Parkinson's disease MedDRA version: 19.0 Level: LLT Classification code 10013113 Term: Disease Parkinson's System Organ Class: 100000004852
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients undergoing placement of DBS for PD in two phases. 2. The patient must be of legal age (> 17 years old). 3. The patient or his representative has consented to participate in the study. 4. The patient should, in the investigator's opinion be able to cooperate during the procedure. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 4 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 8
Exclusion criteria
Exclusion criteria: 1. Known liver disease. 2. Pregnant or nursing women. 3. History of hypersensitivity to dexmedetomidine. 4. Heart block (2nd or 3rd degree), without pacemaker. 5. Symptomatic hypotension. 6. Severe stroke or other neurological deficits that may impair adequate cooperation or observation of the study endpoints
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To study and quantify the possible effect of different doses of dexmedetomidine (0.2-0.6 µg/kg/h) on the local field potentials (deep brain activity) in patients with Parkinson´s disease undergoing deep brain stimulation implantion.;Secondary Objective: 1- To make an observational comparative analysis of possible changes in tremor of the patients between control and different concentrations of dexmedetomidine. 2- To study the relationship between the effect of dexmedetomidine on the LFPs of the basal ganglia and frontal cortical activity (bispectral index©). ;Primary end point(s): Local field potentials (deep brain activity) recording with the deep brain stimulator under different doses of dexmedetomidine.;Timepoint(s) of evaluation of this end point: Before the second surgery phase (implanting of programmable pulse generator and connection to the deep brain stimulator), in “off” medication and without any residual effect of anesthetic drugs, the patient will be transfer to the post-anesthetic care unit for the administration of dexmedetomidine and recording the local field potentials. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): • Demographic variables (sex, age, weight, BMI). • Patient diagnosis and duration of PD. • “Basal tremor” score on the UPDRS-III in state "off" before the surgery. • Stimulation target (STN or Gpi). • Type of intervention. • “Control recording” of LFPs (deep brain activity) through the DBS. • “Dexmedetomidine recording” of local field potentials (deep brain activity) at different concentrations of dexmedetomidine through the deep brain stimulation electrode. • “Control tremor” and “dexmedetomidine tremor” score at different concentration. • Frontal cortical activity (bilateral bispectral index). • Adverse events by the administration of dexmedetomidine;Timepoint(s) of evaluation of this end point: At different moments during the study | — |
Countries
Spain
Contacts
Clinica Universidad de Navarra