MRgLITT for mTLE: A PROBE Trial (MINE)
Magnetic Resonance-guided Laser Interstitial Thermal Therapy for Mesial Temporal Lobe Epilepsy: A Prospective, Randomized, Open Blinded, End-point Trial
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
- Compare the clinical prognosis between magnetic resonance-guided laser interstitial thermal therapy (MRgLITT) and traditional open surgery (OS) on patients with mesial temporal lobe epilepsy (mTLE).
- Explore the factors associated with seizure outcomes.
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Kai Zhang, Dr.
- Phone Number: 86 01059975051
- Email: zhangkai62035@sina.com
Study Locations
-
-
Beijing Municipality
-
Beijing, Beijing Municipality, China, 100070
- Recruiting
- Beijing Tiantan Hospital
-
Contact:
- Jiajie Mo, Dr.
- Phone Number: 86 01059975051
- Email: jiajiemo@foxmail.com
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- 18-65 years.
- Drug-resistant mesial temporal lobe epilepsy.
- Seizure frequency ≥ 1 time /month.
- Participants approved.
Exclusion Criteria:
- History of brain surgery.
- Intracranial space occupying lesions.
- Individuals with significant medical comorbidities or conditions that pose an excessive risk for surgery, such as severe cardiovascular disease, respiratory disorders, or uncontrolled systemic infections.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Open Surgery (anterior temporal lobectomy, ATL)
|
Traditional Open Surgery
|
|
Active Comparator: Minimally Invasive Surgery (MRgLITT)
|
MRgLITT employs laser energy delivered through a stereotactically placed laser applicator to precisely ablate the epileptogenic tissue.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Seizure freedom rate
Time Frame: 6-month, 1-year after surgery
|
According to International League Against Epilepsy [ILAE] Outcome Scale
|
6-month, 1-year after surgery
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Seizure frequency
Time Frame: 6-month, 1-year after surgery
|
Times/Months
|
6-month, 1-year after surgery
|
|
Seizure severity
Time Frame: 6-month, 1-year after surgery
|
National Hospital Seizure Severity Scale (NHS3)
|
6-month, 1-year after surgery
|
|
Cognitive function evaluation
Time Frame: 6-month, 1-year after surgery
|
Multiple Ability Self-Report Questionnaire (MASQ)
|
6-month, 1-year after surgery
|
|
Quality of life for epilepsy patients
Time Frame: 6-month, 1-year after surgery
|
EQ-5D-5L
|
6-month, 1-year after surgery
|
|
Adverse events
Time Frame: within 7 days, 6-month, 1-year after surgery
|
percentage
|
within 7 days, 6-month, 1-year after surgery
|
|
Severe adverse events
Time Frame: within 7 days, 6-month, 1-year after surgery
|
percentage
|
within 7 days, 6-month, 1-year after surgery
|
|
Length of hospital stay
Time Frame: after surgery
|
days
|
after surgery
|
|
Rate of antiepileptic drug reduction or withdrawn
Time Frame: 1-year after surgery
|
percentage
|
1-year after surgery
|
|
Rate of reoperations
Time Frame: 1-year after surgery
|
percentage
|
1-year after surgery
|
|
Memory function evaluation
Time Frame: 6-month, 1-year after surgery
|
Multifactorial Memory Questionnaire (MMQ)
|
6-month, 1-year after surgery
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- KY2025-073-02
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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