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Noninvasive Biomarkers to Advance Emerging DBS Electrode Technologies in Parkinson's Disease

Award Number: UH3NS100553
ORGANIZATION: NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE
OPDIV: NIH
AWARD CLASS: COOPERATIVE AGREEMENT
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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ABSTRACT It is easy to underestimate the importance of normal movement in daily life, until that ability is altered or taken away by disease. Used in more than 150,000 patients worldwide, deep brain stimulation (DBS) is often an effective therapy for Parkinson's disease and other movement disorders, however symptomatic improvement varies substantially in individuals, across clinical trials, and over time. DBS is now proposed for earlier disease stages in Parkinson's disease and for new indications in neurology and psychiatry, potentially exposing larger numbers of patients to this invasive therapy. Emerging segmented or “directional” DBS lead technology provides unprecedented opportunities to optimize clinical improvement and tolerability and to drive innovation in neuromodulation. We have pioneered new putative biomarkers that measure patient-specific cortical physiology elicited by DBS with combined electrocorticography and electroencephalography. Our findings demonstrate robust within-participant changes in cortical activation that distinguish effective versus ineffective stimulation sites. Here we will leverage this knowledge to guide efficient implementation of current steering with novel directional DBS lead technology. Our primary goal is to deliver innovative approach to tailor and optimize field shaping with novel directional lead technology to improve the efficacy and tolerability of DBS in patients with advanced Parkinson's disease. Additionally, our results will provide foundational knowledge (1) to better understand the concept of DBS dose; (2) to refine surgical targeting in real time; (3) and to inform emerging closed loop stimulation paradigms.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2024 ( Subtotal = -$48,895 )
2024	2021	UNIVERSITY OF ALABAMA AT BIRMINGHAM	701 S 20TH STREET	BIRMINGHAM	AL	35294	JEFFERSON	USA	Extramural Research Programs in the Neurosciences and Neurological Disorders	000	5	2/23/2024	NON-COMPETING CONTINUATION	-$48,895
														Subtotal = -$48,895

Issue Date FY: 2022 ( Subtotal = $0 )
2022	2021	UNIVERSITY OF ALABAMA AT BIRMINGHAM	701 S 20TH ST	BIRMINGHAM	AL	35294	JEFFERSON	USA	Extramural Research Programs in the Neurosciences and Neurological Disorders	000	5	8/19/2022	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2021 ( Subtotal = $1,349,258 )
2021	2021	UNIVERSITY OF ALABAMA AT BIRMINGHAM	701 S 20TH ST	BIRMINGHAM	AL	35294	JEFFERSON	USA	Extramural Research Programs in the Neurosciences and Neurological Disorders	001	5	8/3/2021	NON-COMPETING CONTINUATION	$1,349,258
2021	2020	UNIVERSITY OF ALABAMA AT BIRMINGHAM	701 S 20TH ST	BIRMINGHAM	AL	35294	JEFFERSON	USA	Extramural Research Programs in the Neurosciences and Neurological Disorders	000	4	12/4/2020	NON-COMPETING CONTINUATION	$0
														Subtotal = $1,349,258

Issue Date FY: 2020 ( Subtotal = $1,573,135 )
2020	2020	UNIVERSITY OF ALABAMA AT BIRMINGHAM	701 S 20TH ST	BIRMINGHAM	AL	35294	JEFFERSON	USA	Extramural Research Programs in the Neurosciences and Neurological Disorders	003	4	8/25/2020	NON-COMPETING CONTINUATION	$0
2020	2020	UNIVERSITY OF ALABAMA AT BIRMINGHAM	701 S 20TH ST	BIRMINGHAM	AL	35294	JEFFERSON	USA	Extramural Research Programs in the Neurosciences and Neurological Disorders	002	4	7/31/2020	NON-COMPETING CONTINUATION	$1,573,135
2020	2019	UNIVERSITY OF ALABAMA AT BIRMINGHAM	701 S 20TH ST	BIRMINGHAM	AL	35294	JEFFERSON	USA	Extramural Research Programs in the Neurosciences and Neurological Disorders	000	3	5/6/2020	NON-COMPETING CONTINUATION	$0
2020	2019	UNIVERSITY OF ALABAMA AT BIRMINGHAM	701 S 20TH ST	BIRMINGHAM	AL	35294	JEFFERSON	USA	Extramural Research Programs in the Neurosciences and Neurological Disorders	001	3	7/22/2020	NON-COMPETING CONTINUATION	$0
														Subtotal = $1,573,135

Issue Date FY: 2019 ( Subtotal = $1,752,624 )
2019	2019	UNIVERSITY OF ALABAMA AT BIRMINGHAM	701 S 20TH ST	BIRMINGHAM	AL	35294	JEFFERSON	USA	Extramural Research Programs in the Neurosciences and Neurological Disorders	000	3	4/26/2019	NON-COMPETING CONTINUATION	$1,752,624
														Subtotal = $1,752,624

Issue Date FY: 2018 ( Subtotal = $1,345,414 )
2018	2018	UNIVERSITY OF ALABAMA AT BIRMINGHAM	701 S 20TH ST	BIRMINGHAM	AL	35294	JEFFERSON	USA	Extramural Research Programs in the Neurosciences and Neurological Disorders	002	2	7/20/2018	NON-COMPETING CONTINUATION	$134,542
2018	2018	UNIVERSITY OF ALABAMA AT BIRMINGHAM	701 S 20TH ST	BIRMINGHAM	AL	35294	JEFFERSON	USA	Extramural Research Programs in the Neurosciences and Neurological Disorders	001	2	4/3/2018	NON-COMPETING CONTINUATION	$1,210,872
2018	2016	UNIVERSITY OF ALABAMA AT BIRMINGHAM	701 S 20TH ST	BIRMINGHAM	AL	35294	JEFFERSON	USA	Extramural Research Programs in the Neurosciences and Neurological Disorders	000	1	3/29/2018	NEW	$0
														Subtotal = $1,345,414

Issue Date FY: 2017 ( Subtotal = $0 )
2017	2016	UNIVERSITY OF ALABAMA AT BIRMINGHAM	701 S 20TH ST	BIRMINGHAM	AL	35294	JEFFERSON	USA	Extramural Research Programs in the Neurosciences and Neurological Disorders	000	1	3/29/2017	NEW	$0
														Subtotal = $0

Issue Date FY: 2016 ( Subtotal = $1,328,639 )
2016	2016	UNIVERSITY OF ALABAMA AT BIRMINGHAM	1530 3rd Avenue South, AB 1170	BIRMINGHAM	AL	35294	JEFFERSON	USA	Extramural Research Programs in the Neurosciences and Neurological Disorders	000	1	9/24/2016	NEW	$1,328,639
														Subtotal = $1,328,639

Grand Total All Awards = $7,300,175

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Noninvasive Biomarkers to Advance Emerging DBS Electrode Technologies in Parkinson's Disease

Award Number: UH3NS100553

ORGANIZATION: NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE

OPDIV: NIH

AWARD CLASS: COOPERATIVE AGREEMENT

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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