Trial Outcomes & Findings for Brain Networks and Consciousness (NCT NCT04502550)
NCT ID: NCT04502550
Last Updated: 2026-06-08
Results Overview
Average targeted serum dose of propofol at which 50% of patients had loss of behavioral responses
TERMINATED
57 participants
Baseline visit
2026-06-08
Participant Flow
Participant milestones
| Measure |
Parkinson's Disease Patients With DBS, no Stimulation
This cohort will serve as as the observed group, displaying basal ganglia pathology.
A syringe pump controlled by Stanpump implementing the Eleveld Pharmacokinetics-Pharmacodynamics (PK-PD) model for propofol will be used as a targeted controlled infusion (TCI) system to achieve plasma target propofol concentrations. Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
Experiments will be completed with DBS off.
Propofol: Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
|
Essential Tremor Patients With DBS
This cohort will serve as a control group (no basal ganglia pathology). A syringe pump controlled by Stanpump implementing the Eleveld Pharmacokinetics-Pharmacodynamics (PK-PD) model for propofol will be used as a TCI system to achieve plasma target propofol concentrations. Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
Experiments will be completed with DBS off.
Propofol: Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
|
Parkinson's Disease Patients With DBS, Gpi Stimulation
This cohort will serve as as the observed group, displaying basal ganglia pathology.
A syringe pump controlled by Stanpump implementing the Eleveld Pharmacokinetics-Pharmacodynamics (PK-PD) model for propofol will be used as a targeted controlled infusion (TCI) system to achieve plasma target propofol concentrations. Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
Participants will be stimulated at the Gpi via DBS leads during propofol induced loss of consciousness.
Propofol: Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
|
Parkinson's Disease Patients With DBS, Gpe Stimulation
This cohort will serve as as the observed group, displaying basal ganglia pathology.
A syringe pump controlled by Stanpump implementing the Eleveld Pharmacokinetics-Pharmacodynamics (PK-PD) model for propofol will be used as a targeted controlled infusion (TCI) system to achieve plasma target propofol concentrations. Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
Participants will be stimulated at the Gpe via DBS leads during propofol induced loss of consciousness.
Propofol: Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
|
Parkinson's Disease Patients Undergoing DBS Surgery, Gpe Stimulation
A syringe pump controlled by Stanpump implementing the Eleveld Pharmacokinetics-Pharmacodynamics (PK-PD) model for propofol will be used as a targeted controlled infusion (TCI) system to achieve plasma target propofol concentrations. Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
Participants will be stimulated at the Gpe via DBS leads, and cortical activity will be recorded via ECoG during propofol induced loss of consciousness.
Propofol: Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
|
Parkinson's Disease Patients Undergoing DBS Surgery, Gpi Stimulation
A syringe pump controlled by Stanpump implementing the Eleveld Pharmacokinetics-Pharmacodynamics (PK-PD) model for propofol will be used as a targeted controlled infusion (TCI) system to achieve plasma target propofol concentrations. Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
Participants will be stimulated at the Gpi via DBS leads, and cortical activity will be recorded via ECoG during propofol induced loss of consciousness.
Propofol: Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
|
Parkinson's Disease Patients Undergoing DBS Surgery, no Stimulation
A syringe pump controlled by Stanpump implementing the Eleveld Pharmacokinetics-Pharmacodynamics (PK-PD) model for propofol will be used as a targeted controlled infusion (TCI) system to achieve plasma target propofol concentrations. Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
Participants will not receive any stimulation via DBS leads, and cortical activity will be recorded via ECoG during propofol induced loss of consciousness.
Propofol: Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
|
|---|---|---|---|---|---|---|---|
|
Overall Study
STARTED
|
23
|
22
|
0
|
0
|
0
|
0
|
12
|
|
Overall Study
COMPLETED
|
23
|
22
|
0
|
0
|
0
|
0
|
12
|
|
Overall Study
NOT COMPLETED
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
Brain Networks and Consciousness
Baseline characteristics by cohort
| Measure |
Parkinson's Disease Patients With DBS, no Stimulation
n=23 Participants
This cohort will serve as as the observed group, displaying basal ganglia pathology.
