ClinicalTrials.gg
RecruitingNCT07599592Updated May 20, 2026

Open Label Study for the Use of Low Intensity Focused Ultrasound for Essential Tremor

An Early Phase 1 interventional study of Low Intensity Focused Ultrasound (LIFU) in Essential Tremor, sponsored by University of California, Los Angeles. Recruiting at 1 site in United States. Open to participants aged 18 Years to 90 Years. Per ClinicalTrials.gov, last updated 2026-05-20.

Sponsored by University of California, Los Angeles · Early Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started May 2026; still recruiting 6 months later.
Phase
Early Phase 1
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
18 Years to 90 Years
Sex
All
01

Study summary

This open-label pilot study will evaluate the safety, tolerability, feasibility, and preliminary efficacy of repeated low-intensity focused ultrasound pulsation (LIFUP) targeting the ventral intermediate nucleus (Vim) of the thalamus in patients with Essential Tremor (ET). Twelve adults with clinically diagnosed ET will undergo six LIFUP treatment sessions over approximately two weeks using the BrainSonix BX Pulsar 1002 system. Tremor severity will be assessed using clinician-rated scales (TETRAS and FTM), patient-reported quality-of-life measures (QUEST), and objective accelerometry before and after treatment sessions, with additional follow-up visits at one and three months post-treatment. MRI scans will be performed at baseline and after the final treatment session to monitor safety. The study aims to characterize whether non-ablative focused ultrasound can safely and transiently modulate tremor-related thalamic circuits and provide preliminary evidence supporting future controlled trials of LIFUP for ET.

02

Conditions studied

  • Essential Tremor

Keywords

  • Brainsonix
  • tFUS
  • Focused Ultrasound
  • Tremor
  • Movement Disorder
03

In context

Essential Tremor

272 studies on the registry are indexed under Essential Tremor; 75 are open to participants now.

This study's planned enrollment of 20 is below the median of 25 across 189 interventional studies indexed under Essential Tremor.

Browse Essential Tremor studies →

Lead sponsor

University of California, Los Angeles is the lead sponsor of 1,170 studies on the registry; 195 are open to participants now.

Of its 95 completed or terminated interventional studies of FDA-regulated products, 70 (74%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 90 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

  1. Confirmed clinical diagnosis of ET
  2. Isolated tremor syndrome, at least 3 years duration
  3. Subjective complaint of tremor assessed and validated by physician
  4. Must be willing to comply with the study protocol
  5. English Proficiency
  6. At least 18 years of age
  7. At most 90 years of age

Exclusion criteria

Exclusion Criteria:

  1. Severe microvascular disease or structural brain lesions equivalent to Fazekas scale of 3 or higher in the periventicular or deep white matter.
  2. Subjects on blood thinning medications (e.g. Eliquis)
  3. Recent stroke (within the last 6 months)
  4. Implanted electrodes (e.g. DBS) in brain
  5. History of aneurysm
  6. History of cranial trauma resulting in fracture or traumatic brain injury
  7. Subjects who are unable to cooperate with the testing.
  8. Subjects who lack capacity to consent
  9. Subjects with severe cardiac disease, increased intracranial pressure, or using a transcutaneous electrical nerve stimulation (TENS) unit.
  10. Severe cardiac disease will be defined as any of the following:

    i) History of myocardial infarction within the past 6 months ii) Diagnosis of congestive heart failure with Class III or IV symptoms iii) History of unstable angina, life-threatening arrhythmias, or use of an implantable cardioverter-defibrillator (ICD) iv) Uncontrolled hypertension (SBP >180 mmHg or DBP >110 mmHg) despite medication v) Any condition judged by the study physician to place the subject at increased risk from study participation

  11. Subjects with implanted medical devices
  12. Subjects with a history of seizure disorder.
  13. Subjects with to enter MRI environment
  14. Subjects with a history of substance abuse.
  15. Subjects who are currently pregnant. This will be verified by a urine test prior to beginning the study.
Terms in these criteria, in plain language(2)

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.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Early Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
20 participants (estimated)

Study arms

  • Experimental
    LIFU Open Label Group

    All subjects will be in the open-label arm of the study in which they will receive LIFU of the Vim

    Device: Low Intensity Focused Ultrasound (LIFU)

Interventions

  • DeviceLow Intensity Focused Ultrasound (LIFU)

    Participants will receive low-intensity focused ultrasound pulsation (LIFUP) delivered using the BrainSonix BX Pulsar 1002 investigational device targeting the ventral intermediate nucleus (Vim) of the thalamus.

