Combined STN and NBM Deep Brain Stimulation for Mild Cognitive Impairment in Parkinson's Disease
NCT05968703 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 10
Last updated 2025-05-30
Summary
The goal of this clinical trial is to evaluate the safety and tolerability of a novel deep brain stimulation (DBS) of the Subthalamic Nucleus (STN) and Nucleus Basalis of Meynert (NBM) to treat cognitive and cognitive-motor symptoms in individuals with Parkinson's disease. The main question it aims to answer is:
Is a combined deep brain stimulation approach targeting the STN and NBM with four DBS leads safe and tolerable for cognitive and cognitive-motor symptoms in individuals with Parkinson's disease with Mild Cognitive Impairment. Ten participants are anticipated to be enrolled.
Participants will undergo a modification of the traditional STN DBS approach for motor symptoms of PD. In addition to the two leads placed within the STN, two additional leads will be placed with the NBM for treatment of cognitive and cognitive-motor symptoms. Novel stimulation patterns will be used within the NBM to target cognitive and cognitive-motor symptoms using an investigational software. Participants will be followed over two years while receiving this therapy with assessments at baseline and every six months. Assessments will include a combination of neuropsychological evaluations, cognitive assessments, motor tasks (including gait/walking), and questionnaires to evaluate the treatment. Two different surgical trajectories will be used, with half the cohort randomized to each group. This will allow comparison of the impact of surgical trajectory on the intervention.
Conditions
Interventions
- DEVICE
-
Combined STN+NBM DBS
This intervention is a 4-lead deep brain stimulation approach targeting the Subthalamic Nucleus (STN) and Nucleus Basalis of Meynert (NBM)
Sponsors & Collaborators
-
National Institute of Neurological Disorders and Stroke (NINDS)
collaborator NIH -
Helen M. Bronte-Stewart
lead OTHER
Principal Investigators
-
Helen M Bronte-Stewart, MD MSE · Stanford University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 21 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-04-08
- Primary Completion
- 2027-01-31
- Completion
- 2027-07-31
- FDA Device
- Yes
Countries
- United States
Study Locations
More Related Trials
-
Deep Brain Stimulation (DBS) of the Nucleus Basalis of Meynert (NbM) in Patients With Parkinson's Disease
NCT02763397 ·Status: UNKNOWN ·Phase: NA
-
Deep Brain Stimulation for Parkinson's Disease Trial
NCT00053625 ·Status: COMPLETED ·Phase: PHASE3
-
Cortical Network Modulation by Subthalamic Nucleus DBS
NCT04922411 ·Status: COMPLETED ·Phase: NA
-
Deep Brain Stimulation and Parkinson's Disease
NCT02795663 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Neurocognitive Effects of Bilateral STN Versus GPi DBS in Parkinson's Disease Patients With MCI
NCT01870518 ·Status: TERMINATED ·Phase: NA
-
Double-Blind Clinical Trial of Subthalamic Nucleus Deep Brain Stimulation in Early-Stage Parkinson's Disease
NCT06008717 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Deep Brain Stimulation of the nbM to Treat Mild Cognitive Impairment in Parkinson's Disease
NCT02924194 ·Status: TERMINATED ·Phase: NA
-
Combined STN/SNr-DBS for the Treatment of Refractory Gait Disorders in Parkinson's Disease
NCT01355835 ·Status: COMPLETED ·Phase: PHASE2
-
Neural Signatures of Parkinson's Disease
NCT01990313 ·Status: COMPLETED ·Phase: NA
-
Combined Deep Brain Stimulation for Parkinson's Disease
NCT01485276 ·Status: WITHDRAWN ·Phase: PHASE1/PHASE2
-
Combined Subthalamic and Nucleus Basalis Meynert Deep Brain Stimulation for Parkinson's Disease With Dementia
NCT02589925 ·Status: UNKNOWN ·Phase: NA
-
Impact of Subthalamic Nucleus Deep Brain Stimulation on Pain in Parkinson Disease
NCT02885194 ·Status: COMPLETED ·Phase: NA
-
Low Frequency Deep Brain Stimulation of the Subthalamic Nucleus in Parkinson's Disease
NCT03204526 ·Status: COMPLETED ·Phase: NA
-
Mapping Mood in the Subthalamic Nucleus in Parkinson's Disease (PD)
NCT00847431 ·Status: COMPLETED
-
Effects of Deep Brain Stimulation for the Treatment of Parkinson's Disease
NCT00358189 ·Status: COMPLETED
-
STN-Stimulation Versus Best Medical Treatment in Advanced PD
NCT00196911 ·Status: COMPLETED ·Phase: PHASE3
-
Computational Modeling of 60 Hz Subthalamic Nucleus Deep Brain Stimulation for Gait Disorder in Parkinson's Disease
NCT04184791 ·Status: COMPLETED ·Phase: NA
-
Cortical Electrophysiology of Response Inhibition in Parkinson's Disease
NCT06234995 ·Status: RECRUITING ·Phase: PHASE4
-
Neurophysiological Characteristics of Subthalamic Deep-brain Stimulation (STN-DBS)
NCT04707638 ·Status: WITHDRAWN
-
Deep Brain Stimulation Therapy in Movement Disorders
NCT02119611 ·Status: RECRUITING ·Phase: NA
-
Correlation of STN-DBS Induced Visuospatial Changes and Freezing of Gait
NCT06994728 ·Status: RECRUITING ·Phase: NA
-
Effect of Deep Brain Stimulation on Neuropsychiatric Fluctuations in Patients With Parkinson's Disease
NCT04608123 ·Status: COMPLETED
-
Investigating Adaptive Deep Brain Stimulation in Parkinson's Disease Management
NCT06891781 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Effects of Deep Brain Stimulation in Parkinson's Disease
NCT00855621 ·Status: UNKNOWN ·Phase: NA
-
Effects of STN DBS on Cognition and Brain Networks in PD Patients Analyzed Based on EEG and fNIRS
NCT06175897 ·Status: RECRUITING ·Phase: NA