Deep brain stimulation of the lateral hypothalamus to enhance motor function in patients with spinal cord injury
Descrizione riassuntiva dello studio
This study is a feasibility clinical trial of a new therapy using a deep brain stimulation device, used outside its original indication. It is to be conducted at the Centre Hospitalier Universitaire Vaudois (CHUV) in Lausanne, Switzerland. This study aims, on one hand, to evaluate the safety of this therapy in participants suffering from spinal cord injury, and on the other hand, to assess its efficacy in improving motor abilities in these same participants. It is planned to include three participants suffering from spinal cord injury for at least 12 months. These participants will have 2 electrodes implanted in the brain as well as an electrical pulse generator that will be placed under the skin, at the chest level. The duration of this trial is 12 months and the participation of each participant is to last 6 months. During this period, each participant will have to take part in a 3-month rehabilitation phase following the surgery, during which the implanted deep brain stimulation system will be activated by the study staff during rehabilitation sessions to evaluate its impact on the participant's motor abilities. Following this rehabilitation phase, participants will be able to return home for a period of 3 months, during which the deep brain stimulation system will not be activated. Various assessments and tests (walking performance, neurobiomechanical recordings, imaging) will be carried out throughout the study to judge the improvement or not of the motor functions of the participants due to the use of deep brain stimulation.
(BASEC)
Intervento studiato
Implantation of a deep brain stimulation system consisting of two cerebral electrodes (in the right and left parts of the brain) connected to an electrical impulse generator (under the skin, at chest level)
(BASEC)
Malattie studiate
Spinal cord injury
(BASEC)
- Age 18-65 (Men or women) - Incomplete spinal cord injury (participant able to walk a few meters independently with a walker) - Spinal cord injury more than 12 months old. (BASEC)
Criteri di esclusione
- Pregnant or breastfeeding women (mandatory pregnancy test) - Spinal cord injury due to degenerative, blood circulation or tumor disorders - Limitation of locomotor function due to: serious systemic disorders, cardiovascular disorders limiting physical training, peripheral nerve disorders. (BASEC)
Luogo dello studio
Losanna
(BASEC)
Sponsor
CHUV
(BASEC)
Contatto per ulteriori informazioni sullo studio
Persona di contatto in Svizzera
Jocelyne Bloch
+41 79 556 2951
jocelyne.bloch@clutterchuv.chCHUV
(BASEC)
Nome del comitato etico approvante (per studi multicentrici solo il comitato principale)
Commissione d'etica Vaud
(BASEC)
Data di approvazione del comitato etico
08.04.2021
(BASEC)
ID di studio ICTRP
NCT04965727 (ICTRP)
Titolo ufficiale (approvato dal comitato etico)
Deep brain stimulation of the lateral hypothalamus to augment motor functions of patients with spinal cord injury (BASEC)
Titolo accademico
Deep Brain Stimulation of the Lateral Hypothalamus to Augment Motor Function of Patients With Spinal Cord Injury (ICTRP)
Titolo pubblico
Deep Brain Stimulation of the Lateral Hypothalamus to Augment Motor Function of Patients With Spinal Cord Injury (ICTRP)
Malattie studiate
Deep Brain Stimulation;Neuro: Spinal Cord Injury (ICTRP)
Intervento studiato
Procedure: Device implantation (ICTRP)
Tipo di studio
Interventional (ICTRP)
Disegno dello studio
Allocation: N/A. Intervention model: Single Group Assignment. Primary purpose: Treatment. Masking: None (Open Label). (ICTRP)
Criteri di inclusione/esclusione
Gender: All
Maximum age: 65 Years
Minimum age: 18 Years
Inclusion Criteria:
- SCI graded as American Spinal Injury Association Impairment Scale (AIS) C or D (able
to walk independently for a few meters with a walker)
- Focal spinal cord disorder caused by trauma
- Minimum 12 months post-injury
- Stable medical, physical and psychological condition as considered by Investigators
- Able to understand and interact with the study team in French or English
- Adequate care-giver support and access to appropriate medical care in patient's home
community
- Must agree to comply in good faith with all conditions of the study and to attend all
required study training and visit
- Must provide and sign Informed Consent prior to any study related procedures
Exclusion Criteria:
- Limitation of walking function based on accompanying (CNS) disorders (i.e., systemic
malignant disorders, cardiovascular disorders restricting physical training,
peripheral nerve disorders)
- History of significant autonomic dysreflexia
- Cognitive/brain damage
- Epilepsy
- Use of an intrathecal baclofen pump
- Any active implanted cardiac device such as pacemaker or defibrillator
- Any indication that would require diathermy
- Increased risk for defibrillation
- Severe joint contractures disabling or restricting lower limb movements
- Hematological disorders with increased risk for surgical interventions
- Congenital or acquired lower limb abnormalities (affection of joints and bone)
- Women who are pregnant (pregnancy test obligatory for woman of childbearing potential)
or breastfeeding
- Lack of safe contraception for women of childbearing capacity
- Spinal cord lesion due to either a neurodegenerative disease or a tumor
- Gastrointestinal ulcers in the last five years
- Known or suspected eye disorders or diseases
- Other clinically significant concomitant disease states (e.g., renal failure, hepatic
dysfunction, cardiovascular disease, etc.)
- Any other anatomic or co-morbid conditions that, in the Investigator's opinion, could
limit the patient's ability to participate in the study or to comply with follow-up
requirements, or impact the scientific soundness of the study results
- Inability to follow the procedures of the study, e.g. due to language problems,
psychological disorders, dementia, etc. of the participant
- Participation in another study with investigational drug within the 30 days preceding
and during the present study
- Enrolment of the investigator, his/her family members, employees and other dependent
persons
- Participation in another locomotor training study
- Refusal to be informed of any finding during the study
(ICTRP)
non disponibile
Endpoint primari e secondari
Occurence of all SAEs and AEs that are deemed related or possibly related to study procedure or to study investigational system, from implantation up to the end of the study (ICTRP)
Lower Extremity Motor Strength (M0-M5 score according to the AIS scale);Walking Index for Spinal Cord Injury (WISCI II);Walking speed (10MWT/6MWT) (ICTRP)
Data di registrazione
non disponibile
Inclusione del primo partecipante
non disponibile
Sponsor secondari
Ecole Polytechnique F?d?rale de Lausanne (ICTRP)
Contatti aggiuntivi
Jocelyne Bloch, MD;Jocelyne Bloch, MD;Jocelyne Bloch, MD, jocelyne.bloch@chuv.ch, 41795562951;0041795562951, CHUV, (ICTRP)
ID secondari
HoT-DBS2021 (ICTRP)
Risultati-Dati individuali dei partecipanti
non disponibile
Ulteriori informazioni sullo studio
https://clinicaltrials.gov/ct2/show/NCT04965727 (ICTRP)
Risultati dello studio
Riepilogo dei risultati
non disponibile
Link ai risultati nel registro primario
non disponibile