    Also known as: Transcranial Focused Ultrasound (tFUS)

06

What researchers measure

Primary outcomes

  1. Accelerometric Data of Tremor Severity

    Accelerometric trackers will be used to quantify and track tremor severity at each study session.

    Time frame: From enrollment until the end of treatment at 2 weeks

Secondary outcomes

  1. TETRAS

    The Essential Tremor Rating Scale is a clinically verified scale to track the severity of tremor.

    Time frame: From enrollment to the end of treatment at 2 weeks.

  2. Fahn-Tolosa-Marin Tremor Rating Scale

    The Fahn-Tolosa-Marin Tremor Rating Scale is a clinically verified scale to track tremor severity.

    Time frame: From enrollment to the end of treatment at 2 weeks.

07

Study locations

1 of 1 sites recruiting
  • UCLA Semel Institute for Neuroscience and Human Behavior
    Los Angeles, California 90024, United States
    Recruiting
    • Andrew Bishay · Contactandrewbishay@ucla.edu · 4243719869
    • William Zeiger, MD, PhD · Principal investigator
    • John Stern, MD · Sub investigator
    • Ausaf Bari, MD, PhD · Sub investigator
08

References and documents

Publications

  • Bishay AAED, Swenson AJ, Spivak NM, Schafer S, Bych BP, Gilles SD, Dorobczynski C, Korb AS, Schafer ME, Kuhn TP, Monti MM, Bystritsky A. Preliminary Examination of the Effects of Focused Ultrasound on Living Skin and Temperature at the Skin-Transducer Interface. Bioengineering (Basel). 2024 Nov 8;11(11):1126. doi: 10.3390/bioengineering11111126. PubMed 39593786 ↗
  • Zesiewicz TA, Elble RJ, Louis ED, Gronseth GS, Ondo WG, Dewey RB Jr, Okun MS, Sullivan KL, Weiner WJ. Evidence-based guideline update: treatment of essential tremor: report of the Quality Standards subcommittee of the American Academy of Neurology. Neurology. 2011 Nov 8;77(19):1752-5. doi: 10.1212/WNL.0b013e318236f0fd. Epub 2011 Oct 19. PubMed 22013182 ↗
  • Zeng Q, Guan X, Guo T, Law Yan Lun JCF, Zhou C, Luo X, Shen Z, Huang P, Zhang M, Cheng G. The Ventral Intermediate Nucleus Differently Modulates Subtype-Related Networks in Parkinson's Disease. Front Neurosci. 2019 Mar 11;13:202. doi: 10.3389/fnins.2019.00202. eCollection 2019. PubMed 30914916 ↗
  • Tysnes OB, Storstein A. Epidemiology of Parkinson's disease. J Neural Transm (Vienna). 2017 Aug;124(8):901-905. doi: 10.1007/s00702-017-1686-y. Epub 2017 Feb 1. PubMed 28150045 ↗
  • Stern JM, Spivak NM, Becerra SA, Kuhn TP, Korb AS, Kronemyer D, Khanlou N, Reyes SD, Monti MM, Schnakers C, Walshaw P, Keselman I, Cohen MS, Yong W, Fried I, Jordan SE, Schafer ME, Engel J Jr, Bystritsky A. Safety of focused ultrasound neuromodulation in humans with temporal lobe epilepsy. Brain Stimul. 2021 Jul-Aug;14(4):1022-1031. doi: 10.1016/j.brs.2021.06.003. Epub 2021 Jun 23. PubMed 34198105 ↗
  • Spivak NM, Korb AS, Reyes SD, Bych BP, Schafer SF, Khanlou N, Johnson EA, Schafer ME, Cohen MS, Kuhn T, Bystritsky A. Histological examination of focused ultrasound effects on human brain tissue. Brain Stimul. 2021 Nov-Dec;14(6):1486-1488. doi: 10.1016/j.brs.2021.09.015. Epub 2021 Oct 1. No abstract available. PubMed 34607066 ↗
  • Spivak NM, Bishay AAED, Haroon J, Hopkins AR, Tanabe J, Halavi S, Hoang-Dang B, Swenson AJ, Schafer SF, Schafer ME, Bystritsky A, Bookheimer SY, Monti MM. Dose-Escalation Study of Amygdalar Transcranial Focused Ultrasound in Healthy Volunteers. medRxiv [Preprint]. 2025 Oct 29:2025.10.21.25338018. doi: 10.1101/2025.10.21.25338018. PubMed 41282732 ↗
  • Shanker V. Essential tremor: diagnosis and management. BMJ. 2019 Aug 5;366:l4485. doi: 10.1136/bmj.l4485. PubMed 31383632 ↗
