NCT06121947Not yet recruiting
Safety and Efficacy Study of Implantable Neuromodulation for Poststroke Hemiplegia
Comparative Study of the Efficacy and Safety of Deep Brain Stimulation Versus Vagal Stimulation for Post-stroke Hemiplegia: Study Protocol for a Multicenter Randomized Controlled Trial
Source: ClinicalTrials.gov · Last updated 8 Nov 2023 · Not updated for over 12 months - ask the site whether it is still open
Brief summary (registry, in English)
Background: Hemiplegia is a common complication after a stroke. Studies have shown that traditional medical and rehabilitation treatments are not good for improving patients' motor function, deep brain stimulation (DBS) and vagus nerve stimulation (VNS) can improve the motor function of patients, but there is no comparative study between them. Objectives: This study compares the efficacy and safety of DBS and VNS in the recovery of motor function in patients with post-stroke hemiplegia, determining the best treatment for patients with post-stroke hemiplegia, and providing high-level clinical evidence for patients and clinicians to choose from. Methods/Design: This is a randomized, double-blind, sham-controlled, cross-controlled pilot study. A total of 98 patients with post-stroke hemiplegia are assigned to receive DBS or VNS. After 3 and 6 months of follow-up, all the devices are turned off. After a 2-week washout, the control group is turned on, but the stimulation group is given sham stimulation. After 9 and 12 months of follow-up, all the devices are turned on. Then, at postoperative 15 and 18 months, postoperative neuroimaging and various post-stroke motor-related scores were performed for data collection and analysis. Discussion: We propose a study design and rationale to compare the efficacy and safety of DBS and VNS in patients with post-stroke hemiplegia to provide evidence and reference for implantable neuromodulation in the treatment of post-stroke dysfunction, and to compare the therapeutic effects of DBS and VNS to provide evidence for patient and clinical diagnosis and treatment choices. Study limitations are related to the small sample size and short study period.
- Status (registry)
- Not yet recruiting
- Study type
- Interventional
- Enrollment
- 98 (estimated)
- First submitted
- 28 Oct 2023
- Start date
- 10 Nov 2023
- Primary completion date
- 30 Oct 2029
- Lead sponsor
- Chinese PLA General Hospital
- Diseases
- Stroke
- NCT number
- NCT06121947
What you commit to
- Study type: Interventional
- Planned participants: 98
- From 10 Nov 2023 to the primary completion date, 30 Oct 2029
- 1 site in 1 country
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Prior treatment
- Motor and sensory disturbances are not induced by stroke, nor by previous ischemic stroke, but stroke induced by trauma, brain tumor, etc.
- Possess a pacemaker, metal stent, plate, or implant susceptible to electrical impulses in the body (pacemaker or defibrillator, baclofen pump, deep brain stimulator, Ventricular shunts, shrapnel, etc.).
- Participate in another study drug study within 30 days before and during this study.
Other illness
- Glasgow Coma Scale (GSC) score below 15, Minimum Mental State Examination (MMSE) assessment for dementia indicated, suffering from mental disturbance and unable to cooperate with examination or treatment.
- Serious comorbidities, such as malignant tumors, primary heart, liver, kidney or hematopoietic system diseases.
- History of cognitive impairment, mental disorder, drug abuse, drug allergy, and alcoholism.
- Infection or rupture of the skin on the forearm or leg.
- Blood system diseases with increased risk of bleeding during surgical intervention.
Other
- Pregnant or breast-feeding or have a recent birth plan.
- IS CLASSROUS.
- Congenital or acquired abnormalities of lower extremities (affecting joints and bones).
- Registration of investigators, their family members, employees, and other dependents.
- Severe joint contractures cause loss or limitation of lower limb activities.
- Unable to complete the basic process, or difficult to maintain compliance and follow-up
Who the study is looking for
- Meet WHO or international diagnostic criteria for stroke disease;
- The first unilateral supratentorial ischemic or hemorrhagic stroke, the condition is stable after acute treatment of ischemic stroke, the course of disease is 6 months ≤ 1 year, and participate in 2 evaluations (screening and baseline) before enrollment.
- Diagnosed by professional physicians combined with brain CT or magnetic resonance imaging and other imaging techniques;
- Between the ages of 18 and 80, male or female
- The responsible lesion in the unilateral white matter area indicated by cranial CT or MRI
- Relevant sequelae such as limb dysfunction after stroke, accompanied by unilateral limb motor dysfunction, proved to be right-handed by standardized examination.
- National Institutes of Health Stroke Scale (NIHSS) score from 2 to 20, grades paralyzed muscle strength, between grades 1 and 4, WISCI II, grade \>2 (0-20 items): Assisted by one or more persons, able to walk at least 10 m, and less responsive to conventional rehabilitation prior to inclusion.
- Perfect clinical data
- Stable medical and physical condition with adequate nursing support and appropriate medical care in the patient's home community.
- The patient himself or voluntarily signs the informed consent and is willing to cooperate with relevant treatmen
Age in the registry: 18 years to 80 years · Sex: All · Does not accept healthy volunteers
Sites (1)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| Chinese PLA General Hospital Coordinator of this site? Confirm its status | Beijing | China | Unknown status |
This page is information, not medical advice. Discuss any trial with your doctor.