Clinical trial NCT04650932: Dual Frequency Stimulation in Parkinson's Disease
Official title: Dual Frequency, Dual Region Deep Brain Stimulation of the Subthalamic Nucleus in Parkinson's Disease
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Parkinson Disease
Keywords: DBS
Deep Brain Stimulation
STN
Subthalamic Nucleus
Parkinson disease
Dual frequency
Dual region
DFDR
Lead sponsor: University of California, Davis
Sponsor class: OTHER
First posted: 2020-12-03
Enrollment: 10
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: Deep brain stimulation (DBS) in the dorsal region of the subthalamic nucleus (STN) is very effective for reducing motor symptoms of Parkinson's disease (PD). Modeling studies suggest that this therapy may result in current spread into the ventral STN, causing altered cognitive processes. As a result, current stimulation parameters often lead to worsening in verbal fluency, executive function, and, particularly, cognitive control. There is evidence suggesting that low frequency oscillatory activity occurs across brain circuits important in integrating information for cognition. Preclinical studies and human recording studies indicate these low frequency theta oscillations drive cognitive control during cognitive tasks. Thus, the purpose of this study is to determine the safety, tolerability, and efficacy of low frequency stimulation (LFS) of the ventral STN alongside standard high frequency stimulation (HFS) of the dorsal STN in patients with PD.


Eligibility criteria: Inclusion Criteria:

* Individuals who are 18 years and older
* Individuals with idiopathic Parkinson's Disease who previously underwent implantation with the Boston Scientific VerciseTM DBS system
* Individuals who have been implanted with the Boston Scientific VerciseTM DBS system for at least 3 months
* Individuals diagnosed with advanced PD who had bilateral dorsal subthalamic nucleus DBS surgery, as standard of care for motor improvement, with distal contacts of the electrodes implanted into the ventral STN

Exclusion Criteria:

* Individuals unable to provide consent and/or lack capacity to consent
* Individuals diagnosed with any cognitive or physical impairments that would limit their ability to participate in the cognitive testing
* Individuals who score below 15 on the Montreal Cognitive Assessment Test-Blind
* Individuals who score above 20 on the Center for Epidemiologic Studies Depression Scale
* Pregnant women (note: pregnant women are not candidates for DBS surgery), and prisoners
* Non-English speaking individuals. Cognitive tasks will only be conducted in English.

