WVU Rockefeller Neuroscience Institute first in U.S. to use deep brain stimulation to fight opioid addiction

Tuesday, November 5, 2019

Dr. Ali Rezai, executive chair of the WVU Rockefeller Neuroscience Institute, asks questions and receives answers from DBS patient Gerod Buckhalter. The answers guide adjustments to the DBS implant.

The West Virginia University Rockefeller Neuroscience Institute (RNI) and WVU Medicine, today (Nov. 5) announced the launch of a first-in-the-U.S. clinical trial using deep brain stimulation for patients suffering from treatment-resistant opioid use disorder.

Funded through a grant from the National Institute on Drug Abuse, the clinical trial is led by principal investigator Ali Rezai, MD, executive chair of the RNI, and a multidisciplinary team of neurosurgical, psychiatric, neuroscience, and other experts.

The team successfully implanted a Medtronic DBS device in the addiction and reward center of the brain. The trial’s first participant is a 33-year-old man, who has struggled with substance use disorder, specifically excessive opioid and benzodiazepine use, for more than a decade with multiple overdoses and relapses.

West Virginia has the highest age-adjusted rate of drug overdose deaths involving opioids. In 2017, drug overdose deaths involving opioids in West Virginia occurred at a rate of 49.6 deaths per 100,000 persons, according to NIDA. 

“Despite our best efforts using current, evidence-based treatment modalities, there exist a number of patients who simply don’t respond. Some of these patients remain at very high risk for ongoing catastrophic health problems and even death. DBS could prove to be a valuable tool in our fight to keep people alive and well,” James Berry, DO, interim chair of the WVU Department of Behavioral Medicine and Psychiatry and director of Addiction Services at RNI, said.

DBS, or brain pacemaker surgery, involves implantation of tiny electrodes into specific brain areas to regulate the structures involved in addiction and behavioral self-control. This study will also investigate the mechanism of the addiction in the brain. The U.S. Food and Drug Administration has approved DBS for treating patients with Parkinson’s disease, essential tremor, dystonia, epilepsy, and obsessive-compulsive disorder. The RNI team routinely uses DBS to treat patients with these disorders.

About the Rockefeller Neuroscience Institute

We are improving lives by pioneering advances in brain health. With the latest technologies, an ecosystem of partners, and a truly integrated approach, we are making tangible progress in our goal to combat public health challenges ranging from addiction to Alzheimer’s, benefiting people in West Virginia, neighboring states, and beyond. Learn more about the RNI’s first-in-the-world clinical trials and the top caliber experts joining us in our mission.