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Clinical Trials/NCT05992701
NCT05992701CompletedNot Applicable

Effectiveness and Safety of Directional Deep Brain Stimulation for Parkinson's Disease

Beijing Pins Medical Co., Ltd15 sites in 1 country26 target enrollmentStarted: July 28, 2021Last updated:
Conditions

Trial Snapshot

Phase
Not Applicable
Status
Completed
Enrollment
26
Locations
15
Primary Endpoint
Therapeutic Window

Study Overview

Brief Summary

The purpose of this study is to demonstrate the safety and effectiveness of the PINS Deep Brain Stimulation (DBS) system, including the G107R/G107 IPG, L305/L306 directional leads, E204 extensions and related system components.

Detailed Description

This is a prospective, open label, non-randomized study. The study will evaluate the clinical outcome and possible adverse effects of the directional DBS treatment. The following data will be collected: therapeutic window, Movement Disorder Society-Sponsored Revision of the Unified Parkinson's Disease Rating (MDS-UPDRS) Part III scores, Parkinson's Disease Questionnaire (PDQ-39) summary scores, total electrical energy delivered, the dosage of anti-parkinsonian medications, on time(h/d) without troublesome dyskinesia, and adverse events.

Study Design

Study Type
Interventional
Allocation
Na
Intervention Model
Single Group
Primary Purpose
Treatment
Masking
None

Eligibility Criteria

Ages
18 Years to 75 Years (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Age at the time of enrollment: 18 ~ 75;
  • Idiopathic Parkinson's disease;
  • Patient whose symptoms are not adequately controlled by best medical therapy;
  • Hoehn and Yahr stage≥2.5;
  • Patient whose symptoms are improved by at least 30% with levodopa challenge test;
  • Must be an appropriate candidate for the surgical procedures required for bilateral DBS;
  • Is willing and able to comply with all visits and study related procedures;
  • Patient understands the study requirements and the treatment procedures and provides written informed consent before any study-specific tests or procedures are performed.

Exclusion Criteria

  • Had received lesioning surgical treatment;
  • A female who is breastfeeding or of child-bearing potential with a positive urine pregnancy test or not using adequate contraception;
  • Any current drug or alcohol abuse;
  • Cognitive impairment (MMSE≦17 for primary school education or MMSE≦24 for middle school education and above);
  • Any significant psychiatric problems, including unrelated clinically significant depression;
  • Any history of craniocerebral injury, tumor, or severe cerebrovascular disease;
  • Severe brain atrophy (confirmed by CT or MRI);
  • A condition requiring or likely to require the use of diathermy;
  • Abnormal blood routine or biochemical test, coagulation dysfunction, serious abnormal liver or kidney function;
  • Uncontrolled high blood pressure, serious heart disease or serious medical or respiratory diseases;
  • Long-term of immunosuppressive or hormone therapy;
  • Other diseases requiring the stimulators;
  • A condition requiring or likely to require the use of MRI;
  • Participated in any other clinical trials within the preceding 3 months;
  • Unwilling or unable to cooperate with the implantation of DBS system;
  • Unwilling or unable to cooperate with postoperative follow-up;
  • Not considered to be applicable by the investigator.

Outcomes

Primary Outcomes

Therapeutic Window

Time Frame: 1 month post the device implanted

Therapeutic window is the range of stimulation amplitude that produces symptom relief without causing side effects.

Secondary Outcomes

  • Motor Function(3 months post device-activation)
  • Total Electrical Energy Delivered(TEED)(3 months post device-activation)
  • The dosage of anti-parkinsonian medications(3 months post device-activation)
  • On time(h/d) without troublesome dyskinesia(3 months post device-activation)
  • Adverse events(3 months post device-activation)
  • Motor Function(3 months post device-activation)
  • Total Electrical Energy Delivered(TEED)(3 months post device-activation)
  • The dosage of anti-parkinsonian medications(3 months post device-activation)
  • Adverse events(3 months post device-activation)
  • Change in PDQ-39 score(3 months post device-activation)
  • On time(h/d) without troublesome dyskinesia(3 months post device-activation)

Investigators

Sponsor Class
Industry
Responsible Party
Sponsor

Study Sites (15)

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