measures
Measure
16-contact Directional Deep Brain Stimulation
n=42 Participants
Deep Brain Stimulation with a 16-contact Directional Lead 16-contact Directional Deep Brain Stimulation: Deep Brain Stimulation with 16-contact Directional Lead
Change in Quality of Life
-6.4 units on a scale
Standard Deviation 11.5

Adverse Events

16-contact Directional Deep Brain Stimulation

Serious events: 14 serious events
Other events: 25 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
16-contact Directional Deep Brain Stimulation
n=58 participants at risk
Deep Brain Stimulation with a 16-contact Directional Lead 16-contact Directional Deep Brain Stimulation: Deep Brain Stimulation with 16-contact Directional Lead
Gastrointestinal disorders
Enterovesical fistula
1.7%
1/58 • Number of events 1 • Adverse Event Rates for all Subjects through the week 52 visit, approximately 14 months post informed consent.
Gastrointestinal disorders
Ileus
1.7%
1/58 • Number of events 1 • Adverse Event Rates for all Subjects through the week 52 visit, approximately 14 months post informed consent.
General disorders
Implant site paraesthesia
1.7%
1/58 • Number of events 1 • Adverse Event Rates for all Subjects through the week 52 visit, approximately 14 months post informed consent.
Infections and infestations
Epididymitis
1.7%
1/58 • Number of events 1 • Adverse Event Rates for all Subjects through the week 52 visit, approximately 14 months post informed consent.
Infections and infestations
Escherichia urinary tract infection
1.7%
1/58 • Number of events 1 • Adverse Event Rates for all Subjects through the week 52 visit, approximately 14 months post informed consent.
Infections and infestations
Pneumonia
3.4%
2/58 • Number of events 2 • Adverse Event Rates for all Subjects through the week 52 visit, approximately 14 months post informed consent.
Infections and infestations
Urosepsis
3.4%
2/58 • Number of events 4 • Adverse Event Rates for all Subjects through the week 52 visit, approximately 14 months post informed consent.
Injury, poisoning and procedural complications
Joint dislocation
1.7%
1/58 • Number of events 1 • Adverse Event Rates for all Subjects through the week 52 visit, approximately 14 months post informed consent.
Injury, poisoning and procedural complications
Wound
1.7%
1/58 • Number of events 1 • Adverse Event Rates for all Subjects through the week 52 visit, approximately 14 months post informed consent.
Musculoskeletal and connective tissue disorders
Intervertebral disc protrusion
1.7%
1/58 • Number of events 1 • Adverse Event Rates for all Subjects through the week 52 visit, approximately 14 months post informed consent.
Musculoskeletal and connective tissue disorders
Lumbar spinal stenosis
1.7%
1/58 • Number of events 1 • Adverse Event Rates for all Subjects through the week 52 visit, approximately 14 months post informed consent.
Musculoskeletal and connective tissue disorders
Osteoarthritis
3.4%
2/58 • Number of events 2 • Adverse Event Rates for all Subjects through the week 52 visit, approximately 14 months post informed consent.
Musculoskeletal and connective tissue disorders
Spinal stenosis
1.7%
1/58 • Number of events 1 • Adverse Event Rates for all Subjects through the week 52 visit, approximately 14 months post informed consent.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Prostate cancer
1.7%
1/58 • Number of events 1 • Adverse Event Rates for all Subjects through the week 52 visit, approximately 14 months post informed consent.
Nervous system disorders
Basal ganglia haemorrhage
1.7%
1/58 • Number of events 1 • Adverse Event Rates for all Subjects through the week 52 visit, approximately 14 months post informed consent.
Nervous system disorders
Brain oedema
1.7%
1/58 • Number of events 1 • Adverse Event Rates for all Subjects through the week 52 visit, approximately 14 months post informed consent.
Nervous system disorders
Cerebral Ischaemia
1.7%
1/58 • Number of events 1 • Adverse Event Rates for all Subjects through the week 52 visit, approximately 14 months post informed consent.
Nervous system disorders
Fine motor skill dysfunction
1.7%
1/58 • Number of events 1 • Adverse Event Rates for all Subjects through the week 52 visit, approximately 14 months post informed consent.
Nervous system disorders
Hyperkinesia
1.7%
1/58 • Number of events 1 • Adverse Event Rates for all Subjects through the week 52 visit, approximately 14 months post informed consent.
Nervous system disorders
Parkinson's disease
1.7%
1/58 • Number of events 1 • Adverse Event Rates for all Subjects through the week 52 visit, approximately 14 months post informed consent.
Psychiatric disorders
Delirium
1.7%
1/58 • Number of events 1 • Adverse Event Rates for all Subjects through the week 52 visit, approximately 14 months post informed consent.
Psychiatric disorders
Dopamine dysregulation syndrome
1.7%
1/58 • Number of events 1 • Adverse Event Rates for all Subjects through the week 52 visit, approximately 14 months post informed consent.
Psychiatric disorders
Impulse-control disorder
1.7%
1/58 • Number of events 1 • Adverse Event Rates for all Subjects through the week 52 visit, approximately 14 months post informed consent.
Respiratory, thoracic and mediastinal disorders
Pulmonary Embolism
1.7%
1/58 • Number of events 1 • Adverse Event Rates for all Subjects through the week 52 visit, approximately 14 months post informed consent.
Skin and subcutaneous tissue disorders
Skin erosion
1.7%
1/58 • Number of events 1 • Adverse Event Rates for all Subjects through the week 52 visit, approximately 14 months post informed consent.

Other adverse events

Other adverse events
Measure
16-contact Directional Deep Brain Stimulation
n=58 participants at risk
Deep Brain Stimulation with a 16-contact Directional Lead 16-contact Directional Deep Brain Stimulation: Deep Brain Stimulation with 16-contact Directional Lead
Respiratory, thoracic and mediastinal disorders
Dysphonia
5.2%
3/58 • Number of events 3 • Adverse Event Rates for all Subjects through the week 52 visit, approximately 14 months post informed consent.
Nervous system disorders
Parkinson's disease
5.2%
3/58 • Number of events 3 • Adverse Event Rates for all Subjects through the week 52 visit, approximately 14 months post informed consent.
Nervous system disorders
Paraesthesia
6.9%
4/58 • Number of events 4 • Adverse Event Rates for all Subjects through the week 52 visit, approximately 14 months post informed consent.
Nervous system disorders
Dyskinesia
5.2%
3/58 • Number of events 3 • Adverse Event Rates for all Subjects through the week 52 visit, approximately 14 months post informed consent.
Injury, poisoning and procedural complications
Fall
6.9%
4/58 • Number of events 8 • Adverse Event Rates for all Subjects through the week 52 visit, approximately 14 months post informed consent.
General disorders
Implant site pain
8.6%
5/58 • Number of events 5 • Adverse Event Rates for all Subjects through the week 52 visit, approximately 14 months post informed consent.
Gastrointestinal disorders
Dysphagia
5.2%
3/58 • Number of events 3 • Adverse Event Rates for all Subjects through the week 52 visit, approximately 14 months post informed consent.

Additional Information

Sr. Director, Clinical Operations

Boston Scientific Corporation

Phone: 855-213-9890

Results disclosure agreements

  • Principal investigator is a sponsor employee A contractual agreement is in place between the PI and the Sponsor that restricts the rights to discuss or publish trial results without prior review by the sponsor.
  • Publication restrictions are in place

Restriction type: OTHER