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Tourette's SyndromePhase 1/2NCT02112253

Optimising Anterior Pallidal Deep Brain Stimulation for Tourette's Syndrome

A Phase 1/2 study testing Deep brain stimulator ventral electrode up to 2 mA, Deep brain stimulator ventral electrode up to 3 mA and Deep brain stimulator dorsal electrode up to 2 mA in people with Tourette's Syndrome, run by The University of Western Australia at 1 site in Australia.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

The motor tics associated with Tourette's syndrome may be reduced with deep brain stimulation of the anterior globus pallidus. The best area within this brain region and the best stimulation device settings are currently unknown. Read more about this study

Who is it for?
Ages 14 to 60 years
Conditions the study is for
Tourette's Syndrome
What is being tested?
Deep brain stimulator ventral electrode up to 2 mA, Deep brain stimulator ventral electrode up to 3 mA and Deep brain stimulator dorsal electrode up to 2 mA
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
0 participants
Where
1 siteAustralia
Study dates
Mar 2013to 14 May 2021
Phase
Phase 1/2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 14 to 60 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Age 14 to 60 years
  • Patient Group with Tourette's syndrome - severe and resistant to medical treatment including antipsychotic medication

Who cannot join

  • Surgical contraindications to deep brain stimulation surgery
  • Major Depressive Episode within the previous 6 months
  • Schizophrenia or other psychotic disorder
  • Personality disorder impairing ability to reliably comply with study protocol
  • Significant cognitive impairment

Trial locations and contacts

1 site in 1 country.

Australia1 site
  • Sir Charles Gairdner Hospital

    Perth, Western Australia, 6009

Other trials in Australia

About this study

Official title: Optimising Anterior Pallidal Deep Brain Stimulation for Tourette's Syndrome - A Pilot Study

The motor tics associated with Tourette's syndrome may be reduced with deep brain stimulation of the anterior globus pallidus. The best area within this brain region and the best stimulation device settings are currently unknown. This is a study in which deep versus superficial electrode contact positions and two different amplitudes of stimulation are compared under scientific conditions. The hypothesis is that one contact position/stimulation amplitude combination will provide a better outcome than the others. Each study participant receives each of four different anatomical position/stimulation amplitude setting combinations over a 12 month period in randomized order followed by a 6-month period of trial-and-error device programming to optimize control of motor tics. Motor tics, potential side effects, daily functioning and quality of life are assessed at the end of each trial stimulation period. At the end of the study, the study participant continues to have long-term deep brain stimulation treatment with whatever settings provide the most relief.

Being tested
Deep brain stimulator ventral electrode up to 2 mA, Deep brain stimulator ventral electrode up to 3 mA, Deep brain stimulator dorsal electrode up to 2 mA, Deep brain stimulator dorsal electrode up to 3 mA, Deep brain stimulator empirical programming
Keywords
Tourette's syndrome, Deep brain stimulation, Stereotactic surgery, Globus pallidus interna, Tics
Medical subject headings
Tourette Syndrome, Tics

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Deep brain stimulator ventral electrode up to 2 mADevice

