Clinical trial Recruiting at 1 site Observational Ages 18 to 80

Brain activity linked to motor and psychiatric ups and downs in Parkinson's

Official title: Subthalamic and Cortical Electrophysiological Correlates of Motor and Neuropsychiatric Fluctuations in Parkinson's Disease

Run by University Hospital, Geneva · NCT07404241 · Data updated 2026-11-12

The study will see if EEG and recordings from patients' subthalamic deep brain stimulator can reveal brain signals tied to motor and psychiatric fluctuations in people with Parkinson's who are on dopaminergic therapy and recently had STN‑DBS.

Quick facts

Study typeObservational
Ages18 Years to 80 Years
SexAll
Enrollment30 (estimated)
SponsorUniversity Hospital, Geneva
Academic / other
Locations1 site (Geneva)
StatusRecruiting
StartedJune 1, 2025
Main results expectedDecember 31, 2027
Study endsDecember 31, 2028
Registry record updatedFebruary 11, 2026
Trial IDNCT07404241 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are Parkinson's patients who experience motor and/or neuropsychiatric fluctuations, are on dopaminergic therapy, were implanted with STN‑DBS 4–8 weeks earlier, are younger than 80, cognitively intact (MOCA > 24), able to consent, and willing to attend in-person recordings.

Probably not a fit

Patients without STN‑DBS, with dementia or severe uncontrolled medical or psychiatric conditions, those older than 80, or those whose OFF state is too severe to tolerate testing are unlikely to benefit or be eligible.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This Swiss prospective observational study will record resting-state high-density EEG together with subthalamic nucleus (STN) local field potentials (LFPs) in about 30 Parkinson's patients with recently implanted STN‑DBS systems during a modified levodopa challenge. Recordings use chronic-capable DBS hardware to capture cortical-subcortical oscillatory activity across beta, alpha, and gamma bands 4–8 weeks post-implant. The protocol compares electrophysiological signatures across motor and neuropsychiatric fluctuation states to identify frequency-specific correlates. Results will map cortical‑STN interactions associated with acute dopaminergic changes and symptomatic ups and downs.

Why it matters

Potential benefit: If successful, the work could identify objective brain biomarkers that help personalize DBS programming or medication timing to reduce disabling neuropsychiatric and motor fluctuations.

How similar studies have gone: Prior work has repeatedly linked STN beta activity to motor fluctuations and some EEG studies have suggested cortical gamma/alpha relate to neuropsychiatric features, but combined STN‑LFP and EEG characterization of neuropsychiatric fluctuations remains largely novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Diagnosis of Parkinson's disease (PD) based on United Kingdom Parkinson's Disease Society Brain Bank Criteria.
* Patients candidate for STN-DBS in the PD phase called fluctuations stage.
* Presence of fluctuations (motor and/or non-motor) are based on the pre-surgical DBS assessment:
* To be on dopaminergic therapy.
* Patients who have undergone STN-DBS implantation within 4 to 8 weeks before electrophysiological acquisition.

Exclusion Criteria:

* Patients with an age greater than 80 years,
* Dementia (defined by a MOCA score ≤24),
* Active psychosis or depression with suicidal ideation,
* Any clinically meaningful non-stable physical diseases,
* Patients with OFF-drug state so severe that it prevents study tests from being carried out (e.g acute painful dystonia, intolerable non-motor symptoms such as pain, anxiety),
* Participating in a pharmacological study,
* Inability to provide informed consent (legal guardianship).

Where it's running

  • Geneva University Hospital
    Geneva, Switzerland
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.