DBS Imaging-based vs. Threshold Assessment-based Programming
NCT06223399
Summary
The goal of this single-center prospective, randomized, open-label clinical trial is to compare the effectiveness of imaging-based DBS programming with threshold assessment-based DBS programming in patients with Parkinson's disease and motor response fluctuations. The main question the study aims to answer is: Is the improvement of motor symptoms in the OFF-drug phase following STN DBS for Parkinson's disease, using imaging-based DBS programming only, non-inferior to the improvement of motor symptoms following DBS programming with threshold assessment at six months follow-up? Participants will be randomized to imaging-based programming or to threshold assessment-based programming. The main clinical outcome is motor symptoms; secondary outcomes are level of physical disability and quality of life, among others.
Eligibility
Inclusion Criteria: * Parkinson's disease diagnosis based on the clinical diagnostic criteria of Movement Disorder Society * Scheduled for DBS screening * Age of 18 years or older * Understand the Dutch language Exclusion Criteria: * Legally incompetent adults * No written informed consent * Previous functional stereotactic neurosurgery * Dementia * Current depression or psychosis
Conditions4
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NCT06223399