Vercise Implantable Stimulator for Treating Parkinson's Disease (VANTAGE)
This study is ongoing, but not recruiting participants.
Sponsor:
Boston Scientific Corporation
Information provided by (Responsible Party):
Boston Scientific Corporation
ClinicalTrials.gov Identifier:
NCT01221948
First received: October 8, 2010
Last updated: April 19, 2013
Last verified: April 2013
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Purpose
The purpose of this study is to document patient outcomes, including effectiveness, safety, and health economic data, for the Boston Scientific implantable deep brain stimulation (DBS) Vercise™ system for bilateral stimulation of the subthalamic nucleus (STN) in the treatment of moderate to severe idiopathic Parkinson's Disease (PD).
| Condition | Intervention | Phase |
|---|---|---|
|
Idiopathic Parkinson's Disease |
Device: Deep Brain Stimulation |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | VANTAGE STUDY Vercise™ Implantable Stimulator for Treating Parkinson's Disease |
Resource links provided by NLM:
Further study details as provided by Boston Scientific Corporation:
Primary Outcome Measures:
- Change in the motor score of the Unified Parkinson's Disease Rating Scale (UPDRS) [ Time Frame: 26 weeks post first lead implantation ] [ Designated as safety issue: No ]
Secondary Outcome Measures:
- Number of participants with adverse events (AEs), including serious adverse events (SAEs), as a measure of Safety [ Time Frame: 52 weeks post first lead implantation ] [ Designated as safety issue: Yes ]
- Change in the motor score of the Unified Parkinson's Disease Rating Scale (UPDRS) [ Time Frame: 12 weeks post first lead implantation ] [ Designated as safety issue: No ]
- Change in the mentation, behavior, and mood scores of the UPDRS [ Time Frame: 12 weeks post first lead implantation ] [ Designated as safety issue: No ]
- Change in antiparkinsonian medication use [ Time Frame: 12 weeks post first lead implantation ] [ Designated as safety issue: No ]
- Change in hand-arm movement test score [ Time Frame: 12 weeks post first lead implantation ] [ Designated as safety issue: No ]
- Change in tremor rating scale [ Time Frame: 12 weeks post first lead implantation ] [ Designated as safety issue: No ]
- Change in the dyskinesia rating scale score [ Time Frame: 12 weeks post first lead implantation ] [ Designated as safety issue: No ]
- Change in the number of waking hours per day with good symptom control and no troublesome dyskinesia [ Time Frame: 12 weeks post first lead implantation ] [ Designated as safety issue: No ]
- Change in quality of life scale scores [ Time Frame: 12 weeks post first lead implantation ] [ Designated as safety issue: No ]Short Form Health Survey (SF-36), Parkinson's Disease Questionnaire (PDQ-39) and modified Schwab and England (SE)
- Change in the Global Impression of Change Scale (GIC) rating score [ Time Frame: 12 weeks post first lead implantation ] [ Designated as safety issue: No ]
- Changes in resource utilization [ Time Frame: 12 weeks post first lead implantation ] [ Designated as safety issue: No ]
- Change in freezing of gait episodes [ Time Frame: 12 weeks post first lead implantation ] [ Designated as safety issue: No ]
- Change in the motor score of the Unified Parkinson's Disease Rating Scale (UPDRS) [ Time Frame: 52 weeks post first lead implantation ] [ Designated as safety issue: No ]
- Change in the mentation, behavior, and mood scores of the UPDRS [ Time Frame: 26 weeks post first lead implantation ] [ Designated as safety issue: No ]
- Change in the mentation, behavior, and mood scores of the UPDRS [ Time Frame: 52 weeks post first lead implantation ] [ Designated as safety issue: No ]
- Change in the activities of daily living score of the UPDRS [ Time Frame: 12 weeks post first lead implantation ] [ Designated as safety issue: No ]
- Change in the activities of daily living score of the UPDRS [ Time Frame: 26 weeks post first lead implantation ] [ Designated as safety issue: No ]
- Change in the activities of daily living score of the UPDRS [ Time Frame: 52 weeks post first lead implantation ] [ Designated as safety issue: No ]
- Change in the therapy complication score of the UPDRS [ Time Frame: 12 weeks post first lead implantation ] [ Designated as safety issue: No ]
