CClinicalTrials.gg
CompletedNCT06676995Updated Aug 10, 2026Results posted

Effects of Transcranial Pulse Stimulation in Parkinson's Disease

An interventional study of Transcranial Pulse Stimulation (TPS) in Parkinson, sponsored by Spaulding Rehabilitation Hospital. Completed at 1 site in United States. Open to participants aged 40 Years to 90 Years. Per ClinicalTrials.gov, last updated 2026-08-10.

Sponsored by Spaulding Rehabilitation Hospital · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
14
Allocation
Not applicable
Ages
40 Years to 90 Years
Sex
All
01

Study summary

The investigators are studying if Transcranial Pulse Stimulation (TPS) can improve various symptoms, including movement problems, thinking abilities, mood, fatigue, freezing while walking, voice quality, and issues with smell and taste. Previous research suggests TPS might help in Alzheimer's disease and could be helpful for Parkinson's as well. Investigators will check if TPS is safe, practical, and if it makes a noticeable difference in these symptoms compared to before the treatment.

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Conditions studied

  • Parkinson
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In context

Lead sponsor

Spaulding Rehabilitation Hospital is the lead sponsor of 114 studies on the registry; 26 are open to participants now.

Of its 19 completed or terminated interventional studies of FDA-regulated products, 17 (89%) have results posted.

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

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Who can participate

Ages eligible
40 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Diagnosis of "probable" or "possible" Parkinson's Disease (PD), as defined by the current clinical criteria (52) or as confirmed by a co-investigator neurologist or confirmation via medical records or a letter from a patient's physician.
  2. Age from 40 to 90 years old.
  3. Disease stages 2 to 4 based on the UPDRS scale subdomain V (or Hoehn and Yahr scale).
  4. Taking stable medications for Parkinson's Disease for at least 30 days.

Exclusion criteria

Exclusion Criteria:

  1. Features suggestive of other causes of parkinsonism/Parkinson's-plus syndromes.
  2. History of deep brain stimulation, brain ablation surgeries, or malignant mass brain lesions.
  3. History of schizophrenia, bipolar illness, or alcohol/drug abuse within the past six months.
  4. Need for rapid clinical response due to conditions such as initiation, psychosis, or suicidality.
  5. Contraindications to transcranial brain stimulation (i.e., metal objects in the head, metal implanted brain medical devices, cortisone treatments within six weeks before the first stimulation session, central nervous system (CNS) thrombosis, etc).
  6. Unstable medical conditions (e.g., uncontrolled diabetes, uncompensated cardiac issues, heart failure, uncompensated pulmonary disease, or chronic obstructive pulmonary disease).
  7. Contraindications to MRI according to Mass General Brigham screening in the Martinos Center (i.e., pacemaker, defibrillator or wires other than sternal wires, metallic foreign body in the eye, or drug infusion devices - if the models of these devices are not compatible with MRI).
  8. Pregnancy.
  9. Epilepsy or disorders that significantly increase the likelihood of seizures, including: (i) severe traumatic brain injury; (ii) congenital birth defects leading to seizures; (iii) brain tumor; (iv) metabolic disorders associated with seizures; (v) intracranial or subarachnoid hemorrhage; and (vi) non-lacunar strokes.
  10. Bed- or wheelchair-bound patients.
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
14 participants (actual)

Study arms

  • Experimental
    TPS

    Device: Transcranial Pulse Stimulation (TPS)

Interventions

  • DeviceTranscranial Pulse Stimulation (TPS)

    Transcranial Pulse Stimulation (TPS) is a non invasive brain stimulation technology that applies repetitive single high-pressure ultrashort shockwave pulses within the ultrasound frequency range to stimulate the brain. Subjects will receive 12 TPS sessions conducted three times weekly, for about 40 to 50 minutes/day, over four consecutive weeks.

06

What researchers measure

Primary outcomes

  1. Unified Parkinson's Disease Rating Scale (UPDRS)

    Unified Parkinson's Disease Rating Scale (UPDRS) evaluates the motor function, non-motor symptoms (mentation, behavior, and mood), activities of daily living, and complications of therapy. Each item has 0-4 ratings: 0 (normal), 1 (slight), 2 (mild), 3 (moderate), and 4 (severe). The total UPDRS score is obtained by summing Parts I-IV, with a total score ranging from 0 to 199. Lower scores indicate less severe Parkinson's disease and represent a better outcome; higher scores indicate greater disease severity and represent a worse outcome. The outcome measure represents the change from Baseline to 4 weeks, immediately post-intervention (Visit 12).

