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Freezing of GaitNCT06848205

Percept Transitions in FOG and PD

A study testing OFF Parkinson's Medication(s) and OFF Deep Brain Stimulation in people with Freezing of Gait and Parkinson Disease, run by University of Minnesota 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
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Trial summary

The purpose of this research is to examine the possible causes and signs of freezing of gait (FOG) secondary to Parkinson's disease (PD). To achieve this, the study will use the novel (on-label and FDA-approved) local field potential (LFP) measuring capability of the Medtronic Percept™ deep brain stimulation (DBS)… Read more about this study

Who is it for?
Ages 21 to 75 years
Conditions the study is for
Freezing of Gait, Parkinson Disease
What is being tested?
OFF Parkinson's Medication(s) and OFF Deep Brain Stimulation
Could I receive a placebo?
No, everyone receives an active treatment
How many people
36 participants
Where
1 siteUnited States
Study dates
26 Feb 2026to 1 Jan 2029
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 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Diagnosis of idiopathic PD.
  • Age 21-75 (see Inclusion of Individuals across the Lifespan for justification of age range).
  • Able to ambulate independently without the use of an assistive device (e.g. cane) for 50 meters.
  • Implanted Medtronic Percept TM Device.
  • At least 3 months since the initial activation of the neurostimulator.
  • Undervalued, under-represented, or disenfranchised social group may be included.
  • Active members of the military (service members), DoD personnel (including civilian employees) may be included.
  • Individual or group that is disadvantaged in the distribution of social goods and services such as income, housing, or healthcare may be included.

Who cannot join

  • Meet criteria for dementia with Lewy bodies, Multiple Systems Atrophy, Alzheimer's disease, or other neurodegenerative disorder.
  • History of seizures or other significant neurological disorders that may affect participation or performance in the study.
  • History of musculoskeletal disorders that significantly affect walking or movement of limb(s) that would affect the participation in the experimental task (Participants will be excluded from that task, but may participate in other tasks, for example, may be excluded from Experiment 1 if the disorder affects walking, but may still participate in Experiment 3).
  • History of muscular conditions of the neck and back, including whiplash that would affect walking experiments.
  • History of visual and/or vestibular conditions that may affect participation or performance in the study.
  • Reduced capacity to consent. This will be assessed using a 2-stage process. Initially, participants will be tested using the University of California, San Diego, Brief Assessment of Capacity to Consent (UBACC). If concerns are raised from the UBACC test, the individual will be further tested using the MacArthur Competency Assessment Tool.
  • Pregnant people.
  • Post-operative complications or adverse effects (e.g. ON stimulation dystonia) that affect patient safety or confound the experiment.

Trial locations and contacts

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

Madison Aasen, MS contact

612-505-8325

aasen056@umn.edu

Sommer Amundsen-Huffmaster, PhD contact

612-301-1297

slamunds@umn.edu

United States1 site, 1 recruiting
  • University of Minnesota, Movement Disorders Lab

    Minneapolis, Minnesota, 55455

    Madison Aasen, MS, 612-505-8325, aasen056@umn.edu

    Sommer Amundsen-Huffmaster, PhD

    Recruiting

Other trials in United States

About this study

Official title: Basal Ganglia Contributions to Transitions in Freezing of Gait and Parkinson's Disease

The purpose of this research is to examine the possible causes and signs of freezing of gait (FOG) secondary to Parkinson's disease (PD). To achieve this, the study will use the novel (on-label and FDA-approved) local field potential (LFP) measuring capability of the Medtronic Percept™ deep brain stimulation (DBS) system to compare oscillatory activity in people who have Parkinson's disease, with and without freezing of gait (FOG). This will be conducted as three separate experiments, participants may volunteer for one or more experiments:

Experiment 1: The first experiment will compare LFPs during gait initiation with and without a cue, in people with (PD+FOG) and without FOG (PD-FOG).

