Prospective Study to Compare Results of STN-DBS Between Early Treated and Late-treated PD Patient
DeBraStE
Prospective Study to Compare the Impact on Motor, Neuropsychological, Psychiatric Outcomes and Quality of Life of STN-DBS Between Early Treated and Late-treated PD Patients.
1 other identifier
observational
40
1 country
1
Brief Summary
The aim of this study is to investigate the impact of DBS not only no motor outcomes, but also on neuropsychological and psychiatric aspects and on quality of life in young patients with a short history of disease.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for all trials
Started Feb 2011
Typical duration for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 11, 2011
CompletedFirst Posted
Study publicly available on registry
January 12, 2011
CompletedStudy Start
First participant enrolled
February 1, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2014
CompletedJanuary 14, 2011
October 1, 2008
2.2 years
January 11, 2011
January 13, 2011
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
percentage of improvement in motor aspects
The primary objective of the study is calculates as: (UPDRS III 12 months - UPDRS III baseline)/UPDRS III baseline where UPDRS III 12 months means the score of this test in "medication off , stimulation on" condition at 12 months after implant, while UPDRS III baseline means the score of this test in "medication off " condition.
after 12 months of stimulation
Secondary Outcomes (4)
Neuropsychological aspects
after 3 and12 months of stimulation
Psychiatrical aspects
after 3 and12 months of stimulation
Quality of Life
after 3 and12 months of stimulation
Medication intake
after 3 and12 months of stimulation
Study Arms (2)
Late-treated PD patients
Patients affected by Parkinson Disease, implanted with STN DBS and with an history of disease \> 10 years
Early-treated PD patients
Patients affected by Parkinson Disease, implanted with STN DBS and with an history of disease \<7 years
Interventions
Deep Brain Stimulation of STN in Parkinsonian patients
Eligibility Criteria
This prospective clinical study will enroll 40 patients affected by PD. Patients enrolled will be divided into two groups based on the duration of disease. The first group will be composed by patients with PD duration of 5, while the second group will be composed by patients with a duration of disease longer than 10 years.
You may qualify if:
- suffering from PD of \> 10 years and with LTS (long term L-dopa syndrome), or with a duration of PD of 5 years
- age\< 70 years
- normal brain MRI
- absence of dementia (Mini Mental State Examination ≥ 24)
- absence of severe psychiatric diseases
- Signed informed consent form
- Absence of allergy to metal
- Italian native speaker
- Absence of communicative or perceptive deficits
You may not qualify if:
- Any form of familiar PD
- Presence of neoplasia
- Presence of HIV
- Presence of severe metabolic diseases
- Severe cardiac/respiratory/renal or hepatic diseases
- Ongoing treatment with immunodepressive/ immunomodulate drugs
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Azienda Ospedaliera Ospedali Riuniti di Bergamo
Bergamo, Lombardy, 24128, Italy
Related Publications (12)
Lang AE, Lozano AM. Parkinson's disease. First of two parts. N Engl J Med. 1998 Oct 8;339(15):1044-53. doi: 10.1056/NEJM199810083391506. No abstract available.
PMID: 9761807BACKGROUNDSchrag A, Quinn N. Dyskinesias and motor fluctuations in Parkinson's disease. A community-based study. Brain. 2000 Nov;123 ( Pt 11):2297-305. doi: 10.1093/brain/123.11.2297.
PMID: 11050029BACKGROUNDKumar R, Lozano AM, Kim YJ, Hutchison WD, Sime E, Halket E, Lang AE. Double-blind evaluation of subthalamic nucleus deep brain stimulation in advanced Parkinson's disease. Neurology. 1998 Sep;51(3):850-5. doi: 10.1212/wnl.51.3.850.
PMID: 9748038BACKGROUNDMoro E, Scerrati M, Romito LM, Roselli R, Tonali P, Albanese A. Chronic subthalamic nucleus stimulation reduces medication requirements in Parkinson's disease. Neurology. 1999 Jul 13;53(1):85-90. doi: 10.1212/wnl.53.1.85.
PMID: 10408541BACKGROUNDVingerhoets FJ, Villemure JG, Temperli P, Pollo C, Pralong E, Ghika J. Subthalamic DBS replaces levodopa in Parkinson's disease: two-year follow-up. Neurology. 2002 Feb 12;58(3):396-401. doi: 10.1212/wnl.58.3.396.
PMID: 11839838BACKGROUNDDeep-Brain Stimulation for Parkinson's Disease Study Group; Obeso JA, Olanow CW, Rodriguez-Oroz MC, Krack P, Kumar R, Lang AE. Deep-brain stimulation of the subthalamic nucleus or the pars interna of the globus pallidus in Parkinson's disease. N Engl J Med. 2001 Sep 27;345(13):956-63. doi: 10.1056/NEJMoa000827.
PMID: 11575287BACKGROUNDHoueto JL, Damier P, Bejjani PB, Staedler C, Bonnet AM, Arnulf I, Pidoux B, Dormont D, Cornu P, Agid Y. Subthalamic stimulation in Parkinson disease: a multidisciplinary approach. Arch Neurol. 2000 Apr;57(4):461-5. doi: 10.1001/archneur.57.4.461.
PMID: 10768618BACKGROUNDMesnage V, Houeto JL, Welter ML, Agid Y, Pidoux B, Dormont D, Cornu P. Parkinson's disease: neurosurgery at an earlier stage? J Neurol Neurosurg Psychiatry. 2002 Dec;73(6):778-9. doi: 10.1136/jnnp.73.6.778. No abstract available.
PMID: 12438494BACKGROUNDCarlesimo GA, Caltagirone C, Gainotti G. The Mental Deterioration Battery: normative data, diagnostic reliability and qualitative analyses of cognitive impairment. The Group for the Standardization of the Mental Deterioration Battery. Eur Neurol. 1996;36(6):378-84. doi: 10.1159/000117297.
PMID: 8954307BACKGROUNDVolkmann J. Deep brain stimulation for the treatment of Parkinson's disease. J Clin Neurophysiol. 2004 Jan-Feb;21(1):6-17. doi: 10.1097/00004691-200401000-00003.
PMID: 15097290RESULTDiamond A, Jankovic J. The effect of deep brain stimulation on quality of life in movement disorders. J Neurol Neurosurg Psychiatry. 2005 Sep;76(9):1188-93. doi: 10.1136/jnnp.2005.065334.
PMID: 16107348RESULTSchupbach WM, Maltete D, Houeto JL, du Montcel ST, Mallet L, Welter ML, Gargiulo M, Behar C, Bonnet AM, Czernecki V, Pidoux B, Navarro S, Dormont D, Cornu P, Agid Y. Neurosurgery at an earlier stage of Parkinson disease: a randomized, controlled trial. Neurology. 2007 Jan 23;68(4):267-71. doi: 10.1212/01.wnl.0000250253.03919.fb. Epub 2006 Dec 6.
PMID: 17151341RESULT
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Bruno Ferraro, MD
Azienda Ospedaliera Ospedali Riuniti di Bergamo
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
January 11, 2011
First Posted
January 12, 2011
Study Start
February 1, 2011
Primary Completion
April 1, 2013
Study Completion
September 1, 2014
Last Updated
January 14, 2011
Record last verified: 2008-10