Connectomic Guided DBS for Parkinson's Disease
NCT06618157 · Status: ENROLLING_BY_INVITATION · Phase: NA · Type: INTERVENTIONAL · Enrollment: 20
Last updated 2026-02-20
Summary
The objective of this research is to use advanced connectomic imaging models to identify disease-relevant axonal pathway targets for better tremor control in Parkinson's disease patients while avoiding undesirable side effects, with the goal of increasing precision and facilitating the choice of optimal DBS parameters for certain disease phenotypes. The investigators hypothesize that patient centered subthalamic nucleus deep brain stimulation of cerebellothalamic axonal pathways and pallidothalamic tract activation can provide better tremor control while avoiding worsening dyskinesias in patients with Parkinson's disease with significant tremor.
Conditions
- Parkinson Disease
- Tremor
- Dyskinesias
Interventions
- DEVICE
-
Cerebellothalamic optimized deep brain stimulation
A deep brain stimulation plan will be created by maximizing the cerebellothalamic pathway on the patient-specific connectomic deep brain stimulation model
- DEVICE
-
Pallidothalamic optimized deep brain stimulation
A deep brain stimulation plan will be created by maximizing the Pallidothalamic pathway on the patient-specific connectomic deep brain stimulation model
- OTHER
-
No deep brain stimulation
Patients will also be tested without any deep brain stimulation
- DEVICE
-
Usual care deep brain stimulation
Patient will also be tested with the deep brain stimulation clinical settings that were previously established during usual care with their neurologist
Sponsors & Collaborators
- lead OTHER
Principal Investigators
-
Kyle Mitchell, MD · Duke University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- CROSSOVER
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-02-16
- Primary Completion
- 2026-12-29
- Completion
- 2027-01-29
- FDA Device
- Yes
Countries
- United States
Study Locations
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