Sound waves could tame Parkinson's tremors and twitches
NCT ID NCT03319485
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a non-invasive treatment using focused ultrasound to target a small area in the brain that controls movement. It is for people with advanced Parkinson's disease whose medication no longer controls their involuntary movements or motor fluctuations. The goal is to see if this one-time procedure can safely reduce these symptoms and improve daily function.
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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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92 people
The number who actually took part.
- Started
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Feb 2018
- Expected to finish
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Aug 2026
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
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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30 years and older
- 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.
Inclusion Criteria: 1. Men and women, age 30 years and older. 2. Subjects who are able and willing to give informed consent and able to attend all study visits through 12 Months. 3. Subjects with a diagnosis of idiopathic PD by UK Brain Bank Criteria as confirmed by a movement disorder neurologist at the site. 4. Levodopa responsive as defined by at least a 30% reduction in MDS-UPDRS motor subscale in the ON vs OFF medication state. 5. MDS-UPDRS score of ≥ 20 in the meds OFF condition OR Motor complications of PD on optimum medical treatment . 6. Subjects should be on a stable dose of all PD medications for 30 days prior to study entry as determined by medical records. 7. Subject is able to communicate sensations during the ExAblate procedure. 8. Subjects on stable antidepressant medications for at least 3 months Exclusion Criteria: 1. Hoehn and Yahr stage in the ON medication state of 3 or greater. 2. Presence of other central neurodegenerative disease suspected on neurological examination. These include: multisystem atrophy, progressive supranuclear palsy, corticobasal syndrome, dementia with Lewy bodies, and Alzheimer's disease. 3. Any suspicion that Parkinsonian symptoms are a side effect from neuroleptic medications. 4. Subjects who have had deep brain stimulation or a prior stereotactic ablation of the basal ganglia. 5. Presence of significant cognitive impairment using MMSE ≤ 24. 6. Unstable psychiatric disease, defined as active uncontrolled depressive symptoms, psychosis, delusions, hallucinations, or suicidal ideation. 7. Subjects with an active alcohol or drug dependency or history of drug/alcohol abuse within the past year 8. Subjects with unstable cardiac status 9. Severe hypertension (diastolic BP \> 100 on medication). 10. Current medical condition resulting in abnormal bleeding and/or coagulopathy. 11. Receiving anticoagulant (e.g., warfarin) or antiplatelet (e.g., aspirin) therapy within one week of focused ultrasound procedure or drugs known to increase risk or hemorrhage (e.g., Avastin) within one month of focused ultrasound procedure. 12. Subjects with risk factors for intraoperative or postoperative bleeding as indicated by: platelet count less than 100,000 per cubic millimeter; a documented clinical coagulopathy; or INR coagulation studies exceeding the institution's laboratory standard 13. Patient with kidney disease or on dialysis. 14. Subjects with standard contraindications for MR imaging 15. Significant claustrophobia that cannot be managed with mild medication. 16. Subjects who weigh more than the upper weight limit of the MR scanner table and who cannot fit into the MR scanner. 17. Subjects who are not able or willing to tolerate the required prolonged stationary supine position during treatment. 18. History of intracranial hemorrhage, multiple strokes, or a stroke within past 6 months. 19. Subjects with a history of seizures within the past year. 20. Subjects with brain tumors. 21. Subjects with intracranial aneurysms requiring treatment or arterial venous malformations (AVMs) requiring treatment. 22. Are participating or have participated in another clinical trial in the last 30 days.
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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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Azienda Ospedaliera Universitaria di Verona, Univerista di Verona
Verona, 37134, Italy
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Brigham and Women's Hospital
Boston, Massachusetts, 02115, United States
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CINAC-Hospital HM Puerta del Sur
Móstoles, Madrid, 28938, Spain
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Chang Bing Show Chwan Memorial Hospital
Changhua, Taiwan
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Clinica Universidad De Navarra
Pamplona, Navarre, 31008, Spain
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Fondazione IRCCS Neurological Institute Carlo Besta
Milan, 20133, Italy
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Mayo Clinic
Rochester, Minnesota, 55905, United States
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New York University Health Langone
New York, New York, 10016, United States
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Palm Beach Neuroscience Institute/Sperling Medical Group
Boynton Beach, Florida, 33472, United States
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Pennsylvania Hospital Department of Neurosurgery
Philadelphia, Pennsylvania, 19106, United States
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Rambam Health Care
Haifa, 3109601, Israel
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Severance Hospital, Yonsei University Health System
Seoul, South Korea
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St. Mary's Hospital
London, United Kingdom
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Stanford University Medical Center
Stanford, California, 94305, United States
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Swedish Medical Center
Seattle, Washington, 98122, United States
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The Ohio State Wexner Medical Center
Columbus, Ohio, 43210, United States
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Toronto Western Hospital
Toronto, Ontario, M5T 2S8, Canada
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University of Maryland Medical System
Baltimore, Maryland, 21201, United States
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University of Virginia Health System
Charlottesville, Virginia, 22908, United States
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Weill Cornell Medicine
New York, New York, 10065, United States
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Other studies related to the condition(s) this trial covers.
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- Brain scans probe why some Parkinson's patients freeze Mid-Step