Phase II Study of Pallidotomy for Parkinson Disease - Full Text View

Purpose

OBJECTIVES:

I. Evaluate the safety and efficacy of pallidotomy immediately following 3 preoperative assessments vs. delayed pallidotomy following 6 months of standard medical therapy in patients with Parkinson disease.

Condition	Intervention	Phase
Parkinson Disease	Procedure: pallidotomy	Phase II

Genetics Home Reference related topics:

familial paroxysmal nonkinesigenic dyskinesia Parkinson disease

MedlinePlus related topics:

Parkinson's Disease

U.S. FDA Resources

Study Type:	Interventional
Study Design:	Treatment, Randomized

Further study details as provided by Office of Rare Diseases (ORD):

Estimated Enrollment:	60
Study Start Date:	October 1994

Detailed Description:

PROTOCOL OUTLINE: This is a randomized study. One group of patients undergoes the surgical procedure pallidotomy, a precise lesioning of brain cells in the globus pallidus.

The other group receives standard medical care for 6 months followed by a pallidotomy.

Eligibility

Ages Eligible for Study:	30 Years to 75 Years
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

PROTOCOL ENTRY CRITERIA:

--Disease Characteristics--

Idiopathic Parkinson disease Hoehn and Yahr stage III or worse during "off" periods

Responsive to levodopa by history or exam Sub-optimal clinical response to maximal medication Medication optimized for at least 4 weeks prior to entry

No atypical or secondary disease, e.g.:

No history of cerebrovascular accident
No cerebellar involvement
No severe brain atrophy on magnetic resonance imaging

No Mattis Dementia Rating Scale score less than 116

No dementia meeting Diagnostic and Statistical Manual of Mental Disorders-IV criteria

No Hamilton Depression Rating Scale score greater than 10

No Hamilton Anxiety Scale score greater than 14

--Patient Characteristics--

Other: No medical contraindication to surgery, e.g.:

Diabetes
Cardiopulmonary disease

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00004670

Sponsors and Collaborators

National Center for Research Resources (NCRR)

Emory University

Investigators


Study Chair:	Mahlon R. DeLong	Emory University

More Information

Study ID Numbers:	199/12083, EUSM-018, EUSM-409-92
First Received:	February 24, 2000
Last Updated:	June 23, 2005
ClinicalTrials.gov Identifier:	NCT00004670
Health Authority:	United States: Federal Government

Keywords provided by Office of Rare Diseases (ORD):

Parkinson disease

neurologic and psychiatric disorders

rare disease

Study placed in the following topic categories:

Ganglion Cysts

Movement Disorders

Mental Disorders

Parkinson Disease

Basal Ganglia Diseases

Rare Diseases

Central Nervous System Diseases

Parkinsonian Disorders

Neurodegenerative Diseases

Brain Diseases

Additional relevant MeSH terms:

Nervous System Diseases

ClinicalTrials.gov processed this record on November 30, 2008

Sponsors and Collaborators:	National Center for Research Resources (NCRR) Emory University
Information provided by:	Office of Rare Diseases (ORD)
ClinicalTrials.gov Identifier:	NCT00004670