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Study to Characterize Acute and Chronic Directional Aspects of Deep Brain Stimulation (DIRECT-DBS)

Primary Purpose

Parkinson Disease

Status
Completed
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
BSC Deep Brain Stimulation System with Directional Lead
Sponsored by
Boston Scientific Corporation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Parkinson Disease focused on measuring parkinson disease, deep brain stimulation, directional stimulation

Eligibility Criteria

undefined - undefined (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Key Inclusion Criteria:

  • Diagnosis of bilateral idiopathic PD with the presence of rigidity and at least one (1) of the following: resting tremor or bradykinesia.
  • UPDRS III score of >25 in the meds OFF condition
  • Medication must improve PD symptoms by ≥30%, as measured by UPDRS subset III score

Key Exclusion Criteria:

  • Any significant psychiatric problems, including unrelated clinically significant depression as determined by the investigator
  • Any current drug or alcohol abuse as determined by the investigator
  • Any history of recurrent or unprovoked seizures
  • Any significant medical condition that is likely to interfere with study procedures or likely to confound evaluation of study endpoints, including any terminal illness with survival <12 months

Sites / Locations

  • CHU Grenoble - Hopital Michallon
  • Universitaetsklinikum Wuerzburg
  • Academisch Medisch Centrum

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Ring mode followed by Unrestricted mode

Unrestricted mode followed by ring mode

Arm Description

omni-directional stimulation followed by unrestricted Mode stimulation

Unrestricted Mode stimulation followed by omni-directional stimulation

Outcomes

Primary Outcome Measures

Mean Change in Unified Parkinson's Disease Rating Scale (UPDRS) Scores - Motor Section (Part III) at End of Randomized Phase
Mean change in Unified Parkinson's Disease Rating Scale (UPDRS) scores - motor section (Part III) at end of randomized phase in meds ON condition Range of UPDRS III is 0 - 108 with greater scores indicating worse disease state

Secondary Outcome Measures

Full Information

First Posted
June 24, 2016
Last Updated
November 17, 2020
Sponsor
Boston Scientific Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT02835274
Brief Title
Study to Characterize Acute and Chronic Directional Aspects of Deep Brain Stimulation
Acronym
DIRECT-DBS
Official Title
Directional Lead: Investigation of Rotational Current Steering, Ease of Use of Clinical Effects Map, and Therapeutic Outcomes of Deep Brain Stimulation
Study Type
Interventional

2. Study Status

Record Verification Date
November 2020
Overall Recruitment Status
Completed
Study Start Date
July 19, 2016 (Actual)
Primary Completion Date
December 19, 2018 (Actual)
Study Completion Date
December 19, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Boston Scientific Corporation

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The primary objective is to characterize the programming effects of Boston Scientific Vercise™ PC System using the DBS Directional Lead for bilateral STN DBS for the treatment of Parkinson's disease in acute and chronic settings.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Parkinson Disease
Keywords
parkinson disease, deep brain stimulation, directional stimulation

7. Study Design

Primary Purpose
Other
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Masking
ParticipantOutcomes Assessor
Allocation
Randomized
Enrollment
12 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Ring mode followed by Unrestricted mode
Arm Type
Experimental
Arm Description
omni-directional stimulation followed by unrestricted Mode stimulation
Arm Title
Unrestricted mode followed by ring mode
Arm Type
Active Comparator
Arm Description
Unrestricted Mode stimulation followed by omni-directional stimulation
Intervention Type
Device
Intervention Name(s)
BSC Deep Brain Stimulation System with Directional Lead
Primary Outcome Measure Information:
Title
Mean Change in Unified Parkinson's Disease Rating Scale (UPDRS) Scores - Motor Section (Part III) at End of Randomized Phase
Description
Mean change in Unified Parkinson's Disease Rating Scale (UPDRS) scores - motor section (Part III) at end of randomized phase in meds ON condition Range of UPDRS III is 0 - 108 with greater scores indicating worse disease state
Time Frame
Up to 12 months post-implant

10. Eligibility

Sex
All
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria: Diagnosis of bilateral idiopathic PD with the presence of rigidity and at least one (1) of the following: resting tremor or bradykinesia. UPDRS III score of >25 in the meds OFF condition Medication must improve PD symptoms by ≥30%, as measured by UPDRS subset III score Key Exclusion Criteria: Any significant psychiatric problems, including unrelated clinically significant depression as determined by the investigator Any current drug or alcohol abuse as determined by the investigator Any history of recurrent or unprovoked seizures Any significant medical condition that is likely to interfere with study procedures or likely to confound evaluation of study endpoints, including any terminal illness with survival <12 months
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Roshini Jain
Organizational Affiliation
Boston Scientific Neuromodulation Corporation
Official's Role
Study Director
Facility Information:
Facility Name
CHU Grenoble - Hopital Michallon
City
Grenoble
Country
France
Facility Name
Universitaetsklinikum Wuerzburg
City
Wuerzburg
Country
Germany
Facility Name
Academisch Medisch Centrum
City
Amsterdam
Country
Netherlands

12. IPD Sharing Statement

Learn more about this trial

Study to Characterize Acute and Chronic Directional Aspects of Deep Brain Stimulation

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