Parkinson Disease (PD)
Conditions
Brief summary
The aim of the study is to characterize the neuroinflammatory effects of subthalamic deep brain stimulation in patients with Parkinson's disease, by analyzing changes in blood neuroinflammatory and neurodegenerative biomarkers before and after surgery (at 6 and 12 months, respectively), and comparing the changes in blood biomarkers levels with a control group of patients with advanced PD on best medical treatment.
Interventions
The patients of DBS group will undergo surgical implantation of a system of deep brain stimulation in the subthalamic nucleus bilaterally, according to clinical practice.
Sponsors
Study design
Eligibility
Inclusion criteria
* clinically established diagnosis of PD according to the criteria of the Movement Disorder Society (MDS) (Postuma et al., Mov Disord 2015); * a minimum disease duration of 4 years; * eligibility for STN-DBS surgery according to Core Assessment Program for Surgical Interventional Therapies in PD (Defer et al., Mov Disord 1999); * age between 18 and 75 years.
Exclusion criteria
* inability to express an informed consent; * moderate or severe cognitive impairment (score \< 24 on the Mini-Mental State Examination); * severe psychiatric symptoms (e.g., psychosis, major depression); * previous neurosurgical interventions for PD; * pregnancy; * ongoing inflammatory or autoimmune diseases; * chronic infectious diseases; * active neoplasms; * chronic intake of anti-inflammatory drugs (e.g. steroids or NSAIDs).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| To characterize neuroinflammatory effects of deep brain stimulations | 12 months | The main aim of the study is to characterize the neuroinflammatory effects of STN-DBS in PD patients, by analyzing changes in blood neuroinflammatory and neurodegenerative biomarkers before and after surgery (at 6 and 12 months, respectively), and comparing the changes in blood biomarkers levels with a control group of patients with advanced PD on best medical treatment. |
Contacts
Fondazione Policlinico Universitario Agostino Gemelli IRCCS