Multi-level Approach of Brain Activity Using Intracranial Electrodes in Epileptic Patients (EpiMicro)
The main goal of this project is to study the mechanisms of epileptic activities using intracranial macro and micro electrodes in epileptic patients undergoing pre-surgical investigation.
The recordings will also be used to study physiological mechanisms like sleep and different cognitive functions.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Vincent Navarro
- Phone Number: 01 42 16 19 40
- Email: vincent.navarro@aphp.fr
Study Contact Backup
- Name: Virginie Lambrecq
- Phone Number: 0142161572
- Email: Virginie.lambrecq@aphp.fr
Study Locations
-
-
-
Paris, France, 7501F3
- Recruiting
- Hôpital de la Salpêtrière
-
Contact:
- Vincent NAVARRO, Pr
- Phone Number: 01 42 16 19 40
- Email: vincent.navarro@aphp.fr
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patients with focal drug-resistant epilepsy
- Patients who undergo a presurgical evaluation with intracranial electrodes in the videoEEG unit of the Neurology department at the Pitié-Salpêtrière hospital.
- Patients who have been informed and provided written informed consent to take part in the study
Exclusion Criteria:
- Contraindication for an intracranial investigation (with macro-electrodes) : intercurrent infectious syndrome, decompensated associated pathology (cardiac, pulmonary, renal, hepatic), patient with increased risk of infection (ex: under immunosuppressive therapy)
- Pregnant or parturient woman
- Breastfeeding woman
- Minor person or legally protected adult (tutelage, legal guardianship, maintenance of justice)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Basic Science
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Macro-microelectrode implantation
Implantation of macro-micro electrodes of the Adtech Benkhe-Fried type in epileptic patients who are undergoing evaluation with intracranial EEG electrodes
|
Additionnally to clinical macroelectrodes, Benkhe-Fried depth macro-microelectrodes will be implanted and recorded during the pre-surgical investigation of epileptic patients
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Identification of single unit changes at seizure emergence
Time Frame: Whole duration of the clinical inverstigation, until 4 weeks
|
In order to identify biomarkers of epileptic seizures we will study single neuron activities (firing rate) using spike sorting at different time periods (before, during and after seizures and during interictal periods) We expect to observe significant changes in firing rate across the different time periods. |
Whole duration of the clinical inverstigation, until 4 weeks
|
|
Identification of local field potential (LFP) changes at seizure emergence
Time Frame: Whole duration of the clinical inverstigation, until 4 weeks
|
In order to identify biomarkers of epileptic seizures we will study LFP power using time frequency analysis at different time periods (before, during and after seizures and during interictal periods) We expect to observe significant changes in LFP power across the different time periods. |
Whole duration of the clinical inverstigation, until 4 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Comparison of single unit activity before seizure according to brain localization
Time Frame: Whole duration ofthe clinical inverstigation, until 4 weeks
|
We will compare firing rate before seizure according to brain regions (anatomy and involvement in the seizure onset zone)
|
Whole duration ofthe clinical inverstigation, until 4 weeks
|
|
Identification of single unit changes during physiological brain activity
Time Frame: Whole duration ofthe clinical inverstigation, until 4 weeks
|
We will compare firing rates during resting states and stimulus induced states. We expect to observe significant changes in firing rate between states. |
Whole duration ofthe clinical inverstigation, until 4 weeks
|
|
Identification of LFP power changes during physiological brain activity
Time Frame: Whole duration ofthe clinical inverstigation, until 4 weeks
|
We will compare LFP power during resting states and stimulus induced states. We expect to observe significant changes in LFP power between states. |
Whole duration ofthe clinical inverstigation, until 4 weeks
|
|
Multilevel study of brain activity
Time Frame: Whole duration ofthe clinical inverstigation, until 4 weeks
|
We will look for correlation between firing rates and LFP power changes.
|
Whole duration ofthe clinical inverstigation, until 4 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
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
- C19-55
- 2020-A00445-34 (Registry Identifier: ID RCB)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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