Deep Brain Stimulation for Parkinson's Disease: the Globus Pallidus Internus Versus Subthalamic Nucleus
Deep Brain Stimulation for the Treatment of Parkinson's Disease: Comparative Analysis of Clinical Effect of Stimulation of the Globus Pallidus Internus and Subthalamic Nucleus
1 other identifier
interventional
30
0 countries
N/A
Brief Summary
This study provides an evaluation of 30 patients in 3 years, from the Unified Health System (SUS) irrespective of region of the country, signed with clinical Parkinson's disease in its intermediate stage and that the drug therapy is limited by side effects or beneficial effects provided by prior medication no longer be obtained even at high doses and have therefore the indication for treatment with deep brain stimulation.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable parkinson-disease
Started Jun 2012
Longer than P75 for not_applicable parkinson-disease
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
Study Start
First participant enrolled
June 1, 2012
CompletedFirst Submitted
Initial submission to the registry
November 10, 2015
CompletedFirst Posted
Study publicly available on registry
January 6, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2018
CompletedAugust 17, 2017
August 1, 2017
5.5 years
November 10, 2015
August 15, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (4)
Neurological approach measured by UPDRS scale
UPDRS scale before surgery
through study completion, an average of 2 years
Neurological approach measured by UPDRS scale
UPDRS scale 6 months after surgery
6 months
Neurological approach measured by UPDRS scale
UPDRS scale 12 months after surgery
12 months
Neurological approach measured by UPDRS scale
UPDRS scale 24 months after surgery
24 months
Secondary Outcomes (8)
Endocrinological approach
through study completion, an average of 2 years
Endocrinological approach
6 months
Endocrinological approach
12 months
Endocrinological approach
24 months
Endocrinological approach - BMI
36 months
- +3 more secondary outcomes
Study Arms (2)
Endocrinological approach
EXPERIMENTALParkinson patient submitted to DBS surgery target to globus pallidus nucleus or the subthalamic nucleus. Those patients will be endocrinological evaluation including metabolic measures, calorimetric parameters.
Neurological approach
EXPERIMENTALParkinson patient submitted to DBS surgery target to globus pallidus nucleus or the subthalamic nucleus. Those patients will be neurological evaluation including UPDRS scale.
Interventions
Surgery will be performed in 15 patients with DBS target to the subthalamic nucleus
Surgery will be performed in 15 patients with DBS target to the globus pallidus nucleus
Eligibility Criteria
You may qualify if:
- Patients with a clinical diagnosis of idiopathic Parkinson's disease according to the international criteria that have not responded adequately to treatment with medication or who have complications related to prolonged use of L-dopa.
- Patients who may be in the anesthetized or local or general anesthesia does not incur higher than expected risk in the general population.
- Patients intellectually able to understand and sign the consent form.
- Patients with hematological, metabolic and normal coagulation.
You may not qualify if:
- Age below 18 years
- Impossibility to consent to participate in the study.
- Patients during treatment with anti-coagulants or anti-platelet agents.
- Patients with anatomical abnormalities that preclude access to the implantation of electrodes (eg cranial tumors or intracranial or cysts).
- Patients with uncontrolled infection or other medical conditions pre-existing non-controlled (eg decompensated diabetes, hypertension, heart disease or symptomatic air).
- History of primary or secondary myocardial ischemia, congestive heart failure, cardiac arrhythmia or bundle branch block refractory to treatment.
- Concomitant treatment with other experimental drugs.
- Pregnant or lactating.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Hospital Sirio-Libaneslead
- University of Sao Paulocollaborator
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- MD, PhD
Study Record Dates
First Submitted
November 10, 2015
First Posted
January 6, 2016
Study Start
June 1, 2012
Primary Completion
December 1, 2017
Study Completion
July 1, 2018
Last Updated
August 17, 2017
Record last verified: 2017-08