跳至主要内容
临床试验/NL-OMON54196
NL-OMON54196招募中2 期

Deep Brain Stimulation for MOtor symptoms in patients with Parkinson*s disease DEmentia (DBS- MODE) - DBS-MODE

Academisch Medisch Centrum0 个研究点目标入组 90 人开始时间: 待定最近更新:
适应症

试验速览

阶段
2 期
状态
招募中
入组人数
90

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
18 至 99(—)

入选标准

  • age 18 years and older; • diagnosis of PD according to the clinical
  • diagnostic criteria of the Movement Disorder Society (MDS); • despite optimal
  • pharmacological treatment, at least one of the following symptoms, that are
  • severe enough to impair functioning in daily life independent of dementia: o
  • motor response fluctuations; o dyskinesia; o painful dystonia; o
  • levodopa-responsive bradykinesia; • diagnosis of probable or possible
  • Parkinson*s disease dementia (PDD) according to the MDS clinical diagnostic
  • criteria (a.o. this encompasses the development of dementia a*fter established
  • diagnosis of PD). This will be based on a standardized neuropsychological
  • examination; i.e. presence of at least 3 abnormal (i.e. < 2 standard
  • deviations) tests covering at least 2 cognitive domains. If a test cannot be
  • executed due to severe cognitive difficulties the test is regarded to be
  • abnormal; • an expected life expectancy of at least two years; • participant
  • has decision capacity to give informed consent, judgement of which is at the
  • discretion of an experienced neurologist from the study team; • participant
  • provides written informed consent; • regular contact with a caregiver, who has
  • approximately twice a week contact with the participant and also provides
  • written informed consent for their own participation.

排除标准

  • any neurodegenerative disorder other than PD;
  • previous neurosurgery for PD (e.g., DBS, pallidotomy, thalamotomy). Nota
  • bene: intrajejunal levodopa infusion or subcutaneous apomorphine infusion are
  • not considered an exclusion criterion;
  • contraindications for DBS-surgery, such as a physical disorder making surgery
  • Hoehn and Yahr stage 4 or 5 at the best moment during the day;
  • co*existence of another abnormality or disorder:
  • o that causes cognitive impairment that may improve with specific treatment; OR
  • o that besides PDD is judged to contribute significantly to the cognitive
  • impairment by the treating physician;
  • current major depressive episode according to the fifth edition of the
  • Diagnostic and Statistical Manual of Mental Disorders (DSM-5);
  • current psychosis (treatment with antipsychotics is allowed);
  • other severely disabling condition;
  • immobility during the greater part of the day not related to off-drug phase
  • (e.g., due to apathy);
  • pregnancy, breastfeeding, and women of childbearing age not using a reliable
  • method of contraception.

研究者

相似试验