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CompletedNCT01922388ELASSUpdated Sep 26, 2023

Early Versus Late Application of STN DBS to PD Patients With Motor Complications

An observational study in Parkinson Disease, sponsored by Chen Ling. Completed at 1 site in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2023-09-26.

Sponsored by Chen Ling · Observational

Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
200
Ages
18 Years to 75 Years
Sex
All
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Study summary

Although deep brain stimulation of the subthalamic nucleus(STN DBS) has become the surgical treatment of choice for Parkinson's disease(PD), a consensus on the timing of surgery is lacking. This study is intended to demonstrate that early, compared with delayed, introduction of STN DBS is more beneficial for PD patients who have developed motor complications.

Read the detailed description

In this prospective study, 200 PD patients will be recruited for STN DBS over three years, including 133 with motor complications existing for more than three years (late complication group) and 67 less than three years (early complication group). To make a comparison of therapeutic efficacy between the two groups, motor and non-motor symptoms will be assessed using specific rating scales and questionnaires.

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Conditions studied

  • Parkinson Disease

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Keywords

  • Parkinson disease
  • deep brain stimulation
  • subthalamic nucleus
  • motor complication
  • quality of life
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In context

Parkinson Disease

4,487 studies on the registry are indexed under Parkinson Disease; 1,082 are open to participants now.

This study's enrollment of 200 is above the median of 96 across 1,057 observational studies indexed under Parkinson Disease.

Browse Parkinson Disease studies →

Lead sponsor

Chen Ling is the lead sponsor of 2 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The study population are PD Patients with motor complications and an intention of receiving DBS.

Inclusion criteria

  • Idiopathic Parkinson's Disease with good response to levodopa(i.e. more than 30% improvement in the MDS-UPDRS Part III score after an acute levodopa challenge)
  • Presence of fluctuations and/or dyskinesias
  • Age ranging from 18 to 75 years old
  • Normal brain MRI
  • Absence of dementia (Mini Mental State Examination ≥ 26)
  • Absence of severe psychiatric diseases
  • Written informed consent

Exclusion criteria

Exclusion Criteria:

  • Presence of severe metabolic diseases
  • Severe cardiac/respiratory/renal/hepatic diseases
  • Secondary parkinsonism or multiple system atrophy
  • Illiteracy or insufficient language skills to complete the questionnaires
  • Poor compliance and unreasonable expectation
  • Women who are pregnant or breast feeding
  • Simultaneous participation in another clinical trial
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Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
200 participants (actual)
Patient registry
No

Groups and cohorts

  • Early Motor Complication

    This group is composed of PD patients with motor complications of 3 years or less. All subjects receive bilateral deep brain stimulation of the subthalamic nucleus and best medical treatment.

    Device: Bilateral deep brain stimulation of the subthalamic nucleus

  • Late Motor Complication

    This group is composed of PD patients with motor complications of more than 3 years. All subjects receive bilateral deep brain stimulation of the subthalamic nucleus and best medical treatment.

    Device: Bilateral deep brain stimulation of the subthalamic nucleus

Interventions

  • DeviceBilateral deep brain stimulation of the subthalamic nucleus

    Also known as: Activa PC or RC neurostimulator, Medtronic

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What researchers measure

Primary outcomes

  1. Changes in 39-item Parkinson's disease questionnaire (PDQ-39) scores

    Quality of life

    Time frame: From baseline to 4 years

Secondary outcomes

  1. Changes in Movement Disorder Society-sponsored revision of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Part III scores

    Motor function

    Time frame: From baseline to 4 years

  2. Changes in time spent in the "on" state without troubling dyskinesia based on Parkinson's disease home diary

    Good "on" time

    Time frame: From baseline to 4 years

  3. Changes in MDS-UPDRS patient questionnaire (Part I B and Part II) scores

    Motor and non-motor experiences of daily living

    Time frame: From baseline to 4 years

  4. Severe adverse effects

    Safety profile

    Time frame: From baseline to 4 years

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Study locations

1 site
  • the First Affiliated Hospital, Sun Yat-sen University
    Guangzhou, Guangdong 510080, China
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References and documents

Publications

  • Jiang L, Poon WS, Moro E, Xian W, Yang C, Zhu XL, Gu J, Cai X, Liu J, Mok V, Liu Y, Xu S, Guo Q, Chen W, Chen L. Early versus Late Application of Subthalamic deep brain Stimulation to Parkinson's disease patients with motor complications (ELASS): protocol of a multicentre, prospective and observational study. BMJ Open. 2017 Nov 16;7(11):e018610. doi: 10.1136/bmjopen-2017-018610. PubMed 29150478 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 26, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01922388
Lead sponsor
Chen Ling
Collaborators
Prince of Wales Hospital, Shatin, Hong Kong, Shenzhen Second People's Hospital
Responsible party
Chen Ling (MD, PhD, First Affiliated Hospital, Sun Yat-Sen University) — Sponsor-investigator
First posted
Aug 14, 2013
Start date
Aug 2013
Primary completion
Dec 2022
Completion
Dec 2022
Last update
Sep 26, 2023

Study contacts

Ling Chen, MD, PhD
principal investigator · First Affiliated Hospital, Sun Yat-Sen University

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2023. You cannot join it, but the record below documents what was studied.

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