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Recruiting NCT05656586

Udall Project 2 Aim 2A&C

Observational Parkinson Disease

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: observational-- no intervention.
Who it may be relevant to
Registry conditions: Parkinson Disease. Basic parameters: No limits · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
United States
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Official title

Mechanisms and Effects of Pallidal Deep Brain Stimulation on Levodopa Resistant Motor Signs in Parkinson's Disease; Udall Project 2 Aim 2A&C

Overview

This protocol will leverage the novel (on-label, FDA-approved) local field potential measuring capability of the Medtronic Percept™ PC or RC DBS system to study the effects of globus pallidus internus, globus pallidus externus (GPi, GPe), and subthalamic nucleus (STN) DBS on: the wash-out and wash-in dynamics of motor behavior and local field potentials (LFPs) and correlations between fluctuations in gait and LFPs during activities of daily living (recorded over a minimum of 4 weeks). These experiments will elucidate the relationships between LFPs oscillations, lower limb function, postural control and gait performance.

Detailed description

This protocol will leverage the novel (on-label, FDA-approved) local field potential measuring capability of the Medtronic Percept™ PC or RC DBS system to study the effects of globus pallidus internus, globus pallidus externus (GPi, GPe), and subthalamic nucleus (STN) DBS on: the wash-out and wash-in dynamics of motor behavior and local field potentials (LFPs) and correlations between fluctuations in gait and LFPs during activities of daily living (recorded over a minimum of 4 weeks). These experiments will elucidate the relationships between LFPs oscillations, lower limb function, postural control and gait performance.

Interventions

  • Other observational-- no intervention
    observational

Primary outcome measures

  • Peak negative power [Time frame: 30 day]
  • Stride length [Time frame: 30 days]
  • Alpha power during standardized daily gait assessment [Time frame: 30 days]
  • cadence [Time frame: 30 days]
Secondary outcome measures (7)
  • gait speed [Time frame: 30 days]
  • time spent away from home [Time frame: 30 days]
  • distance traveled from home [Time frame: 30 days]
  • alpha power immediately following freezing of gait episodes, falls and other major events [Time frame: 30 days]
  • Peak power of local field potential oscillations [Time frame: 30 days]
  • stride time variability [Time frame: 30 days]
  • step length variability [Time frame: 30 days]

Eligibility criteria

Inclusion criteria

  • Receiving DBS therapy in GP for treatment of PD
  • Implanted with Medtronic Percept DBS system
  • At least 3 months since initial activation of the neurostimulator
  • For the "At Home" experiment only: participants with DBS settings that are sensing compatible.

Exclusion criteria

  • history of musculoskeletal disorders that significantly affects the ability to perform the motor tasks in the specific experiment in question
  • history of dementia or cognitive impairment
  • other significant neurological disorder as determined by the PI
  • post-operative complications or adverse effects (e.g. ON stimulation dystonias) that affect patient safety or confound the experiment
  • lack of capacity to consent (as identified by MaCAT-CR)

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Observational model
Cohort

Study locations

United States · 1 center
  • University of Minnesota — Minneapolis

Identifiers

NCT: NCT05656586 · STUDY00016988

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