A syringe pump controlled by Stanpump implementing the Eleveld Pharmacokinetics-Pharmacodynamics (PK-PD) model for propofol will be used as a targeted controlled infusion (TCI) system to achieve plasma target propofol concentrations. Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
Experiments will be completed with DBS off.
Propofol: Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
|
Essential Tremor Patients With DBS
n=22 Participants
This cohort will serve as a control group (no basal ganglia pathology). A syringe pump controlled by Stanpump implementing the Eleveld Pharmacokinetics-Pharmacodynamics (PK-PD) model for propofol will be used as a TCI system to achieve plasma target propofol concentrations. Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
Experiments will be completed with DBS off.
Propofol: Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
|
Parkinson's Disease Patients With DBS, Gpi Stimulation
This cohort will serve as as the observed group, displaying basal ganglia pathology.
A syringe pump controlled by Stanpump implementing the Eleveld Pharmacokinetics-Pharmacodynamics (PK-PD) model for propofol will be used as a targeted controlled infusion (TCI) system to achieve plasma target propofol concentrations. Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
Participants will be stimulated at the Gpi via DBS leads during propofol induced loss of consciousness.
Propofol: Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
|
Parkinson's Disease Patients With DBS, Gpe Stimulation
This cohort will serve as as the observed group, displaying basal ganglia pathology.
A syringe pump controlled by Stanpump implementing the Eleveld Pharmacokinetics-Pharmacodynamics (PK-PD) model for propofol will be used as a targeted controlled infusion (TCI) system to achieve plasma target propofol concentrations. Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
Participants will be stimulated at the Gpe via DBS leads during propofol induced loss of consciousness.
Propofol: Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
|
Parkinson's Disease Patients Undergoing DBS Surgery, Gpe Stimulation
A syringe pump controlled by Stanpump implementing the Eleveld Pharmacokinetics-Pharmacodynamics (PK-PD) model for propofol will be used as a targeted controlled infusion (TCI) system to achieve plasma target propofol concentrations. Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
Participants will be stimulated at the Gpe via DBS leads, and cortical activity will be recorded via ECoG during propofol induced loss of consciousness.
Propofol: Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
|
Parkinson's Disease Patients Undergoing DBS Surgery, Gpi Stimulation
A syringe pump controlled by Stanpump implementing the Eleveld Pharmacokinetics-Pharmacodynamics (PK-PD) model for propofol will be used as a targeted controlled infusion (TCI) system to achieve plasma target propofol concentrations. Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
Participants will be stimulated at the Gpi via DBS leads, and cortical activity will be recorded via ECoG during propofol induced loss of consciousness.
Propofol: Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
|
Parkinson's Disease Patients Undergoing DBS Surgery, no Stimulation
n=12 Participants
A syringe pump controlled by Stanpump implementing the Eleveld Pharmacokinetics-Pharmacodynamics (PK-PD) model for propofol will be used as a targeted controlled infusion (TCI) system to achieve plasma target propofol concentrations. Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
Participants will not receive any stimulation via DBS leads, and cortical activity will be recorded via ECoG during propofol induced loss of consciousness.
