Obsessive Compulsive Disorder Clinical Trial
Official title:
Reclaim® Deep Brain Stimulation Therapy for Obsessive-Compulsive Disorder: Post-Market Clinical Follow-up Study (OCD PMCF)
The purpose of the study is to monitor the safety and performance of Reclaim® Deep Brain Stimulation (DBS) Therapy in patients with chronic, severe, treatment-resistant Obsessive Compulsive Disorder.
OCD is an anxiety disorder characterized by intrusive thoughts or images (obsessions), which
increase anxiety, commonly accompanied by repetitive or ritualistic actions (compulsions),
which decrease anxiety. The most frequent symptoms are contamination concerns with consequent
washing or concerns about harm to self or others with consequent checking.
Although many OCD patients benefit from pharmacotherapy or CBT, between 7% and 10% of OCD
patients fail to benefit from these standard treatments and may be considered
treatment-resistant with a chronic deteriorating course. The most severely afflicted and
disabled of these patients may be indicated for neurosurgical treatments, often considered as
a therapy of last resort.
Neurosurgical procedures currently used in the treatment of severe, treatment-resistant OCD
include anterior cingulotomy, subcaudate tractotomy, limbic leucotomy (which is a combination
of the first two procedures) and anterior capsulotomy. The commonality between the different
neurosurgical procedures is the irreversible lesioning of bilateral neuroanatomical
structures and/or interconnecting pathways that are believed to be involved in the control of
affect and limbic function.
An alternative neurosurgical treatment option to the standard lesioning procedures is
Reclaim® Deep Brain Stimulation (DBS) Therapy for OCD, which received CE mark in July 2009.
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