Application of tDCS Stimulation in Controlling Refractory Status Epilepticus (tDCS)
Application of Targeting Transcranial Direct Current Stimulation (tDCS) Stimulation in the Treatment of Refractory Status Epilepticus
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: research centre of Xuanwu hospital Capital Medical University
- Phone Number: 8270 +8601083198899
- Email: liugangqingyi@sina.com
Study Contact Backup
- Name: Jiaqing Tian, Dr
- Phone Number: +8615311415116
- Email: smile21tian@163.com
Study Locations
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Beijing Municipality
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Beijing, Beijing Municipality, China, 100053
- Recruiting
- Xuanwu Hospital, Capital Medical University
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Contact:
- Weibi Chen
- Phone Number: +8615010255903
- Email: chenweibi@126.com
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age between 14 and 80 year-old with Gender unlimited,
- Suitable for EEG monitoring;
- Clinical diagnosis of Refractory status epilepticus (status epilepticus that cannot be controlled by two types of antiepileptic drugs and at least one anesthetic);
- Informed consent to participate in this study was obtained from the participants or their surrogates
Exclusion Criteria:
- Unstable vital signs (systolic blood pressure<90mmHg, heart rate<60 beats/min, pulse oxygen saturation<90%);
- Having severe skull injury/defect or medical equipment implanted in the head;
- Pregnancy;
- With any implantable electronic instrument (including pacemakers, vagus nerve stimulators) or metal implanted devices.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: tDCS treatment group
In the real tDCS stimulation group, direct cathodal current at 2 mA was delivered by a tDCS device over the seizure onset zone.
Anode was on the contralateral forehead.
Treatment was for 20 min, repeated twice in a day, then again over the next few days.
The maximum number of stimuli required to terminate the status epilepticus should not exceed 10.
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In the real-stimulation group, Treatment was for 20 min, repeated twice in a day, then again over the next few days.
The maximum number of stimuli required to terminate the status epilepticus should not exceed 10.
In the sham-stimulation group, The duration and frequency of tDCS are the same as those in the treatment group, but the tDCS device is not active during the 20 minutes of sham-stimulation
|
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Sham Comparator: TDCS sham-stimulation group
The duration and frequency of tDCS treatments in the sham-stimulation group are the same as those in the treatment group, but the tDCS device is not active during the 20 minutes of sham-stimulation.
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TDCS sham-stimulation
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of participants with status epilepticus termination between tDCS treatment group and tDCS sham--stimulation group as assessed by Salzburg Consensus Criteria for Non-Convulsive Status Epilepticus
Time Frame: through study completion, an average of 1 year
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Outcomes will be assessed by clinical observation and EEG evaluation before 10 times of tDCS stimulation between both groups
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through study completion, an average of 1 year
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of participants with treatment-related adverse events between tDCS treatment group and tDCS sham--stimulation group
Time Frame: through study completion, an average of 1 year
|
Treatment-emergent adverse events will be assessed by clinical observation between tDCS treatment group and tDCS sham--stimulation group
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through study completion, an average of 1 year
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Weibi Chen, Dr, Xuanwu Hospital, Beijing
- Principal Investigator: Jiaqing Yan, Dr, College of Electrical and Control Engineering, North China University of Technology
Publications and helpful links
General Publications
- Fisher RS, McGinn RJ, Von Stein EL, Wu TQ, Qing KY, Fogarty A, Razavi B, Venkatasubramanian C. Transcranial direct current stimulation for focal status epilepticus or lateralized periodic discharges in four patients in a critical care setting. Epilepsia. 2023 Apr;64(4):875-887. doi: 10.1111/epi.17514. Epub 2023 Feb 7.
- Rezakhani S, Amiri M, Weckhuysen S, Keliris GA. Therapeutic efficacy of seizure onset zone-targeting high-definition cathodal tDCS in patients with drug-resistant focal epilepsy. Clin Neurophysiol. 2022 Apr;136:219-227. doi: 10.1016/j.clinph.2022.01.130. Epub 2022 Feb 3.
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 (Actual)
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
Additional Relevant MeSH Terms
- Neurologic Manifestations
- Nervous System Diseases
- Seizures
- Pathological Conditions, Signs and Symptoms
- Signs and Symptoms
- Status Epilepticus
- Therapeutics
- Behavioral Disciplines and Activities
- Electric Stimulation Therapy
- Convulsive Therapy
- Psychiatric Somatic Therapies
- Electroshock
- Psychological Techniques
- Transcranial Direct Current Stimulation
Other Study ID Numbers
Other Study ID Numbers
- Z211100002921030
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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