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RecruitingNCT07774312Updated Aug 21, 2026

STN-tTIS With Different Intervention Intervals Versus Standard Medical Treatment for Parkinson's Disease

An interventional study of STN-tTIS Once Weekly and STN-tTIS Twice Weekly in Parkinson's Disease (PD), sponsored by Ruijin Hospital. Recruiting at 1 site in China. Open to participants aged 50 Years to 85 Years. Per ClinicalTrials.gov, last updated 2026-08-21.

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

From the registry’s dates

  • Started Jul 2026; still recruiting 3 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
50 Years to 85 Years
Sex
All
01

Where this study stands

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

Among 20 studies in Parkinson Disease by Ruijin Hospital — 9 open to participants now, 9 under way, none of them phase 3. Parkinson Disease · Ruijin Hospital.

Planned enrollment
5th of 18
60 · median 30
Started
2026
with 2 others
No phase
16 of 20
6 open now
Registered
20th of 20
by date

Among the 20 studies in Parkinson Disease by Ruijin Hospital, this one is the 5th largest by planned enrollment of the 18 interventional ones, is one of 3 that started in 2026, is one of 16 with no phase, and was the 20th registered.

By phase

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

No phasethis study16 · 6 open
Observational2 · 1 open
Phase 12 · 2 open

By the year they started

First in 2016; this study’s year is marked. 3 started in 2026.

Size and results

Median enrollment 30 across the 18 interventional studies, 360 across the 2 observational. Of the 6 that completed or were terminated, 0 (0%) have results posted.

Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 20 studies in Parkinson Disease by Ruijin Hospital, or all of them as a file.
02

Study summary

The goal of this clinical trial is to compare the efficacy and safety of different Intervention Intervals of subthalamic nucleus-targeted transcranial temporal interference stimulation (STN-tTIS) in patients with Parkinson disease.

Previous studies suggest that STN-tTIS may improve motor symptoms in people with Parkinson disease. However, most previous studies evaluated only one stimulation session. It remains unclear how often STN-tTIS should be administered during a repeated treatment course and whether shorter intervention intervals stimulation produces greater or longer-lasting improvement without increasing adverse events.

The main questions this study aims to answer are:

  1. Does STN-tTIS administered five times weekly improve motor symptoms more than standard medication treatment alone at the end of the 2-week treatment period?
  2. Do once-weekly, twice-weekly, and five-times-weekly STN-tTIS produce different changes in motor symptoms?
  3. Does the STN-tTIS intervention intervals influence how long its effects persist after treatment?
  4. Do the different intervention intervals have different effects on non-motor symptoms, quality of life, cognitive function, and safety?

Participants will be randomly assigned to receive STN-tTIS once weekly, twice weekly, or five times weekly for 2 weeks, or to continue standard antiparkinsonian medication without additional stimulation. All participants will maintain a stable medication regimen during the study. Their motor and non-motor symptoms will be assessed during the treatment period and during a subsequent 2-week follow-up period.

Read the detailed description

Parkinson disease (PD) is a progressive neurodegenerative disorder characterized by both motor and non-motor symptoms that substantially impair quality of life. Although pharmacological therapy remains the standard treatment, long-term medication use is frequently associated with motor fluctuations and treatment-related complications. Transcranial temporal interference stimulation (tTIS) is a novel noninvasive neuromodulation technique capable of selectively modulating deep brain structures without surgery. Previous pilot studies have demonstrated that subthalamic nucleus-targeted tTIS (STN-tTIS) may improve motor symptoms in patients with PD. However, existing studies have primarily evaluated the immediate effects of single-session stimulation, and the optimal intervention interval for repeated STN-tTIS has not yet been established.

The objective of this multicenter clinical trial is to evaluate whether different intervention intervals, defined as once-weekly, twice-weekly, and five-times-weekly STN-tTIS administration, result in different therapeutic effects in patients with PD and to compare their efficacy and safety. The study will also investigate whether the intervention interval influences the durability of clinical improvement following completion of the intervention.

Approximately 60 participants with PD will be enrolled and randomly assigned to one of three active STN-tTIS treatment groups with different intervention intervals or to a control group receiving standard medical therapy alone. All participants will continue a stable antiparkinsonian medication regimen throughout the study. The treatment period will last 2 weeks, followed by a 2-week follow-up period. Clinical efficacy will be evaluated primarily by changes in motor symptoms, while additional assessments will evaluate non-motor symptoms, sleep, quality of life, cognitive function, and safety. This study will provide information regarding the influence of intervention intervals on the efficacy and safety of repeated STN-tTIS in patients with Parkinson disease and may help inform future treatment strategies.

