Can a Split-Target brain implant beat standard DBS for Parkinson's gait trouble?
NCT ID NCT05397340
First seen Sep 22, 2026 · Last updated Sep 23, 2026 · Updated 1 time
Summary
Researchers are testing whether deep brain stimulation aimed at two different brain targets works better than the standard bilateral approach for Parkinson's disease patients who have trouble with balance and walking. The trial enrolls 40 people with Parkinson's who show postural instability and gait difficulty. Participants receive either asymmetric stimulation, with one electrode in the subthalamic nucleus and the other in the globus pallidus interna, or standard bilateral subthalamic nucleus stimulation. Neither participants nor evaluators know which treatment each person receives. The study measures changes in movement symptoms, balance, and freezing episodes over 12 months.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- deep brain stimulation, a surgical treatment that implants electrodes to send electrical pulses into specific brain regions
- What this could lead to
- If the asymmetric approach works better, doctors could tailor DBS surgery to each patient's most troublesome symptoms, potentially improving balance and walking for people whose Parkinson's does not respond well to standard stimulation.
- What could go wrong
- This is a small trial of 40 people at a single hospital, so results may not apply broadly. Brain surgery carries risks of bleeding, infection, and device problems, and the asymmetric target approach is still experimental for gait and balance symptoms.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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40 people
The number who actually took part.
- Started
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Sep 2022
- Finished
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Nov 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 75 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * diagnosis of idiopathic Parkinson's disease * postural instability/gait difficulty (PIGD) phenotypes in both off- and on-medication condition Exclusion Criteria: * Atypical parkinsonism * History of stroke, encephalitis, neuroleptic uses, MRI scan with evidence of significant brain atrophy, lacunar infracts, or other conditions that might interfere with intracranial surgery * Presence of cognitive, or psychiatric or other co-morbidities (e.g., dementia, epilepsy, cranial traumatism, brain tumor, schizophrenia, severe depression or bipolar disorder, personality disorder, etc.) that might interfere with the patient's ability to complete the evaluations or to provide informed consent * Presence of anatomical abnormalities in the target region * Clinically significant medical history that would increase pre-/post-operative complications * Other conditions considered by the investigators that might interfere with the surgery procedure, the follow-ups, and the interpretation of the data
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Ruijin Hospital, Shanghai Jiao Tong University School of Medicine
Shanghai, China
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Other studies related to the condition(s) this trial covers.
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