AzTrials
AzTrials

Parkinson DiseaseMPPNNCT05065151

Understanding Motivation in Parkinson's Patients Through Neurophysiology

A study testing Stimulation on, Stimulation off and Decision Making Task in people with Parkinson Disease and Deep Brain Stimulation, run by University of California, San Francisco at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

The study aims to better understand motivation and value-based decision-making in Parkinson's patients through neurophysiology using Medtronic's Percept DBS device. By combining behavioral tasks with neural recordings, the study seeks to uncover how DBS affects motivation, particularly in relation to effort, reward… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Stimulation on, Stimulation off and Decision Making Task
Could I receive a placebo?
No, everyone receives an active treatment
How many people
70 participants
Where
1 siteUnited States
Study dates
30 Oct 2021to 1 Dec 2030
Phase
Interventional
Are there results?
Not yet: the study is under way

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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Has Parkinson's Disease or Dystonia
  • Has Medtronic Percept or RC+S DBS device implanted in either GPI or STN
  • Has DBS device implanted either bilaterally or unilaterally
  • Male or female
  • More than 1 month post-DBS surgery

Who cannot join

  • Severe cognitive impairments
  • Has MOCA score below 20
  • Pregnancy
  • Age less than 18 years old

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Sarah Wang, PhD contact

415-353-7885

Sarah.Wang@ucsf.edu

United States1 site, 1 recruiting
  • University of California San Francisco

    San Francisco, California, 94158

    Sarah Wang, PhD, 415-353-7885, Sarah.Wang@ucsf.edu

    Simon J Little, MBBS, PhD

    Recruiting

Other trials in United States

About this study

The study aims to better understand motivation and value-based decision-making in Parkinson's patients through neurophysiology using Medtronic's Percept DBS device. By combining behavioral tasks with neural recordings, the study seeks to uncover how DBS affects motivation, particularly in relation to effort, reward, and timing.

Read the detailed description

Participants will perform reward-based decision-making tasks designed to assess both self-benefitting and prosocial motivation. The tasks will evaluate how effort and reward influence decision-making, as well as how proximity to a deadline impacts choices. These tasks will be conducted in both clinic and home settings.

Throughout the study, participants will remain on their regular dopaminergic medications. Each participant will complete sessions under two stimulation conditions: their usual DBS settings and with DBS turned off. Neural activity will be recorded using the Percept device, which enables real-time and chronic at-home data streaming. Additionally, participants will wear a device that captures movement, sleep, heart rate variability, and self-reported measures.

The primary outcomes are behavioral: changes in reaction time, acceptance rate, and success rate across different DBS conditions. The secondary outcomes focus on identifying neural oscillatory biomarkers time-locked to specific decision-making events. By linking brain activity to motivational behavior, this study aims to advance our understanding of non-motor symptoms in PD and inform the development of adaptive DBS algorithms targeting these symptoms.

Being tested
Stimulation on, Stimulation off, Decision Making Task
Keywords
Parkinson's, Medtronic, Percept, DBS, Deep Brain Stimulation, Parkinson's Disease, Parkinson Disease, PD, Reward-based decision making, Task
Medical subject headings
Parkinson Disease

What participants receive

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

  • Stimulation onOther

    Also called Medtronic Percept

    Stimulation from Percept DBS will be on while the patient is playing a decision-making game on a computer-based application.

  • Stimulation offOther

    Also called Medtronic Percept

    Stimulation from Percept DBS will be off while the patient is playing a decision-making game on a computer-based application.

  • Decision Making TaskBehavioural

    Patients will be playing a decision making task through a computer-based application.

Study groups in NCT05065151
Study groupRoleWhat they receive
StimulationExperimentalPatients will be getting standard clinically acceptable stimulation within already safety validated stimulation ranges through their Medtronic Percept device.
Receives: Other: Stimulation on; Behavioral: Decision Making Task
No StimulationExperimentalPatients will have stimulation turned off through their Medtronic Percept device.
Receives: Other: Stimulation off; Behavioral: Decision Making Task

What is being measured

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

  1. Percent of Risky Decisions made with Percept DBS stimulation on for Parkinson's Disease Patients

    Patients' responses on the tablet will be recorded in-clinic and at home. The investigators will tally their choices from the value-based decision making game (risky versus safe decisions) and report an average of risky responses.