Primary outcomes:
measure: Mean Change from Baseline in Depression Scores on the Center for Epidemiologic Studies Depression Scale (CES-D)
timeFrame: Baseline, Week 2, Week 6, Month 3, and Month 6
measure: Mean Change from Baseline in Impulsiveness Scores on the Barratt Impulsiveness Scale (BIS-11)
timeFrame: Baseline, Week 2, Week 6, Month 3, and Month 6
measure: Mean Change from Baseline in Neuropsychiatric Inventory (NPI)
timeFrame: Baseline, Week 2, Week 6, Month 3, and Month 6
measure: Mean Change from Baseline in Movement Scores on Part III of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS)
timeFrame: Baseline, Week 2, Week 6, Month 3, and Month 6
measure: Mean Change from Baseline in Cognitive Performance Scores on the Montreal Cognitive Assessment - Blind (MoCA)
timeFrame: Baseline, Hour 24, Week 1, Month 1, Month 2, Month 4, and Month 5
measure: Mean Change from Baseline in Depression Scores on the CES-D Short Version (CES-D-R10)
timeFrame: Baseline, Hour 24, Week 1, Month 1, Month 2, Month 4, and Month 5
measure: Mean Change from Baseline in Motor and Non-Motor Aspects of Daily Living Scores on Parts I and II of the MDS-UPDRS
timeFrame: Baseline, Hour 24, Week 1, Month 1, Month 2, Month 4, and Month 5
Secondary outcomes:
measure: Mean Change from Baseline in Decision-Making Scores on Probabilistic Gambling Task
timeFrame: Baseline, Minute 30, Week 2, Week 6, Month 3, and Month 6
measure: Mean Change from Baseline in Inter-Temporal Choice Scores on a Temporal Discounting Task
timeFrame: Baseline, Minute 30, Week 2, Week 6, Month 3, and Month 6
measure: Mean Change from Baseline in Verbal Fluency Scores on Word Generation Task
timeFrame: Baseline, Minute 30, Week 2, Week 6, Month 3, and Month 6
Other outcomes:
Locations:
city: Sacramento
country: United States
facility: UC Davis Health
state: California
Study officials:
affiliation: University of California, Davis
name: Kiarash Shahlaie, MD, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Scangos KW, Carter CS, Gurkoff G, Zhang L, Shahlaie K. A pilot study of subthalamic theta frequency deep brain stimulation for cognitive dysfunction in Parkinson's disease. Brain Stimul. 2018 Mar-Apr;11(2):456-458. doi: 10.1016/j.brs.2017.11.014. Epub 2017 Nov 23. No abstract available.
citation: Bergman H, Wichmann T, DeLong MR. Reversal of experimental parkinsonism by lesions of the subthalamic nucleus. Science. 1990 Sep 21;249(4975):1436-8. doi: 10.1126/science.2402638.
citation: Le Jeune F, Peron J, Grandjean D, Drapier S, Haegelen C, Garin E, Millet B, Verin M. Subthalamic nucleus stimulation affects limbic and associative circuits: a PET study. Eur J Nucl Med Mol Imaging. 2010 Aug;37(8):1512-20. doi: 10.1007/s00259-010-1436-y. Epub 2010 Mar 28.
citation: Sharma AK, Reams RY, Jordan WH, Miller MA, Thacker HL, Snyder PW. Mesial temporal lobe epilepsy: pathogenesis, induced rodent models and lesions. Toxicol Pathol. 2007 Dec;35(7):984-99. doi: 10.1080/01926230701748305.
citation: Volkmann J. Deep brain stimulation for the treatment of Parkinson's disease. J Clin Neurophysiol. 2004 Jan-Feb;21(1):6-17. doi: 10.1097/00004691-200401000-00003.
citation: Frankemolle AM, Wu J, Noecker AM, Voelcker-Rehage C, Ho JC, Vitek JL, McIntyre CC, Alberts JL. Reversing cognitive-motor impairments in Parkinson's disease patients using a computational modelling approach to deep brain stimulation programming. Brain. 2010 Mar;133(Pt 3):746-61. doi: 10.1093/brain/awp315. Epub 2010 Jan 7.
citation: Holz EM, Glennon M, Prendergast K, Sauseng P. Theta-gamma phase synchronization during memory matching in visual working memory. Neuroimage. 2010 Aug 1;52(1):326-35. doi: 10.1016/j.neuroimage.2010.04.003. Epub 2010 Apr 9.
citation: Colgin LL. Mechanisms and functions of theta rhythms. Annu Rev Neurosci. 2013 Jul 8;36:295-312. doi: 10.1146/annurev-neuro-062012-170330. Epub 2013 May 29.
citation: Lee DJ, Gurkoff GG, Izadi A, Seidl SE, Echeverri A, Melnik M, Berman RF, Ekstrom AD, Muizelaar JP, Lyeth BG, Shahlaie K. Septohippocampal Neuromodulation Improves Cognition after Traumatic Brain Injury. J Neurotrauma. 2015 Nov 15;32(22):1822-32. doi: 10.1089/neu.2014.3744. Epub 2015 Sep 2.
citation: Izadi A, Pevzner A, Lee DJ, Ekstrom AD, Shahlaie K, Gurkoff GG. Medial septal stimulation increases seizure threshold and improves cognition in epileptic rats. Brain Stimul. 2019 May-Jun;12(3):735-742. doi: 10.1016/j.brs.2019.01.005. Epub 2019 Jan 17.
