Identification of Clinically Relevant Markers of Deep Brain Stimulation Electrode Impedance
1 other identifier
interventional
6
1 country
1
Brief Summary
The study will look into the changes of Deep Brain Stimulation (DBS) measured impedances in patients of Parkinson disease (PD) as a function of their functional state (lying, sitting and walking) and dopaminergic medication intake (levodopa or dopamine agonists). The goal is to use DBS measured impedance as a surrogate of the functional and medication states of PD patients.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable parkinson-disease
Started Jul 2016
Shorter than P25 for not_applicable parkinson-disease
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
May 27, 2016
CompletedFirst Posted
Study publicly available on registry
June 9, 2016
CompletedStudy Start
First participant enrolled
July 1, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2017
CompletedMay 15, 2018
May 1, 2018
11 months
May 27, 2016
May 9, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Change in impedance value as it relates to the functional state.
Functional state is defined as either: lying, sitting or walking.
1 hour (for both outcomes)
Change in impedance value as it relates to the dopaminergic medication state.
Dopaminergic medications are defined as either levodopa containing or dopamine agonist containing medications. The state is defined as the "OFF" state (medication effect is not present) and "ON" state (medication effect noted).
1 hour (for both outcomes)
Study Arms (1)
PD patients with implanted DBS
EXPERIMENTALImpedance measurements at different time points.
Interventions
Eligibility Criteria
You may qualify if:
- Idiopathic Parkinson's patients with DBS (unilateral or bilateral)
- Must be taking dopamine agonist or levodopa regimen
- Medtronic Neurostimulator Activa SC, PC or PC+S (IPG)
You may not qualify if:
- Hoehn and Yahr (H\&Y) 4 and above
- History of DBS revision or lead replacement surgery
- Current or prior non-Medtronic Activa SC, PC or PC+S IPG
- Historical information of more than 1 hour delay to "ON" state as average
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of Florida, Center for Movement Disorders and Neurorestoration
Gainesville, Florida, 32607, United States
Related Publications (8)
Aquino CC, Fox SH. Clinical spectrum of levodopa-induced complications. Mov Disord. 2015 Jan;30(1):80-9. doi: 10.1002/mds.26125. Epub 2014 Dec 8.
PMID: 25488260BACKGROUNDButson CR, Maks CB, McIntyre CC. Sources and effects of electrode impedance during deep brain stimulation. Clin Neurophysiol. 2006 Feb;117(2):447-54. doi: 10.1016/j.clinph.2005.10.007. Epub 2005 Dec 22.
PMID: 16376143BACKGROUNDConnolly BS, Lang AE. Pharmacological treatment of Parkinson disease: a review. JAMA. 2014 Apr 23-30;311(16):1670-83. doi: 10.1001/jama.2014.3654.
PMID: 24756517BACKGROUNDFernandez HH. 2015 Update on Parkinson disease. Cleve Clin J Med. 2015 Sep;82(9):563-8. doi: 10.3949/ccjm.82gr.15004.
PMID: 26366951BACKGROUNDKruk ZL, Cheeta S, Milla J, Muscat R, Williams JE, Willner P. Real time measurement of stimulated dopamine release in the conscious rat using fast cyclic voltammetry: dopamine release is not observed during intracranial self stimulation. J Neurosci Methods. 1998 Jan 31;79(1):9-19. doi: 10.1016/s0165-0270(97)00156-8.
PMID: 9531455BACKGROUNDPandey S, Sarma N. Deep brain stimulation: current status. Neurol India. 2015 Jan-Feb;63(1):9-18. doi: 10.4103/0028-3886.152623.
PMID: 25751463BACKGROUNDPicillo M, Lozano AM, Kou N, Munhoz RP, Fasano A. Programming Deep Brain Stimulation for Tremor and Dystonia: The Toronto Western Hospital Algorithms. Brain Stimul. 2016 May-Jun;9(3):438-452. doi: 10.1016/j.brs.2016.02.003. Epub 2016 Feb 12.
PMID: 26968805BACKGROUNDSatzer D, Maurer EW, Lanctin D, Guan W, Abosch A. Anatomic correlates of deep brain stimulation electrode impedance. J Neurol Neurosurg Psychiatry. 2015 Apr;86(4):398-403. doi: 10.1136/jnnp-2013-307284. Epub 2014 Jun 16.
PMID: 24935985BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Leonardo Brito de Almeida, MD
University of Florida
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- OTHER
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 27, 2016
First Posted
June 9, 2016
Study Start
July 1, 2016
Primary Completion
June 1, 2017
Study Completion
June 1, 2017
Last Updated
May 15, 2018
Record last verified: 2018-05
Data Sharing
- IPD Sharing
- Will share