Status:

UNKNOWN

Simultaneous DBS of the GPi and the NBM in Patients With Parkinson's Disease and Mild Cognitive Impairment

Lead Sponsor:

University of Sao Paulo General Hospital

Conditions:

Parkinson Disease

Mild Cognitive Impairment

Eligibility:

All Genders

50-75 years

Phase:

NA

Brief Summary

Phase 1 study evaluating the safety of combined bilateral globus pallidus internus (GPi) and nucleus basalis of Meynert (NBM) stimulation in treating levodopa responsive motor symptoms of Parkinsonism...

Detailed Description

This study aims to provide a proof of safety of combined bilateral Globus Pallidus internus (GPi) and Nucleus Basalis of Meynert (NBM) stimulation in patients with moderate to advanced Parkinson's dis...

Eligibility Criteria

Inclusion

  • Age at the time of enrollment: 50 - 75 years.
  • Diagnosis of idiopathic PD according to Movement Disorders Society (MDS) criteria (Albanese et al., 2017).
  • Mild cognitive impairment (MCI) related to Parkinson's disease according to MDS criteria. (Livtan et al. 2012).
  • Duration of bilateral idiopathic PD: ≥ 5 years of motor symptoms.
  • Modified Hoehn and Yahr stage ≥ 2 on off medication state.
  • UPDRS subset III (motor) ≥ 30 points on off medication state.
  • Levodopa must improve PD symptoms by ≥ 30% in a levodopa challenge test, as measured by UPDRS subset III score.
  • Presence of motor complications related to Parkinson's disease.
  • Be willing and able to comply with all visits and study related procedures
  • Able to understand the study requirements and the treatment procedures and to provide written informed consent before any study-specific tests or procedures are performed.

Exclusion

  • Alcohol or drug abuse.
  • Any significant psychiatric problems, including acute confusional state (delirium), ongoing psychosis, or clinically significant depression.
  • Contraindications for deep brain stimulation (DBS) surgery.
  • Heart failure, heart disease or any condition that contraindicates surgical procedures.
  • Pacemaker or other active implanted stimulators.
  • Clearly established Parkinson's disease dementia according to Movement Disorders Criteria.
  • Participation in another drug, device, or biologics trial concurrently.

Key Trial Info

Start Date :

July 20 2021

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

January 1 2024

Estimated Enrollment :

10 Patients enrolled

Trial Details

Trial ID

NCT05320523

Start Date

July 20 2021

End Date

January 1 2024

Last Update

April 11 2022

Active Locations (1)

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Page 1 of 1 (1 locations)

1

University of São Paulo General Hospital

São Paulo, Brazil, 05403000