How deep brain stimulation affects thinking and memory in Parkinson's
Official title: A Neural Basis for Cognitive Decline Following Deep Brain Stimulation: A DBS-fMRI Study
Run by Medical University of South Carolina · NCT06960096 · Data updated 2026-11-12
This project will use MRI scans to see if subthalamic nucleus deep brain stimulation (DBS) changes brain networks and relates to thinking or memory declines in people with Parkinson's disease who already have DBS implants.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 55 (estimated) |
| Sponsor | Medical University of South Carolina Academic / other |
| Locations | 1 site (Charleston, South Carolina) |
| Status | Recruiting |
| Started | August 21, 2025 |
| Main results expected | April 1, 2028 |
| Study ends | April 1, 2028 |
| Registry record updated | October 8, 2026 |
| Trial ID | NCT06960096 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with Parkinson's disease who previously received 3T‑compatible unilateral or bilateral STN‑DBS implants and completed a neurological and neuropsychological evaluation at MUSC are ideal candidates.
✕Probably not a fit
People without STN‑DBS, with non‑MRI‑compatible implants, severe claustrophobia, significant non‑PD neurological disease, or those who cannot safely undergo MRI are unlikely to benefit from participation.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Researchers will recruit 55 people with Parkinson's disease who have undergone 3T‑compatible unilateral or bilateral STN‑DBS at the Medical University of South Carolina. Participants will complete one visit for consent, demographic and cognitive testing and a second visit with DBS‑compatible MRI scanning while stimulation is turned ON and OFF to measure brain network connectivity. The team will compare functional connectivity and microstructural features to participants' cognitive performance to identify patterns linked to post‑DBS cognitive decline. The goal is to use these findings to refine which patients and stimulation targets are least likely to cause unwanted cognitive side effects.
Why it matters
Potential benefit: If successful, the findings could help doctors choose patients and stimulation targets that lower the risk of cognitive decline after STN‑DBS.
How similar studies have gone: Prior work has shown that DBS can alter cognitive performance and functional connectivity and that fMRI can detect network changes, but using ON/OFF DBS‑fMRI to directly link those changes to long‑term cognitive decline is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Subjects above 18 years of age * Individuals with a PD diagnosis as defined by the UK Brain Bank diagnostic criteria for Parkinson's disease (58) which have undergone a neurological and neuropsychological evaluation at MUSCs movement disorder center, and were selected to undergo 3T compatible unilateral or bilateral STN- DBS implants Exclusion Criteria: * Uncorrected visual or hearing impairments, as indicated by self-report * Individuals who are pregnant or expect to become pregnant during the course of the study * Individuals that have a history of neurological disease (other than PD) including previous stroke, major head trauma, and epilepsy or seizures. * Individuals with claustrophobia, or the inability to lie supine position in the MRI scanner * COPD with oxygen dependence * Non-MRI compatible metal implants (surgical clips or staples, cardiac pacemakers etc.)
Where it's running
-
Medical University of South Carolina
Charleston, South Carolina, United States Recruiting
Study contacts
- Principal investigator: Daniel Lench, PhD — Medical University of South Carolina
- Study coordinator: Recruitment Coordinator
- Email: malakout@musc.edu
- Phone: 843-792-0235
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
How physical activity might help people with Parkinson’s disease who have DBS-STN implants
This study tests whether adding regular physical activity can help people with Parkinson’s who have DBS-STN stimulation by trying a structured physiotherapy approach alongside standard care.
-
Patterned deep brain stimulation delivered at home for Parkinson's
This study will test whether three types of patterned deep brain stimulation can be used safely and comfortably at home in people with Parkinson's who already have stable bilateral STN or GPi Boston Scientific DBS systems.
-
Mediterranean diet for managing weight and body composition after bilateral subthalamic nucleus deep brain stimulation in Parkinson's disease
It will see if following a Mediterranean diet for three months after bilateral subthalamic nucleus deep brain stimulation helps adults with Parkinson's control weight and improve body composition.
-
Frequency-specific stimulation of subthalamic nucleus subregions to improve inhibitory control in Parkinson's disease
This tests whether stimulating different parts of the subthalamic nucleus at low (5 Hz) or high (130 Hz) frequencies can improve inhibitory control in people with Parkinson's disease who have deep brain stimulation.
-
Advanced brain imaging for improving deep brain stimulation in Parkinson's and essential tremor patients
This study is testing if advanced brain imaging can help doctors place and program deep brain stimulation better for people with Parkinson's disease and essential tremor to improve their movement.
-
Adaptive versus continuous subthalamic nucleus deep brain stimulation for people with Parkinson's
This project will try adaptive DBS versus regular continuous DBS in people with Parkinson's who already have Medtronic Percept STN implants to see if one gives more daily ON time without troublesome dyskinesia over six months.
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.