Final Report Summary: Sunnybrook Foundation: Neuromodulation Research Program

Recipient: Sunnybrook Foundation
Project: Neuromodulation Research Program
Province: Ontario
Period: 01 January 2021 – 31 October 2023
Funding: $1.25 million

Overview:

The Sunnybrook Foundation created and launched a comprehensive, leading-edge research program in neuromodulation and post-traumatic stress disorder (PTSD).

Project Goals:

The main goals of this project were to:

  1. establish a comprehensive research program in neuromodulation and post-traumatic stress disorder (PTSD);
  2. create a pipeline of potential therapies for the most severe, treatment-resistant PTSD; and
  3. develop a better understanding of how the condition works in the brain and how best to target its circuitry with neuromodulation.

Project Activities:

To achieve these goals, the project team completed the following activities:

  1. explored the effects of three distinct neuromodulation technologies (Deep Brain Stimulation [DBS], Transcranial Direct-Current Stimulation [tDCS] and Transcranial Magnetic Stimulation [TMS] modalities) on preclinical PTSD models;
  2. tested whether therapeutics delivered with focused ultrasound reduced post-traumatic anxiety and anhenodic behavior; and
  3. studied novel neuromodulation strategies in PTSD models.

Project Results:

  • The first Canadian procedure for DBS in PTSD has been successfully demonstrated and published.
  • Safety and efficacy evidence for DBS has been strong enough to warrant additional hospital support for particular hospital programs.
  • Supplementary therapeutic options are being offered to patients with treatment-resistant depression in special access cases.
  • The goal to establish a pipeline in neuromodulation spanning research to advanced clinical therapeutic options for those with PTSD and psychiatric disorders has been successful.
  • The team’s productivity enabled publication in high impact peer-reviewed journals describing both technical advances in DBS as well as the successful completion of Canadian-first procedures for patients suffering with PTSD and obsessive-compulsive disorder, as well as a global first DBS implantation for treatment of alcohol use disorder.