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Parkinson DiseaseROAM-DBSNCT05269862

Remote Optimization, Adjustment and Measurement for Deep Brain Stimulation

A study testing Abbott Infinity DBS systems with the NeuroSphere Virtual Clinic feature and Abbott Infinity DBS systems with the NeuroSphere Virtual Clinic feature (virtual clinic and in-clinic sessions) in people with Parkinson Disease, run by Abbott Medical Devices at 18 sites in 4 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

The purpose of the ROAM-DBS study is to compare the time needed to achieve a 1 point improvement Patient's Global Impression of change (PGIC) relative to the subject's status at the end of the ADROIT initial programming visit in subjects who receive programming updates via in-clinic sessions and subjects who… Read more about this study

Who is it for?
Ages 21 years and older
Conditions the study is for
Parkinson Disease
What is being tested?
Abbott Infinity DBS systems with the NeuroSphere Virtual Clinic feature and Abbott Infinity DBS systems with the NeuroSphere Virtual Clinic feature (virtual clinic and in-clinic sessions)
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
100 participants
Where
18 sitesin 4 countries
Study dates
24 Mar 2022to Dec 2024
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 21 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subject is a participant in the ADROIT study.
  • Subject is over 21 years old.
  • Subject is able to read and write.
  • Subject is indicated for implant with an Infinity IPG for Parkinson's disease.
  • Subject has not previously been implanted with a DBS system.
  • The treating physician believes Virtual Clinic is appropriate as a component in the treatment regime for this subject.
Show all 9Show fewer
  • Subject will have access to the Abbott Virtual Clinic system through a participating site.
  • Subject will have internet access on their Patient Controller in a location suitable for a Virtual Clinic session.
  • Subject, or a legally acceptable representative, must provide written informed consent prior to any study-related procedure.

Who cannot join

  • Subject is currently enrolled or plans to enroll in an investigational study that may confound the results of this study.
  • Subject has anatomic or comorbid conditions, or other medical, social, or psychological conditions that, in the investigator's opinion, could limit the subject's ability to participate in the study or to comply with follow-up requirements, or impact the scientific soundness of the study results.
  • As assessed by the treating physician, lead misplacement would prevent the DBS therapy from providing clinically meaningful benefit.
  • Subject is unable to use the Virtual Clinic feature.
  • Subject will not be able, in the investigator's opinion, to demonstrate or articulate symptoms during a Virtual Clinic visit.

Trial locations and contacts

18 sites in 4 countries.

18 sites in 4 countries

United States11 sites
  • Beth Israel Deaconess Medical Center

    Boston, Massachusetts, 02215

  • Rush University Medical Center

    Chicago, Illinois, 60612

  • The Cleveland Clinic Foundation

    Cleveland, Ohio, 44195

  • Ohio State Medical

    Columbus, Ohio, 43210

  • Texas Movement Disorder Specialist

    Georgetown, Texas, 78628

  • Indiana University

    Indianapolis, Indiana, 46202

  • Dartmouth Hitchcock Medical Center

    Lebanon, New Hampshire, 03756

  • University of Miami Hospital

    Miami, Florida, 33136

  • Thomas Jefferson Department of Neurosurgery

    Philadelphia, Pennsylvania, 19107

  • University of California at Davis

    Sacramento, California, 95817

  • University of Arizona Health Sciences Center

    Tucson, Arizona, 85274

Other trials in United States

Germany3 sites
  • Medizinische Einrichtungen der Universität Düsseldorf

    Düsseldorf, N. RHIN, 40225

  • UNIVERSITATSMEDIZIN der Johannes Gutenberg-Universität Mainz

    Mainz, Rhinela, 55131

  • Universitäts Klinikum Tübingen

    Tübingen, Bad-wur, 72076

Other trials in Germany

Spain3 sites
  • Hospital Universitari Germans Trias I Pujol

    Badalona, 08916

  • Hospital Universitario de la Princesa

    Madrid, 28006

  • Hospital Virgen de Rocio

    Seville, 41013

Other trials in Spain

United Kingdom1 site
  • Queen Elizabeth University Hospital

    Glasgow, Wdbtshr, G51 4TF

Other trials in United Kingdom

About this study

The purpose of the ROAM-DBS study is to compare the time needed to achieve a 1 point improvement Patient's Global Impression of change (PGIC) relative to the subject's status at the end of the ADROIT initial programming visit in subjects who receive programming updates via in-clinic sessions and subjects who additionally have the option of receiving programming updates via Virtual Clinic sessions. The study intends to demonstrate shorter times to achieve benefit in the Virtual Clinic cohort.