Read more

Experiment 2: The second experiment will compare LFPs during the successful movement transitions vs. freezing-events during a FOG provocation course in people with FOG.

Experiment 3: The third experiment will compare LFPs during rapid alternating movements of the wrist and/or foot, in people with and without FOG

Read the detailed description

The purpose of this research is to examine the underlying pathophysiology and biomarkers of freezing of gait (FOG) and cueing-evoked improvements. This protocol will use the novel (on-label, FDA-approved) local field potential (LFP)-measuring capability of the Medtronic Percept™ deep brain stimulation (DBS) system to compare oscillatory activity in people who have Parkinson's disease (PD), with and without freezing of gait (FOG). This will be conducted as three separate experiments, participants may volunteer for one or more experiments:

Experiment 1: The first experiment will compare LFPs during gait initiation with and without a cue, in people with (PD+FOG) and without FOG (PD-FOG).

Experiment 2: In the second experiment, the investigators will compare LFPs during the successful movement transitions vs. freezing-events during a FOG provocation course in people with FOG.

Experiment 3: In the third experiment, the investigators will compare LFPs during rapid alternating movements of the wrist and/or foot, in people with and without FOG.

Being tested
OFF Parkinson's Medication(s), OFF Deep Brain Stimulation
Keywords
FOG, PD, Freezing of Gait, Parkinson disease
Medical subject headings
Parkinson Disease

What participants receive

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

  • OFF Parkinson's Medication(s)Other

    Participants will be asked to withhold Parkinson's medications 12 hours prior to their testing visit (if extended-release Parkinson's medications are taken by the participant, they will be asked to withhold these for 24 hours prior to their testing visit).

  • OFF Deep Brain StimulationOther

    Participants will have their deep brain stimulation turned off at the beginning of their testing visit.

Study groups in NCT06848205
Study groupRoleWhat they receive
Parkinson's disease with freezing of gaitExperimentalParticipants will have a Medtronic Percept DBS device, diagnosis of idiopathic Parkinson's disease (PD), and freezing of gait (FOG).
Receives: Other: OFF Parkinson's Medication(s); Other: OFF Deep Brain Stimulation
Parkinson's disease without freezing of gaitExperimentalParticipants will have a Medtronic Percept DBS device and diagnosis of idiopathic Parkinson's disease (PD) without having freezing of gait (FOG). Participants in this arm will not be tested in experiment #2.
Receives: Other: OFF Parkinson's Medication(s); Other: OFF Deep Brain Stimulation

What is being measured

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

  1. Quantification of the anticipatory postural adjustments magnitudes (cm)

    Blocks of 10 successful step initiation trials will be performed. Ground reaction forces (Kistler Inc.) will be recorded.

    Measured: During the intervention

  2. Quantification of the anticipatory postural adjustments duration (sec)

    Blocks of 10 successful step initiation trials will be performed. Ground reaction forces (Kistler Inc.) will be recorded.

    Measured: During the intervention

  3. Step characteristics of the first two steps, length (cm)

    Blocks of 10 successful step initiation trials will be performed. Ground reaction forces (Kistler Inc.) and bipolar surface electromyographic (EMG) signals will be recorded bilaterally from seven muscles (tibialis anterior, soleus, lateral gastrocnemius, rectus femoris, biceps femoris, semimembranosus, gluteus medius) (Delsys, Trigno) at 1000 Hz and synchronized to whole body kinematics (8-camera motion capture system, SIMI Inc. or Qualisys Inc.) collected at 100 or 120 Hz and with 128-channels of EEG data (BioSemi, Amsterdam) collected at 2000 Hz according to the 10:20 international system 35. Additionally, resting-state EEG will be collected, to reference and remove walking artifact 36 . Local field potentials (LFPs) will be recorded on the Medtronic Percept system and synchronized to the other data collection systems by briefly turning the device on and off.

