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Exploring DBS Efficacy in Treatment-refractory Tourette's Syndrome

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Could this be for you?

Answer for yourself. This is not a decision: only the study team can say whether you can take part.

  • Are you between 18 and 65 years old?

Source: NCT06361004, who can take part

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  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

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Trial details

Who runs it
Xuanwu Hospital, Beijing
Trial code
NCT06361004
Record updated
11 April 2024
Original description
The primary purpose of this study is to investigate the effect of deep brain stimulation (DBS) in patients with Treatment-refractory Tourette's syndrome (TR-TS) implantation targeting the Antero-medial globus pallidus interna (GPi), Antero-medial globus pallidus interna (amGPi), Postero-ventrolateral GPi (pvGPi), Centromedian nucleus, substantia periventricularis and nucleus ventro-oralis internus (Cm-Spv-Voi), Centre median nucleus and nucleus ventro-oralis (Cm-Voi), or Nucleus Accumbens/ Anterior Limb of Internal Capsule (NA-ALIC), or other unreported nuclei targets.Read full original descriptionShow less

Investigating the Impact of Deep Brain Stimulation (DBS) in Treatment-refractory Tourette's Syndrome (TR-TS)

The primary purpose of this study is to investigate the effect of deep brain stimulation (DBS) in patients with Treatment-refractory Tourette's syndrome (TR-TS) implantation targeting the Antero-medial globus pallidus interna (GPi), Antero-medial globus pallidus interna (amGPi), Postero-ventrolateral GPi (pvGPi), Centromedian nucleus, substantia periventricularis and nucleus ventro-oralis internus (Cm-Spv-Voi), Centre median nucleus and nucleus ventro-oralis (Cm-Voi), or Nucleus Accumbens/ Anterior Limb of Internal Capsule (NA-ALIC), or other unreported nuclei targets.

Inclusion: aged 18-65; able to provide written informed consent; have a diagnosis of Tourette's syndrome according to the Statistical Manual of Mental Disorders-Fourth Edition-Text Revised (DSM-IV-TR) criteria and confirmed by the Mini-International Neuropsychiatric Interview Chinese version 5.0; with a YGTSS of at least 35 for at least 12 months before surgery, while YGTSS- Total Motor≥15; must have failed conventional medical treatment at adequate therapeutic doses of three classes of medication lasting for at least three months; must not be suitable for behavioural intervention or that this intervention is inappropriate or unsuccessful; have been on stable comorbid conditions without suicidal ideation for at least six months.

Exclusion: have a treatment history that includes electroconvulsive therapy (ECT), modified electroconvulsive therapy (MECT), transcranial direct current stimulation (tDCS), transcranial alternating current stimulation (tACS), DBS, and transcranial magnetic stimulation (TMS); have been involved in other clinical studies within three months before enrollment in this study; presence of other psychotic disorders; with a history of traumatic brain injury (TBI); unstable neurological or coagulation disorders; any conditions considered by the study group; presents a suicide risk (defined as a HAMD-17 score of ≥3 on suicide-related items); experience difficulty in effectively communicating with investigators; with intracranial or cardiovascular stents; substance abuse within the past six months; women who are pregnant, lactating, or of childbearing potential who refuse the use of reliable contraception during the study.

ClinicalTrials.gov NCT06361004