Propofol: Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
|
Total
n=57 Participants
Total of all reporting groups
|
|---|---|---|---|---|---|---|---|---|
|
Age, Continuous
|
63 years
n=9 Participants
|
71 years
n=27 Participants
|
—
|
—
|
—
|
—
|
67 years
n=23 Participants
|
66 years
n=22 Participants
|
|
Sex: Female, Male
Female
|
6 Participants
n=9 Participants
|
3 Participants
n=27 Participants
|
—
|
—
|
—
|
—
|
6 Participants
n=23 Participants
|
15 Participants
n=22 Participants
|
|
Sex: Female, Male
Male
|
17 Participants
n=9 Participants
|
19 Participants
n=27 Participants
|
—
|
—
|
—
|
—
|
6 Participants
n=23 Participants
|
42 Participants
n=22 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
0 Participants
n=9 Participants
|
0 Participants
n=27 Participants
|
—
|
—
|
—
|
—
|
0 Participants
n=23 Participants
|
0 Participants
n=22 Participants
|
|
Race (NIH/OMB)
Asian
|
2 Participants
n=9 Participants
|
0 Participants
n=27 Participants
|
—
|
—
|
—
|
—
|
0 Participants
n=23 Participants
|
2 Participants
n=22 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=9 Participants
|
0 Participants
n=27 Participants
|
—
|
—
|
—
|
—
|
0 Participants
n=23 Participants
|
0 Participants
n=22 Participants
|
|
Race (NIH/OMB)
Black or African American
|
1 Participants
n=9 Participants
|
1 Participants
n=27 Participants
|
—
|
—
|
—
|
—
|
1 Participants
n=23 Participants
|
3 Participants
n=22 Participants
|
|
Race (NIH/OMB)
White
|
19 Participants
n=9 Participants
|
20 Participants
n=27 Participants
|
—
|
—
|
—
|
—
|
10 Participants
n=23 Participants
|
49 Participants
n=22 Participants
|
|
Race (NIH/OMB)
More than one race
|
0 Participants
n=9 Participants
|
1 Participants
n=27 Participants
|
—
|
—
|
—
|
—
|
1 Participants
n=23 Participants
|
2 Participants
n=22 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
1 Participants
n=9 Participants
|
0 Participants
n=27 Participants
|
—
|
—
|
—
|
—
|
0 Participants
n=23 Participants
|
1 Participants
n=22 Participants
|
|
Region of Enrollment
United States
|
23 participants
n=9 Participants
|
22 participants
n=27 Participants
|
—
|
—
|
—
|
—
|
12 participants
n=23 Participants
|
57 participants
n=22 Participants
|
PRIMARY outcome
Timeframe: Baseline visitPopulation: Enrollment concluded early due to end of funding and covid-related delays. This outcome measure is not available for the last arm/group. Serum propofol levels were not obtained in that arm of the study. That arm of the study was specifically designed to assess neurophysiological/electrophyiological measures, not serum propofol levels. It is impossible to report a value for that arm, since such measurements were not made in that arm of the study for that particular outcome measure.
Average targeted serum dose of propofol at which 50% of patients had loss of behavioral responses
Outcome measures
| Measure |
Parkinson's Disease Patients With DBS, no Stimulation
n=23 Participants
This cohort will serve as as the observed group, displaying basal ganglia pathology.
A syringe pump controlled by Stanpump implementing the Eleveld Pharmacokinetics-Pharmacodynamics (PK-PD) model for propofol will be used as a targeted controlled infusion (TCI) system to achieve plasma target propofol concentrations. Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
Experiments will be completed with DBS off.
Propofol: Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
|
Essential Tremor Patients With DBS
n=22 Participants
This cohort will serve as a control group (no basal ganglia pathology). A syringe pump controlled by Stanpump implementing the Eleveld Pharmacokinetics-Pharmacodynamics (PK-PD) model for propofol will be used as a TCI system to achieve plasma target propofol concentrations. Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
Experiments will be completed with DBS off.
Propofol: Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
|
Parkinson's Disease Patients With DBS, Gpi Stimulation
This cohort will serve as as the observed group, displaying basal ganglia pathology.
A syringe pump controlled by Stanpump implementing the Eleveld Pharmacokinetics-Pharmacodynamics (PK-PD) model for propofol will be used as a targeted controlled infusion (TCI) system to achieve plasma target propofol concentrations. Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
Participants will be stimulated at the Gpi via DBS leads during propofol induced loss of consciousness.