  • Schafer ME, Spivak NM, Korb AS, Bystritsky A. Design, Development, and Operation of a Low-Intensity Focused Ultrasound Pulsation (LIFUP) System for Clinical Use. IEEE Trans Ultrason Ferroelectr Freq Control. 2021 Jan;68(1):54-64. doi: 10.1109/TUFFC.2020.3006781. Epub 2020 Dec 23. PubMed 32746201 ↗
  • Su JH, Choi EY, Tourdias T, Saranathan M, Halpern CH, Henderson JM, Pauly KB, Ghanouni P, Rutt BK. Improved Vim targeting for focused ultrasound ablation treatment of essential tremor: A probabilistic and patient-specific approach. Hum Brain Mapp. 2020 Dec;41(17):4769-4788. doi: 10.1002/hbm.25157. Epub 2020 Aug 6. PubMed 32762005 ↗
  • Rohani M, Fasano A. Focused Ultrasound for Essential Tremor: Review of the Evidence and Discussion of Current Hurdles. Tremor Other Hyperkinet Mov (N Y). 2017 May 5;7:462. doi: 10.7916/D8Z89JN1. eCollection 2017. PubMed 28503363 ↗
  • Owens-Walton C, Jakabek D, Power BD, Walterfang M, Velakoulis D, van Westen D, Looi JCL, Shaw M, Hansson O. Increased functional connectivity of thalamic subdivisions in patients with Parkinson's disease. PLoS One. 2019 Sep 4;14(9):e0222002. doi: 10.1371/journal.pone.0222002. eCollection 2019. PubMed 31483847 ↗
  • Jankovic J, Aguilar LG. Current approaches to the treatment of Parkinson's disease. Neuropsychiatr Dis Treat. 2008 Aug;4(4):743-57. doi: 10.2147/ndt.s2006. PubMed 19043519 ↗
  • Elias WJ, Lipsman N, Ondo WG, Ghanouni P, Kim YG, Lee W, Schwartz M, Hynynen K, Lozano AM, Shah BB, Huss D, Dallapiazza RF, Gwinn R, Witt J, Ro S, Eisenberg HM, Fishman PS, Gandhi D, Halpern CH, Chuang R, Butts Pauly K, Tierney TS, Hayes MT, Cosgrove GR, Yamaguchi T, Abe K, Taira T, Chang JW. A Randomized Trial of Focused Ultrasound Thalamotomy for Essential Tremor. N Engl J Med. 2016 Aug 25;375(8):730-9. doi: 10.1056/NEJMoa1600159. PubMed 27557301 ↗
  • Deveney CM, Surya JR, Haroon JM, Mahdavi KD, Hoffman KR, Enemuo KC, Jordan KG, Becerra SA, Kuhn T, Bystritsky A, Jordan SE. Transcranial focused ultrasound for the treatment of tremor: A preliminary case series. Brain Stimul. 2024 Jan-Feb;17(1):35-38. doi: 10.1016/j.brs.2023.12.007. Epub 2023 Dec 19. PubMed 38128826 ↗
  • Duval C, Daneault JF, Hutchison WD, Sadikot AF. A brain network model explaining tremor in Parkinson's disease. Neurobiol Dis. 2016 Jan;85:49-59. doi: 10.1016/j.nbd.2015.10.009. Epub 2015 Oct 14. PubMed 26459110 ↗
  • Deuschl G, Raethjen J, Hellriegel H, Elble R. Treatment of patients with essential tremor. Lancet Neurol. 2011 Feb;10(2):148-61. doi: 10.1016/S1474-4422(10)70322-7. PubMed 21256454 ↗
  • Chandran V, Pal PK. Essential tremor: beyond the motor features. Parkinsonism Relat Disord. 2012 Jun;18(5):407-13. doi: 10.1016/j.parkreldis.2011.12.003. Epub 2012 Jan 2. PubMed 22217558 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started May 2026 (actual). Primary completion is estimated for Dec 2026, 7 months after the start.

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

Registered
May 14, 2026
First posted
May 20, 2026
StartActual
May 1, 2026
Primary completionEst.
Dec 31, 2026
CompletionEst.
Jun 1, 2027
Last update
May 20, 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 May 20, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07599592
Responsible party
William Zeiger, MD, PhD (Principal Investigator, University of California, Los Angeles) — Principal investigator
First posted
May 20, 2026
Start date
May 1, 2026
Primary completion
Dec 31, 2026 (estimated)
Completion
Jun 1, 2027 (estimated)
Last update
May 20, 2026

Study contacts

Andrew Bishay
Contact
andrewbishay@ucla.edu
4243719869
William Zeiger, MD, PhD
principal investigator · University of California, Los Angeles

Oversight

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

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