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RecruitingNCT07172295Updated Sep 15, 2025

Modulate Tremor Severity With Low-intensity Focused Ultrasound Stimulation Targeting the Deep Nucleus of Patients With Refractory Hand Tremor.

An interventional study of Accelerated NaviFUS-ctbFUS stimulation in Parkinson Disease (PD), Essential Tremor and Dystonic Tremor, sponsored by National Taiwan University Hospital. Recruiting at 1 site in Taiwan. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2025-09-15.

Sponsored by National Taiwan University Hospital · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Jun 2025; still recruiting 1 year 5 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
12
Allocation
Not applicable
Ages
18 Years to 80 Years
Sex
All
01

Study summary

The study plans to recruit 12 patients with Parkinsonian tremor, essential tremor, or dystonic tremor. After receiving NaviFUS-ctbTUS stimulation, the improvement in their tremor will be recorded.

02

Conditions studied

  • Parkinson Disease (PD)
  • Essential Tremor
  • Dystonic Tremor
  • Continuous Theta Burst Stimulation Transcranial Focused Ultrasound

Keywords

  • NaviFUS
  • Tremor
  • Transcranial focused ultrasound
03

In context

Parkinson Disease

4,573 studies on the registry are indexed under Parkinson Disease; 1,086 are open to participants now.

This study's planned enrollment of 12 is below the median of 40 across 3,353 interventional studies indexed under Parkinson Disease.

Browse Parkinson Disease studies →

Lead sponsor

National Taiwan University Hospital is the lead sponsor of 2,615 studies on the registry; 576 are open to participants now.

Of its 11 completed or terminated interventional studies of FDA-regulated products, 2 (18%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 80 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

  • Age between 18 and 80 years.
  • Subjects must belong to one of the following three categories:

    1. Patients with Parkinson's disease tremor who have an inadequate response to medication.
    2. Patients with essential tremor who have an inadequate response to medication.
    3. Patients with dystonic tremor who have an inadequate response to medication.
  • Subjects are willing to shave hair over the treatment area for focused ultrasound.
  • Stable medication regimen (types and dosages) for at least 4 weeks prior to study enrollment.
  • Normal liver and renal function (Creatinine \< 1.3 mg/dL, GPT \< 41 U/L).
  • Female participants of , or male participants with female partners of childbearing potential, must agree to use appropriate from the first study treatment until at least 6 months after the last treatment to prevent pregnancy.

Exclusion criteria

Exclusion Criteria:

  • Presence of intracranial implants deemed unsuitable for MRI, such as metal clips, ventriculoperitoneal (VP) shunts, cochlear implants, deep brain stimulation (DBS) devices, pacemakers, or implantable cardioverter- defibrillators (ICDs).
  • Any abnormalities along the focused ultrasound beam path through the skull, including scars on the skull, scalp conditions (e.g., eczema), open wounds, calp atrophy, or significant calcification confirmed by imaging along the ultrasound transmission pathway.
  • Pregnant or breastfeeding women.
  • Use of drugs from other clinical trials.
  • Patients with major depressive disorder (Beck Depression Inventory-II score > 30 within the past year) or with suicidal ideation.
  • Any condition that, in the opinion of the investigator, may interfere with treatment efficacy or increase risk to the subject.
  • Presence of any brain tumors, vascular malformations, or significant traumatic brain injury.
  • Presence of significant psychiatric symptoms (Clinical Dementia Rating [CDR]

    • 2).
  • Use of anticoagulant medications.
  • Use of medications known to exacerbate tremor.
  • Tremor due to metabolic or psychogenic causes.
  • Coagulopathy or abnormal coagulation profiles, including any of the following:

    1. count ≤ 100,000/µL
    2. ≥ 1.5
    3. PT ≥ 1.5 × (ULN)
    4. aPTT ≥ 1.5 × ULN
    5. Fibrinogen ≤ 150 mg/dL
  • Inability to provide or comply with study procedures, posing potential safety concerns.
  • Insufficient skull density as determined by pre-treatment evaluation, resulting in ultrasound transmission efficiency less than 20%.
Terms in these criteria, in plain language(7)

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

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.

05

Study design

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

Study arms

  • Experimental
    Tremor treatment

    Procedure: Accelerated NaviFUS-ctbFUS stimulation

Interventions

  • ProcedureAccelerated NaviFUS-ctbFUS stimulation

    Three consecutive sessions of NaviFUS-ctbTUS stimulation were performed, with a 5-minute interval between each session. The acoustic pressure was set such that the estimated intracranial pressure at 30% skull transmission was approximately 0.5 MPa. The stimulation target was the center of the Vop, with a total of 7 stimulation points.

06

What researchers measure

Primary outcomes

  1. Incidence of Adverse Events Compared to Baseline [Safety Assessment]

    The safety of using the NaviFUS system in patients with tremor will be assessed throughout the study period. Any examination result that shows a significant change compared to baseline (Visit 1), as determined by the investigator, will be documented and reported as an adverse event (AE).

    Time frame: Day of first stimulation, 7 days after first stimulation, day of second stimulation, 7 days after second stimulation, and 28 days after second stimulation.

Secondary outcomes

  1. Change in Tremor Amplitude [Efficacy]

    Efficacy will be assessed by determining whether there is a change in tremor amplitude across multiple time points following treatment. Measurements (archimedes spirogram ) will be taken pre-treatment and at several time points post-treatment to evaluate immediate and short-term effects.

    Time frame: On the day of first stimulation and the day of second stimulation: immediately before treatment, and at 0, 20, 40, and 60 minutes post-treatment; on the day of second stimulation, also after task-based fMRI.

07

Study locations

1 of 1 sites recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 15, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07172295
Responsible party
National Taiwan University Clinical Trial Center (National Taiwan University Hospital, National Taiwan University Hospital) — Principal investigator
First posted
Sep 15, 2025
Start date
Jun 11, 2025
Primary completion
Jun 30, 2027 (estimated)
Completion
Dec 31, 2027 (estimated)
Last update
Sep 15, 2025

Study contacts

Kai-Hsiang Kai-Hsiang, M.D.
Contact
stanleychen1230@gmail.com
+886-3-5326151

Oversight

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

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