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Spinocerebellar Ataxia (SCA)NCT07325487

Interposed Nucleus aDBS for Ataxia

A study testing Deep Brain Stimulation in people with Spinocerebellar Ataxia (SCA) and Spinocerebellar Ataxia Type 6, run by University of Florida at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This is a single-center, open-label study designed to evaluate the feasibility, safety, and preliminary efficacy of cerebellar adaptive deep brain stimulation (aDBS) in adults with spinocerebellar ataxia type 6 (SCA6). A total of 5 participants will be enrolled. Read more about this study

Who is it for?
Ages 21 to 89 years
What is being tested?
Deep Brain Stimulation
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
5 participants
Where
1 siteUnited States
Study dates
2 Jun 2026to Jun 2031
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 21 to 89 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • A diagnosis of SCA6 by a movement disorders specialist following established criteria recommended by the Movement Disorders Society
  • A positive genetic test for SCA6
  • A total score ≥ 8 on the Scale of the Assessment and Rating of Ataxia (SARA) rating scale
  • Ability to walk with or without support (score <8 on the 'gait' subsection of the SARA rating scale)
  • Age ≥ 21 years and <89 years
  • Ability to give informed consent for the study
  • Ability to understand the study protocol

Who cannot join

  • Inability or unwillingness to comply with the study protocol
  • History of previously implanted neurostimulators, pacemakers, defibrillators, or metallic head implants
  • Severe cognitive impairment or dementia, defined as a score <21 on the Montreal Cognitive Assessment (MOCA)
  • Evidence of ataxia due to other etiologies, including but not limited to:
  • Genetic/inherited disorders other than SCA6
  • Acquired causes: traumatic brain injury, multiple sclerosis, paraneoplastic cerebellar degeneration, infections or post-infectious cerebellitis, autoimmune ataxias (e.g., anti-GAD, gluten ataxia)
Show all 16Show fewer
  • Toxic/metabolic causes: alcoholic cerebellar degeneration, vitamin deficiencies
  • Structural, vascular, or neoplastic causes: cerebellar stroke, tumors, congenital malformations
  • Suspected multiple system atrophy-cerebellar type (MSA-C)
  • Presence of active and untreated psychiatric illness, severe depression (Beck Depression Inventory ≥ 21), or personality disorder at the discretion of the study team
  • Coagulopathy, uncontrolled epilepsy, or other medical conditions that are considered to place the patient at elevated risk for surgical complications
  • Presence of a concomitant medical condition that, in the investigator's opinion, may interfere with the study participation or gait/balance, for example, severe arthritis
  • Requirement of diathermy, electroconvulsive therapy, or transcranial magnetic stimulation
  • Pregnancy or lactation
  • Active suicidal ideation, defined as fined as a "Yes" response to questions #2-5 within the past one month on the Columbia Suicide Severity Rating Scale, C-SSRS
  • Refractory epilepsy

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

United States1 site, 1 recruiting
  • Norman Fixel Institute for Neurological Diseases

    Gainesville, Florida, 32608

    Julia C Gonzalez, BA, 352-265-0111 ext. 32495, Julia.Gonzalez@neurology.ufl.edu

    Emily Rafferty, PhD, Emily.Rafferty@neurology.ufl.edu

    Recruiting

Other trials in United States

About this study

Official title: Adaptive Deep Brain Stimulation Targeting the Interposed Nucleus to Treat Spinocerebellar Ataxia

This is a single-center, open-label study designed to evaluate the feasibility, safety, and preliminary efficacy of cerebellar adaptive deep brain stimulation (aDBS) in adults with spinocerebellar ataxia type 6 (SCA6). A total of 5 participants will be enrolled.

Participants will undergo surgical implantation of deep brain stimulation (DBS) leads targeting the motor interposed nucleus of the cerebellum. The leads will be connected to one or two implantable pulse generators capable of delivering stimulation to deep brain structures and recording neural activity.

Read more

Participants will complete up to 18 in-person study visits over a 24-month follow-up period. During these visits, neural signals will be recorded under varying behavioral tasks and stimulation conditions.

