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View on ClinicalTrials.gov

Testing DBS programing for essential tremor

Official title: Directional Bilateral Thalamic Patterned Stimulation (Chronos)

Directional Bilateral Thalamic Patterned Stimulation in Individuals with Essential Tremor

Condition: Essential TremorSponsor: Alfonso FasanoTarget enrollment: 15
  • 2 groups
  • One site, in Toronto
  • Recruiting
Movement Disorders Centre - Toronto Western Hospital, Toronto, Ontario

Interventions

  • Other intervention

    DBS programing

    The physician will utilize the Boston Scientific Chronos Clinician Programmer (software) to make adjustments to the Deep Brain Stimulation (DBS) settings for the patients.

Canadian Sites (1)

1 of 1 recruiting

  • Movement Disorders Centre - Toronto Western Hospital

    Toronto, Ontario

    Recruiting

Eligibility Criteria

See who this study is looking for17 criteria

The trial’s own eligibility text, word for word from the registry. Only the trial site can say who takes part.

Inclusion

  • +Age 18 to 85 years old.
  • +Written and signed Informed ConsentInformed consentThe process of being told what taking part involves, then choosing freely.Read more →.
  • +Subject must have Essential Tremor, as defined by all the following criteria: (a) isolated tremor syndrome consisting of bilateral action tremor; (b) at least three years duration; and (c) with or without tremor in other locations (e.g., head, voice, or low limbs) \[1\].
  • +Soft signs (categorizing patients as Essential Tremor-plus) will be allowed and noted in the patient's chart.
  • +Subject must be on stable dose of anti-tremor medication for at least 4 weeks prior to screeningScreeningThe checks done before joining, to see whether a study fits.Read more →.
  • +Subject had no botulinum injection for at least three months prior to screening.
  • +Subject does not have a significant other medical condition biasing the study finding in investigatorPrincipal investigatorThe doctor or researcher responsible for running the study at a site.Read more →'s opinion.
  • +Phase 1Phase 1The earliest stage of human testing, in a small group, focused on safety.Read more →: 5 to 10 tremor patients already treated with VIM-DBS but not doing well due to early and/or late loss of benefits (i.e. tremor scores ON stimulation identical or greater than before surgery in absence of stimulation).
  • +Phase 2Phase 2A middle-stage study looking at what a treatment does and watching for side effects.Read more →: 10 Essential Tremor patients in need of DBS surgery.

Exclusion

  • Unwilling or inability to follow the procedures specified by the protocolProtocolThe detailed plan a study must follow.Read more →.
  • Presence of significant psychiatric or cognitive condition likely to compromise the subject's ability to comply with requirements of the study protocol.
  • Untreated clinically significant depression.
  • Any current drug or alcohol abuse, as determined by the investigatorPrincipal investigatorThe doctor or researcher responsible for running the study at a site.Read more →.
  • History of suicidal attempt within the last 1 year prior to consentInformed consentThe process of being told what taking part involves, then choosing freely.Read more → or current active suicidal ideation as determined by the investigator.
  • Any significant medical condition that is likely to interfere with study procedures or likely to confound evaluation of study endpointsEndpointThe specific thing a study measures to answer its question.Read more →.
  • Any terminal illness with life expectancy of \< 12 months.
  • Participation in any other interventionalInterventional studyA study where participants are given something to see what happens.Read more → clinical trial (e.g. drug, device).
5 concepts to explore on this page · up to 1,300 pointsTap any term to learn what it means.

In plain language

Assembled directly from this trial’s registry record. Every sentence traces to a field below — nothing here is generated or interpreted.

Learning 
What this study is

This study is testing a treatment for a condition.

This study is not organised into the usual phase numbers — that is common for device, behavioural, and diagnostic research.

From the trial registry

Built from these fields:

  • designModule.designInfo.primaryPurpose
  • designModule.phases
Who receives what

There are 2 groups in this study.

Groups A and B receive DBS programing.

Registry label: A: Phase 1 · B: Phase 2

From the trial registry

Built from these fields:

  • armsInterventionsModule.armGroups[].label
  • armsInterventionsModule.armGroups[].type
  • armsInterventionsModule.armGroups[].interventionNames
How the study is run

Groups are assigned by the study team using set rules, rather than by chance.

This study is open-labelOpen-labelEveryone knows which treatment is being given — nothing is hidden.Read more →: everyone knows which treatment is being given, including you and the study team.

From the trial registry

Built from these fields:

  • designModule.designInfo.allocation
  • designModule.designInfo.maskingInfo.masking
Is there a placebo?

This study does not list a placeboPlaceboA dummy treatment with no active medicine, used for comparison.Read more → group.

From the trial registry

Built from these fields:

  • armsInterventionsModule.armGroups[].type
  • armsInterventionsModule.armGroups[].interventionNames
Who the study is looking for

The study lists an age range of 18 years to 85 years.

The study is open to people of any sex.

The study does not accept healthy volunteersHealthy volunteerSomeone without the condition being studied who takes part anyway.Read more →.

These are the criteria the study lists. Only the trial siteTrial siteA hospital or clinic where a study is actually run.Read more → can decide whether someone can take part.

From the trial registry

Built from these fields:

  • eligibilityModule.minimumAge
  • eligibilityModule.maximumAge
  • eligibilityModule.sex
  • eligibilityModule.healthyVolunteers
How big and how long

The study aims to enrol about 15 people.

The study is currently expected to finish around January 2027.

The main measurement is taken over: Phase 1Phase 1The earliest stage of human testing, in a small group, focused on safety.Read more →-BaselineBaselineYour starting measurements, taken before treatment begins.Read more →.

