Closed-loop DBS in Parkinson's Disease

NCT ID: NCT06012461

Last Updated: 2023-09-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-06-30

Study Completion Date

2025-12-30

Brief Summary

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Closed-loop DBS is an emerging neuromodulation pattern in Parkinson's disease with dyanmic adjustment of stimulation parameters to patients' disease fluctuations and state of activity. The purpose of this study is to verify the long-term safety and effectiveness of closed-loop DBS. Through comparing with open-loop DBS, the study also determine whether closed-loop DBS is more effective than conventional open-loop DBS on PD treatment.

Detailed Description

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Conditions

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Parkinson Disease

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Bilateral STN DBS Modulation

Participants will be implanted with bilateral STN DBS using PINS 106RS system. DBS stimulation will be initiated one month post surgery. Follow-up visits will be conducted 1/3/6/9/12/15 months post surgery with clinical evaluation, STN LFP recording and resting state functional MRI testing. During the 6-15 month's visit, short-term closed-loop DBS modulation (from 24hours to 72hours ) will be conducted to test the safety and efficacy of closed-loop DBS therapy.

Group Type EXPERIMENTAL

Closed-loop DBS stimulation for 24 hours

Intervention Type OTHER

Continuous closed-loop modulation for 24 hours

Open-loop DBS stimulation for 24 hours

Intervention Type OTHER

Continuous open-loop modulation for 24 hours

Closed-loop DBS stimulation for 72 hours

Intervention Type OTHER

Continuous closed-loop modulation for 72 hours

Open-loop DBS stimulation for 72 hours

Intervention Type OTHER

Continuous open-loop modulation for 72 hours

Interventions

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Closed-loop DBS stimulation for 24 hours

Continuous closed-loop modulation for 24 hours

Intervention Type OTHER

Open-loop DBS stimulation for 24 hours

Continuous open-loop modulation for 24 hours

Intervention Type OTHER

Closed-loop DBS stimulation for 72 hours

Continuous closed-loop modulation for 72 hours

Intervention Type OTHER

Open-loop DBS stimulation for 72 hours

Continuous open-loop modulation for 72 hours

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Diagnosis of primary Parkinson's disease: Diagnosis of primary Parkinson's disease should meet the diagnostic criteria outlined in the "Diagnosis Standards for Parkinson's Disease in China" published in 2016 or the diagnostic criteria for primary Parkinson's disease by the International Parkinson and Movement Disorder Society (MDS) published in 2015.
2. Good response to levodopa combination therapy.
3. Significant reduction in drug efficacy or significant impact on the patient's quality of life due to prominent motor complications.
4. Intolerable adverse reactions to medication affecting its efficacy.
5. Presence of uncontrollable tremors despite medication.

Exclusion Criteria

1. Patients who have undergone pallidotomy or other brain surgeries.
2. Patients with secondary Parkinson syndromes or Parkinson plus syndromes.
3. Patients with concurrent central nervous system and peripheral nervous system diseases.
4. Patients with severe systemic diseases, unstable vital signs, or those who cannot tolerate clinical assessments.
5. Patients with severe psychiatric disorders.
6. Patients who are unable to provide informed consent due to cognitive or communication impairments or those who refuse to sign the informed consent form.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Engineering Research Center of Neuromodulation, Tsinghua University

UNKNOWN

Sponsor Role collaborator

Beijing Tiantan Hospital

OTHER

Sponsor Role collaborator

Peking Union Medical College Hospital

OTHER

Sponsor Role collaborator

Beijing Pins Medical Co., Ltd

INDUSTRY

Sponsor Role collaborator

Tsinghua University

OTHER

Sponsor Role lead

Responsible Party

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Luming Li

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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National Engineering Research Center of Neuromodulation

Beijing, Beijing Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Weizhi Pan, B.S.

Role: CONTACT

+86-010-62796172

Facility Contacts

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Huiling Yu, M.D.

Role: primary

86-010-62794952

Other Identifiers

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CDBS_PD_2023

Identifier Type: -

Identifier Source: org_study_id

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