Effects of Unblocking the Full Potential of Percept PC IPG

NCT ID: NCT06127771

Last Updated: 2024-11-04

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

COMPLETED

Clinical Phase

NA

Total Enrollment

19 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-09-29

Study Completion Date

2024-11-01

Brief Summary

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Population Size and Eligible Patients: The study will enroll patients with Parkinson's disease (n=30) who had an IPG replacement from Activa PC (older generation of neurostimulator) to Medtronic PerceptTM PC (newer generation of neurostimulator) as a part of their standard-of-care. No patient will be receiving the system for research purposes only.

Study Design: This is a prospective, double-blinded, randomized, cross-over clinical investigation to further investigate the efficiency of Medtronic PerceptTM PC neurostimulator. This study involves three in clinic visits. During the first study visit, the patients' neurostimulator will be reprogrammed using all the additional features the Percept PC has to offer. At the end of the visit, the patients will be randomized between their baseline program, ((Activa PC group) and the newly defined programming settings (Percept Group). During the second visit (1-month follow-up) the effect will be clinically assessed, and a crossover of the condition will happen. The third visit (2-month follow-up) will be a follow-up visit with no programming but only clinical assessment.

Study Duration: Expected study duration is 1 year with the possibility for renewals.

Objectives and outcome measures: The goal is the study is to define whether or what the benefit is of the Percept PC neurostimulator compared to the older Activa PC neurostimulator. The primary outcome is patient-reported global impression of change (PGIC). The secondary outcome measures are clinical scales assessing symptoms of Parkinson's disease (UPDRS-III and -IV) and quality of life (PDQ-39), the active problems list and amount of medication intake.

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

DOUBLE

Participants Investigators

Study Groups

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Standard of Care programming

Individuals' DBS will be programmed using SOC programming parameters.

Group Type NO_INTERVENTION

No interventions assigned to this group

Percept PC programming

Individuals' DBS will be programmed using the full capacity of Percept PC IPG.

Group Type EXPERIMENTAL

Programming DBS using Percept PC neurostimulator's full potential

Intervention Type OTHER

This study aims to enroll patients who previously had Activa PC neurostimulator and underwent a battery change to Medtronic PerceptTM PC as standard-of-care. However, in this study, the investigators intent to fully utilize the programming potential of Medtronic PerceptTM PC to optimize treatment outcome.

Interventions

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Programming DBS using Percept PC neurostimulator's full potential

This study aims to enroll patients who previously had Activa PC neurostimulator and underwent a battery change to Medtronic PerceptTM PC as standard-of-care. However, in this study, the investigators intent to fully utilize the programming potential of Medtronic PerceptTM PC to optimize treatment outcome.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Individuals with idiopathic Parkinson's disease who previously underwent DBS surgery.
* Individuals who had IPG replacement from Activa PC to Medtronic PerceptTM PC Neurostimulator as standard-of-care
* Individuals should be able to provide their informed consent

Exclusion Criteria

* Cognition impairment (MoCA \< 20/30)
* Patients with severe PD symptoms who are unable to come to the clinic three times within three months (e.g. bedridden patients)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Toronto

OTHER

Sponsor Role lead

Responsible Party

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Alfonso Fasano

Dr. Alfonso Fasano, MD, PhD, FAAN, Professor, Department of Medicine, Division of Neurology at University of Toronto, Toronto Western Hospital

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Movement Disorders Centre - Toronto Western Hospital

Toronto, Ontario, Canada

Site Status

Countries

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Canada

Other Identifiers

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23-5697

Identifier Type: -

Identifier Source: org_study_id

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