Unilateral GPi vs Unilateral STN DBS in the Same Patient With PD
NCT04255719 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 9
Last updated 2021-03-04
Summary
The subthalamic nucleus (STN) and globus pallidus interna (GPi) are two main targets in the deep brain stimulation (DBS) treatment for Parkinson's disease (PD). Large randomized controlled trials, in which patients of comparable clinical and demographics were randomized to either GPi DBS or STN DBS, have demonstrated equal effects of both targets in motor symptom improvement, the superiority of STN DBS in the medication reduction and the potential advantage of GPi DBS for cognitive, psychiatric and axial aspects. Unfortunately, in such a highly heterogeneous disease of PD, many of these randomized controlled trials didn't include sufficient subjects and thereby yielded inconsistent results. Moreover, most studies are investigating the difference between GPi and STN in different patients.
In order to address the problem, an intra-patient comparison will be made by investigating the acute turning-on effects of unilateral STN stimulation versus unilateral GPi stimulation on axial symptoms, cognition and also cardinal symptoms within each individual patient who received the treatment of combined unilateral STN and contralateral GPi DBS. Axial symptoms including gait, balance and posture, motor symptoms and cognition are comprehensively assessed under two treatment conditions.
Conditions
- Parkinson Disease
- Deep Brain Stimulation
- Globus Pallidus Interna
- Subthalamic Nucleus
Interventions
- PROCEDURE
-
DBS
Unilateral DBS for treatment of patients with PD
Sponsors & Collaborators
-
Ruijin Hospital
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 55 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2020-03-01
- Primary Completion
- 2021-02-27
- Completion
- 2021-03-02
Countries
- China
Study Locations
More Related Trials
-
Tandem DBS for Parkinson's Disease: A Pilot Study Utilizing STN/GPi + Hypothalamic Stimulation
NCT01563341 ·Status: COMPLETED ·Phase: NA
-
Psychoeducational Programme for PD Patients With STN-DBS
NCT02554370 ·Status: COMPLETED ·Phase: NA
-
Effects of Bilateral GPI DBS on Freezing of Gait in PD
NCT03227250 ·Status: COMPLETED
-
Deep Brain Stimulation for Parkinson's Disease: the Globus Pallidus Internus Versus Subthalamic Nucleus
NCT02647372 ·Status: UNKNOWN ·Phase: NA
-
Effects of Deep Brain Stimulation on Motor, Mood, and Cognitive Symptoms in Parkinson's Disease
NCT00360009 ·Status: COMPLETED ·Phase: NA
-
Voltage Only Adjustment Versus Multiple Parameters Adjustment of Bilateral STN DBS Treatment in PD Patients.
NCT01934881 ·Status: COMPLETED
-
Effects of STN DBS on Cognition and Brain Networks in PD Patients Analyzed Based on EEG and fNIRS
NCT06175897 ·Status: RECRUITING ·Phase: NA
-
STN-Stimulation Versus Best Medical Treatment in Advanced PD
NCT00196911 ·Status: COMPLETED ·Phase: PHASE3
-
Combined Deep Brain Stimulation in Parkinson's Disease
NCT05415774 ·Status: COMPLETED ·Phase: NA
-
Phase II Subthalamic Nucleus (STN) vs. Globus Pallidus (GPi) Trial
NCT01076452 ·Status: COMPLETED ·Phase: PHASE3
-
Early Versus Late Application of STN DBS to PD Patients With Motor Complications
NCT01922388 ·Status: COMPLETED
-
Deep Brain Stimulation for Parkinson's Disease Trial
NCT00053625 ·Status: COMPLETED ·Phase: PHASE3
-
A Randomized Controlled Trail Comparing Subthalamic and Pallidal Deep Brain Stimulation for Dystonia
NCT02263417 ·Status: COMPLETED ·Phase: PHASE4
-
Temporal Interference Stimulation on Motor Symptoms in Parkinson's Disease
NCT07309198 ·Status: RECRUITING ·Phase: NA
-
Combined Deep Brain Stimulation for Parkinson's Disease
NCT01485276 ·Status: WITHDRAWN ·Phase: PHASE1/PHASE2
-
Subthalamic Deep Brain Stimulation (DBS) in Parkinson's Disease
NCT02012647 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Double-Blind Clinical Trial of Subthalamic Nucleus Deep Brain Stimulation in Early-Stage Parkinson's Disease
NCT06008717 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Mechanism and Application of DBS in the Treatment of PD
NCT06400017 ·Status: RECRUITING ·Phase: NA
-
Deep Brain Stimulation (DBS) For Parkinson's Disease: Caudal Zona Incerta Versus Subthalamic Nucleus
NCT00888095 ·Status: UNKNOWN ·Phase: NA
-
Closed-loop DBS in Parkinson's Disease
NCT06012461 ·Status: RECRUITING ·Phase: NA
-
L-dopa Versus Dopamine Agonists After Subthalamic Nucleus Deep Brain Stimulation in Parkinson's Disease
NCT02347059 ·Status: UNKNOWN ·Phase: PHASE2
-
Deep Brain Stimulation of the Subthalamic Nucleus (STN) and Cognitive Control
NCT00917722 ·Status: COMPLETED
-
Effects of Directional Subthalamic Deep Brain Stimulation on Gait and Balance in Parkinson's Disease Patients
NCT04223427 ·Status: COMPLETED ·Phase: NA
-
The Relation Between the Prognosis of Subthalamic Nucleus Deep Brain Stimulation Surgery by Microlesion Effect and Electrode Position
NCT06685510 ·Status: ENROLLING_BY_INVITATION
-
Intrapatient Comparison of STN and GPi tTIS in PD
NCT07018388 ·Status: ENROLLING_BY_INVITATION ·Phase: NA