Transcutaneous Non-invasive Stimulation of the Vagus Nerve for the Treatment of Difficult-to-treat Epilepsy
Transcutaneous Non-invasive Stimulation of the Vagus Nerve for the Treatment of Difficult-to-treat Epilepsy - a Prospective Pilot Study Regarding Safety, Effectiveness and Clinical Performance
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Bavaria
-
Erlangen, Bavaria, Germany, 91054
- Epilepsiezentrum Erlangen
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Written Informed Consent
- Patients of both gender, aged from 18-75 years
- Diagnosis of epilepsy according to the diagnosis criteria of the DSM IV/ ICD 10 (especially G 40.1 /G 40.2/ G 40.3)
- Insufficient response to at least one attempt of treatment in medical history with anticonvulsive medication, dosed sufficiently long and high
- Antiepileptic Drugs (AED) therapy must be stable at a level that promises long-term continuity for at least 10 before study start and has to be continued for at least 3 months during treatment phase
Exclusion Criteria:
- Absence of Informed Consent
- Pregnancy
- Psychiatric diseases, especially post-traumatic stress disorder, obsessive-compulsive disorders, schizophrenia, Borderline personality disorders (BPD), character disorders as well as major depressive disorders, anxiety disorders and eating disorders as comorbidity.
- Abuse of drugs and alcohol until 12 weeks before study start
- Cerebrovascular diseases
- Dementia
- Severe traumatic brain injury in medical history including invasive and non-invasive methods of therapy (tumor surgery, "Gamma Knife Surgery")
- Indications of structural impairment of the basal ganglia or the brain stem
- active implants (e.g. cochlea implants, VNS, pacemaker)
- Severe neurological diseases (e.g. Morbus Parkinson, systemic neurologic diseases
- severe internistic diseases (e.g. arterial hypertension, respiratory failure)
- Bronchial asthma
- malignant diseases of any kind, within five years before study start
- Severe active infectious diseases (e.g. HIV, hepatitis)
- Bone diseases (e.g. Morbus Paget, recent fractures)
- Diseases of the ENT body system: Hearing loss of the left ear which is treated with a hearing instrument, all dermatologic and infectious diseases which affect the area around the pinna and the ear canal, severe malformation of the pinna
- Vagotomy
- Concurrent participation in other studies
- Other circumstances that in the opinion of the investigator might be an obstacle for enrolling the subject
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Assessment of performance
Time Frame: 9 months
|
rated by investigator QOLIE-89 MADRS CCTE |
9 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Patient's subjective assessment of epileptic shocks
Time Frame: 9 months
|
rated by patient.
Subjective assessment of epileptic shocks and cognitive functions.
Measured with "Erlanger Kognitionstest" (EKT)
|
9 months
|
|
Further assessment of performance
Time Frame: 9 months
|
EEG long-term monitoring, MR spectroscopy
|
9 months
|
|
Assessment of Safety
Time Frame: 9 months
|
Registration of (S)AEs and drop outs
|
9 months
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Stefan Herrmann, MD, University of Erlangen-Nürnberg
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- cMPsE01
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