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Status unknownNCT04811807CRIPSUpdated Sep 5, 2021

Clinical Response of Impulsivity After Brain Stimulation in Parkinson's Disease

An observational study in Impulsive Behavior, Impulse Disorders and Gambling, Pathological, sponsored by King's College London. Status unknown. Per ClinicalTrials.gov, last updated 2021-09-05.

Sponsored by King's College London · Observational

The sponsor has not verified this record recently (last verified Mar 2021), so the status shown — last known as Not yet recruiting — may be out of date.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
50
Sex
All
01

Study summary

The objective of this prospective observational cohort study is to answer the following clinically important questions:

  1. In patients with a pre-operative history of ICBs, what is the likelihood of improvement or deterioration in ICBs post-operatively?
  2. What is the risk of developing post-operative de novo ICBs after Subthalamic Nucleus DBS (STN DBS)?
  3. Which factors are important in predicting changes in ICBs after STN DBS?
  4. What is the impact of ICBs on carer's quality of life QoL and burden?
Read the detailed description

The study will record outcomes related to ICBs for PD patients who have already been selected for DBS therapy as a routine clinical treatment in participating in DBS operating centre

It is routine practice to assess ICBs before DBS decisions are made, but the manner varies across DBS operating centres. The only additional factor to the routine DBS clinical pathway in this study is that the centres involved will perform assessments in a uniform manner to allow data to be combined. A unified set of clinical assessment scales for Impulsive Control Disorders ICDs and ICBs, as well as other relevant neuropsychiatric symptom assessment, will be added to routine pre- and post-operational clinical assessments for participants.

The primary endpoint of the study is the change in severity of ICBs. If subjects score above 1 in any of given questions on QUIP-RS, or if subjects had disagreement with carers regarding scores, The Parkinson's Impulse-Control Scale, PICs will be triggered. PICs then will be administered by our trained research fellow (AA), over phone or in the clinic.

Other scales to be administered are listed below:

  1. Neuropsychiatric Inventory (NPI)
  2. General anxiety disorder-7 (GAD-7)
  3. Patient Health Questionnaire-9 (PHQ9)
  4. Parkinson's disease questionnaire-39 (PDQ-39)
  5. EuroQol 5 Dimension (EQ-5D)
  6. Clinical Global Impression - Severity scale (CGI-S) at baseline and Clinician's Global Impression - Improvement scale (GGI-I) post-operatively.
  7. Zarit Caregiver Burden Scale
  8. Work and Social Adjustment Scale
  9. UPPS-P Impulsive Behaviour Scale

Assessments will be performed at baseline, 3, 6 and 12 months post-operatively.

Results will be analysed to ascertain potential predictive measures for ICBS development/change.

02

Conditions studied

  • Impulsive Behavior
  • Impulse Disorders
  • Gambling, Pathological
  • Eating, Binge
  • Hoarding Disorder
  • Hypersexuality
  • Compulsive Shopping
  • Dopamine Dysregulation Syndrome
  • Caregiver Burnout
  • Parkinson Disease

Keywords

  • Deep brain stimulation
  • Parkinson's disease
  • Impulse control disorders
  • Impulse control behaviours
  • compulsive shopping
  • hypersexuality
  • binge eating
  • gambling
  • walkabouts
  • hobbyism
  • Hoarding
  • punding
03

In context

Impulsive Behavior

158 studies on the registry are indexed under Impulsive Behavior; 31 are open to participants now.

This study's planned enrollment of 50 is below the median of 120 across 24 observational studies indexed under Impulsive Behavior.

Browse Impulsive Behavior studies →

Lead sponsor

King's College London is the lead sponsor of 520 studies on the registry; 126 are open to participants now.

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

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

All potential participants will have been selected by their clinicians for DBS to treat their motor symptoms as routine clinical care. They will be approached during their hospital appointment by their clinical care team, who will be the research link to this study, principal investigator

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Selected for DBS to treat motor symptoms of Parkinson's disease
  • English language fluency

Exclusion criteria

Exclusion Criteria:

  • nil
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
50 participants (estimated)
Target follow-up
12 Months
Patient registry
Yes

Interventions

  • DeviceSubthalamic Nucleaus Deep brain stimulation

    In deep brain stimulation (DBS) therapy, a specific anatomical target in the brain is stimulated via surgically fixed electrodes. These electrodes release electrical currents of a specific voltage, wavelength, and frequency. They are connected via subcutaneous wires to a device called an implantable pulse generator (IPG) which is surgically fixed on chest wall, beneath the clavicle. After electrodes and IPG are successfully installed, a clinician will be able to adjust and modulate the stimulation via a remote device connected to the IPG to obtain a maximum potential benefit. Deep brain stimulation has been used in clinics to treat various neurologic diseases including neurodegenerative disorders, mainly movement disorders.

    Also known as: DBS, Brain stimulation

06

What researchers measure

Primary outcomes

  1. change in severity of ICBs and development of new ICBs

    Time frame: 12 months

  2. Descriptive analysis of recurrence of ICBs in those with history of ICBs using scores on QUIP-RS/PICs

    Time frame: 12 months

  3. Descriptive analysis of de novo cases of Impulsive control disorders ICD/ICBs

    Time frame: 12 months

Secondary outcomes

  1. predictive factors for de novo, recurrence and change in severity of ICD/ICBs

    Time frame: 12 months

  2. change in ICB relate to quality of life in patients and carers

    Time frame: 12 months

  3. change in ICD relates to changes in mood

    Time frame: 12 months

  4. change in ICD relates to change in personality traits

    Time frame: 12 months

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 5, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04811807
Collaborators
South London and Maudsley NHS Foundation Trust, NHS Greater Glasgow and Clyde, King's College Hospital NHS Trust, Walton Centre NHS Foundation Trust, Newcastle-upon-Tyne Hospitals NHS Trust, Oxford University Hospitals NHS Trust, Barking, Havering and Redbridge University Hospitals NHS Trust, Northern Care Alliance NHS Foundation Trust
Responsible party
Sponsor
First posted
Mar 23, 2021
Start date
Oct 2021 (estimated)
Primary completion
Oct 2024 (estimated)
Completion
Nov 2024 (estimated)
Last update
Sep 5, 2021

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Mar 2021. You cannot join it, but the record below documents what was studied.

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