03

Conditions studied

  • Parkinson's Disease (PD)

Browse trials for

Keywords

  • Subthalamic nucleus
  • Transcranial Temporal Interference Stimulation
  • Intervention Intervals
04

Who can participate

Ages eligible
50 Years to 85 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.Aged 50-85 years, male or female.
  • 2.Diagnosed with idiopathic Parkinson disease (PD) in accordance with the Chinese Guidelines for the Diagnosis and Treatment of Parkinson's Disease (4th Edition), with a confirmed diagnosis for at least 6 months and a stable condition, defined as no significant deterioration or major medication adjustment within the past month.
  • 3.Receiving stable doses of antiparkinsonian medication (e.g., levodopa or dopamine agonists) and willing to maintain the medication regimen during the study.
  • 4.Hoehn and Yahr stage 1-3 in the medication ON state.
  • 5.Baseline MDS-UPDRS Part III total score ≥20 in the medication ON state.
  • 6.No history of non-invasive neuromodulation therapy, or discontinuation of such therapy for at least 3 months before enrollment if previously received.
  • 7.Normal cognitive function ( score ≥24) and able to cooperate with tTIS intervention, clinical scale assessments, and basic smartphone- and smartwatch-assisted home-based motor self-assessments.
  • 8.Able and willing to provide written and complete all required study procedures and follow-up assessments.

Exclusion criteria

Exclusion Criteria:

  • 1.Other neurological disorders that may affect motor or cognitive function.
  • 2. to magnetic resonance imaging (MRI), such as claustrophobia.
  • 3.History of taking antipsychotics, antidepressants, or other medications affecting dopamine levels.
  • 4.Psychiatric disorders (e.g., depression or schizophrenia), substance abuse, or alcohol dependence.
  • 5.Implanted medical devices (e.g., pacemaker or defibrillator), metal implants in the cranium or spine, a personal or family history of epilepsy, or severe skull defects.
  • 6.Previous deep brain stimulation (DBS) or other intracranial implantation surgery, or participation in another Parkinson disease clinical trial within the past 3 months.
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.

MMSE and MoCA

Short tests of memory and thinking, each scored out of 30. Lower scores suggest more difficulty; criteria give a range, either to include people with memory problems or to leave them out.

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.

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
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    STN-tTIS Once Weekly

    Participants receive STN-targeted transcranial temporal interference stimulation (STN-tTIS) once weekly for 2 weeks in addition to stable antiparkinsonian medication.

    Device: STN-tTIS Once Weekly · Drug: Standard Antiparkinsonian Medication

  • Experimental
    STN-tTIS Twice Weekly

    Participants receive STN-targeted transcranial temporal interference stimulation (STN-tTIS) twice weekly for 2 weeks in addition to stable antiparkinsonian medication.

    Device: STN-tTIS Twice Weekly · Drug: Standard Antiparkinsonian Medication

  • Experimental
    STN-tTIS Five Times Weekly

    Participants receive STN-targeted transcranial temporal interference stimulation (STN-tTIS) five times weekly for 2 weeks in addition to stable antiparkinsonian medication.

    Device: STN-tTIS Five Times Weekly · Drug: Standard Antiparkinsonian Medication

  • Active comparator
    Standard Medical Therapy Alone

    Participants continue their stable antiparkinsonian medication regimen for 2 weeks without additional STN-tTIS.

    Drug: Standard Antiparkinsonian Medication

Interventions

  • DeviceSTN-tTIS Once Weekly

    Participants receive subthalamic nucleus-targeted transcranial temporal interference stimulation (STN-tTIS) once weekly for 2 weeks. Each stimulation session lasts 20 minutes. Two high-frequency alternating currents at 2000 Hz and 2130 Hz are delivered through two pairs of scalp electrodes, generating a 130-Hz temporal interference envelope targeting the subthalamic nucleus. Stable antiparkinsonian medication is maintained throughout the intervention period.

    Also known as: Transcranial Temporal Interference Stimulation

  • DeviceSTN-tTIS Twice Weekly

    Participants receive subthalamic nucleus-targeted transcranial temporal interference stimulation (STN-tTIS) twice weekly for 2 weeks. Each stimulation session lasts 20 minutes. Two high-frequency alternating currents at 2000 Hz and 2130 Hz are delivered through two pairs of scalp electrodes, generating a 130-Hz temporal interference envelope targeting the subthalamic nucleus. Stable antiparkinsonian medication is maintained throughout the intervention period.

    Also known as: Transcranial Temporal Interference Stimulation

  • DeviceSTN-tTIS Five Times Weekly

    Participants receive subthalamic nucleus-targeted transcranial temporal interference stimulation (STN-tTIS) five times weekly for 2 weeks. Each stimulation session lasts 20 minutes. Two high-frequency alternating currents at 2000 Hz and 2130 Hz are delivered through two pairs of scalp electrodes, generating a 130-Hz temporal interference envelope targeting the subthalamic nucleus. Stable antiparkinsonian medication is maintained throughout the intervention period.

    Also known as: Transcranial Temporal Interference Stimulation

  • DrugStandard Antiparkinsonian Medication

    Participants continue their stable antiparkinsonian medication regimen throughout the 2-week study intervention period. No additional STN-tTIS is administered.

06

What researchers measure

Primary outcomes

  1. Change From Baseline in MDS-UPDRS Part III Total Score at the End of the Intervention Period

    The Movement Disorder Society-Unified Parkinson's Disease Rating Scale Part III (MDS-UPDRS Part III) is used to assess the severity of motor symptoms in Parkinson disease. The total score ranges from 0 to 132, with higher scores indicating greater motor impairment. The primary outcome is the change in MDS-UPDRS Part III total score from baseline to Day 12, corresponding to the end of the 2-week intervention period. Assessments are performed during the ON medication state. A greater reduction from baseline indicates greater improvement in motor symptoms.

