Table 2.
Data from the PROGRESS study
| Device | Abbott St. Jude Infinity™ IPG system |
|---|---|
| Enrollment | 234 patients with PD (157 male; 77 female) |
| Demographics |
Age 61.7 ± 8.4 years PD duration since onset 11.7 ± 7.6 years PD duration since diagnosis 10.2 ± 7.4 years |
| Number of centers | 37 centers, from 7 countries |
| Lead configuration | 2 central segmented contacts (3 segments each), 1 proximal and 1 distal ring contacts; 1-3-3-1 |
| Clinical setting | Prospective, blinded subject, blinded observer, crossover study of directional versus non-directional stimulation |
| Study endpoints |
Primary endpoint Superiority benchmark: at least 60% of patients at 3 months have wider TW with directional stimulation when compared to non-directional stimulation in a randomized evaluation Secondary endpoints Non-inferiority benchmark: 40–60% of patients at 3 months have wider TW with directional stimulation when compared to non-directional stimulation in a randomized evaluation Comparison of UPDRS III at 3 months on non-directional stimulation versus at 6 months after switching to directional stimulation Descriptive endpoints Patient and clinician preference at 6 months between directional and non-directional stimulation Comparison of TW and TCS amplitudes between directional and non-directional stimulation Device-related adverse events |
| Primary endpoint results | In 90.6% of patients (183/202), TW was wider with directional stimulation as compared to non-directional stimulation; primary endpoint superiority exceeded (p < 0.001) |
DBS deep brain stimulation, PD Parkinson disease, TCS therapeutic current strength, TW therapeutic window