Select Stim: Selective Stimulation of the Subthalamic Nucleus in Parkinson's Disease. "A Feasibility Study" (Select Stim)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00807703
Recruitment Status : Completed
First Posted : December 12, 2008
Last Update Posted : December 17, 2009
Information provided by:
Maastricht University Medical Center

Brief Summary:

In the advanced stages of Parkinson Disease deep brain stimulation of the subthalamic nucleus (STN DBS) is the next therapeutic option. Despite the beneficial motor effects there are important negative side-effects of STN DBS. Our hypothesis is that changes in cognition and behavior during STN DBS are related to stimulation of the non-motor parts of the STN.

The primary objective is to avoid cognitive and affective side effects by selective stimulation of the STN motor part.

The main objective of this feasibility study is to measure the patients burden and to test the technical feasibility.


The intervention is an expansion of the classical STN DBS procedure. The targeting using the multichannel registration system by stimulation of the motor cortex and registration of the subthalamic nucleus will be added to the procedure. For this procedure, it is necessary to place a subdural strip under the skull.

Condition or disease Intervention/treatment Phase
Parkinson Disease Procedure: Select Stim Not Applicable

  Show Detailed Description

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 5 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Select Stim: Selective Stimulation of the Subthalamic Nucleus in Parkinson's Disease. "A Feasibility Study"
Study Start Date : September 2008
Actual Primary Completion Date : December 2009
Actual Study Completion Date : December 2009

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Experimental: 1
Select Stim: see summary
Procedure: Select Stim
Select Stim: see summary

Primary Outcome Measures :
  1. patients burden [ Time Frame: baseline ]
  2. technical feasibility [ Time Frame: baseline ]

Secondary Outcome Measures :
  1. Cognition, and in particular impulsivity and affect. [ Time Frame: baseline ]
  2. Advantage of fMRI above TMS or double contrast MRI in the planning of the OR. [ Time Frame: baseline ]

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

Ages Eligible for Study:   40 Years to 75 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Patients between 40-75 years old
  • clinical findings consistent with idiopathic PD
  • suffer from severe response fluctuations and/or dyskinesias,
  • despite optimal drug treatment
  • initially a good response on levodopa.

Exclusion Criteria:

  • psychiatric co-morbidities and cognitive decline, e.g. dementia and psychosis, are excluded from this study.
  • The mini mental state exam (MMSE) score is not allowed to be <24.
  • significant cerebral atrophy,
  • causative factors of PD,
  • multiple white matter lesions or
  • focal brain anomalies
  • Hoehn and Yahr stage of 5 at the best moment of the day.
  • general contra-indications for surgery are considered as exclusion criteria, e.g. coagulopathies.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00807703

University Hospital Maastricht
Maastricht, Limburg, Netherlands, 6202AZ
Sponsors and Collaborators
Maastricht University Medical Center
Principal Investigator: Mark Janssen, MD Maastricht University Medical Center

Responsible Party: Prof. Dr. Visser-Vandewalle, MaastrichtUMC Identifier: NCT00807703     History of Changes
Other Study ID Numbers: MEC 08-2-010
First Posted: December 12, 2008    Key Record Dates
Last Update Posted: December 17, 2009
Last Verified: December 2009

Keywords provided by Maastricht University Medical Center:
deep brain stimulation (DBS)
subthalamic nucleus (STN)
Parkinson patients

Additional relevant MeSH terms:
Parkinson Disease
Parkinsonian Disorders
Basal Ganglia Diseases
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Movement Disorders
Neurodegenerative Diseases