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The purpose of this clinical trial is to verify the efficacy and safety of rechargeable implantable deep brain stimulation (DBS) system for the treatment of advanced primary Parkinson's disease.
This study is a prospective, multicenter, randomized controlled superiority clinical study. According to the unified inclusion and exclusion criteria, 60 eligible subjects are enrolled in this clinical trial. All subjects are implanted with bilateral deep brain stimulation leads, and are randomly assigned to the experimental group or control group in a 1:1 ratio. Within one month after surgery, the DBS system of experimental group is activated and the stimulation parameters are modulated, whereas the control group is not activated. The primary endpoint is the change in motor examination scores evaluated using the Movement Disorder Society-sponsored revision of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS) part III (MDS-UPDRS-III) in "med off" state at 3 months after surgery, compared to the baseline. After primary endpoint evaluation, both groups receive treatment with activated DBS system. The efficacy in med off/stim on and med on/stim on state and the safety are evaluated at 6 months after surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| experimental group | Experimental | Subjects in this arm will receive stimulation of DBS system within 1 month after surgery. |
|
| control group | Other | Subjects in this arm will receive stimulation of DBS system at 3 months after surgery. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Rechargeable implantable deep brain stimulation system | Device | The DBS system will be implanted in subjects in both study arms. Subjects in experimental group will receive stimulation of DBS system within 1 month after surgery. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in motor examination score evaluated using the Movement Disorder Society-sponsored revision of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Part Ⅲ in "med off" state relative to baseline | MDS-UPDRS Part Ⅲ (MDS-UPDRS-Ⅲ) scores range from 0 to 132, higher scores mean a worse outcome. | 3 months after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Change in motor examination score evaluated using the Movement Disorder Society-sponsored revision of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Part Ⅲ in "med on" state relative to baseline | MDS-UPDRS Part Ⅲ (MDS-UPDRS-Ⅲ) scores range from 0 to 132, higher scores mean a worse outcome. | 3 months after surgery |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ting Zhang | Contact | +86-010-80120666 | ting_zhang@lepumedical.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Xuanwu Hospital Capital Medical University | Recruiting | Beijing | Beijing Municipality | 100053 | China |
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| Rechargeable implantable deep brain stimulation system | Device | The DBS system will be implanted in subjects in both study arms. Subjects in control group will receive stimulation of DBS system at 3 months after surgery. |
|
| Change in motor experiences of daily living score evaluated using the Movement Disorder Society-sponsored revision of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Part Ⅱ relative to baseline |
MDS-UPDRS Part Ⅱ (MDS-UPDRS-Ⅱ) scores range from 0 to 52, higher scores mean a worse outcome. |
| 3 and 6 months after surgery |
| Change in non-motor experiences of daily living score evaluated using the Movement Disorder Society-sponsored revision of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Part Ⅰ relative to baseline | MDS-UPDRS Part Ⅰ (MDS-UPDRS-Ⅰ) scores range from 0 to 52, higher scores mean a worse outcome. | 3 and 6 months after surgery |
| Change in motor complications score evaluated using the Movement Disorder Society-sponsored revision of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Part Ⅳ relative to baseline | MDS-UPDRS Part Ⅳ (MDS-UPDRS-Ⅳ) scores range from 0 to 24, higher scores mean a worse outcome. | 3 and 6 months after surgery |
| Change in "ON" time and "OFF" time relative to the baseline | 3 and 6 months after surgery |
| Change in motor examination score evaluated using the Movement Disorder Society-sponsored revision of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Part Ⅲ with stimulation in "med on" and "med off" states relative to baseline | MDS-UPDRS Part Ⅲ (MDS-UPDRS-Ⅲ) scores range from 0 to 132, higher scores mean a worse outcome. | 6 months after surgery |
| Change in daily levodopa equivalent dose relative to baseline | 3 and 6 months after surgery |
| Change in the Parkinson's Disease Questionnaire (PDQ-39) score relative to baseline | The Parkinson's Disease Questionnaire (PDQ-39) is a 39-item questionnaire designed to measure the specific impact of PD on quality of life. Scores range from 0 to 156, higher scores mean a worse outcome. | 6 months after surgery |
| Evaluation of equipment operational performance | The operational performance of the equipment is evaluated as excellent, good, or poor. | Within surgery, 1 month and 3 months after surgery |
| Incidence of adverse events | up to 6 months after surgery |
| The First Affiliated Hospital of Fujian Medical University | Not yet recruiting | Fuzhou | Fujian | 350004 | China |
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| ZhuJiang Hospital of Southern Medical University | Not yet recruiting | Guangzhou | Guangdong | 510260 | China |
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| Renmin Hospital of Wuhan University | Not yet recruiting | Wuhan | Hubei | 430060 | China |
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| The Second Affiliated Hospital of Air Force Medical University | Not yet recruiting | Xi'an | Shaanxi | 524001 | China |
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| West China Hospital of Sichuan University | Not yet recruiting | Chengdu | Sichuan | 610044 | China |
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| The Second Affiliated Hospital Zhejiang University School of Medicine | Not yet recruiting | Hangzhou | Zhejiang | 310003 | China |
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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 |
| D009422 | Nervous System Diseases |
| D009069 | Movement Disorders |
| D000080874 | Synucleinopathies |
| D019636 | Neurodegenerative Diseases |
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