    Measured: The values will be collected starting from admission in clinic and the at-home paradigm. Data collection and analysis of said values can take up to three years

  2. Percent of Risky Decisions made with Percept DBS stimulation off for Parkinson's Disease Patients

    Patients' responses on the tablet will be recorded in-clinic and at home. The investigators will tally their choices from the value-based decision making game (risky versus safe decisions) and report an average of risky responses.

    Measured: The values will be collected starting from admission in clinic and the at-home paradigm. Data collection and analysis of said values can take up to three years

  3. Reaction Time During Decision-Making Task

    The investigators will measure the time it takes for patients to make each decision on the value-based decision-making task in the clinic.

    Measured: The values will be collected starting from admission in clinic. Data collection and analysis of said values can take up to three years.

  4. Task Success Rate

    The investigators will calculate the percentage of trials in which patients complete the task successfully according to predefined task performance criteria.

    Measured: The values will be collected starting from admission in clinic. Data collection and analysis of said values can take up to three years.

  5. Acceptance Rate of Risky Versus Safe Options

    The proportion of trials where patients accept risky versus safe options will be calculated and compared across stimulation ON and OFF conditions.

    Measured: The values will be collected starting from admission in clinic. Data collection and analysis of said values can take up to three years.

  6. Force Exertion During Motor Responses

    Force data will be recorded during motor responses to evaluate physical engagement and motor control during task performance.

    Measured: The values will be collected starting from admission in clinic. Data collection and analysis of said values can take up to three years.

  7. Low frequency local field potentials

    Local field potentials (LFPs) will be recorded from the implanted Percept device to evaluate neural activity during decision making under different stimulation conditions. Low frequency power will be calculated during specific time intervals during the task. Cardiac artifact will be removed with electrocardiogram (ECG) measurements recorded during the same task.

    Measured: The values will be collected starting from admission in clinic. Data collection and analysis of said values can take up to three years.

  8. Electroencephalogram (EEG) theta band power

    Scalp EEG will be recorded concurrently with task performance to assess cortical activity patterns during decision-making. Average theta band power will be calculated in specific time intervals during the task.

    Measured: The values will be collected starting from admission in clinic. Data collection and analysis of said values can take up to three years.

  9. Electroencephalogram (EEG) beta band power

    Scalp EEG will be recorded concurrently with task performance to assess cortical activity patterns during decision-making. Average beta band power will be calculated in specific time intervals during the task.

    Measured: The values will be collected starting from admission in clinic. Data collection and analysis of said values can take up to three years.

  10. Electroencephalogram (EEG) gamma band power

    Scalp EEG will be recorded concurrently with task performance to assess cortical activity patterns during decision-making. Average gamma band power will be calculated in specific time intervals during the task.

    Measured: The values will be collected starting from admission in clinic. Data collection and analysis of said values can take up to three years.

  11. Electroencephalogram (EEG) alpha band power

    Scalp EEG will be recorded concurrently with task performance to assess cortical activity patterns during decision-making. Average alpha band power will be calculated in specific time intervals during the task.

    Measured: The values will be collected starting from admission in clinic. Data collection and analysis of said values can take up to three years.

Secondary outcomes (6)
  1. Interaction Between Neural Low Frequency Power in the LFP with Reaction Time (seconds)

    We will assess the effect of reaction time on low frequency power in the LFP data (theta, alpha, beta power) recorded from the Percept device with statistical modeling.

    Measured: Analysis will occur continuously throughout the study period (up to three years) based on collected behavioral and neural data.

  2. Interaction Between Neural Low Frequency Power in the LFP with Success Rate (percentage)

    We will assess the effect of success rate on low frequency power in the LFP data (theta, alpha, beta power) recorded from the Percept device with statistical modeling.

    Measured: Analysis will occur continuously throughout the study period (up to three years) based on collected behavioral and neural data.

  3. Interaction Between Neural Low Frequency Power in the LFP with Force Exerted (arbitrary units)

    We will assess the effect of force exerted on low frequency power in the LFP data (theta, alpha, beta power) recorded from the Percept device with statistical modeling.

    Measured: Analysis will occur continuously throughout the study period (up to three years) based on collected behavioral and neural data.