citation: Cohen MX, Cavanagh JF. Single-trial regression elucidates the role of prefrontal theta oscillations in response conflict. Front Psychol. 2011 Feb 28;2:30. doi: 10.3389/fpsyg.2011.00030. eCollection 2011.
citation: Zavala BA, Tan H, Little S, Ashkan K, Hariz M, Foltynie T, Zrinzo L, Zaghloul KA, Brown P. Midline frontal cortex low-frequency activity drives subthalamic nucleus oscillations during conflict. J Neurosci. 2014 May 21;34(21):7322-33. doi: 10.1523/JNEUROSCI.1169-14.2014.
citation: Zavala B, Brittain JS, Jenkinson N, Ashkan K, Foltynie T, Limousin P, Zrinzo L, Green AL, Aziz T, Zaghloul K, Brown P. Subthalamic nucleus local field potential activity during the Eriksen flanker task reveals a novel role for theta phase during conflict monitoring. J Neurosci. 2013 Sep 11;33(37):14758-66. doi: 10.1523/JNEUROSCI.1036-13.2013.
citation: Frank MJ, Samanta J, Moustafa AA, Sherman SJ. Hold your horses: impulsivity, deep brain stimulation, and medication in parkinsonism. Science. 2007 Nov 23;318(5854):1309-12. doi: 10.1126/science.1146157. Epub 2007 Oct 25.
citation: Smarr KL, Keefer AL. Measures of depression and depressive symptoms: Beck Depression Inventory-II (BDI-II), Center for Epidemiologic Studies Depression Scale (CES-D), Geriatric Depression Scale (GDS), Hospital Anxiety and Depression Scale (HADS), and Patient Health Questionnaire-9 (PHQ-9). Arthritis Care Res (Hoboken). 2011 Nov;63 Suppl 11:S454-66. doi: 10.1002/acr.20556. No abstract available.
citation: Miller WC, Anton HA, Townson AF. Measurement properties of the CESD scale among individuals with spinal cord injury. Spinal Cord. 2008 Apr;46(4):287-92. doi: 10.1038/sj.sc.3102127. Epub 2007 Oct 2.
citation: Bjorgvinsson T, Kertz SJ, Bigda-Peyton JS, McCoy KL, Aderka IM. Psychometric properties of the CES-D-10 in a psychiatric sample. Assessment. 2013 Aug;20(4):429-36. doi: 10.1177/1073191113481998. Epub 2013 Mar 18.
citation: Pendlebury ST, Welch SJ, Cuthbertson FC, Mariz J, Mehta Z, Rothwell PM. Telephone assessment of cognition after transient ischemic attack and stroke: modified telephone interview of cognitive status and telephone Montreal Cognitive Assessment versus face-to-face Montreal Cognitive Assessment and neuropsychological battery. Stroke. 2013 Jan;44(1):227-9. doi: 10.1161/STROKEAHA.112.673384. Epub 2012 Nov 8.
citation: Pote I, Torkamani M, Kefalopoulou ZM, Zrinzo L, Limousin-Dowsey P, Foltynie T, Speekenbrink M, Jahanshahi M. Subthalamic nucleus deep brain stimulation induces impulsive action when patients with Parkinson's disease act under speed pressure. Exp Brain Res. 2016 Jul;234(7):1837-1848. doi: 10.1007/s00221-016-4577-9. Epub 2016 Feb 18.
citation: Peters J, D'Esposito M. Effects of Medial Orbitofrontal Cortex Lesions on Self-Control in Intertemporal Choice. Curr Biol. 2016 Oct 10;26(19):2625-2628. doi: 10.1016/j.cub.2016.07.035. Epub 2016 Sep 1.
citation: Seymour B, Barbe M, Dayan P, Shiner T, Dolan R, Fink GR. Deep brain stimulation of the subthalamic nucleus modulates sensitivity to decision outcome value in Parkinson's disease. Sci Rep. 2016 Sep 14;6:32509. doi: 10.1038/srep32509.
citation: Ehlen F, Schoenecker T, Kuhn AA, Klostermann F. Differential effects of deep brain stimulation on verbal fluency. Brain Lang. 2014 Jul;134:23-33. doi: 10.1016/j.bandl.2014.04.002. Epub 2014 May 9.
citation: Laxton AW, Lozano AM. Deep brain stimulation for the treatment of Alzheimer disease and dementias. World Neurosurg. 2013 Sep-Oct;80(3-4):S28.e1-8. doi: 10.1016/j.wneu.2012.06.028. Epub 2012 Jun 19.
citation: Temperli P, Ghika J, Villemure JG, Burkhard PR, Bogousslavsky J, Vingerhoets FJ. How do parkinsonian signs return after discontinuation of subthalamic DBS? Neurology. 2003 Jan 14;60(1):78-81. doi: 10.1212/wnl.60.1.78.
citation: Smeding HM, Speelman JD, Koning-Haanstra M, Schuurman PR, Nijssen P, van Laar T, Schmand B. Neuropsychological effects of bilateral STN stimulation in Parkinson disease: a controlled study. Neurology. 2006 Jun 27;66(12):1830-6. doi: 10.1212/01.wnl.0000234881.77830.66.
citation: Strutt AM, Simpson R, Jankovic J, York MK. Changes in cognitive-emotional and physiological symptoms of depression following STN-DBS for the treatment of Parkinson's disease. Eur J Neurol. 2012 Jan;19(1):121-7. doi: 10.1111/j.1468-1331.2011.03447.x. Epub 2011 Jun 11.