Propofol: Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
|
Parkinson's Disease Patients With DBS, Gpe Stimulation
This cohort will serve as as the observed group, displaying basal ganglia pathology.
A syringe pump controlled by Stanpump implementing the Eleveld Pharmacokinetics-Pharmacodynamics (PK-PD) model for propofol will be used as a targeted controlled infusion (TCI) system to achieve plasma target propofol concentrations. Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
Participants will be stimulated at the Gpe via DBS leads during propofol induced loss of consciousness.
Propofol: Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
|
Parkinson's Disease Patients Undergoing DBS Surgery, Gpe Stimulation
A syringe pump controlled by Stanpump implementing the Eleveld Pharmacokinetics-Pharmacodynamics (PK-PD) model for propofol will be used as a targeted controlled infusion (TCI) system to achieve plasma target propofol concentrations. Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
Participants will be stimulated at the Gpe via DBS leads, and cortical activity will be recorded via ECoG during propofol induced loss of consciousness.
Propofol: Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
|
Parkinson's Disease Patients Undergoing DBS Surgery, Gpi Stimulation
A syringe pump controlled by Stanpump implementing the Eleveld Pharmacokinetics-Pharmacodynamics (PK-PD) model for propofol will be used as a targeted controlled infusion (TCI) system to achieve plasma target propofol concentrations. Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
Participants will be stimulated at the Gpi via DBS leads, and cortical activity will be recorded via ECoG during propofol induced loss of consciousness.
Propofol: Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
|
Parkinson's Disease Patients Undergoing DBS Surgery, no Stimulation
A syringe pump controlled by Stanpump implementing the Eleveld Pharmacokinetics-Pharmacodynamics (PK-PD) model for propofol will be used as a targeted controlled infusion (TCI) system to achieve plasma target propofol concentrations. Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
Participants will not receive any stimulation via DBS leads, and cortical activity will be recorded via ECoG during propofol induced loss of consciousness.
Propofol: Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
|
|---|---|---|---|---|---|---|---|
|
Propofol Dose Response Curve
|
1.54 ug/mL
Standard Deviation .20
|
1.58 ug/mL
Standard Deviation 0.29
|
—
|
—
|
—
|
—
|
—
|
PRIMARY outcome
Timeframe: baselinePopulation: Early conclusion of enrollment due to covid-related delays and end of funding. Loss of awareness was evaluated in each enrolled participant at different propofol levels. These outcomes cannot be summarized as a mean or any other measure of central tendency. The only meaningful outcome to be reported here is number of participants that were assess for this basic human science study.
Number of participants with loss of at least 50% of behavioral responses at a targeted serum concentration of 1.5 ug/mL using the following three behavioral responses will be evaluated: (1) loss/recovery of spontaneous movement (i.e., loss and recovery of responsiveness) (2) loss/recovery of movement in response to stimuli (separately to clicks \[non-salient\] and verbal stimuli \[salient\]), and (3) loss/recovery of movement to command (verbal command with patient name with instruction to open their eyes, as proxy of loss/recovery of consciousness).
Outcome measures
| Measure |
Parkinson's Disease Patients With DBS, no Stimulation
n=23 Participants
This cohort will serve as as the observed group, displaying basal ganglia pathology.
A syringe pump controlled by Stanpump implementing the Eleveld Pharmacokinetics-Pharmacodynamics (PK-PD) model for propofol will be used as a targeted controlled infusion (TCI) system to achieve plasma target propofol concentrations. Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
Experiments will be completed with DBS off.
Propofol: Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
|
Essential Tremor Patients With DBS
n=22 Participants
This cohort will serve as a control group (no basal ganglia pathology). A syringe pump controlled by Stanpump implementing the Eleveld Pharmacokinetics-Pharmacodynamics (PK-PD) model for propofol will be used as a TCI system to achieve plasma target propofol concentrations. Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
Experiments will be completed with DBS off.
