Actively Recruiting

Phase 1
Age: 18Years - 70Years
All Genders
NCT06818864

DBS for Cognitive Deficits After Traumatic Brain Injury

Led by Sunnybrook Health Sciences Centre · Updated on 2025-02-11

10

Participants Needed

1

Research Sites

104 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Patients with memory and cognitive deficits following TBI that do not respond to conventional treatments experience a decrease in quality of life. Despite advances in neuroimaging, genetics, pharmacology and psychosocial interventions in the last half century, little progress has been made in altering the natural history of the condition or its outcome. This study would explore whether a surgical therapy is safe and potentially effective in patients who develop refractory memory and cognitive deficits following TBI. Preclinical studies suggest that DBS may improve memory deficits in TBI models. Moreover, DBS delivered to the fornix has shown promising clinical results in patients with Alzheimer's disease. The main mechanism for the improvements induced by DBS in memory tests is the development of multiple forms of plasticity.

CONDITIONS

Official Title

DBS for Cognitive Deficits After Traumatic Brain Injury

Who Can Participate

Age: 18Years - 70Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Female or male patients between age 18-70
  • Diagnosis of memory and cognitive deficits after TBI according to DSM-5
  • Includes cognitive disorder not otherwise specified, dementia, or amnestic disorder due to TBI
  • Memory test performance at least 1.5 standard deviations below estimated premorbid intelligence
  • History of TBI for at least 1 year with failed donepezil, cholinesterase inhibitors, and cognitive therapy
  • Ability to provide informed consent and comply with all study visits and testing
Not Eligible

You will not qualify if you...

  • Active neurologic disease such as epilepsy or Alzheimer's disease
  • Contraindication to MRI scanning
  • Clinical or neurological conditions that significantly increase surgical risk
  • Current suicidal or homicidal ideation
  • Pregnancy
  • Likely to relocate during the one-year study
  • Renal dysfunction with GFR less than 60

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Sunnybrook Health Sciences Centre

Toronto, Ontario, Canada, M4N3M5

Actively Recruiting

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Research Team

A

Anusha Baskaran, PhD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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