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A Multicenter Pediatric Deep Brain Stimulation Registry

Recruiting
Conditions
Dystonia
Epilepsy in Children
Cerebral Palsy
Tourette Syndrome
Obsessive-Compulsive Disorder
Neurologic Disorder
Movement Disorders in Children
Movement Disorders
Deep Brain Stimulation
Registration Number
NCT06585618
Lead Sponsor
Boston Children's Hospital
Brief Summary

There is limited data on outcomes for children who have undergone deep brain stimulation (DBS) for movement disorders, and individual centers performing this surgery often lack sufficient cases to power research studies adequately. This study aims to develop a multicenter pediatric DBS registry that allows multiple sites to share clinical pediatric DBS data. The primary goals are to enable large-scale, well-powered analyses of the safety and efficacy of DBS in the pediatric population and to further explore and refine DBS as a therapeutic option for children with dystonia and other hyperkinetic movement disorders. Given the current scarcity of evidence available to clinicians, this centralized multicenter repository of clinical data is critical for addressing key research questions and improving clinical practice for pediatric DBS.

Detailed Description

The use of deep brain stimulation (DBS) has expanded to include multiple conditions in children including dystonia, epilepsy, Tourette syndrome and mood disorders. Despite its growing application, DBS remains a low-volume procedure in most pediatric centers, which limits opportunities for large-scale research studies. To overcome this challenge, an international data-sharing platform is essential for advancing knowledge about DBS in pediatric patients, particularly concerning surgical techniques and patient outcomes across various conditions.

This study aims to establish a multicenter pediatric DBS registry. With limited data on pediatric DBS outcomes and a small number of cases at individual centers, there is a need for a comprehensive registry to enable large-scale, well-powered analyses of DBS safety and effectiveness. The primary goals of this study are to:

* Establish and implement a multi-center pediatric DBS registry

* Facilitate large-scale analyses of DBS safety and effectiveness in children

* Refine DBS as a treatment option for dystonia and other hyperkinetic movement disorders in children.

Secondary objectives include:

* Identifying which patients benefit most from DBS

* Determining clinical variables that influence DBS responsiveness

* Identifying optimal implant sites for specific conditions

* Understanding the long-term effects of DBS in children

* Assessing the impact of DBS on the quality of life in pediatric patients

The study will involve both prospective and retrospective data collection from pediatric DBS patients.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
100
Inclusion Criteria
  • Female or male patients between ages of 0-18 years.
  • Having received or scheduled to receive DBS for any neurological movement disorder.
  • Parents or legal guardians are able to provide written consent for prospective enrollment.
Exclusion Criteria

Not provided

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Development of a Multi-Center Pediatric DBS Registry5 years

This study will define DBS as a therapeutic option for children with dystonia, other hyperkinetic movement disorders, or epilepsy.

Secondary Outcome Measures
NameTimeMethod
Data Collection5 years

Secondary objectives will focus on using the data collected to answer important research questions such as :

1. Which patients benefit from DBS?

2. Which clinical variables contribute to the responsiveness or nonresponsivness to DBS?

3. Which implant sites are preferred?

4. What are the long-term effects of DBS in the pediatric population?

5. How does DBS affect quality of life in pediatric patients?

Trial Locations

Locations (1)

Boston Children's Hospital

🇺🇸

Boston, Massachusetts, United States

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