- Change in the therapy complication score of the UPDRS [ Time Frame: 26 weeks post first lead implantation ] [ Designated as safety issue: No ]
- Change in the therapy complication score of the UPDRS [ Time Frame: 52 weeks post first lead implantation ] [ Designated as safety issue: No ]
- Change in the overall score of the UPDRS [ Time Frame: 12 weeks post first lead implantation ] [ Designated as safety issue: No ]
- Change in the overall score of the UPDRS [ Time Frame: 26 weeks post first lead implantation ] [ Designated as safety issue: No ]
- Change in the overall score of the UPDRS [ Time Frame: 52 weeks post first lead implantation ] [ Designated as safety issue: No ]
- Change in antiparkinsonian medication use [ Time Frame: 26 weeks post first lead implantation ] [ Designated as safety issue: No ]
- Change in antiparkinsonian medication use [ Time Frame: 52 weeks post first lead implantation ] [ Designated as safety issue: No ]
- Change in hand-arm movement test score [ Time Frame: 26 weeks post first lead implantation ] [ Designated as safety issue: No ]
- Change in hand-arm movement test score [ Time Frame: 52 weeks post first lead implantation ] [ Designated as safety issue: No ]
- Change in walking test score [ Time Frame: 12 weeks post first lead implantation ] [ Designated as safety issue: No ]
- Change in walking test score [ Time Frame: 26 weeks post first lead implantation ] [ Designated as safety issue: No ]
- Change in walking test score [ Time Frame: 52 weeks post first lead implantation ] [ Designated as safety issue: No ]
- Change in tremor rating scale [ Time Frame: 26 weeks post first lead implantation ] [ Designated as safety issue: No ]
- Change in tremor rating scale [ Time Frame: 52 weeks post first lead implantation ] [ Designated as safety issue: No ]
- Change in the dyskinesia rating scale score [ Time Frame: 26 weeks post first lead implantation ] [ Designated as safety issue: No ]
- Change in the dyskinesia rating scale score [ Time Frame: 52 weeks post first lead implantation ] [ Designated as safety issue: No ]
- Change in the number of waking hours per day with good symptom control and no troublesome dyskinesia [ Time Frame: 26 weeks post first lead implantation ] [ Designated as safety issue: No ]
- Change in the number of waking hours per day with good symptom control and no troublesome dyskinesia [ Time Frame: 52 weeks post first lead implantation ] [ Designated as safety issue: No ]
- Change in quality of life scale scores [ Time Frame: 26 weeks post first lead implantation ] [ Designated as safety issue: No ]Short Form Health Survey (SF-36), Parkinson's Disease Questionnaire (PDQ-39) and modified Schwab and England (SE)
- Change in quality of life scale scores [ Time Frame: 52 weeks post first lead implantation ] [ Designated as safety issue: No ]Short Form Health Survey (SF-36), Parkinson's Disease Questionnaire (PDQ-39) and modified Schwab and England (SE)
- Change in the Global Impression of Change Scale (GIC) rating score [ Time Frame: 26 weeks post first lead implantation ] [ Designated as safety issue: No ]
- Change in the Global Impression of Change Scale (GIC) rating score [ Time Frame: 52 weeks post first lead implantation ] [ Designated as safety issue: No ]
- Changes in resource utilization [ Time Frame: 26 weeks post first lead implantation ] [ Designated as safety issue: No ]
- Changes in resource utilization [ Time Frame: 52 weeks post first lead implantation ] [ Designated as safety issue: No ]
- Change in freezing of gait episodes [ Time Frame: 26 weeks post first lead implantation ] [ Designated as safety issue: No ]
- Change in freezing of gait episodes [ Time Frame: 52 weeks post first lead implantation ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 40 |
| Study Start Date: | October 2010 |
| Estimated Primary Completion Date: | May 2013 (Final data collection date for primary outcome measure) |
Intervention Details:
-
Device: Deep Brain Stimulation
Rechargeable Deep Brain Stimulation System
Eligibility| Ages Eligible for Study: | 21 Years to 75 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Criteria
Key Inclusion Criteria:
- Diagnosis of bilateral idiopathic PD with the presence of at least 2 of the following: resting tremor, rigidity, or bradykinesia.