From the trial registry

Built from these fields:

  • designModule.enrollmentInfo.count
  • statusModule.completionDateStruct.date
  • outcomesModule.primaryOutcomes[].timeFrame
What the study measures

Tremor Rating Scale (Part A-B) — measured over Phase 1Phase 1The earliest stage of human testing, in a small group, focused on safety.Read more →-BaselineBaselineYour starting measurements, taken before treatment begins.Read more →.

Tremor analysis — measured over Phase 1-Baseline.

Tremor Rating Scale (A-C) — measured over Phase 2Phase 2A middle-stage study looking at what a treatment does and watching for side effects.Read more →-Baseline, Month 2, Month 4, Month 6, Month 8.

Tremor analysis (meter per second squared) — measured over Phase 2-Baseline, Month 2, Month 4, Month 6, Month 8.

The study lists 9 further main measurements.

From the trial registry

Built from these fields:

  • outcomesModule.primaryOutcomes[].measure
  • outcomesModule.primaryOutcomes[].timeFrame

Source: NCT06325852 on ClinicalTrials.gov. The full registry text is further down this page — this summary never replaces it.

Not medical advice. What do these terms mean?

What is being tested — in plain terms

About DBS programingOther

The physician will utilize the Boston Scientific Chronos Clinician Programmer (software) to make adjustments to the Deep Brain Stimulation (DBS) settings for the patients.

From the trial registry — its own words, unedited.

What a other is here: An intervention the registry did not place in another category.

Read the full explanation → · in clinical review

Common questions

Answered from this trial’s registry record. Where the record doesn’t say, these answers say so rather than filling the gap.

Am I eligible for this trial?

Only the trial siteTrial siteA hospital or clinic where a study is actually run.Read more → can decide whether someone can take part. Concord cannot make that determination, and neither can any tool that has not examined you.

What the study lists: an age range of 18 years to 85 years.

The full inclusionInclusion criteriaThe things you must have or be for a study to consider you.Read more → and exclusion criteriaExclusion criteriaThe things that would prevent someone from taking part.Read more → are published on this page, exactly as the study team wrote them.

The useful next step is to bring this trial to your doctor. Answering a few questions first gives them something concrete to review.

From the trial registry
  • eligibilityModule.minimumAge
  • eligibilityModule.maximumAge
  • eligibilityModule.eligibilityCriteria
Is there a placebo?

This study does not list a placeboPlaceboA dummy treatment with no active medicine, used for comparison.Read more → group.

From the trial registry
  • armsInterventionsModule.armGroups[].type
Would I know which treatment I am getting?

This study is open-labelOpen-labelEveryone knows which treatment is being given — nothing is hidden.Read more →: everyone knows which treatment is being given, including you and the study team.

Groups are assigned by the study team using set rules, rather than by chance.

From the trial registry
  • designModule.designInfo.maskingInfo.masking
  • designModule.designInfo.allocation
Who can join?

The study lists an age range of 18 years to 85 years.

It is open to people of any sex.

It does not accept healthy volunteersHealthy volunteerSomeone without the condition being studied who takes part anyway.Read more →.

Only the trial siteTrial siteA hospital or clinic where a study is actually run.Read more → can confirm whether a particular person can take part.

From the trial registry
  • eligibilityModule.minimumAge
  • eligibilityModule.maximumAge
  • eligibilityModule.sex
  • eligibilityModule.healthyVolunteers
How long would this take?

The study's main measurement is taken over: Phase 1Phase 1The earliest stage of human testing, in a small group, focused on safety.Read more →-BaselineBaselineYour starting measurements, taken before treatment begins.Read more →.

The study as a whole is currently expected to finish around 2027-01-01.

How long any one person takes part can differ from the study length. The study team can tell you what the schedule looks like in practice.

From the trial registry
  • outcomesModule.primaryOutcomes[].timeFrame
  • statusModule.completionDateStruct.date
How many people are taking part?

The study aims to enrol about 15 people.

From the trial registry
  • designModule.enrollmentInfo.count
Where is this happening?

This study lists one location: Toronto, Ontario, Canada.

Sites can open and close during a study, so confirm with the team before travelling.

From the trial registry
  • trial_locations

About This Trial

Population Size and Eligible Patients: The investigators aim to recruit 5 to 10 patients with tremors who have previously undergone Ventral Intermedius Deep Brain Stimulation (VIM-DBS) treatment but have experienced early or late loss of benefits. Additionally, the investigators will enroll ten patients with essential tremor who require VIM-DBS surgery. These individuals will undergo bilateral implantation of Boston Scientific Genus Implantable Pulse Generator (IPG) devices, connected to Boston Scientific Cartesia™ 8-contact Directional Leads. Study Design: This study comprises two distinct phases. Phase 1 is a cross-sectional investigation designed to identify the optimal algorithm for patterned stimulation in the VIM region . Phase 2 is a prospective clinical trial focusing on the assessment of safety and efficacy of bilateral VIM-DBS in patients with essential tremor. Objectives: The primary objective in Phase 2 is to evaluate the safety and effectiveness of bilateral VIM-DBS in individuals with essential tremor. In Phase 1, the investigators seek to explore the impact of the Chronos programming software on tremor patients who have experienced early or late loss of benefits.

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This page is for informational purposes only and does not constitute medical advice. Clinical trial eligibility can only be determined by the trial site after proper screening. Trial information is sourced from ClinicalTrials.gov and may not reflect the most current status. Always consult your healthcare provider before making decisions about clinical trial participation.