Comparing awake and asleep deep brain stimulation for essential tremor
Official title: The TREMBLE Study: Multicentre Randomized Controlled Trial of Awake Versus Asleep Tractography Based Deep Brain Stimulation for Essential Tremor
Run by Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA) · NCT05968976 · Data updated 2026-11-12
This study is testing whether deep brain stimulation done while patients are awake works better than when it's done while they're asleep for people with essential tremor who haven't found relief with medication.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 110 (estimated) |
| Sponsor | Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA) Academic / other |
| Locations | 1 site (Amsterdam, North Holland) |
| Status | Recruiting |
| Started | February 1, 2024 |
| Main results expected | July 1, 2027 |
| Study ends | July 1, 2028 |
| Registry record updated | April 13, 2025 |
| Trial ID | NCT05968976 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults over 18 with idiopathic essential tremor that severely limits their daily functioning despite optimal medication.
✕Probably not a fit
Patients with previous tremor-related neurosurgery or those with contraindications for DBS surgery may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This clinical trial aims to compare the effectiveness of awake versus asleep deep brain stimulation (DBS) for patients with essential tremor who have not responded adequately to medication. The study will utilize advanced imaging techniques to visualize the target area in the thalamus during surgery. Participants will be assessed for tremor reduction and quality of life six months post-surgery, alongside evaluating operation time and patient satisfaction. The trial is multicenter, involving several hospitals in the Netherlands.
Why it matters
Potential benefit: If successful, this study could provide a less burdensome surgical option for patients with essential tremor, improving their quality of life.
How similar studies have gone: While deep brain stimulation has been established as an effective treatment for essential tremor, the comparison of awake versus asleep techniques is a novel approach that has not been extensively tested.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age \> 18 years; * Idiopathic essential tremor * Disabling tremor despite optimal pharmacological treatment * A life expectancy of at least two years Exclusion Criteria: * Legally incompetent adults; * Previous tremor-neurosurgery (e.g., DBS, thalamotomy); * Contraindications for DBS surgery, such as a physical disorder making surgery hazardous; * Psychosis; * Current depression; * Unable to provide written informed consent.
Where it's running
-
Amsterdam UMC, location AMC
Amsterdam, North Holland, Netherlands Recruiting
Study contacts
- Study coordinator: Maarten Bot, MD, PhD
- Email: m.bot@amsterdamumc.nl
- Phone: 0031621514048
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.