Propofol: Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
|
Parkinson's Disease Patients With DBS, Gpi Stimulation
This cohort will serve as as the observed group, displaying basal ganglia pathology.
A syringe pump controlled by Stanpump implementing the Eleveld Pharmacokinetics-Pharmacodynamics (PK-PD) model for propofol will be used as a targeted controlled infusion (TCI) system to achieve plasma target propofol concentrations. Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
Participants will be stimulated at the Gpi via DBS leads during propofol induced loss of consciousness.
Propofol: Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
|
Parkinson's Disease Patients With DBS, Gpe Stimulation
This cohort will serve as as the observed group, displaying basal ganglia pathology.
A syringe pump controlled by Stanpump implementing the Eleveld Pharmacokinetics-Pharmacodynamics (PK-PD) model for propofol will be used as a targeted controlled infusion (TCI) system to achieve plasma target propofol concentrations. Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
Participants will be stimulated at the Gpe via DBS leads during propofol induced loss of consciousness.
Propofol: Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
|
Parkinson's Disease Patients Undergoing DBS Surgery, Gpe Stimulation
A syringe pump controlled by Stanpump implementing the Eleveld Pharmacokinetics-Pharmacodynamics (PK-PD) model for propofol will be used as a targeted controlled infusion (TCI) system to achieve plasma target propofol concentrations. Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
Participants will be stimulated at the Gpe via DBS leads, and cortical activity will be recorded via ECoG during propofol induced loss of consciousness.
Propofol: Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
|
Parkinson's Disease Patients Undergoing DBS Surgery, Gpi Stimulation
A syringe pump controlled by Stanpump implementing the Eleveld Pharmacokinetics-Pharmacodynamics (PK-PD) model for propofol will be used as a targeted controlled infusion (TCI) system to achieve plasma target propofol concentrations. Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
Participants will be stimulated at the Gpi via DBS leads, and cortical activity will be recorded via ECoG during propofol induced loss of consciousness.
Propofol: Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
|
Parkinson's Disease Patients Undergoing DBS Surgery, no Stimulation
n=12 Participants
A syringe pump controlled by Stanpump implementing the Eleveld Pharmacokinetics-Pharmacodynamics (PK-PD) model for propofol will be used as a targeted controlled infusion (TCI) system to achieve plasma target propofol concentrations. Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
Participants will not receive any stimulation via DBS leads, and cortical activity will be recorded via ECoG during propofol induced loss of consciousness.
Propofol: Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
|
|---|---|---|---|---|---|---|---|
|
Behavioral Assessment of Propofol Induced Loss / Recovery of Consciousness and Responsiveness
|
13 Participants
|
16 Participants
|
0 Participants
|
0 Participants
|
0 Participants
|
0 Participants
|
12 Participants
|
PRIMARY outcome
Timeframe: BaselinePopulation: Only the last arm had relevant patient enrolled to study neurophysiological signals. The number reported represents the single peak frequency at which neurophysiological changes occurred, not an average or a measure of centralral tendency. Neurophysiological measures were not obtained in the first two arms of the study in which patients were enrolled.
Oscillatory frequency at which maximal power changes occur with inducing loss of consciousness, as measured using ECoG and Globus Pallidus internus / Globus Pallidus externus (GPi/GPe) LFP recordings during DBS implantation surgery with target-controlled infusion of propofol. This is not an average frequency but a single peak value based on population spectra at which maximal changes are noted. The number reported is not an average of peaks across patients, but the peak identified after integrating data across the population studied. There is no corresponding measure of dispersion or prevision based on the way the value is identified. Rather, it is a single peak value.
Outcome measures
| Measure |
Parkinson's Disease Patients With DBS, no Stimulation
This cohort will serve as as the observed group, displaying basal ganglia pathology.