Early study visits will be used to identify optimal stimulation parameters and neural biomarkers associated with disease state. These biomarkers will subsequently be used to implement adaptive DBS, in which stimulation amplitude is automatically adjusted in response to recorded neural activity.

Study outcomes will include assessments of safety and feasibility of cerebellar aDBS, as well as preliminary evaluation of its effects on clinical measures.

Being tested
Deep Brain Stimulation
Keywords
SCA6, Spinocerebellar Ataxia, adaptive deep brain stimulation, aDBS, Spinocerebellar Ataxia Type 6, DBS, deep brain stimulation
Medical subject headings
Spinocerebellar Ataxias

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Deep Brain StimulationDevice

    Also called Medtronic Percept

    This device will be surgically implanted into the interposed nucleus of the cerebellum.

Study groups in NCT07325487
Study groupRoleWhat they receive
Adaptive Deep Brain Stimulation (aDBS)ExperimentalParticipants will undergo surgical implantation of deep brain stimulation (DBS) leads targeting the motor interposed nucleus of the cerebellum. Approximately one month after implantation, participants will begin conventional DBS (cDBS) programming to identify optimal stimulation parameters, including amplitude, contact configuration, frequency, and pulse width, and to assess stimulation-related adverse effects and device function. Approximately nine months after implantation, stimulation settings will be transitioned to adaptive DBS (aDBS), in which stimulation amplitude is automatically adjusted based on recorded neural activity. Adaptive DBS will be used to evaluate the feasibility, safety, and tolerability of cerebellar aDBS. Clinical outcomes, symptoms, and potential side effects will be assessed throughout the study using participant self-reports, validated clinical rating scales, and wearable devices to collect movement and sleep data.
Receives: Device: Deep Brain Stimulation

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The identification of a physiological signal to use as the aDBS feedback signal

    Local field potentials (LFP) will be recorded in the clinic as well as chronically at home. These recordings will be analyzed to identify electrophysiological markers of disease states and therapeutic effects.

    Measured: From baseline through study completion, about 2 years.

  2. The incidence of unexpected adverse events and serious adverse events with aDBS compared to baseline

    Adverse events are monitored the entire time subject is enrolled in study. Unexpected and serious adverse events from baseline through study completion, about 2 years, is a primary endpoint.

    Measured: From baseline through study completion, about 2 years.

Secondary outcomes (3)
  1. The Upright Balance Assessment measured by force plate parameters

    The Upright Balance Assessment is designed to evaluate walking and balance.

    Measured: From baseline through study completion, about 2 years.

  2. The Scale for the Assessment and Rating of Ataxia (SARA)

    The Scale for the Assessment and Rating of Ataxia (SARA) is an 8-item performance based scale used to determine the severity of ataxia. Scoring ranges from 0 to 40, with a higher score indicating greater ataxia severity.

    Measured: From baseline through study completion, about 2 years.

  3. The Patient-Reported Outcome Measure of Ataxia (PROM-Ataxia)

    The Patient-Reported Outcome Measure of Ataxia (PROM-Ataxia) is a 70-item scale divided into three domains of patient experiences assessing physical function, activities of daily living (ADL), and mental health. Scores range from 0 to 280, with a higher score indicating more severe symptoms and poorer quality of life.

    Measured: From baseline through study completion, about 2 years.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 Jan 2026
  2. Study start2 Jun 2026
  3. Primary completionJun 2031 (estimated)
  4. Study completionJun 2031 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
5 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07325487
Sponsor's protocol ID
IRB202501191
Status last verified
Jun 2026
First submitted
5 Jan 2026
Last updated
20 Jul 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Deep Brain Stimulation in people with Spinocerebellar Ataxia (SCA) and Spinocerebellar Ataxia Type 6, run by University of Florida at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 16 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 20 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Julia C Gonzalez, BA ((352) 265-0111 ext. 32495, Julia.Gonzalez@neurology.ufl.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The identification of a physiological signal to use as the aDBS feedback signal (time frame: From baseline through study completion, about 2 years.). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Jul 2026.

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