Deep Brain Stimulation to Treat Symptoms of Parkinson's Disease

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Advanced Neuromodulation Systems
ClinicalTrials.gov Identifier:
NCT00552474
First received: October 31, 2007
Last updated: October 10, 2012
Last verified: October 2012
  Purpose

The purpose of this study is to evaluate the safety and efficacy of bilateral stimulation of the subthalamic nucleus (STN) of the brain when using the ANS Totally Implantable Deep Brain Stimulation System as an adjunctive treatment for reducing some of the symptoms of Parkinson's Disease that are not adequately controlled with medication.

This is a prospective, controlled, multi-centered, 12 months post-implantation study. A maximum of 12 sites will enroll a total of 136 patients.

All study participants will have the study device surgically implanted. After implant surgery, study participants will return to the clinic for evaluation 30 days after surgery, three months after surgery, six months after surgery and twelve months after surgery. At the baseline, three, six and twelve month visits the patient's Parkinson's symptoms and ability to perform daily activities will be evaluated using a number of accepted assessment tools including a Dyskinesia diary, evaluation of PD symptoms, quality of life scoring and patient satisfaction scoring.


Condition Intervention
Parkinson Disease
Movement Disorders
Device: Libra Deep Brain Stimulation System

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Clinical Evaluation of Bilateral Stimulation of the Subthalamic Nucleus (STN) Using the ANS Totally Implantable Deep Brain Stimulation System as an Adjunctive Treatment for Reducing Some of the Symptoms of Advanced, Levodopa-responsive Parkinson's Disease That Are Not Adequately Controlled With Medication.

Resource links provided by NLM:


Further study details as provided by Advanced Neuromodulation Systems:

Primary Outcome Measures:
  • Increase the duration of "on time" without dyskinesias or with non-bothersome dyskinesias [ Time Frame: 90 days ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Changes in the following over time: Incidence of AEs; UPDRS motor scores; Activities of Daily Living; Quality of Life, Quality Sleep Index, Hoehn and Yahr Staging, Global Outcome evaluation and Patient Satisfaction [ Time Frame: 1 year ] [ Designated as safety issue: Yes ]

Enrollment: 136
Study Start Date: October 2005
Study Completion Date: October 2010
Primary Completion Date: October 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Placebo Comparator: Group B
Implanted but no active stimulation
Device: Libra Deep Brain Stimulation System
Implanted system but no stimulation
Other Name: Libra Deep Brain Stimulation System
Experimental: Group A
Active Stimulation
Device: Libra Deep Brain Stimulation System
Active DBS Therapy
Other Name: Libra Deep Brain Stimulation System

  Eligibility

Ages Eligible for Study:   18 Years to 80 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Person is 18 to 80 years of age
  • Person has been diagnosed with Parkinson's disease for at lease five (5) years
  • Person experiences at least six (6) hours or more daily "off-time" or moderate to severe dyskinesias during waking hours
  • Person has a history of improvement of Parkinson's symptoms with l-dopa (levodopa) therapy
  • Person must be willing to maintain a constant dose of anti-Parkinson's disease medication for at least one month prior to study enrollment
  • Person must be available for appropriate follow-up times for the length of the study

Exclusion Criteria:

  • Person has any major illness or medical condition that would interfere with participation in the study
  • Person currently suffers from untreated, major depression
  • Person has an electrical or electromagnetic implant (e.g. cochlear prosthesis or pacemaker)
  • Person has had a prior surgery for the treatment of PD symptoms, including previous DBS surgery
  • Person has dementia
  • Person has a history of seizures
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00552474

Locations
United States, California
Loma Linda University School of Medicine
Loma Linda, California, United States
United States, Florida
University of Florida
Gainesville, Florida, United States
Universtiy of Miami
Miami, Florida, United States
United States, Illinois
Rush University Medical Center
Chicago, Illinois, United States
United States, Massachusetts
Lahey Clinic
Burlington, Massachusetts, United States
United States, Michigan
Oakwood Hospital
Dearborn, Michigan, United States
United States, New York
Columbia University Medical Center
New York, New York, United States
Mount Sinai School of Medicine
New York, New York, United States
University of Rochester
Rochester, New York, United States
United States, Ohio
Mayfield Clinic
Cincinnati, Ohio, United States
United States, Pennsylvania
Pennsylvania Hospital (UPHS)
Philadelphia, Pennsylvania, United States
United States, Texas
Neurology Specialists of Dallas
Dallas, Texas, United States
Baylor College of Medicine
Houston, Texas, United States
United States, Virginia
Univerisity of Virginia
Charlottesville, Virginia, United States
United States, Wisconsin
Medical College of Wisconcin
Milwaukee, Wisconsin, United States
Sponsors and Collaborators
Advanced Neuromodulation Systems
Investigators
Study Director: DeLea Peichel ANS
  More Information

Additional Information:
No publications provided

Responsible Party: Advanced Neuromodulation Systems
ClinicalTrials.gov Identifier: NCT00552474     History of Changes
Other Study ID Numbers: C-04-01
Study First Received: October 31, 2007
Last Updated: October 10, 2012
Health Authority: United States: Food and Drug Administration

Keywords provided by Advanced Neuromodulation Systems:
Parkinson disease
Movement disorders
Deep Brain Stimulation
Libra
l-dopa
levodopa
neuromodulation
neurostimulation
Electrical stimulation of the brain
STN
Subthalamic nucleus

Additional relevant MeSH terms:
Movement Disorders
Parkinson Disease
Central Nervous System Diseases
Nervous System Diseases
Parkinsonian Disorders
Basal Ganglia Diseases
Brain Diseases
Neurodegenerative Diseases

ClinicalTrials.gov processed this record on October 17, 2012