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RecruitingNCT06752434PSA-STNUpdated Dec 30, 2024

PSA Versus STN DBS for DT

An interventional study of Deep brain stimulation in Dystonic Tremor, sponsored by Ruijin Hospital. Recruiting at 1 site in China. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2024-12-30.

Sponsored by Ruijin Hospital · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

The aim of this study is to compare the effectiveness of the deep brain stimulation in the posterior subthalamic area (PSA) versus the subthalamic nucleus (STN) for the treatment of dystonic tremor (DT) in a randomized, double-blinded, cross-over manner.

Read the detailed description

This is a randomized, double-blinded, crossover trial aiming at comparing the efficacy of PSA and STN DBS in treating dystonic tremor. Enrolled patients will undergo bilateral DBS surgery, targeting both PSA and STN with single trajectory. Three months post-implantation, patients enter a 4-month double-blinded crossover phase with PSA and STN DBS in randomized order. After 7 months post-implantation (at the end of the crossover phase), patients enter an open-label phase during which programming parameters are not restricted until the termination of the study at 12-month follow-up.

02

Conditions studied

  • Dystonic Tremor

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Keywords

  • Dystonic Tremor
  • deep brain stimulation
  • posterior subthalamic area
  • subthalamic nucleus
03

In context

Tremor

158 studies on the registry are indexed under Tremor; 44 are open to participants now.

This study's planned enrollment of 20 is below the median of 33 across 109 interventional studies indexed under Tremor.

Browse Tremor studies →

Lead sponsor

Ruijin Hospital is the lead sponsor of 679 studies on the registry; 387 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Diagnosed with dystonic tremor based on the MDS 2018 consensus
  • Duration of DT symptoms: ≥3 years of motor symptoms
  • If the patient is taking tremor medications, the medications should be stable for 28 days prior to
  • Good compliance and written informed consent

Exclusion criteria

Exclusion Criteria:

  • Any intracranial abnormalities that would prevent DBS surgery
  • Any significant mental illness that might affect the subject's ability to comply with the study protocol requirements (e.g., bipolar disorder, schizophrenia, mood disorders with psychotic features, Cluster B personality disorders)
  • Severe cognitive impairment, MOCA score \<24
  • Any current substance or alcohol abuse according to criteria
  • Any history of recurrent or unprovoked epileptic seizures; any prior movement disorder treatment involving intracranial surgery or device implantation; any history of hemorrhagic stroke; any significant medical condition that might interfere with the study procedures or could confound the assessment of study endpoints
  • Any terminal illness with a of \<1 year
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
20 participants (estimated)

Study arms

  • Experimental
    PSA-STN

    Participants randomized in this arm will receive bilateral PSA stimulation in the first two months in the randomized phase and then will be crossovered to the bilateral STN stimulation for another two months.

    Device: Deep brain stimulation

  • Experimental
    STN-PSA

    Participants randomized in this arm will receive bilateral STN stimulation in the first two months in the randomized phase and then will be crossovered to the bilateral PSA stimulation for another two months.

    Device: Deep brain stimulation

Interventions

  • DeviceDeep brain stimulation

    active DBS with optimal stimulating parameters

06

What researchers measure

Primary outcomes

  1. Change from baseline Fahn-Tolosa-Marin Clinical Rating Scale for Tremor to 5 months

    Time frame: 5 months

  2. Change from baseline Fahn-Tolosa-Marin Clinical Rating Scale for Tremor to 7 months

    Time frame: 7 months

Secondary outcomes

  1. Change from baseline Burke-Fahn-Marsden Dystonia Rating Scale to 5 months

    Time frame: 5 months

  2. Change from baseline Burke-Fahn-Marsden Dystonia Rating Scale to 7 months

    Time frame: 7 months

  3. Change from baseline Mini-Mental Status Exam to 5 months

    Time frame: 5 months

  4. Change from baseline Mini-Mental Status Exam to 7 months

    Time frame: 7 months

  5. Change from baseline Beck depression inventory to 5 months

    Time frame: 5 months

  6. Change from baseline Beck depression inventory to 7 months

    Time frame: 7 months

  7. Adverse events

    Time frame: up to 12 months after surgery

07

Study locations

1 of 1 sites recruiting
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 30, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06752434
Lead sponsor
Ruijin Hospital
Collaborators
Suzhou Sceneray Medical Co. , Ltd, Beijing Pins Medical Co., Ltd
Responsible party
LI DIANYOU (Doctor, Ruijin Hospital) — Principal investigator
First posted
Dec 30, 2024
Start date
Dec 2024 (estimated)
Primary completion
Mar 2027 (estimated)
Completion
Mar 2029 (estimated)
Last update
Dec 30, 2024

Study contacts

Dianyou Li, MD, PhD
Contact
ldy11483@rjh.com.cn
+0086-021-64370045
Dianyou Li, MD, PhD
principal investigator · Ruijin Hospital

Oversight

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

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