Study on Preliminary Safety and Efficacy of the ARC-IM Therapy to Support Hemodynamic Management in People With Typical and Atypical Parkinson's Disease
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 5
- 试验地点
- 2
- 主要终点
- Occurrence of (serious) adverse device effects of the ARC-IM Therapy from baseline up to the end of the study.
研究概览
简要总结
The PD-HemON study aims to evaluate the safety and preliminary efficacy of ARC-IM Therapy (Epidural Electrical Stimulation) to support hemodynamic management in people with typical and atypical Parkinson's Disease, who suffer from orthostatic hypotension.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 90 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •> 18 years old
- •Typical or Atypical PD (including but not limited to Multiple System Atrophy, Pure Autonomic Failure, Progressive Supranuclear Palsy)
- •Confirmed orthostatic hypotension with a test for verticalization
- •Confirmed symptomatic orthostatic hypotension that makes daily activities particularly challenging as determined by the study clinicians
- •Must provide and sign the Informed Consent before any study-related procedures
- •Stable medical, physical, and psychological conditions given participant indication as considered by Investigators;
- •Able to understand and interact with the study team in French or English
- •Agrees to comply in good faith with all conditions of the study and to attend all scheduled appointments
排除标准
- •Diseases and conditions that would increase the morbidity and mortality of the implantation surgery
- •The inability to withhold antiplatelet/anticoagulation agents perioperatively
- •History of myocardial infarction or cerebrovascular events within the past 6 months
- •Unstable or significant medical condition that is likely to interfere with study procedures or likely to confound study endpoint evaluations as determined by the Investigator
- •History or presence of major psychiatric disorders or major neurocognitive disorders as considered by the Investigators in accordance with the treating physician and treating neurologist
- •Major changes in PD treatment planned until the end of the main study phase (such as DBS or dopamine-pump implantation)
- •Inability to follow study procedures.
- •Spinal anatomical abnormalities precluding surgery
- •Presence of any indications requiring frequent MRIs.
- •Current pregnancy or current breastfeeding
- •Lack of effective or acceptable contraception for women of childbearing capacity
- •Intention to become pregnant during the study
- •Unable or unwilling to effectively use the study system or related devices by the participant or caretaker, as determined by the investigator
- •Participation in another interventional study that might confound study endpoint evaluations
- •Enrolment of the investigator, his/her family members, employees, and other dependent persons
研究组 & 干预措施
All participants
All participants will be provided with the ARC-IM Investigational System (implantable and non-implan
干预措施: ARC-IM Investigational System (Device)
结局指标
主要结局
Occurrence of (serious) adverse device effects of the ARC-IM Therapy from baseline up to the end of the study.
时间窗: Throughout the study (up to 5 years)
Evaluate the safety of ARC-IM Therapy in supporting hemodynamic management in participants with atypical or typical Parkinson's Disease and orthostatic hypotension
次要结局
- 10-minute, orthostatic head-up tilt test with and without the ARC-IM Therapy at 1 month after intervention(At the end of, 6 months after and 1 year after configuration of the therapy,)
- Severity of symptoms measured by The Orthostatic Hypotension Questionnaire.(At the end of, 6 months after and 1 year after configuration of the therapy)
- Time Up and Go Test (TUG)(At the end of, 6 months after and 1 year after configuration of the therapy)
- 2 Minute Walk Test(At the end of, 6 months after and 1 year after configuration of the therapy)
- Berg Balance Test(At the end of, 6 months after and 1 year after configuration of the therapy)
- Quebec User Evaluation of Satisfaction with technology (QUEST 2.0)(At 6 months and 1 year after configuration of the therapy)
- System Usability Scale (SUS)(At 6 months and 1 year after configuration of the therapy)
- Additional user feedback of ARC-IM System(At 6 months and 1 year after configuration of the therapy)
研究者
Jocelyne Bloch
Professor
Centre Hospitalier Universitaire Vaudois