    Time frame: Baseline to Day 12

Secondary outcomes

  1. Change From Baseline in MDS-UPDRS Part I Score

    The Movement Disorder Society-Unified Parkinson's Disease Rating Scale Part I (MDS-UPDRS Part I) assesses non-motor aspects of experiences of daily living in Parkinson disease. Scores will be assessed at baseline, Day 12, and Day 27. Higher scores indicate greater impairment. Changes from baseline will be compared among the study groups.

    Time frame: Baseline to Day 12 and Day 27

  2. Change From Baseline in MDS-UPDRS Part II Score

    The MDS-UPDRS Part II assesses motor aspects of experiences of daily living in Parkinson disease. Scores will be assessed at baseline, Day 12, and Day 27. Higher scores indicate greater impairment. Changes from baseline will be compared among the study groups.

    Time frame: Baseline to Day 12 and Day 27

  3. Change From Baseline in MDS-UPDRS Part IV Score

    The MDS-UPDRS Part IV assesses motor complications associated with Parkinson disease, including motor fluctuations and dyskinesias. Scores will be assessed at baseline, Day 12, and Day 27. Higher scores indicate greater motor complications. Changes from baseline will be compared among the study groups

    Time frame: Baseline to Day 12 and Day 27

  4. Change From Baseline in Non-Motor Symptoms Scale (NMSS) Score

    The Non-Motor Symptoms Scale (NMSS) is used to assess the severity and frequency of non-motor symptoms associated with Parkinson disease. Higher scores indicate a greater burden of non-motor symptoms. NMSS scores will be assessed at baseline, Day 12, and Day 27, and changes from baseline will be compared among the study groups.

    Time frame: Baseline to Day 12 and Day 27

  5. Change From Baseline in Parkinson's Disease Questionnaire-39 (PDQ-39) Score

    The Parkinson's Disease Questionnaire-39 (PDQ-39) is a patient-reported measure of Parkinson disease-related quality of life. Higher scores indicate poorer health-related quality of life. PDQ-39 scores will be assessed at baseline, Day 12, and Day 27, and changes from baseline will be compared among the study groups.

    Time frame: Baseline to Day 12 and Day 27

  6. Change From Baseline in Parkinson's Disease Sleep Scale (PDSS) Score

    The Parkinson's Disease Sleep Scale (PDSS) is used to assess sleep-related symptoms in patients with Parkinson disease. PDSS scores will be assessed at baseline, Day 12, and Day 27, and changes from baseline will be compared among the study groups.

    Time frame: Baseline to Day 12 and Day 27

Other outcomes

  1. Change in Remotely Assessed MDS-UPDRS Part III Score

    Motor symptoms will be assessed remotely using the MDS-UPDRS Part III at prespecified time points during the intervention and follow-up periods. Longitudinal changes in remotely assessed motor scores will be evaluated to characterize changes in motor symptoms over time and compared among the study groups.

    Time frame: Day 1 to Day 27

  2. Change in Smartwatch-Derived Tremor Duration

    Tremor-related signals will be continuously collected using a smartwatch worn on the baseline-defined clinically more affected side. Tremor duration will be summarized at the daily level or within prespecified time windows to evaluate longitudinal changes during the intervention and follow-up periods.

    Time frame: Baseline to Day 27

  3. Change in Home-Based Active Motor Assessment Measures

    Participants will complete standardized smartphone-guided home-based motor tasks while motion signals are recorded using a smartwatch. Assessments will be performed under standardized medication states whenever feasible. Longitudinal changes in task-based digital motor measures will be explored during the intervention and follow-up periods.

    Time frame: Baseline to Day 27

  4. Incidence of Adverse Events and Serious Adverse Events

    Safety will be assessed by monitoring the incidence, type, severity, duration, outcome, and relationship to STN-tTIS of adverse events (AEs) and serious adverse events (SAEs). Potential stimulation-related adverse events include headache, dizziness, fatigue, scalp itching or erythema, sleep disturbance, mood changes, worsening of tremor, and other treatment-emergent symptoms.

    Time frame: Day 1 to Day 27

07

Study locations

1 of 1 sites recruiting
  • Ruijin Hospital, Shanghai Jiao Tong University School of Medicine
    Shanghai, Shanghai Municipality 200025, China
    Recruiting
    • Chencheng Zhang, MD, PHD · Contacti@cchang.org · 13381827024
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 21, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07774312
Lead sponsor
Ruijin Hospital
Responsible party
Sponsor
First posted
Aug 19, 2026
Start date
Jul 27, 2026
Primary completion
Mar 15, 2027 (estimated)
Completion
Apr 15, 2027 (estimated)
Last update
Aug 21, 2026

Study contacts

Chencheng Zhang, MD, PHD
Contact
i@cchang.org
13381827024

Oversight

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

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