Trial Outcomes & Findings for Utilizing Neural Signatures and Virtual Reality to Advance DBS Programming (NCT NCT05103384)

NCT ID: NCT05103384

Last Updated: 2025-11-04

Results Overview

Number of freezing of gait episodes

Recruitment status

COMPLETED

Target enrollment

15 participants

Primary outcome timeframe

Baseline

Results posted on

2025-11-04

Participant Flow

Participant milestones

Participant milestones
Measure
PD Virtual Reality Cohort
Participants with Parkinson's disease complete cognitive and motor tasks while wearing a virtual reality headset and walking on an omnidirectional treadmill. The virtual reality headset immerses the participant in a virtual home environment designed to elicit freezing of gait episodes. While completing tasks in the virtual home environment, researchers monitor for freezing of gait episodes to investigate neural signatures associated with freezing. Each participant completed the virtual reality modules under two conditions: OFF DBS/OFF PD Meds and OFF DBS/ON PD Meds.
Overall Study
STARTED
15
Overall Study
COMPLETED
11
Overall Study
NOT COMPLETED
4

Reasons for withdrawal

Reasons for withdrawal
Measure
PD Virtual Reality Cohort
Participants with Parkinson's disease complete cognitive and motor tasks while wearing a virtual reality headset and walking on an omnidirectional treadmill. The virtual reality headset immerses the participant in a virtual home environment designed to elicit freezing of gait episodes. While completing tasks in the virtual home environment, researchers monitor for freezing of gait episodes to investigate neural signatures associated with freezing. Each participant completed the virtual reality modules under two conditions: OFF DBS/OFF PD Meds and OFF DBS/ON PD Meds.
Overall Study
Too severely affected Off Meds/Off DBS to complete entire protocol
4

Baseline Characteristics

Utilizing Neural Signatures and Virtual Reality to Advance DBS Programming

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
PD Virtual Reality Cohort
n=11 Participants
Participants with Parkinson's disease complete cognitive and motor tasks while wearing a virtual reality headset and walking on an omnidirectional treadmill. The virtual reality headset immerses the participant in a virtual home environment designed to elicit freezing of gait episodes. While completing tasks in the virtual home environment, researchers monitor for freezing of gait episodes to investigate neural signatures associated with freezing. Each participant completed the virtual reality modules under two conditions: OFF DBS/OFF PD Meds and OFF DBS/ON PD Meds.
Age, Continuous
66.8 years
STANDARD_DEVIATION 4.9 • n=15 Participants
Sex: Female, Male
Female
5 Participants
n=15 Participants
Sex: Female, Male
Male
6 Participants
n=15 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=15 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
10 Participants
n=15 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=15 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=15 Participants
Race (NIH/OMB)
Asian
0 Participants
n=15 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=15 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=15 Participants
Race (NIH/OMB)
White
10 Participants
n=15 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=15 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=15 Participants
Region of Enrollment
United States
11 participants
n=15 Participants
Parkinson's Disease Duration
10.1 years
STANDARD_DEVIATION 5.1 • n=15 Participants
Years since DBS Placement
2.5 years
STANDARD_DEVIATION 3.7 • n=15 Participants
MDS-UPDRS III, OFF MEDS/OFF DBS
59.2 score on a scale
STANDARD_DEVIATION 19.7 • n=15 Participants

PRIMARY outcome

Timeframe: Baseline

Population: Participants were assessed in the Off DBS/Off Meds condition and Off DBS/On Meds condition for outcome measures. No other conditions were assessed.

Number of freezing of gait episodes

Outcome measures

Outcome measures
Measure
OFF DBS/OFF PD Meds
n=11 Participants
Session completed with DBS stimulation turned off and participant off their PD meds for 12 hours prior. All analyzed participants completed a session OFF DBS/OFF PD Meds and OFF DBS/ON Meds.
OFF DBS/ON PD Meds
n=11 Participants
Session completed with DBS stimulation turned off and participant on their PD meds. All analyzed participants completed a session OFF DBS/OFF PD Meds and OFF DBS/ON Meds.
Freezing of Gait
2.6 freezing of gait episodes
Standard Deviation 2.6
1.5 freezing of gait episodes
Standard Deviation 2.1

SECONDARY outcome

Timeframe: Baseline

Population: Participants were assessed in the Off DBS/Off Meds condition and Off DBS/On Meds condition for outcome measures. No other conditions were assessed.

Meters/second

Outcome measures

Outcome measures
Measure
OFF DBS/OFF PD Meds
n=11 Participants
Session completed with DBS stimulation turned off and participant off their PD meds for 12 hours prior. All analyzed participants completed a session OFF DBS/OFF PD Meds and OFF DBS/ON Meds.
OFF DBS/ON PD Meds
n=11 Participants
Session completed with DBS stimulation turned off and participant on their PD meds. All analyzed participants completed a session OFF DBS/OFF PD Meds and OFF DBS/ON Meds.
Gait Velocity
0.27 m/s
Standard Deviation 0.06
0.29 m/s
Standard Deviation 0.07

SECONDARY outcome

Timeframe: Baseline

Population: Participants were assessed in the Off DBS/Off Meds condition and Off DBS/On Meds condition for outcome measures. No other conditions were assessed.

Degrees/second

Outcome measures

Outcome measures
Measure
OFF DBS/OFF PD Meds
n=11 Participants
Session completed with DBS stimulation turned off and participant off their PD meds for 12 hours prior. All analyzed participants completed a session OFF DBS/OFF PD Meds and OFF DBS/ON Meds.
OFF DBS/ON PD Meds
n=11 Participants
Session completed with DBS stimulation turned off and participant on their PD meds. All analyzed participants completed a session OFF DBS/OFF PD Meds and OFF DBS/ON Meds.
Turn Velocity
21.7 degrees/s
Standard Deviation 6.0
22.1 degrees/s
Standard Deviation 5.9

Adverse Events

Off DBS/Off Meds

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

Off DBS/On Meds

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Off DBS/Off Meds
n=15 participants at risk
Session completed with DBS stimulation turned off and participant OFF their PD meds for 12 hours prior.
Off DBS/On Meds
n=15 participants at risk
Session completed with DBS stimulation turned off and participant ON their PD meds.
Gastrointestinal disorders
Vomiting
0.00%
0/15 • Through study completion, which was an average of 1 week.
6.7%
1/15 • Number of events 1 • Through study completion, which was an average of 1 week.

Additional Information

Jay Alberts, PhD

Cleveland Clinic

Phone: 216-445-3222

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place