    Measured: During the intervention

  4. Step characteristics of the first two steps, width (cm)

    Blocks of 10 successful step initiation trials will be performed. Ground reaction forces (Kistler Inc.) and bipolar surface electromyographic (EMG) signals will be recorded bilaterally from seven muscles (tibialis anterior, soleus, lateral gastrocnemius, rectus femoris, biceps femoris, semimembranosus, gluteus medius) (Delsys, Trigno) at 1000 Hz and synchronized to whole body kinematics (8-camera motion capture system, SIMI Inc. or Qualisys Inc.) collected at 100 or 120 Hz and with 128-channels of EEG data (BioSemi, Amsterdam) collected at 2000 Hz according to the 10:20 international system 35 . Additionally, resting-state EEG will be collected, to reference and remove walking artifact 36 . Local field potentials (LFPs) will be recorded on the Medtronic Percept system and synchronized to the other data collection systems by briefly turning the device on and off.

    Measured: During the intervention

  5. Step characteristics of the first two steps, duration (sec)

    Blocks of 10 successful step initiation trials will be performed. Ground reaction forces (Kistler Inc.) and bipolar surface electromyographic (EMG) signals will be recorded bilaterally from seven muscles (tibialis anterior, soleus, lateral gastrocnemius, rectus femoris, biceps femoris, semimembranosus, gluteus medius) (Delsys, Trigno) at 1000 Hz and synchronized to whole body kinematics (8-camera motion capture system, SIMI Inc. or Qualisys Inc.) collected at 100 or 120 Hz and with 128-channels of EEG data (BioSemi, Amsterdam) collected at 2000 Hz according to the 10:20 international system 35 . Additionally, resting-state EEG will be collected, to reference and remove walking artifact 36 . Local field potentials (LFPs) will be recorded on the Medtronic Percept system and synchronized to the other data collection systems by briefly turning the device on and off.

    Measured: During the intervention

  6. The coherence magnitudes between the cortex and globus pallidus (dB)

    Blocks of 10 successful step initiation trials will be performed. Ground reaction forces (Kistler Inc.) and bipolar surface electromyographic (EMG) signals will be recorded bilaterally from seven muscles (tibialis anterior, soleus, lateral gastrocnemius, rectus femoris, biceps femoris, semimembranosus, gluteus medius) (Delsys, Trigno) at 1000 Hz and synchronized to whole body kinematics (8-camera motion capture system, SIMI Inc. or Qualisys Inc.) and with 128-channels of EEG data (BioSemi, Amsterdam) collected at 2000 Hz according to the 10:20 international system 35. Additionally, resting-state EEG will be collected, to reference and remove walking artifact 36. Local field potentials (LFPs) will be recorded on the Medtronic Percept system and synchronized to the other data collection systems by briefly turning the device on and off. Coherence will be calculated between the cortex and basal ganglia, and the magnitudes will be calculated at different frequencies (power, decibels, dB).

    Measured: During the intervention

  7. The coherence magnitudes between the cortex and EMG (dB)

    Blocks of 10 successful step initiation trials will be performed. Ground reaction forces (Kistler Inc.) and bipolar surface electromyographic (EMG) signals will be recorded bilaterally from seven muscles (tibialis anterior, soleus, lateral gastrocnemius, rectus femoris, biceps femoris, semimembranosus, gluteus medius) (Delsys, Trigno) at 1000 Hz and synchronized to whole body kinematics (8-camera motion capture system, SIMI Inc. or Qualisys Inc.) and with 128-channels of EEG data (BioSemi, Amsterdam) according to the 10:20 international system 35 . Additionally, resting-state EEG will be collected, to reference and remove walking artifact 36 . Local field potentials (LFPs) will be recorded on the Medtronic Percept system and synchronized to the other data collection systems by briefly turning the device on and off. Coherence will be calculated between the cortex and the muscle activity, and the magnitudes will be calculated at different frequencies (power, decibels, dB).