- Duration of bilateral idiopathic PD of more than five years.
- Stable medications
- UPDRS subset III score of ≥30 without medication.
- Lack of dementia or depression.
- Must improve with antiparkinsonian medication, but have some motor complications that are not well controlled by medications.
- Must be an appropriate candidate for the surgical procedures required for bilateral STN DBS.
- Is willing and able to comply with all visits and study related procedures
- Patient understands the study requirements and the treatment procedures and provides written informed consent before any study-specific tests or procedures are performed.
Key Exclusion Criteria:
- Any intracranial abnormality or medical condition that would contraindicate DBS surgery.
- Any finding in neuropsychological screening assessments that would contraindicate DBS surgery, including dementia.
- Any significant psychiatric problems, including unrelated clinically significant depression.
- Any current drug or alcohol abuse.
- Any history of recurrent or unprovoked seizures.
- Frequent falls while receiving good medication therapy without dyskinesias (on-state).
- Any prior movement disorder treatments that involved intracranial surgery or device implantation.
- Any other active implanted device.
- Any previous brain surgery that would interfere with the placement of the leads or the functioning of the device.
- A history of neurostimulation intolerance in any area of the body.
- A condition requiring or likely to require the use of magnetic resonance imaging (MRI) or diathermy.
- Currently on any anticoagulant medications that can not be discontinued during perioperative period.
- Have any significant medical condition that is likely to interfere with study procedures or likely to confound evaluation of study endpoints, including any terminal illness with survival <12 months.
- Participation in another drug, device, or biologics trial concurrently or within the preceding 30 days. Any other trial participation should be approved by the Principal Investigators.
- A female that is breastfeeding or of child bearing potential with a positive urine pregnancy test or not using adequate contraception.
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01221948
Locations
| Austria | |
| Wilhelminenspital and AKH | |
| Vienna, Austria | |
| France | |
| CHU de Rennes-Pontchaillou | |
| Rennes, France | |
| Germany | |
| University hospital, Department of Stereotaxy and functional neurosurgery | |
| Cologne, Germany | |
| Italy | |
| Instituto Galeazzi IRCCS | |
| Milano, Italy | |
| Spain | |
| Hospital Central de Asturias | |
| Oviedo, Spain | |
| United Kingdom | |
| Frenchay Hospital | |
| Bristol, United Kingdom | |
Sponsors and Collaborators
Boston Scientific Corporation
Investigators
| Principal Investigator: | Lars Timmermann, M.D. | Uniklinik Köln, Germany |
| Principal Investigator: | François Alesch, M.D. | Allgemeines Krankenhaus AKH, Vienna, Austria |
More Information
No publications provided
| Responsible Party: | Boston Scientific Corporation |
| ClinicalTrials.gov Identifier: | NCT01221948 History of Changes |
| Other Study ID Numbers: | A5001 |
| Study First Received: | October 8, 2010 |
| Last Updated: | April 19, 2013 |
| Health Authority: | Austria: Agency for Health and Food Safety Germany: Federal Institute for Drugs and Medical Devices France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis) United Kingdom: Medicines and Healthcare Products Regulatory Agency Italy: Ministry of Health Spain: Spanish Agency of Medicines |
Keywords provided by Boston Scientific Corporation:
|
Deep Brain Stimulation Parkinson's Disease |
Additional relevant MeSH terms:
|
Parkinson Disease Parkinsonian Disorders Basal Ganglia Diseases Brain Diseases |
Central Nervous System Diseases Nervous System Diseases Movement Disorders Neurodegenerative Diseases |
ClinicalTrials.gov processed this record on June 18, 2013