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RECRUITING
NCT07168850
NA

Focused Ultrasound Unilateral Pallidotomy for Medication-Refractory Limb Dystonia

Sponsor: Fondazione I.R.C.C.S. Istituto Neurologico Carlo Besta

View on ClinicalTrials.gov

Summary

The goal of this clinical trial is to find out if a non-invasive procedure called focused ultrasound can safely and effectively treat limb dystonia in adults who have not improved with medications or botulinum toxin injections. The main questions it aims to answer are: * Does focused ultrasound reduce the severity of limb dystonia symptoms? * Is the procedure safe and well tolerated? Researchers will compare people who receive focused ultrasound treatment to those who receive a sham procedure (a look-alike procedure without active treatment) to see if the treatment works. Focused ultrasound works by producing a very small (millimeter-size) lesion in a deep brain region. In this study, the lesion is located in a region called globus pallidus, which helps control movement. Participants will: * Be randomly assigned to one of two groups: focused ultrasound or sham * Undergo a procedure using MRI and focused ultrasound to target a part of the brain called the globus pallidus * Be followed for 6 months after treatment to assess changes in symptoms, quality of life, and brain function * Participants in the sham group will be offered the real treatment after 3 months This study may offer a new non-surgical treatment option for people with dystonia affecting the arm or leg, whose pharmacological control is unsatisfactory.

Official title: Focused Ultrasound Pallidotomy for Medication-Refractory Limb Dystonia (FUTURE Study)

Key Details

Gender

All

Age Range

18 Years - 80 Years

Study Type

INTERVENTIONAL

Enrollment

34

Start Date

2025-01-27

Completion Date

2027-02-28

Last Updated

2026-02-11

Healthy Volunteers

No

Interventions

DEVICE

Exablate MR-guided Focused Ultrasound Pallidotomy

Active Pallidotomy

DEVICE

Sham Sham Exablate MRgFUS Pallidotomy

Sham procedure. Identical setup without thermal lesioning. Participants cross over to Active Pallidotomy after 3 months.

Locations (4)

Azienda ULSS3 Serenissima

Mestre, (Venice), Italy

IRCCS Centro Neurolesi "Bonino-Pulejo"

Messina, Italy

Fondazione IRCCS Istituto Neurologico Carlo Besta

Milan, Italy

Azienda Ospedaliera Ospedali Riuniti Villa Sofia

Palermo, Italy