    Time frame: Baseline and 4 weeks, immediately post-intervention (Visit 12).

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Results

Posted Aug 10, 2026

Participant flow

Participant flow — Overall Study
MilestoneActive TPS
Started14
Completed14
Not completed0

Outcome measures

PrimaryUnified Parkinson's Disease Rating Scale (UPDRS)

Unified Parkinson's Disease Rating Scale (UPDRS) evaluates the motor function, non-motor symptoms (mentation, behavior, and mood), activities of daily living, and complications of therapy. Each item has 0-4 ratings: 0 (normal), 1 (slight), 2 (mild), 3 (moderate), and 4 (severe). The total UPDRS score is obtained by summing Parts I-IV, with a total score ranging from 0 to 199. Lower scores indicate less severe Parkinson's disease and represent a better outcome; higher scores indicate greater disease severity and represent a worse outcome. The outcome measure represents the change from Baseline to 4 weeks, immediately post-intervention (Visit 12).

Time frame:
Baseline and 4 weeks, immediately post-intervention (Visit 12).
Reported as:
Mean · units on a scale
Unified Parkinson's Disease Rating Scale (UPDRS)
units on a scaleActive TPS
Unified Parkinson's Disease Rating Scale (UPDRS)-9.43 ± 5.36

Adverse events

Collected over 4 weeks. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Active TPS0/14 (0%)0/14 (0%)2/14 (14.3%)
Most frequent other events
Most frequent other events
EventActive TPS
Mild pain/pressureSkin and subcutaneous tissue disorders2/14

Baseline characteristics

Baseline of enrolled participants

Age, Continuous
Age, Continuous(years)Active TPS
Mean69.36 ± 8.53
Sex: Female, Male
Sex: Female, Male(Participants)Active TPS
Female4
Male10
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Active TPS
Hispanic or Latino0
Not Hispanic or Latino13
Unknown or Not Reported1
Region of Enrollment
Region of Enrollment(participants)Active TPS
United States14
Unified Parkinson's Disease Rating Scale (UPDRS)
Unified Parkinson's Disease Rating Scale (UPDRS)(units on a scale)Active TPS
Mean47.79 ± 16.56
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Study locations

1 site
  • Spaulding Rehabilitation Hospital
    Cambridge, Massachusetts 02138, United States
09

References and documents

Publications

  • Shinzato GT, Assone T, Sandler PC, Pacheco-Barrios K, Fregni F, Radanovic M, Forlenza OV, Battistella LR. Non-invasive sound wave brain stimulation with Transcranial Pulse Stimulation (TPS) improves neuropsychiatric symptoms in Alzheimer's disease. Brain Stimul. 2024 Mar-Apr;17(2):413-415. doi: 10.1016/j.brs.2024.03.007. Epub 2024 Mar 20. PubMed 38513821 ↗
  • Fong TKH, Cheung T, Ngan STJ, Tong K, Lui WYV, Chan WC, Wong CSM, Cheng CPW. Transcranial pulse stimulation in the treatment of mild neurocognitive disorders. Ann Clin Transl Neurol. 2023 Oct;10(10):1885-1890. doi: 10.1002/acn3.51882. Epub 2023 Aug 21. PubMed 37607114 ↗
  • Osou S, Radjenovic S, Bender L, Gaal M, Zettl A, Dorl G, Matt E, Beisteiner R. Novel ultrasound neuromodulation therapy with transcranial pulse stimulation (TPS) in Parkinson's disease: a first retrospective analysis. J Neurol. 2024 Mar;271(3):1462-1468. doi: 10.1007/s00415-023-12114-1. Epub 2023 Nov 30. PubMed 38032371 ↗

Study documents

  • Protocol and statistical analysis plan · Dec 20, 2024

Documents are hosted by the registry — open the source record to download them.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 10, 2026, 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
NCT06676995
Lead sponsor
Spaulding Rehabilitation Hospital
Responsible party
Felipe Fregni, MD, PhD, MPH (Director of the Neuromodulation Center, Professor of Rehabilitation, Spaulding Rehabilitation Hospital) — Principal investigator
First posted
Nov 6, 2024
Start date
Dec 31, 2024
Primary completion
Jun 27, 2025
Completion
Jul 30, 2025
Results posted
Aug 10, 2026
Last update
Aug 10, 2026

Oversight

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

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