Read the detailed description

The ROAM-DBS study is a prospective, multi-center, randomized control, open-label, post-market cohort study intended to gather clinical data on the effect of the NeuroSphere Virtual Clinic feature (remote care) on the time needed to optimize DBS stimulation parameters after implant. The study will enroll up to 100 subjects from up to 15 centers in geographies where Abbott DBS systems with the Virtual Clinic feature are approved, which may include North America, and Europe. Subjects should be participants in the ADROIT study (NCT04071847). Subjects will be followed to a 3 month visit where the primary endpoint will be assessed. Subjects will be further followed for 1 year for final data assessment. Subjects will remain enrolled in ADROIT after the end of the ROAM study, and will complete the ADROIT 6 month and 1 year visits under that protocol. The study is expected to enroll subjects for up to 2 years, and complete all follow-up visits within 3 years.

Being tested
Abbott Infinity DBS systems with the NeuroSphere Virtual Clinic feature, Abbott Infinity DBS systems with the NeuroSphere Virtual Clinic feature (virtual clinic and in-clinic sessions)
Keywords
ABT-CIP-10413, Virtual Clinic, Infinity DBS system
Medical subject headings
Parkinson Disease

What participants receive

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

  • Abbott Infinity DBS systems with the NeuroSphere Virtual Clinic featureDevice

    Implant and initial programming of the Infinity DBS system for this cohort are conducted according to the sites standard of care. After initial programming, all follow-up programming for the first 3 months is conducted in-clinic (not using the Virtual Clinic feature).

  • Abbott Infinity DBS systems with the NeuroSphere Virtual Clinic feature (virtual clinic and in-clinic sessions)Device

    Implant and initial programming of the Infinity DBS system for this cohort are conducted according to the sites standard of care. After initial programming, all follow-up programming for the first 3 months is conducted using Virtual Clinic or in-clinic as appropriate.

Study groups in NCT05269862
Study groupRoleWhat they receive
In-Clinic CohortExperimentalSubjects who are implanted with Abbott Infinity DBS systems with the Neuosphere Virtual Clinic feature, and receive programming for their DBS system in-clinic only.
Receives: Device: Abbott Infinity DBS systems with the NeuroSphere Virtual Clinic feature
Virtual Clinic CohortActive comparatorSubjects who are implanted with Abbott Infinity DBS systems with the Neuosphere Virtual Clinic feature, and receive programming for their DBS system with Virtual Clinic and in-clinic sessions.
Receives: Device: Abbott Infinity DBS systems with the NeuroSphere Virtual Clinic feature (virtual clinic and in-clinic sessions)

What is being measured

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

  1. Primary Efficacy Endpoint: The time to achieve a 1 point improvement Patient's Global Impression of change (PGIC) relative to the subject's status at the end of the initial programming visit

    The PGI consists of 2 subscales, the first rating the severity of illness (PGIS) and the second evaluating the change in illness relative to a previous status (PGIC). The PGI scale evaluates all aspects of health and assesses if there has been a change in clinical status. The scale consists of two items, one scale rating severity of illness and one rating global improvement. Severity is rated from 1=normal/not at all ill to 7= extremely ill. Global improvement is rated from 1=very much improved to 7=very much worse. The questionnaire takes approximately 5 minutes to complete. The time needed to achieve a 1 point improvement Patient's Global Impression of change (PGIC) relative to the subject's status at the end of the initial programming visit in subjects who receive programming updates via in-clinic sessions and subjects who additionally have the option of receiving programming updates via Virtual Clinic sessions, will be compared.

