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Deep Brain Stimulation
STN+NBM DBS for Mild Cognitive Impairment in Parkinson's Disease
N/A
Recruiting
Led By Helen M Bronte-Stewart, MD MSE
Research Sponsored by Helen M. Bronte-Stewart
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up from baseline to 1 year into treatment
Awards & highlights
No Placebo-Only Group
Summary
This trial will evaluate the safety and tolerability of a novel deep brain stimulation approach targeting the STN and NBM to treat cognitive and cognitive-motor symptoms in Parkinson's patients with Mild Cognitive Impairment.
Who is the study for?
This trial is for individuals with Parkinson's disease who have mild cognitive impairment. They must be willing to adjust their medication for research visits, able to consent, approved for STN DBS surgery, and can walk 100 feet without help. It excludes pregnant individuals, those with unstable conditions or significant depression, dementia, a history of seizures, or the need for MRI.
What is being tested?
The study tests a new deep brain stimulation method combining STN and NBM targeting both motor and cognitive symptoms in Parkinson's patients. Ten participants will receive this treatment over two years with regular assessments using neuropsychological evaluations and motor tasks.
What are the potential side effects?
Potential side effects may include discomfort from the device implantation procedure, headache or dizziness post-surgery, temporary confusion or speech issues due to stimulation adjustments. Long-term risks are not fully known but could involve changes in mood or cognition.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ from baseline to 1 year into treatment
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~from baseline to 1 year into treatment
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Adverse Events
Swing Time Coefficient of Variation
Secondary study objectives
Average + standard deviation of response time
Caregiver Burden Assessment
Distractibility
+25 moreAwards & Highlights
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
2Treatment groups
Experimental Treatment
Group I: Vertical Nuclear TrajectoryExperimental Treatment1 Intervention
Participants will receive combined STN + NBM DBS. The lead placed within the NBM will use a vertical trajectory targeting the nucleus itself.
Group II: Lateral NBM Bundle TrajectoryExperimental Treatment1 Intervention
Participants will receive combined STN + NBM DBS. The lead placed within the NBM will use a lateral trajectory targeting the lateral efferent bundle from the NBM
Find a Location
Who is running the clinical trial?
National Institute of Neurological Disorders and Stroke (NINDS)NIH
1,382 Previous Clinical Trials
652,336 Total Patients Enrolled
Helen M. Bronte-StewartLead Sponsor
Helen M Bronte-Stewart, MD MSEPrincipal InvestigatorStanford University
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I need help to walk 100 feet.I am approved for or planning on getting deep brain stimulation in the subthalamic nucleus.I have been diagnosed with dementia.I am willing to stop my current medications for research visits if needed.I have had seizures in the past.I have been diagnosed with Parkinson's disease.
Research Study Groups:
This trial has the following groups:- Group 1: Lateral NBM Bundle Trajectory
- Group 2: Vertical Nuclear Trajectory
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.