Application of Thoracic Epidural SCS for Managing FOG in Patients With Advanced Parkinson's Disease
1 other identifier
interventional
5
1 country
1
Brief Summary
Spinal cord stimulation (SCS) has proven to be effective for pain that is unresponsive to medication. This technique involves an anesthesiologist or a neurosurgeon placing stimulation electrodes at the thoracic vertebrae to provide pain relief. Although SCS is not currently a standard treatment for patients with Parkinson's disease, recent studies have shown that Parkinson's patients who experience intolerable pain and undergo SCS treatment not only experience pain relief but also show improvements in gait and other Parkinson's symptoms. Therefore, the investigators aim to use temporary, minimally invasive SCS electrodes to help patients with nrFOG (non-responsive Freezing of Gait) improve their stability and reduce their risk of falls.
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 Sep 2024
Longer than P75 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
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 18, 2024
CompletedStudy Start
First participant enrolled
September 20, 2024
CompletedFirst Posted
Study publicly available on registry
October 8, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 31, 2027
November 20, 2025
November 1, 2025
3.3 years
September 18, 2024
November 17, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (11)
Gait parameters --- foot rotation [degtree]
(1)Measured by plantar pressure distribution measurement systems (100 Hz, FDM-T, Zebris Medical GmbH, Germany) with a maximum gait track of 6 meters.
Day 0, Day 2, Day 3, Day 4, and Day 7
Gait parameters --- step length [cm]
(1)Measured by plantar pressure distribution measurement systems (100 Hz, FDM-T, Zebris Medical GmbH, Germany) with a maximum gait track of 6 meters.
Day 0, Day 2, Day 3, Day 4, and Day 7
Gait parameters --- stride length [cm]
(1)Measured by plantar pressure distribution measurement systems (100 Hz, FDM-T, Zebris Medical GmbH, Germany) with a maximum gait track of 6 meters.
Day 0, Day 2, Day 3, Day 4, and Day 7
Gait parameters --- step width [cm]
(1)Measured by plantar pressure distribution measurement systems (100 Hz, FDM-T, Zebris Medical GmbH, Germany) with a maximum gait track of 6 meters.
Day 0, Day 2, Day 3, Day 4, and Day 7
Gait parameters --- stance phase [%]
(1)Measured by plantar pressure distribution measurement systems (100 Hz, FDM-T, Zebris Medical GmbH, Germany) with a maximum gait track of 6 meters.
Day 0, Day 2, Day 3, Day 4, and Day 7
Gait parameters --- swing phase [%]
(1)Measured by plantar pressure distribution measurement systems (100 Hz, FDM-T, Zebris Medical GmbH, Germany) with a maximum gait track of 6 meters.
Day 0, Day 2, Day 3, Day 4, and Day 7
Gait parameters --- double stance phase [%]
(1)Measured by plantar pressure distribution measurement systems (100 Hz, FDM-T, Zebris Medical GmbH, Germany) with a maximum gait track of 6 meters.
Day 0, Day 2, Day 3, Day 4, and Day 7
Gait parameters --- step time [second]
(1)Measured by plantar pressure distribution measurement systems (100 Hz, FDM-T, Zebris Medical GmbH, Germany) with a maximum gait track of 6 meters.
Day 0, Day 2, Day 3, Day 4, and Day 7
Gait parameters --- stride time [second]
(1)Measured by plantar pressure distribution measurement systems (100 Hz, FDM-T, Zebris Medical GmbH, Germany) with a maximum gait track of 6 meters.
Day 0, Day 2, Day 3, Day 4, and Day 7
Gait parameters --- cadence [steps/minute]
(1)Measured by plantar pressure distribution measurement systems (100 Hz, FDM-T, Zebris Medical GmbH, Germany) with a maximum gait track of 6 meters.
Day 0, Day 2, Day 3, Day 4, and Day 7
Gait parameters --- velocity [km/hour]
(1)Measured by plantar pressure distribution measurement systems (100 Hz, FDM-T, Zebris Medical GmbH, Germany) with a maximum gait track of 6 meters.
Day 0, Day 2, Day 3, Day 4, and Day 7
Secondary Outcomes (5)
Clinical Scale
Day 0, Day 2, Day 3, Day 4, and Day 7
Clinical score
Day 0, Day 2, Day 3, Day 4, and Day 7
Clinical Scale
Day 0, Day 2, Day 3, Day 4, and Day 7
Clinical Scale
Day 0, Day 2, Day 3, Day 4, and Day 7
Clinical Scale
Day 0, Day 2, Day 3, Day 4, and Day 7
Study Arms (1)
SCS implantation
EXPERIMENTALInterventions
Eligibility Criteria
You may qualify if:
- Age:40-85 years old.
- Patients with primary Parkinson\'s disease who have been diagnosed by a movement disorder specialist for more than 5 years. Although they have a clear response to drugs, they have a frozen gait that cannot be controlled by drugs. Lower limb pain may be present with or without Parkinson\'s non-motor symptoms.
- No other secondary gait problems.
You may not qualify if:
- Atypical Parkinson's disease.
- Patients with spinal cord injuries.
- Medication-controlled frozen gait.
- It is expected that there are lesions near the implantation area causing spinal canal stenosis or myelopathy (can be ruled out by MRI).
- It is expected that the implantation area has undergone previous surgery or there is infection near the implantation area, which may affect the success rate of implantation or increase concerns about complications (such as severe extraspinal adhesion, or spinal cord damage in previous surgeries).
- People with abnormal coagulation function (such as hemophilia patients) or those who have been controlled by long-term use of antithrombotic drugs and cannot stop taking them in a short period of time.
- CDR (Clinical Dementia Rating Scale) ≧2. 8. Those who are allergic to developer.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
National Taiwan University Hospital Hsin-Chu Branch
Hsinchu, Hsinchu City, 300, Taiwan
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 18, 2024
First Posted
October 8, 2024
Study Start
September 20, 2024
Primary Completion (Estimated)
December 31, 2027
Study Completion (Estimated)
December 31, 2027
Last Updated
November 20, 2025
Record last verified: 2025-11