MR guided focused ultrasound treatment of Parkinson's disease

  • Research type

    Research Study

  • Full title

    A pivotal clinical trial of the management of the medically refractory dyskinesia symptoms or motor fluctuations of advanced idiopathic Parkinson's disease with unilateral lesioning of the globus pallidus using the Exablate neuro system.

  • IRAS ID

    238482

  • Contact name

    WMW GEDROYC

  • Contact email

    w.gedroyc@imperial.ac.uk

  • Sponsor organisation

    Insightec plc

  • Clinicaltrials.gov Identifier

    NCT03319485

  • Duration of Study in the UK

    2 years, 0 months, 2 days

  • Research summary

    This study examines the safety and effectiveness of transcranial focused ultrasound in the treatment of patients with drug resistant Parkinson's disease. Focused ultrasound will be used to interrupt electrical pathways in the brain in the globus pallidus to try to improve patient symptomatology. This site is a commonly used target in more interventional procedures such as deep brain stimulation which may be used in this context whereas focused ultrasound is a completely non-interventional technique which has a greatly reduced incidence of side effects in comparison to deep brain stimulation. Only patients with severe muscular problems such as slowness of movement and abnormal movements will be recruited. Patients with severe Parkinson's disease tremor will not be eligible for this particular study. Patients will be randomised to either the complete actual therapy or to a sham therapy procedure in which they receive no ultrasound energy. If patients who receive a sham procedure are still symptomatic at three months they will be able to receive the actual therapeutic procedure. All patients will be followed to 12 months to assess the safety and efficacy of this procedure utilising conventional well-established Parkinson's disease assessment criteria.

  • REC name

    London - Stanmore Research Ethics Committee

  • REC reference

    18/LO/0070

  • Date of REC Opinion

    16 Apr 2018

  • REC opinion

    Further Information Favourable Opinion