Temporal Interference for Drug Resistant Epilepsy (TIE)
Noninvasive Temporal Interference Stimulation for the Treatment of Drug Resistant Epilepsy
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Temporal Interference (TI) technology is a novel non-invasive method for deep brain stimulation (DBS). By generating an overlapping electric field from safe currents, TI creates focused stimulation in targeted deep brain areas. This approach allows for the exploration of deep brain nuclei functions and has the potential to serve as a non-invasive alternative to traditional invasive DBS for clinical treatments.
This study aims to investigate the treatment efficacy of TI deep brain stimulation by including drug-resistant patients aged 6-60. During and after TI stimulation, clinical and electrophysiology data will be recorded. Clinical, imaging and electrophysiology data will be analyzed and processed to advance the treatment of drug-resistant epilepsy.
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Liankun Ren, MD
- Phone Number: +86 13681576621
- Email: renlk2022@outlook.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:
- Liankun Ren, MD
- Phone Number: +86 13681576621
- Email: renlk2022@outlook.com
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Participants are between the ages of 6 -60 years of age.
- Patients must be clinically evaluated as having drug resistant epilepsy.
- Persistence of disabling seizures at least 2 times per months or greater.
- Informed consent signed.
Exclusion Criteria:
- Psychogenic non-epileptic seizures within 12 months;
- Presence of implanted electrical stimulation medical device anywhere in the body (e.g., pacemaker, spinal cord stimulator, responsive neurostimulation) or any metallic implants in the head (e.g., aneurysm clips, cochlear implants). Note: Vagal nerve stimulators are allowed if the parameter remains stable for at least 3 months prior to the screening visit;
- Risk factors that would put the participant at risk for intraoperative or postoperative bleeding. (e.g., coagulation abnormalities, etc.) or the need for chronic anticoagulation or antiplatelet aggregation medications; IQ < 55 or severe cognitive dysfunction, unable to complete the study; Diagnosed with a progressive neurological disorder (including progressive Rasmussen's encephalitis, etc.);
- Diagnosed with a severe neuropsychiatric disorder such as dementia, major depression (admission to a psychiatric specialty/hospital within 5 years or any suicidal or self-injurious tendencies), schizophrenia, or neurodegenerative disorders;
- Diagnosed with other serious physical disorders, internal diseases or severe abnormalities in liver or kidney function; Pregnant, or planning to pregnant within 2 years; Participation in another clinical study within 3 months; Not suitable for enrollment as assessed by the multidisciplinary team of the center.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- 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 |
|---|---|
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Experimental: Temporal Interference
The investigators perform temporal interference (TI) stimulation to patients with drug-resistant epilepsy.
They observe clinical manifestations before, during, and after stimulation to investigate the efficiency of TI.
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Researchers apply temporal interference (TI) stimulation to the deep brain nuclei of drug resistant epilepsy patients.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Seizure Frequency (SF28)
Time Frame: Up to 1 year after TI stimulation
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Seizure frequency (SF28) is defined as seizure count per month (28-day) period. The SF28 is calculated as follows, where D=total number of days for which seizure information is collected for the specific 28-day interval: SF28=(Total number of seizures in D days/D)*28. In addition, the baseline seizure frequency is defined as mean of 3- month SF28 in the baseline period. The seizure frequency in double-blind phase is defined as SF28 per month during the double-blind period. Percent change in seizure frequency=100*(double-blind SF28-baseline SF28)/baseline SF28. |
Up to 1 year after TI stimulation
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Seizure Responder Rate
Time Frame: Up to 1 year after TI stimulation
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The proportion of patients with a ≥ 50% reduction from Baseline in seizure frequency.
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Up to 1 year after TI stimulation
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Life quality evaluation
Time Frame: Up to 1 year after TI stimulation
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Percentage change from baseline in Quality of Life in Epilepsy-31 inventory (QOLIE-31) score.
The minimum and maximum values, and whether higher scores mean a better or worse outcome.
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Up to 1 year after TI stimulation
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Cognitive function evaluation (MMSE)
Time Frame: Up to 1 year after TI stimulation
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Percentage change from baseline in Mini-Mental State Examination (MMSE) score.
The MMSE score ranges from 0 to 30, with higher scores representing better cognitive function and lower scores indicating greater cognitive impairment.
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Up to 1 year after TI stimulation
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Cognitive function evaluation (MoCA)
Time Frame: Up to 1 year after TI stimulation
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Percentage change from baseline in Montreal Cognitive Assessment (MoCA) score.
The MoCA score ranges from 0 to 30, with higher scores indicating better cognitive function and lower scores suggesting greater cognitive impairment.
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Up to 1 year after TI stimulation
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Adverse Events
Time Frame: Up to 1 year after TI stimulation
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Rate of adverse events which were judged to be study-related throughout the study.
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Up to 1 year after TI stimulation
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Incidence of Sudden Unexpected Death in Epilepsy (SUDEP)
Time Frame: Up to 1 year after TI stimulation
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The number presented is for Definite and Probable SUDEP.
The rate is calculated per 1000 subject years of follow-up.
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Up to 1 year after TI stimulation
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Liankun Ren, MD, Xuanwu Hospital, Beijing
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
Other Study ID Numbers
Other Study ID Numbers
- 2024-316-002
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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