    Measured: During the intervention

  8. The coherence magnitudes between the globus pallidus and EMG (dB)

    Blocks of 10 successful step initiation trials will be performed. Ground reaction forces (Kistler Inc.) and bipolar surface electromyographic (EMG) signals will be recorded bilaterally from seven muscles (tibialis anterior, soleus, lateral gastrocnemius, rectus femoris, biceps femoris, semimembranosus, gluteus medius) (Delsys, Trigno) at 1000 Hz and synchronized to whole body kinematics (8-camera motion capture system, SIMI Inc. or Qualisys Inc.) and with 128-channels of EEG data (BioSemi, Amsterdam) according to the 10:20 international system 35 . Additionally, resting-state EEG will be collected, to reference and remove walking artifact 36 . Localfield potentials (LFPs) will be recorded on the Medtronic Percept system and synchronized to the other data collection systems by briefly turning the device on and off. Coherence will be calculated between the globus pallidus and the muscle activity, and the magnitudes will be calculated at different frequencies (power, decibels, dB).

    Measured: During the intervention

  9. Number of freezing episodes

    Kinematics will be measured using 6 inertial measurement units (IMUs, Opal sensors, APDM), containing triaxial accelerometers, gyro-scopes, and magnetometers, on each foot and wrist, the fifth lumbar vertebra, and the sternum. This system has been validated for use in PD gait to provide measures of gait (velocity, stride length mean and SD, cadence, and stride time mean and SD), gait initiation (measures of APA and 1 st step characteristics) and turning. Kinematic data will be collected at 128 Hz and synchronized to video recordings and LFP data. LFP and kinematic data will be classified by transition type: initiation, turning, and doorways, and compared during successful transitions, and freezing episodes (unsuccessful transitions). Number of freezing episodes will be identified and rated qualitatively from the videotape by a blinded rater.

    Measured: During the intervention

  10. Rapid Alternating Movements of Wrist Pronation/Supination (degrees)

    Participants will perform rapid alternating movements of the wrist or ankle while a manipulandum measures their angular position, with EMG of the moving limb, EEG and LFPs are recorded synchronously. Movements will be cued using a series of beeps that will change randomly between a low and a high- frequency. RMS of the amplitude will be calculated.

    Measured: During the intervention

  11. Rapid Alternating Movements of Supination or Ankle plantar/dorsi-flexion (degrees)

    Participants will perform rapid alternating movements of the wrist or ankle while a manipulandum measures their angular position, with EMG of the moving limb, EEG and LFPs are recorded synchronously. Movements will be cued using a series of beeps that will change randomly between a low and a high- frequency. RMS of the amplitude will be calculated.

    Measured: During the intervention

  12. Peak power of local field potential oscillations (dB)

    Average changes in peak alpha and beta power derived from power spectral density analysis of the local field potential signal recorded by the implanted Medtronic Percept™ device.

    Measured: During the intervention

Timeline

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

  1. First posted26 Feb 2025
  2. Study start26 Feb 2026
  3. Primary completion1 Dec 2028 (estimated)
  4. Study completion1 Jan 2029 (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
Parallel groups
Model description
In the second experiment: we will compare LFPs during the successful movement transitions vs. freezing-events during a FOG provocation course in people with FOG only.
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
36 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06848205
Sponsor's protocol ID
NEUR-2024-33357
Other IDs
STUDY00023279
Status last verified
Mar 2026
First submitted
19 Feb 2025
Last updated
3 Mar 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing OFF Parkinson's Medication(s) and OFF Deep Brain Stimulation in people with Freezing of Gait and Parkinson Disease, run by University of Minnesota 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 8 inclusion and 8 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 3 Mar 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 Madison Aasen, MS (612-505-8325, aasen056@umn.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Quantification of the anticipatory postural adjustments magnitudes (cm) (time frame: During the intervention). The study lists 12 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 3 Mar 2026.

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