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Study terminated by Sponsor
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The purpose of the study is to determine if using SIS System for DBS planning results in less distance between the planned target location and the actual implanted lead location than DBS planning without SIS System.
This is a prospective, controlled, open-label, multicenter post-market trial to compare standard of care DBS surgery to standard of care plus visualization with the SIS System. The purpose of the study is to determine if using SIS System for DBS planning results in less distance between the planned target location and the actual implanted lead location than DBS planning without SIS System.
Parkinson's Disease subjects indicated for DBS will undergo standard DBS surgery with preoperative planning for targeting of STN or GPi as indicated. Subjects will be followed through six months after initial DBS programming to collect clinical outcomes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| SIS Group | Standard of care DBS surgery + use of (FDA-cleared) SIS System for preoperative target planning |
| |
| Control Group | Standard of care DBS surgery and preoperative target planning |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SIS System | Device | FDA-cleared software that enhances standard clinical images for the visualization of structures in the basal ganglia area of the brain which are commonly targeted for DBS lead placement. |
| Measure | Description | Time Frame |
|---|---|---|
| Measure Euclidean distance (mm) between the planned target coordinate and actual implanted coordinate | Compare the mean distance between the DBS planned target location to the actual implanted lead location for the SIS Group and Control Group | 1 day |
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| Measure | Description | Time Frame |
|---|---|---|
| Proportion of patients(%) with procedure-related adverse events, average duration of DBS surgery (hours:minutes), and percentage of cases in which intra-operative testing was performed | Compare surgical characteristics, such as rate of procedure-related adverse events, mean surgical time, and use of intra-operative testing for SIS and Control groups | 1 month |
Inclusion Criteria:
Exclusion Criteria:
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Patients with idiopathic Parkinson's Disease indicated for de novo bilateral DBS surgery implant in the STN or GPi will be considered for study participation.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Arizona | Tucson | Arizona | 85724 | United States | ||
| University of Arkansas for Medical Sciences |
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| ID | Term |
|---|---|
| D010300 | Parkinson Disease |
| ID | Term |
|---|---|
| D020734 | Parkinsonian Disorders |
| D001480 | Basal Ganglia Diseases |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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| Compare width of the therapeutic window (the electrical current at which a sustained side effect occurs minus the electrical current at which a meaningful therapeutic benefit was observed) | Compare DBS programming settings, such as therapeutic window of SIS and Control groups | 6 months |
| Change in average levodopa equivalent daily dosage (mg) | Compare change in mean levodopa equivalent daily dose for SIS and Control groups | 6 months |
| Change in mean score of the Movement Disorder Society Unified Parkinson's Disease Rating Scale Part III | Compare changes in mean MDS-UPDRS Part III motor improvement for SIS and Control groups. MDS-UPDRS Part III is a validated questionnaire to assess the severity of motor symptoms in patients with Parkinson's disease. The motor examination consists of 33 scored movements. Each item is scored from 0 to 4, where 0 indicates normal, 1 indicates slight symptoms, 2 indicates mild symptoms, 3 indicates moderate symptoms, and 4 indicates severe symptoms. The total score is obtained from the sum of the corresponding item scores. | 6 months |
| Rate (%) of stimulation-related side effects | Compare the rate of stimulation related side effects in SIS and Control groups | 6 months |
| Compare percentage of motor benefit from MDS-UPDRS Part III to implanted lead location | Measure hemi-body motor improvement and compare percentage of improvement to the implanted DBS lead location | 6 months |
| Little Rock |
| Arkansas |
| 72205 |
| United States |
| Hartford Hospital | Hartford | Connecticut | 06106 | United States |
| University of Miami | Miami | Florida | 33136 | United States |
| University of South Florida | Tampa | Florida | 33606 | United States |
| University of Iowa | Iowa City | Iowa | 52242 | United States |
| Beth Israel Deaconess Medical Center | Boston | Massachusetts | 02215 | United States |
| Duke University | Durham | North Carolina | 27705 | United States |
| Penn State University | Hershey | Pennsylvania | 17033 | United States |
| Carilion Clinic | Roanoke | Virginia | 24014 | United States |
| D009422 | Nervous System Diseases |
| D009069 | Movement Disorders |
| D000080874 | Synucleinopathies |
| D019636 | Neurodegenerative Diseases |