Vercise DBS System shows improvement in motor scores for patients with Parkinson's disease

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Patients with Parkinson's disease using the Boston Scientific Corporation (NYSE: BSX) Vercise™ DBS (deep brain stimulation) System showed a significant improvement in motor scores according to interim data from the VANTAGE DBS study. Data from the six month follow-up of up to 40 participants enrolled in the VANTAGE trial were presented at the annual International Congress of Parkinson's Disease and Movement Disorders in Sydney, Australia by Prof. Dr. Lars Timmermann, of University Hospital in Koln, Germany.

The Vercise DBS System incorporates multiple independent current control, which is designed to selectively stimulate targeted areas in the brain, providing physicians with fine control of stimulation.

Preliminary analysis of the VANTAGE study displays approximately 60 percent mean improvement in motor function at six months post implant, as assessed by UPDRS III when compared to baseline. The Boston Scientific sponsored study was designed to document patient outcomes. These include effectiveness, safety, and health economic data derived from bilateral stimulation of the subthalamic nucleus (STN) in the brain using the implantable Vercise DBS System for the treatment of levodopa-responsive, moderate to severe idiopathic Parkinson's disease. Forty participants with Parkinson's disease were implanted bilaterally at six European centers. 

"We are pleased to see such a significant improvement in motor function," said Prof. Dr. Francois Alesch, professor for Stereotactic and Functional Neurosurgery at Medical University, Vienna, Austria and neurosurgical principal investigator of the trial. "I believe this unique technology, with its multiple current sources, may provide us with a more adaptable form of DBS therapy. I was very pleased with the simple recharging system. All of my patients were able to recharge successfully."

Highlights of the VANTAGE study interim data include:

  • All 40 participants underwent successful implantation of the Vercise DBS System.
  • The Vercise DBS System demonstrated a significant improvement in motor function (p<0.0001), as assessed by UPDRS III (approximately 60 percent mean improvement) at six (6) months post first lead implant as compared with baseline.
  • Preliminary analysis suggests the Vercise DBS System improved participants' ON time, as assessed by at-home motor diaries, activities of daily living and quality of life at six months.
  • The charging of the Vercise DBS System was well tolerated by all participants.

"With these data, clinicians can be confident in their decision to implant the Vercise DBS System," said Prof. Dr. Lars Timmermann, neurological principal investigator of the trial. "The ability to utilize multiple independent current control to selectively stimulate areas within the brain may provide improved outcomes for these patients. I look forward to seeing the longer term data from the VANTAGE study."  

"The VANTAGE study is a key facet of our DBS program and emphasizes our commitment to advancing therapy through clinical research with the Vercise DBS System," said Maulik Nanavaty, president of the Boston Scientific Neuromodulation division. "The significance of the reduction in motor scores is a testament to the capabilities of the Vercise System. We continuously strive to develop innovative technologies that improve patient outcomes."

The Vercise DBS System has both CE Mark and TGA (Australia Therapeutic Goods Administration) approval and is available for sale in Europe, Israel and Australia. In the U.S., the Vercise DBS System is investigational and not available for use or sale. 

Parkinson's disease is a progressive neurodegenerative disorder that affects about one million Americans and seven to 10 million people worldwide, according to the World Health Organization and the Parkinson's Disease Foundation. 

Comments

  1. Joan Serratelli Joan Serratelli United States says:

    I had bi-lateral DBS in 2003. I have rather severe Cervicle Dystonia , Tardive Dyskenesia , Cerebral Palsey, etc. I knew that
    DBS was not a cure, but I hoped it would help alleviate some of my symptoms. Little did I know what problems I would have as a result. I was told that the surgery had gone well. Even before the batteries were in, there was definite improvement in my speech. My TD seemed to disappear. I was sent home. As I recall; the batteries went in about 1 week later. That surgery The  hurt more, but I was glad it was done. The Neurotransmitters  had to be programmed.  This took a toll on me BOTH physically and emotionally. I so hoped that the optimum setting would be found. There were times I'd walk out of the programmer's office feeling great, straight, I'd go home and by the next morning I was back to where I started. My neck aimed down. to the right and then made a turn. I could not do much. I was basically bedridden....and miserable. I was told that I should try Botox again- that did not work. After 3 years, I needed battery replacement. I went to NYC and it was done there. I had basically made no progress, so instead of giving up; I changed programmers. That made no difference. I bounced from programmer - finally, after 4 programmers; I was  labeled as "unprogrammable". I had no choice but to accept that.
    I had my last battery replacement about 18 months ago.  That's when the REAL problems started. my skin could not hold the weight of the battery. My battery on my left side became horridbly infected- a staph infection which ALMOST killed me. The battery was ultimately taken out. The surgeon blamed me - my skin was too thin- He felt I neglected to thoroughly cleanse it. Everytime I got it clean, it broke the skin.

    After that, my scalp was getting infected where the leads were. After a while, the leads were removed. AGAIN- I was at fault- my scalp was too thin?

    By my knowledge, I will probably need a new battery on my right side (the only remaining battery) I'm scared for obvious reasons.

    My experience with DBS has not been positive- but; I am just one VERY unlucky person. IF I had it to do over again; I would NOT have DBS.  Hindsight is 20/20.

The opinions expressed here are the views of the writer and do not necessarily reflect the views and opinions of News Medical.
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