ClinicalTrials.gg
RecruitingNCT06994728Updated Aug 24, 2026

Correlation of STN-DBS Induced Visuospatial Changes and Freezing of Gait

An interventional study of Left STN-DBS on, right STN-DBS off first and Right STN-DBS on, left STN-DBS off first in Parkinson Disease, Gait Disorders, Neurologic and Visuospatial/Perceptual Abilities, sponsored by Medical University of South Carolina. Recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-24.

Sponsored by Medical University of South Carolina · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Apr 2025; still recruiting 1 year 7 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
12
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 14 studies in Parkinson Disease by Medical University of South Carolina — 7 open to participants now, 7 under way, none of them phase 3. Parkinson Disease · Medical University of South Carolina.

Planned enrollment
8th of 10
12 · median 25
Started
2025
with 2 others
No phase
7 of 14
4 open now
Registered
8th of 14
by date

Among the 14 studies in Parkinson Disease by Medical University of South Carolina, this one is the 8th largest by planned enrollment of the 10 interventional ones, is one of 3 that started in 2025, is one of 7 with no phase, and was the 8th registered.

By phase

14 studies; the count open now beside each. This study's row is marked.

No phasethis study7 · 4 open
Observational4 · 2 open
Phase 21 · 0 open
Phase 31 · 0 open
Phase 41 · 1 open

By the year they started

First in 2012; this study’s year is marked. 3 started in 2025.

What they test

Size and results

Median enrollment 25 across the 10 interventional studies, 38 across the 4 observational. Of the 6 that completed or were terminated, 5 (83%) have results posted.

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02

Study summary

The purpose of this research is to determine how deep brain stimulation (DBS) for Parkinson's disease affects attention and visuospatial function. Additionally, this study will evaluate how deficits in visual attention are associated with freezing of gait (FOG) in Parkinson's disease. There is currently no reliable treatment for FOG and little is understood about the underlying reason this occurs. Some recent research has found that stimulating the right side of the brain seems to improve FOG. The right side of the brain is also paramount for visual attention, which is why investigators are conducting this study.

Read the detailed description

FOG is a common and frequently disabling symptom of PD, affecting more than half of all PwPD. It remains a complex and incompletely understood phenomenon, with no currently approved therapies. FOG is often exacerbated during dual-tasks where attention is divided to multiple tasks. A well known method of provoking FOG by PwPD and neurologists alike is to walk through doorways or through a crowded space, regions where spatial attention is necessary. Similarly, significant visuospatial attention deficits have been found in PwPD who freeze compared to those do not. Further evidence demonstrates that the STN is part of the circuit which modulates spatial attention, and that STN-DBS has a significant impact on visuospatial attention and is notably improved with right sided stimulation. Indeed, visuospatial attention is largely considered to be predominantly lateralized to the right hemisphere. Interestingly, one study showed that right STN-DBS stimulation affecting a volume of activated tissue (VAT) connected to the right sensorimotor cortex showed a significant association with reduction in FOG. The impact of STN-DBS on visuospatial attention and the degree to which this change in attention is associated with changes in FOG has not yet been studied, and may well explain part of the pathophysiology of FOG and how to treat PwPD who freeze. The present study will build on the aforementioned research by prospectively evaluating the impact of lateralized STN-DBS stimulation on visuospatial attention in PwPD, and correlating this with change in FOG.

03

Conditions studied

  • Parkinson Disease
  • Gait Disorders, Neurologic
  • Visuospatial/Perceptual Abilities

Keywords

  • Freezing of gait
  • Subthalamic nucleus
  • Visuospatial attention
  • Deep brain stimulation
04

Who can participate

Ages eligible
18 Years and older
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

  • Subjects above 18 years of age
  • Subjects with freezing of gait
  • Subjects with bilateral STN-DBS surgery as part of their clinical care for Parkinson's disease

Exclusion criteria

Exclusion Criteria:

  • Uncorrected visual or hearing impairments, as indicated by self-report
  • Individuals who are pregnant or expect to become pregnant during the course of the study
  • Individuals with dementia or relevant brain lesions impacting cognition or gait
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Triple (Participant, Care provider, Outcomes assessor)
Enrollment
12 participants (estimated)

Study arms

  • Active comparator
    Left STN-DBS on, right STN-DBS off first

    STN-DBS will be turned off sequentially for each side, in this group beginning with left STN-DBS on and right STN-DBS off. This will then be followed by the corollary.