  • Deep brain stimulator ventral electrode up to 3 mADevice

  • Deep brain stimulator dorsal electrode up to 2 mADevice

  • Deep brain stimulator dorsal electrode up to 3 mADevice

  • Deep brain stimulator empirical programmingDevice

Study groups in NCT02112253
Study groupRoleWhat they receive
Deep brain stimulator ventral electrode up to 2 mAExperimentalThe ventral contact within the anterior globus pallidus interna near the ansa lenticularis is activated. Stimulator settings are 90 microseconds pulse width and stimulation frequency of 130 Hertz. Amplitude of stimulation is raised from zero until side effects occur or 2 mA amplitude is reached; whichever comes first.
Receives: Device: Deep brain stimulator ventral electrode up to 2 mA
Deep brain stimulator ventral electrode up to 3 mAExperimentalThe ventral contact within the anterior globus pallidus interna near the ansa lenticularis is activated. Stimulator settings are 90 microseconds pulse width and stimulation frequency of 130 Hertz. Amplitude of stimulation is raised from zero until side effects occur or 3 mA amplitude is reached; whichever comes first.
Receives: Device: Deep brain stimulator ventral electrode up to 3 mA
Deep brain stimulator dorsal electrode up to 2 mAExperimentalThe dorsal contact within the superior half of the anterior globus pallidus interna is activated. Stimulator settings are 90 microseconds pulse width and stimulation frequency of 130 Hertz. Amplitude of stimulation is raised from zero until side effects occur or 2 mA amplitude is reached; whichever comes first.
Receives: Device: Deep brain stimulator dorsal electrode up to 2 mA
Deep brain stimulator dorsal electrode up to 3 mAExperimentalThe dorsal contact within the superior half of the anterior globus pallidus interna is activated. Stimulator settings are 90 microseconds pulse width and stimulation frequency of 130 Hertz. Amplitude of stimulation is raised from zero until side effects occur or 3 mA amplitude is reached; whichever comes first.
Receives: Device: Deep brain stimulator dorsal electrode up to 3 mA
Deep brain stimulator empirical programmingActive comparatorAny of the four electrode contacts on each of the two deep brain stimulation leads can be activated in any combination with any amplitude, frequency or pulse width settings to achieve optimized clinical control of motor tics whilst minimizing side effects. Both programmer and patient may be unblinded. The assessors are blinded to stimulation settings.
Receives: Device: Deep brain stimulator empirical programming

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Yale Global Tic Severity Scale (YGTSS)

    Performed before surgery.

    Measured: At baseline

  2. Yale Global Tic Severity Scale (YGTSS)

    At the end of the first of four three-month randomized blinded stimulation periods.

    Measured: 3 months

  3. Yale Global Tic Severity Scale (YGTSS)

    At the end of the second of four three-month randomized blinded stimulation periods.

    Measured: 6 months

  4. Yale Global Tic Severity Scale (YGTSS)

    At the end of the third of four three-month randomized blinded stimulation periods.

    Measured: 9 months

  5. Yale Global Tic Severity Scale (YGTSS)

    At the end of the last of four three-month randomized blinded stimulation periods.

    Measured: 12 months

  6. Yale Global Tic Severity Scale (YGTSS)

    At the end of the 6 month non-randomized empirical stimulation period.

    Measured: 18 months

Secondary outcomes (35)
  1. Modified Rush Video Rating Scale and tic counts

    Performed before surgery.

    Measured: At baseline

  2. Modified Rush Video Rating Scale and tic counts

    At the end of the first of four three-month randomized blinded stimulation periods.

    Measured: 3 months

  3. Modified Rush Video Rating Scale and tic counts

    At the end of the second of four three-month randomized blinded stimulation periods.

    Measured: 6 months

  4. Modified Rush Video Rating Scale and tic counts

    At the end of the third of four three-month randomized blinded stimulation periods.

    Measured: 9 months

  5. Modified Rush Video Rating Scale and tic counts

    At the end of the last of four three-month randomized blinded stimulation periods.

    Measured: 12 months

  6. Modified Rush Video Rating Scale and tic counts

    At the end of the 6 month non-randomized empirical stimulation period.

    Measured: 18 months

  7. Tourette's syndrome symptom list

    Performed before surgery.

    Measured: At baseline

  8. Tourette's syndrome symptom list

    At the end of the first of four three-month randomized blinded stimulation periods.

    Measured: 3 months

  9. Tourette's syndrome symptom list

    At the end of the second of four three-month randomized blinded stimulation periods.

    Measured: 6 months

  10. Tourette's syndrome symptom list

    At the end of the third of four three-month randomized blinded stimulation periods.

    Measured: 9 months

  11. Tourette's syndrome symptom list

    At the end of the third of four three-month randomized blinded stimulation periods.

    Measured: 12 months

  12. Tourette's syndrome symptom list

    At the end of the 6 month non-randomized empirical stimulation period.

    Measured: 18 months

  13. Short Form 36

    Quality of life outcome measure. Performed before surgery.

    Measured: At baseline

  14. Short Form 36

    Quality of life outcome measure. At the end of the first of four three-month randomized blinded stimulation periods.

    Measured: 3 months

  15. Short Form 36

    Quality of life outcome measure. At the end of the second of four three-month randomized blinded stimulation periods.

    Measured: 6 months

  16. Short Form 36

    Quality of life outcome measure. At the end of the third of four three-month randomized blinded stimulation periods.

    Measured: 9 months

  17. Short Form 36

    Quality of life outcome measure. At the end of the last of four three-month randomized blinded stimulation periods.

    Measured: 12 months

  18. Short Form 36

    At the end of the 6 month non-randomized empirical stimulation period.