A syringe pump controlled by Stanpump implementing the Eleveld Pharmacokinetics-Pharmacodynamics (PK-PD) model for propofol will be used as a targeted controlled infusion (TCI) system to achieve plasma target propofol concentrations. Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
Experiments will be completed with DBS off.
Propofol: Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
|
Essential Tremor Patients With DBS
This cohort will serve as a control group (no basal ganglia pathology). A syringe pump controlled by Stanpump implementing the Eleveld Pharmacokinetics-Pharmacodynamics (PK-PD) model for propofol will be used as a TCI system to achieve plasma target propofol concentrations. Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
Experiments will be completed with DBS off.
Propofol: Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
|
Parkinson's Disease Patients With DBS, Gpi Stimulation
This cohort will serve as as the observed group, displaying basal ganglia pathology.
A syringe pump controlled by Stanpump implementing the Eleveld Pharmacokinetics-Pharmacodynamics (PK-PD) model for propofol will be used as a targeted controlled infusion (TCI) system to achieve plasma target propofol concentrations. Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
Participants will be stimulated at the Gpi via DBS leads during propofol induced loss of consciousness.
Propofol: Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
|
Parkinson's Disease Patients With DBS, Gpe Stimulation
This cohort will serve as as the observed group, displaying basal ganglia pathology.
A syringe pump controlled by Stanpump implementing the Eleveld Pharmacokinetics-Pharmacodynamics (PK-PD) model for propofol will be used as a targeted controlled infusion (TCI) system to achieve plasma target propofol concentrations. Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
Participants will be stimulated at the Gpe via DBS leads during propofol induced loss of consciousness.
Propofol: Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
|
Parkinson's Disease Patients Undergoing DBS Surgery, Gpe Stimulation
A syringe pump controlled by Stanpump implementing the Eleveld Pharmacokinetics-Pharmacodynamics (PK-PD) model for propofol will be used as a targeted controlled infusion (TCI) system to achieve plasma target propofol concentrations. Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
Participants will be stimulated at the Gpe via DBS leads, and cortical activity will be recorded via ECoG during propofol induced loss of consciousness.
Propofol: Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
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Parkinson's Disease Patients Undergoing DBS Surgery, Gpi Stimulation
A syringe pump controlled by Stanpump implementing the Eleveld Pharmacokinetics-Pharmacodynamics (PK-PD) model for propofol will be used as a targeted controlled infusion (TCI) system to achieve plasma target propofol concentrations. Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
Participants will be stimulated at the Gpi via DBS leads, and cortical activity will be recorded via ECoG during propofol induced loss of consciousness.
Propofol: Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
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Parkinson's Disease Patients Undergoing DBS Surgery, no Stimulation
n=12 Participants
A syringe pump controlled by Stanpump implementing the Eleveld Pharmacokinetics-Pharmacodynamics (PK-PD) model for propofol will be used as a targeted controlled infusion (TCI) system to achieve plasma target propofol concentrations. Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
Participants will not receive any stimulation via DBS leads, and cortical activity will be recorded via ECoG during propofol induced loss of consciousness.
Propofol: Target effect-site concentration of propofol will be started at 1.4 μg/mL and will be increased by 0.3 μg/mL with reassessment until endpoints are achieved.
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Electrocorticogram (ECoG) and Pallidal Local Field Potential (LFP) Recordings
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3 Hz
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Adverse Events
Parkinson's Disease Patients With DBS, no Stimulation
Essential Tremor Patients With DBS
Parkinson's Disease Patients With DBS, Gpi Stimulation
Parkinson's Disease Patients With DBS, Gpe Stimulation
Parkinson's Disease Patients Undergoing DBS Surgery, Gpe Stimulation
Parkinson's Disease Patients Undergoing DBS Surgery, Gpi Stimulation
Parkinson's Disease Patients Undergoing DBS Surgery, no Stimulation
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place