    Measured: PGIC will be collected within 2 days (48 hours) after completion of each programming visit

  2. Primary Safety Endpoint: Rate of programming related adverse events for the Virtual Clinic cohort

    The rate of programming related adverse events reported up to the Short Term (3 month) follow-up visit for the Virtual Clinic cohort will be summarized using counts and percentages.

    Measured: At 3-months after initial programming visit

Secondary outcomes (14)
  1. Patient Global Impression (PGI)

    The PGI consists of 2 subscales, the first rating the severity of illness (PGIS) and the second evaluating the change in illness relative to a previous status (PGIC). The PGI scale evaluates all aspects of health and assesses if there has been an improvement or decline in clinical status. The scale consists of two items, one scale rating severity of illness and one rating global improvement. Severity is rated from 1=normal/not at all ill to 7= extremely ill. Global improvement is rated from 1=very much improved to 7=very much worse. The clinical scores of virtual Clinic cohort will be compared to the in-clinic cohort.

    Measured: At 3-months after initial programming visit

  2. Patient Global Impression (PGI)

    The PGI consists of 2 subscales, the first rating the severity of illness (PGIS) and the second evaluating the change in illness relative to a previous status (PGIC). The PGI scale evaluates all aspects of health and assesses if there has been an improvement or decline in clinical status. The scale consists of two items, one scale rating severity of illness and one rating global improvement. Severity is rated from 1=normal/not at all ill to 7= extremely ill. Global improvement is rated from 1=very much improved to 7=very much worse. The clinical scores of virtual Clinic cohort will be compared to the in-clinic cohort.

    Measured: At 1 Year after initial programming visit

  3. Clinical Global Impression (CGI)

    The CGI questionnaire is widely used for assessing symptoms and consists of two subscales, one rating severity of illness (CGIS) and one rating global improvement (CGIC) (12-14). Severity is rated from 1 = normal/not at all ill to 7 = among the most extremely ill. Global improvement is rated from 1 = very much improved to 7 = very much worse. The clinical scores of virtual Clinic cohort will be compared to the in-clinic cohort.

    Measured: At 3-months after initial programming visit

  4. Clinical Global Impression (CGI)

    The CGI questionnaire is widely used for assessing symptoms and consists of two subscales, one rating severity of illness (CGIS) and one rating global improvement (CGIC) (12-14). Severity is rated from 1 = normal/not at all ill to 7 = among the most extremely ill. Global improvement is rated from 1 = very much improved to 7 = very much worse. The clinical scores of virtual Clinic cohort will be compared to the in-clinic cohort.

    Measured: At 1 Year after initial programming visit

  5. Parkinson's Disease Questionnaire (PDQ-39)

    PDQ-39 questionnaire is a widely used validated questionnaire to measure PD-specific health status (16-17). The self-administered questionnaire consists of 39 questions and assesses how often the subject has experienced difficulties during the past month due to PD across 8 dimensions including mobility, activities of daily living, emotional well-being, social support, cognition, communication and bodily discomfort. Each question is rated on a 5-point ordinal scoring system ranging from 0=never to 4=always. Each dimension total score ranges from 0 (never have difficulty) to 100 (always have difficulty). The overall score is expressed by a Summary Index. Lower scores reflect better quality of life. The clinical scores of virtual Clinic cohort will be compared to the in-clinic cohort.

    Measured: At 3-months after initial programming visit

  6. Parkinson's Disease Questionnaire (PDQ-39)

    PDQ-39 questionnaire is a widely used validated questionnaire to measure PD-specific health status (16-17). The self-administered questionnaire consists of 39 questions and assesses how often the subject has experienced difficulties during the past month due to PD across 8 dimensions including mobility, activities of daily living, emotional well-being, social support, cognition, communication and bodily discomfort. Each question is rated on a 5-point ordinal scoring system ranging from 0=never to 4=always. Each dimension total score ranges from 0 (never have difficulty) to 100 (always have difficulty). The overall score is expressed by a Summary Index. Lower scores reflect better quality of life. The clinical scores of virtual Clinic cohort will be compared to the in-clinic cohort.

    Measured: At 1 Year after initial programming visit

  7. Levodopa Equivalent Dose (LED)

    LED will be assessed and the values of virtual Clinic cohort will be compared to that of in-clinic cohort.