    Measured: 18 months

  19. Montreal Cognitive Assessment (MoCA)

    Performed before surgery.

    Measured: At baseline

  20. Montreal Cognitive Assessment (MoCA)

    At the end of the first of four three-month randomized blinded stimulation periods.

    Measured: 3 months

  21. Montreal Cognitive Assessment (MoCA)

    At the end of the second of four three-month randomized blinded stimulation periods.

    Measured: 6 months

  22. Montreal Cognitive Assessment (MoCA)

    At the end of the third of four three-month randomized blinded stimulation periods.

    Measured: 9 months

  23. Montreal Cognitive Assessment (MoCA)

    At the end of the last of four three-month randomized blinded stimulation periods.

    Measured: 12 months

  24. Montreal Cognitive Assessment (MoCA)

    At the end of the 6 month non-randomized empirical stimulation period.

    Measured: 18 months

  25. Psychiatric interview including: Mini International Neuropsychiatric Interview (MINI; version 5.0.0), Montgomery Asberg Depression Rating Scale (MADRS), and Young Mania Rating Scale (YMRS)

    Performed before surgery.

    Measured: At baseline

  26. Psychiatric interview including: Mini International Neuropsychiatric Interview (MINI; version 5.0.0), Montgomery Asberg Depression Rating Scale (MADRS), and Young Mania Rating Scale (YMRS)

    At the end of the first of four three-month randomized blinded stimulation periods.

    Measured: 3 months

  27. Psychiatric interview including: Mini International Neuropsychiatric Interview (MINI; version 5.0.0), Montgomery Asberg Depression Rating Scale (MADRS), and Young Mania Rating Scale (YMRS)

    At the end of the second of four three-month randomized blinded stimulation periods.

    Measured: 6 months

  28. Psychiatric interview including: Mini International Neuropsychiatric Interview (MINI; version 5.0.0), Montgomery Asberg Depression Rating Scale (MADRS), and Young Mania Rating Scale (YMRS)

    At the end of the third of four three-month randomized blinded stimulation periods.

    Measured: 9 months

  29. Psychiatric interview including: Mini International Neuropsychiatric Interview (MINI; version 5.0.0), Montgomery Asberg Depression Rating Scale (MADRS), and Young Mania Rating Scale (YMRS)

    At the end of the last of four three-month randomized blinded stimulation periods.

    Measured: 12 months

  30. Psychiatric interview including: Mini International Neuropsychiatric Interview (MINI; version 5.0.0), Montgomery Asberg Depression Rating Scale (MADRS), and Young Mania Rating Scale (YMRS)

    At the end of the 6 month non-randomized empirical stimulation period.

    Measured: 18 months

  31. Adverse effects list

    Registered and notified to principal investigator whenever detected. Also specifically sought at the end of the first of four three-month randomized blinded stimulation periods.

    Measured: 3 months

  32. Adverse effects list

    Registered and notified to principal investigator whenever detected. Also specifically sought at the end of the second of four three-month randomized blinded stimulation periods.

    Measured: 6 months

  33. Adverse effects list

    Registered and notified to principal investigator whenever detected. Also specifically sought at the end of the third of four three-month randomized blinded stimulation periods.

    Measured: 9 months

  34. Adverse effects list

    Registered and notified to principal investigator whenever detected. Also specifically sought at the end of the last of four three-month randomized blinded stimulation periods.

    Measured: 12 months

  35. Adverse effects list

    Registered and notified to principal investigator whenever detected. Also specifically sought at the end of the 6 month non-randomized empirical stimulation period.

    Measured: 12 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Apr 2014 (estimated)
  2. Study startMar 2013
  3. Primary completion14 May 2021
  4. Study completion14 May 2021 (estimated)

Why it stopped: Lack of recruitment

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02112253
Sponsor's protocol ID
2012-120
Status last verified
May 2021
First submitted
22 Mar 2014
Last updated
18 May 2021
Results posted
No
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Deep brain stimulator ventral electrode up to 2 mA, Deep brain stimulator ventral electrode up to 3 mA and Deep brain stimulator dorsal electrode up to 2 mA in people with Tourette's Syndrome, run by The University of Western Australia at 1 site in Australia.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: withdrawn, as of the sponsor's last update on 18 May 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Australia. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study was withdrawn before enrolling participants, so there are no results.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Yale Global Tic Severity Scale (YGTSS) (time frame: At baseline). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 May 2021.

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