Deep Brain Stimulation (DBS) For Parkinson's Disease: Caudal Zona Incerta Versus Subthalamic Nucleus
The Clinical Effect of Bilateral Deep Brain Stimulation of the Subthalamic Nucleus (STN-DBS) Versus Bilateral Deep Brain Stimulation of the Caudal Zona Incerta (cZI-DBS) in Patients With Idiopathic Parkinson's Disease
1 other identifier
interventional
70
1 country
1
Brief Summary
The aim of this study is to analyze the effects of two different targets of deep brain stimulation: caudal Zona incerta and Nucleus subthalamicus. The present study will investigate the effects of DBS using a blind, randomized and stratified design in patients with Parkinson's disease.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Jul 2010
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
April 23, 2009
CompletedFirst Posted
Study publicly available on registry
April 24, 2009
CompletedStudy Start
First participant enrolled
July 1, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2013
CompletedJuly 22, 2009
July 1, 2009
3 years
April 23, 2009
July 21, 2009
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Improvement of scores (UPDRS III, PDQ-39) in Stim-ON and Med-OFF in a standard clinical check-up (CAPSIT) 12 and 24 months after operation compared to primary inclusion examination
24 months
Secondary Outcomes (1)
Changes in dysarthria, other symptoms (subitems of UPDRS-III), dyskinesia (UPDRS-IV), impairment of gait, on-off fluctuations
24 months
Study Arms (2)
1
EXPERIMENTALcaudal Zona incerta (cZI)
2
EXPERIMENTALNucleus subthalamicus (STN)
Interventions
Eligibility Criteria
You may qualify if:
- Idiopathic Parkinson's disease (criteria of the British Brain Bank: L-DOPA- or Apomorphin-sensitivity of more than 30% or typical Parkinsonian tremor while resting)
- duration of disease \> 18 months
- age between 18 and 75 Jahren
- relevant disablement in daily activities/ impairment despite medical mental therapy
- informed and signed consent of the patient
You may not qualify if:
- Mattis Dementia Rating Scale-score \< 130
- stereotactic brain operations in the past
- significant brain atrophy
- increased bleeding tendency
- reduced infection defense
- relevant cerebrovascular disease
- a physical and/or mental illness which is likely to affect the study procedures in a negative way (e.g., cancer with reduced life expectancy)
- abuse of drugs or alcohol
- female study participants of child- bearing age without adequate contraception
- women during pregnancy or lactation
- no sufficient knowledge of the German language to answer the questionnaires
- other surgical contraindications
- participation in another clinical trial
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Department of Neurology and Neurosurgery
Berlin, Germany
Related Publications (1)
Giladi N, Tal J, Azulay T, Rascol O, Brooks DJ, Melamed E, Oertel W, Poewe WH, Stocchi F, Tolosa E. Validation of the freezing of gait questionnaire in patients with Parkinson's disease. Mov Disord. 2009 Apr 15;24(5):655-61. doi: 10.1002/mds.21745.
PMID: 19127595BACKGROUND
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Andreas R Kupsch, MD
Department of Neurology, Charité
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
April 23, 2009
First Posted
April 24, 2009
Study Start
July 1, 2010
Primary Completion
July 1, 2013
Study Completion
July 1, 2013
Last Updated
July 22, 2009
Record last verified: 2009-07