    Measured: At 3-months after initial programming visit

  8. Levodopa Equivalent Dose (LED)

    LED will be assessed and the values of virtual Clinic cohort will be compared to that of in-clinic cohort.

    Measured: At 1 Year after initial programming visit

  9. Movement Disorder Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS)

    MDS-UPDRS questionnaire is a widely used validated questionnaire to assess the severity of Parkinson's disease. This questionnaire is composed of four sections, however, this study shall only utilize part III: motor examinations consisting of 33 scores based on 18 questions with several right, left or other body distribution scores. Each item is scored from 0 to 4, where 0 indicates normal, 1 indicates slight symptoms, 2 indicates mild symptoms, 3 indicates moderate symptoms, and 4 indicates severe symptoms. The total score is obtained from the sum of the corresponding item scores. Higher scores indicate greater impact of PD symptoms. The clinical scores of virtual Clinic cohort will be compared to the in-clinic cohort.

    Measured: At 1 Year after initial programming visit

  10. Home Monitoring (Tremor)

    Subjects will be provided with a home monitoring kit consisting of a smart watch and smart phone and will be instructed on how to use and charge the devices in order to monitor the prevalence and severity of tremor during activities of daily living. The supplied smart phone will also provide a diary function that subjects will use to maintain notes on symptoms and medications. The smart watch data provides time stamped data indicating the presence of tremor, and its severity (slight (< 0.1 cm), mild (0.1-0.6 cm), moderate (0.6-2.2 cm),strong (>2.2 cm) and absent during each one-minute interval). The Home Monitoring equipment is validated against physician assessments of tremor. Home Monitoring data is uploaded and stored in a secured cloud server.

    Measured: At 3-months after initial programming visit

  11. Home Monitoring (Dyskinesia)

    Subjects will be provided with a home monitoring kit consisting of a smart watch and smart phone and will be instructed on how to use and charge the devices in order to monitor the prevalence and severity of dyskinesia during activities of daily living. The supplied smart phone will also provide a diary function that subjects will use to maintain notes on symptoms and medications. The smart watch data provides the % of time in each 15 minute interval the subject experiences dyskinesia. The Home Monitoring equipment is validated against physician assessments of dyskinesia. Home Monitoring data is uploaded and stored in a secured cloud server.

    Measured: At 3-months after initial programming visit

  12. "On Time" (time each day without troublesome symptoms or side effects) (derived from Home Monitoring)

    "On Time" (time each day without troublesome symptoms or side effects) will be assessed by summing the daily intervals where Home Monitoring data does not measure tremor or dyskinesia

    Measured: At 3-months after initial programming visit

  13. Health care resource utilization: Number of hospitalizations and ER visits

    The number of hospitalizations and ER visits will be assessed

    Measured: At 1 Year after initial programming visit

  14. Time to resolve programming related adverse events

    Time to resolve programming related adverse events will be assessed

    Measured: At 1 Year after initial programming visit

Timeline

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

  1. First posted8 Mar 2022
  2. Study start24 Mar 2022
  3. Primary completionDec 2023 (estimated)
  4. Study completionDec 2024 (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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
100 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05269862
Sponsor's protocol ID
ABT-CIP-10413
Acronym
ROAM-DBS
Status last verified
Jul 2023
First submitted
17 Jan 2022
Last updated
21 Jul 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Abbott Infinity DBS systems with the NeuroSphere Virtual Clinic feature and Abbott Infinity DBS systems with the NeuroSphere Virtual Clinic feature (virtual clinic and in-clinic sessions) in people with Parkinson Disease, run by Abbott Medical Devices at 18 sites in 4 countries.

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 9 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: under way, not looking for participants, as of the sponsor's last update on 21 Jul 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 18 sites in United States, Germany, Spain, United Kingdom. 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?

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?

Primary Efficacy Endpoint: The time to achieve a 1 point improvement Patient's Global Impression of change (PGIC) relative to the subject's status at the end of the initial programming visit (time frame: PGIC will be collected within 2 days (48 hours) after completion of each programming visit). The study lists 2 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 21 Jul 2023.

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