RecruitingNot ApplicableNCT06920134

Epidural Electrical Stimulation to Support Hemodynamic Management in Individuals With Parkinson's Disease

Study on Preliminary Safety and Efficacy of the ARC-IM Therapy to Support Hemodynamic Management in People With Typical and Atypical Parkinson's Disease


Sponsor

Ecole Polytechnique Fédérale de Lausanne

Enrollment

5 participants

Start Date

Jul 3, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

The PD-HemON study aims to evaluate the safety and preliminary efficacy of ARC-IM Therapy (Epidural Electrical Stimulation) to support hemodynamic management in people with typical and atypical Parkinson's Disease, who suffer from orthostatic hypotension.


Eligibility

Min Age: 18 YearsMax Age: 90 Years

Inclusion Criteria8

  • \> 18 years old
  • Typical or Atypical PD (including but not limited to Multiple System Atrophy, Pure Autonomic Failure, Progressive Supranuclear Palsy)
  • Confirmed orthostatic hypotension with a test for verticalization
  • Confirmed symptomatic orthostatic hypotension that makes daily activities particularly challenging as determined by the study clinicians
  • Must provide and sign the Informed Consent before any study-related procedures
  • Stable medical, physical, and psychological conditions given participant indication as considered by Investigators;
  • Able to understand and interact with the study team in French or English
  • Agrees to comply in good faith with all conditions of the study and to attend all scheduled appointments

Exclusion Criteria15

  • Diseases and conditions that would increase the morbidity and mortality of the implantation surgery
  • The inability to withhold antiplatelet/anticoagulation agents perioperatively
  • History of myocardial infarction or cerebrovascular events within the past 6 months
  • Unstable or significant medical condition that is likely to interfere with study procedures or likely to confound study endpoint evaluations as determined by the Investigator
  • History or presence of major psychiatric disorders or major neurocognitive disorders as considered by the Investigators in accordance with the treating physician and treating neurologist
  • Major changes in PD treatment planned until the end of the main study phase (such as DBS or dopamine-pump implantation)
  • Inability to follow study procedures.
  • Spinal anatomical abnormalities precluding surgery
  • Presence of any indications requiring frequent MRIs.
  • Current pregnancy or current breastfeeding
  • Lack of effective or acceptable contraception for women of childbearing capacity
  • Intention to become pregnant during the study
  • Unable or unwilling to effectively use the study system or related devices by the participant or caretaker, as determined by the investigator
  • Participation in another interventional study that might confound study endpoint evaluations
  • Enrolment of the investigator, his/her family members, employees, and other dependent persons

Interventions

DEVICEARC-IM Investigational System

Implantation of a stimulation lead on the low thoracic level of the spinal cord and implantation of a neurostimulator in the abdominal region.


Locations(1)

CHUV

Lausanne, Canton of Vaud, Switzerland

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NCT06920134


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