Brain pacemaker that learns: new trial aims to personalize Parkinson's treatment
NCT ID NCT03815656
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests a new approach to deep brain stimulation (DBS) for people with Parkinson's disease. Instead of the usual single electrode, researchers are placing electrodes in two brain areas and using a system that adjusts stimulation based on real-time brain signals. The goal is to see if this 'adaptive' DBS can better control symptoms like tremors and stiffness. The trial involves 46 participants who are already scheduled for DBS surgery and will be followed for up to 6 years.
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 (DBS) device
- What this could lead to
- If successful, this could lead to more effective, personalized DBS therapy that adapts in real time to brain signals, potentially improving symptom control for Parkinson's patients.
- What could go wrong
- This is an early-stage study with only 46 participants, and adaptive DBS is still experimental. It may not work better than standard DBS, and there are surgical risks from electrode implantation.
This is an AI summary of the original study and may miss details. Read our disclaimer.
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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About 46 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2019
- Expected to finish
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Jan 2027
An estimate. End dates often move.
- 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Implanted RC+S arm Inclusion / Exclusion Criteria: Inclusion Criteria: * able to give informed consent * diagnosed with Parkinson's Disease and is considered a surgical candidate for DBS * has medication-related side effects from levodopa (i.e., dyskinesias, on-off fluctuations) * has off-on improvement with levodopa of at least 30% * is available for follow-up visits for length of study Exclusion Criteria: * is not safe surgical candidate for DBS * has severe neurological injury or disease other than Parkinson's Disease * has condition requiring repeated MRI scans * has untreated, clinically significant depression * has an electrical or electromagnetic implant * had a prior thalamotomy or surgical ablation procedure * has dementia interfering with ability to comply with study requirements or give informed consent * abuses drugs or alcohol * has a history of seizures * has any metallic implants * is pregnant Speech Rater Inclusion / Exclusion Criteria: Inclusion Criteria: * able to give informed consent * has no hearing impairment (by self-report) * is a native English speaker Exclusion Criteria: * is a speech therapist or clinician in a related field * studies linguistics / logopedics
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Duke University Medical Center
Durham, North Carolina, 27710, United States
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Other studies related to the condition(s) this trial covers.
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