    Device: Left STN-DBS on, right STN-DBS off first

  • Active comparator
    Right STN-DBS on, left STN-DBS off first

    STN-DBS will be turned off sequentially for each side, in this group beginning with right STN-DBS on and left STN-DBS off. This will then be followed by the corollary.

    Device: Right STN-DBS on, left STN-DBS off first

Interventions

  • DeviceLeft STN-DBS on, right STN-DBS off first

    There will not be any change to baseline DBS stimulation settings, only each side will be sequentially turned off during cognitive and freezing of gait assessments.

  • DeviceRight STN-DBS on, left STN-DBS off first

    There will not be any change to baseline DBS stimulation settings, only each side will be sequentially turned off during cognitive and freezing of gait assessments.

06

What researchers measure

Primary outcomes

  1. Characterize the individual impact of lateralized STN DBS stimulation on freezing of gait in Parkinson's disease

    Investigators hypothesize that right STN stimulation will have a significant association with reduction in freezing of gait, as measured by timed up and go task, compared to left STN stimulation and no stimulation.

    Time frame: 1 hour

  2. Determine if there is a correlation between the change in visuospatial function due to lateralized STN DBS stimulation and change in freezing of gait (FOG) in Parkinson's disease

    Investigators hypothesize that right STN stimulation induced improvement in attention will be associated with improvement in FOG.

    Time frame: 1 hour

Secondary outcomes

  1. Determine if there is a correlation between the change in Flanker task due to lateralized STN DBS stimulation in Parkinson's disease

    Investigators hypothesize that right STN stimulation will have a significant association with change in attention, as measured by the flanker task, compared to left STN stimulation and no stimulation.

    Time frame: 30 minutes

  2. Determine if there is a correlation between the change in Go-No-Go task due to lateralized STN DBS stimulation in Parkinson's disease

    Investigators hypothesize that right STN stimulation will have a significant association with change in attention, as measured by the Go-No-Go task, compared to left STN stimulation and no stimulation

    Time frame: 30 minutes

07

Study locations

1 of 1 sites recruiting
  • Medical University of South Carolina
    Charleston, South Carolina 29403, United States
    Recruiting
    • Nathan DeTurk, MD, MBA · Contactdeturk@musc.edu · 843-792-3221
    • Nathan DeTurk, MD, MBA · Principal investigator
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Apr 2025 (actual). Primary completion is estimated for Jun 2028, 38 months after the start.

Of 1,291 non-industry interventional studies with no phase under Parkinson Disease, half reached primary completion within 24 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 44. This study's planned 38 months is above that.

Counting every sponsor, half of 1,367 studies reached it within 25 months; a quarter within 11 and three quarters within 44.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 20, 2024
First posted
May 29, 2025
StartActual
Apr 1, 2025
Primary completionEst.
Jun 2028
CompletionEst.
Jun 2028
Last update
Aug 24, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06994728
Responsible party
Nathan DeTurk (Medical/Dental Resident, Medical University of South Carolina) — Principal investigator
First posted
May 29, 2025
Start date
Apr 1, 2025
Primary completion
Jun 2028 (estimated)
Completion
Jun 2028 (estimated)
Last update
Aug 24, 2026

Study contacts

Nathan DeTurk, MD
Contact
deturk@musc.edu
843-792-3221
Nathan DeTurk, MD
principal investigator · Medical University of South Carolina

Oversight

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

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