  4. Interaction Between Neural Low Frequency Power in the EEG with Reaction Time (seconds)

    We will assess the effect of reaction time on low frequency power in the EEG data (theta, alpha, beta power) recorded from the Percept device with statistical modeling.

    Measured: Analysis will occur continuously throughout the study period (up to three years) based on collected behavioral and neural data.

  5. Interaction Between Neural Low Frequency Power in the EEG with Success Rate (percentage)

    We will assess the effect of success rate on low frequency power in the EEG data (theta, alpha, beta power) recorded from the Percept device with statistical modeling.

    Measured: Analysis will occur continuously throughout the study period (up to three years) based on collected behavioral and neural data.

  6. Interaction Between Neural Low Frequency Power in the EEG with Force Exerted (arbitrary units)

    We will assess the effect of force exerted on low frequency power in the EEG data (theta, alpha, beta power) recorded from the Percept device with statistical modeling.

    Measured: Analysis will occur continuously throughout the study period (up to three years) based on collected behavioral and neural data.

Timeline

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

  1. First posted1 Oct 2021
  2. Study start30 Oct 2021
  3. Primary completion1 Dec 2030 (estimated)
  4. Study completion1 Dec 2030 (estimated)

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 N/A
Primary purpose
Basic science
Allocation
Non-randomised
Intervention model
Crossover
Model description
Within subject crossover counterbalanced study.
Masking
None (open label)
Enrolment
70 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05065151
Sponsor's protocol ID
20-31239
Acronym
MPPN
Status last verified
Jun 2026
First submitted
17 Sep 2021
Last updated
5 Jun 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Future data sharing will be covered by UCSF data sharing compliance rules.

Publications

  • Rutledge RB, Skandali N, Dayan P, Dolan RJ. A computational and neural model of momentary subjective well-being. Proc Natl Acad Sci U S A. 2014 Aug 19;111(33):12252-7. doi: 10.1073/pnas.1407535111. Epub 2014 Aug 4.

    PubMed 25092308
  • Rutledge RB, Skandali N, Dayan P, Dolan RJ. Dopaminergic Modulation of Decision Making and Subjective Well-Being. J Neurosci. 2015 Jul 8;35(27):9811-22. doi: 10.1523/JNEUROSCI.0702-15.2015.

    PubMed 26156984
  • Eldar E, Rutledge RB, Dolan RJ, Niv Y. Mood as Representation of Momentum. Trends Cogn Sci. 2016 Jan;20(1):15-24. doi: 10.1016/j.tics.2015.07.010. Epub 2015 Nov 3.

    PubMed 26545853
  • Blain B, Rutledge RB. Momentary subjective well-being depends on learning and not reward. Elife. 2020 Nov 17;9:e57977. doi: 10.7554/eLife.57977.

    PubMed 33200989
  • Talbot J, Cutler J, Tamm M, Little SJ, Harmer CJ, Husain M, Lockwood PL, Apps MAJ. Dopamine Boosts Motivation for Prosocial Effort in Parkinson's Disease. J Neurosci. 2026 Feb 25;46(8):e1593242024. doi: 10.1523/JNEUROSCI.1593-24.2024.

    PubMed 39746820
  • Pisauro MA, Pollicino D, Fisher L, Apps MAJ. Neural and computational mechanisms of effort under the pressure of a deadline. Nat Commun. 2026 Jul 28;17(1):9169. doi: 10.1038/s41467-026-75987-6.

    PubMed 42660916

Questions about this trial

What is this clinical trial studying?

A study testing Stimulation on, Stimulation off and Decision Making Task in people with Parkinson Disease and Deep Brain Stimulation, run by University of California, San Francisco at 1 site in United States.

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 5 inclusion and 4 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: looking for participants now, as of the sponsor's last update on 5 Jun 2026. 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 United States. 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.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Sarah Wang, PhD (415-353-7885, Sarah.Wang@ucsf.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percent of Risky Decisions made with Percept DBS stimulation on for Parkinson's Disease Patients (time frame: The values will be collected starting from admission in clinic and the at-home paradigm. Data collection and analysis of said values can take up to three years). The study lists 11 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05065151, which also lists 6 linked publications.

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 5 Jun 2026; AzTrials last refreshed its copy on 7 Nov 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in