Trial Outcomes & Findings for Neural Signatures of Parkinson's Disease (NCT NCT01990313)

NCT ID: NCT01990313

Last Updated: 2018-02-20

Results Overview

We compared the beta band (13-30 Hz) power in the neural signal at the initial programming visit (baseline) and at the 12 month follow-up visit (1 year) after turning off deep brain stimulation therapy. Beta band power is normalized to average beta band power at the initial programming visit. Using a linear mixed model for repeated measures over time, regression beta coefficient was obtained to determine if beta power changed significantly between the initial programming and the 12 month follow-up visit.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

15 participants

Primary outcome timeframe

Baseline and 1 Year

Results posted on

2018-02-20

Participant Flow

Participant milestones

Participant milestones
Measure
Activa PC+S
Activa PC+S: The Model 37604 Activa PC+S is a multiprogrammable device that can deliver therapeutic electrical stimulation and record bioelectric signals from leads implanted in the brain.
Overall Study
STARTED
15
Overall Study
COMPLETED
14
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Activa PC+S
Activa PC+S: The Model 37604 Activa PC+S is a multiprogrammable device that can deliver therapeutic electrical stimulation and record bioelectric signals from leads implanted in the brain.
Overall Study
Lost to Follow-up
1

Baseline Characteristics

Neural Signatures of Parkinson's Disease

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Activa PC+S
n=15 Participants
Activa PC+S: The Model 37604 Activa PC+S is a multiprogrammable device that can deliver therapeutic electrical stimulation and record bioelectric signals from leads implanted in the brain.
Age, Categorical
<=18 years
0 Participants
n=99 Participants
Age, Categorical
Between 18 and 65 years
9 Participants
n=99 Participants
Age, Categorical
>=65 years
6 Participants
n=99 Participants
Age, Continuous
62.97 years
STANDARD_DEVIATION 11.36 • n=99 Participants
Sex: Female, Male
Female
3 Participants
n=99 Participants
Sex: Female, Male
Male
12 Participants
n=99 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
Race (NIH/OMB)
Asian
1 Participants
n=99 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=99 Participants
Race (NIH/OMB)
White
14 Participants
n=99 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
Region of Enrollment
United States
15 participants
n=99 Participants

PRIMARY outcome

Timeframe: Baseline and 1 Year

Population: 2 subjects excluded; 1 lost to follow-up, 1 had ECG artifact in neural signal

We compared the beta band (13-30 Hz) power in the neural signal at the initial programming visit (baseline) and at the 12 month follow-up visit (1 year) after turning off deep brain stimulation therapy. Beta band power is normalized to average beta band power at the initial programming visit. Using a linear mixed model for repeated measures over time, regression beta coefficient was obtained to determine if beta power changed significantly between the initial programming and the 12 month follow-up visit.

Outcome measures

Outcome measures
Measure
Activa PC+S
n=13 Participants
Activa PC+S: The Model 37604 Activa PC+S is a multiprogrammable device that can deliver therapeutic electrical stimulation and record bioelectric signals from leads implanted in the brain.
Change in Resting State Beta Band Power Over Time
-0.28 regression beta coefficient

PRIMARY outcome

Timeframe: 1 day

Population: 6 participants excluded; 3 due to tremor which may alter neural signal, 2 didn't have adequate amount of neural signal for analysis, 1 was lost to follow-up

Sample entropy is a measure of estimated conditional predictability, calculated within a frequency range of a patient's local field potential. Freezers are subjects who have clinical history of freezing of gait symptoms and/or if the subject displayed freezing behavior pre-operatively or during the in-study gait tasks relative to non-freezers, those who have never experienced freezing of gait. We measured sample beta (13-30 Hz) entropy in subjects' local field potential. Higher values of sample entropy indicate lower estimated conditional predictability. Testing occurred over one day, at a range of approximately 1 month to 7 months post DBS device implantation.

Outcome measures

Outcome measures
Measure
Activa PC+S
n=9 Participants
Activa PC+S: The Model 37604 Activa PC+S is a multiprogrammable device that can deliver therapeutic electrical stimulation and record bioelectric signals from leads implanted in the brain.
Sample Beta Entropy
Freezers
0.407 Sample Entropy
Standard Deviation 0.031
Sample Beta Entropy
Non-freezers
0.337 Sample Entropy
Standard Deviation 0.062

Adverse Events

Activa PC+S

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Chioma Anidi

Stanford University

Phone: 6507236709

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place