A First in hUman Study for Resistant Epilepsy With the Vagus Nerve stimulatiOn Device by syneRgia medicAl (AURORA)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
This is the first clinical investigation with the NAO.VNS SYSTEM from Synergia Medical.
Up to 10 patients with drug resistant epilespy, who are eligible for vagus nerve stimulation, will be included in two sites.
The total duration of the study is expected to be 36 months. Study procedures are composed of (i) baseline, (ii) implantation, (iii) titration and (iv) follow-up until 24 months.
Primary objective is to evaluate safety of the NAO.VNS SYSTEM.
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Catherine Léonard, PhD
- Phone Number: +32 473290006
- Email: catherine.leonard@synergiam.com
Study Contact Backup
- Name: Vincent De Rudder
- Phone Number: +32 493506598
- Email: vincent.derudder@synergiam.com
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Ability to understand the Informed Consent Form (ICF) and the study procedures and provide written consent or, in case of cognitive impairment, be the legal ward of a person who is able and willing to provide written consent.
- Subjects diagnosed with Drug Resistant Epilepsy (DRE) and candidate for VNS treatment
- Ability of subjects or, in the case of cognitive impairment, their caregiver, to accurately count seizures and complete seizure diaries.
- Adult subjects, age ≥ 18.
- Willingness of subjects or, in the case of cognitive impairment, their caregiver, to charge the NAO.VNS system with the Smart Charger on a weekly basis.
- Subjects' willingness to follow the protocol procedures. For example, subject should have a careful seizure diary completion according to standard of care to ensure 8 weeks of data available by time of implant.
- Female subjects of childbearing age using acceptable methods of birth control (abstinence considered acceptable).
Exclusion Criteria:
- Unstable medical condition likely to precipitate seizures and make it difficult to evaluate efficacy.
- Prior cervical vagotomy.
- Progressive neurological disease.
- Pregnancy.
- Significant cardiac or pulmonary disease under treatment.
- History of noncompliance for seizure diary completion.
- Prior implant with vagus nerve stimulation device.
- Current active treatment of epilepsy with cerebellar or thalamic stimulation.
- Prior therapeutic brain surgery for epilepsy within the last 6 months prior to NAO.VNS implantation.
- Receiving or likely to receive short-wave diathermy, microwave diathermy, or therapeutic ultrasound diathermy after implantation.
- Currently receiving another investigational treatment.
- Patient with Vocal Cord Palsy (VCP), including unilateral, whatever the side.
- Diabetic patients and all patients with a known vagal neuropathy.
- Coagulation disorder, wound healing and bleeding disorder or taking anticoagulant medication (oral anticoagulants; antiplatelets (such as aspirin, ticagrelor) are allowed).
- Patient currently participating in another clinical investigation, without explicit consent of the Sponsor (non-interventional registries are allowed).
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- 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: VNS Treatment
Vagus nerve stimulation is started 2-week after the implantation.
|
Vagus nerve stimulation is started 2-week after the implantation
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Treatment emergent adverse events
Time Frame: through 3 months of implantation
|
Incidence rate of NAO.VNS device-related treatment emergent adverse events (TEAE)
|
through 3 months of implantation
|
|
Procedure and/or device related adverse events
Time Frame: through 30 days post implant
|
Incidence of procedure and/or device related adverse events
|
through 30 days post implant
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Device-related treatment emergent adverse events
Time Frame: through 6, 12, 18 & 24 months of implantation
|
Incidence rate of NAO.VNS device-related treatment emergent adverse events
|
through 6, 12, 18 & 24 months of implantation
|
|
Device deficiencies
Time Frame: at 3, 6, 12, 18 and 24 months of implantation
|
Number of physician reported device deficiencies related to NAO.VNS
|
at 3, 6, 12, 18 and 24 months of implantation
|
|
Procedural Success
Time Frame: at implantation surgery
|
Procedural Success defined as successful implantation of the device without the occurrence of procedure related serious adverse events (from incision to closure).
|
at implantation surgery
|
|
Change in seizure frequency
Time Frame: at 3, 6, 12, 18 & 24 months of implantation.
|
Change in seizure frequency, as compared to preoperative baseline
|
at 3, 6, 12, 18 & 24 months of implantation.
|
|
Proportion of responders
Time Frame: at 3, 6, 12, 18 & 24 months of implantation
|
Proportion of patients with at least a 50% reduction in the frequency of seizures, as compared to preoperative baseline
|
at 3, 6, 12, 18 & 24 months of implantation
|
|
Change in seizure severity
Time Frame: at 3, 6, 12, 18 & 24 months of implantation
|
Change in seizure severity, as compared to preoperative baseline, as measured by the "Seizure Severity Questionnaire" (SSQ)
|
at 3, 6, 12, 18 & 24 months of implantation
|
|
Change in quality of life
Time Frame: at 3, 6, 12, 18 & 24 months of implantation
|
Change in quality of life, as compared to preoperative baseline, as measured by the "QUALITY OF LIFE IN EPILEPSY" (QOLIE-31)
|
at 3, 6, 12, 18 & 24 months of implantation
|
|
Changed in mood
Time Frame: at 3, 6, 12, 18 & 24 months of implantation
|
Changed in mood, as compared to preoperative baseline, as measured by the "Beck Depression Inventory" (BDI)
|
at 3, 6, 12, 18 & 24 months of implantation
|
|
Usability
Time Frame: at 3, 6, 12, 18 & 24 months of implantation
|
Usability and workflow assessment evaluated through a practitioner's and patient's questionnaire
|
at 3, 6, 12, 18 & 24 months of implantation
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Exploratory Endpoints
Time Frame: at 3, 6, 12, 18 & 24 months of implantation
|
Number of successfull Laryngeal Muscle-Evoked Potential recordings during follow-up visits recorded by the NAO.VNS clinician programmer.
|
at 3, 6, 12, 18 & 24 months of implantation
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
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
- SYG001
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.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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