EASEE® System Pivotal Study for the United States of America (EASEE4US)
The goal of this clinical trial is to demonstrate the safety and effectiveness of focal cortex stimulation with the EASEE(R) System in a large cohort of subjects with medically refractory focal epilepsy. The main questions it aims to answer are:
- Is the percentage reduction of monthly seizure rate larger in the Intervention group than in the Control group at the end of the Blinded Phase?
- Is the use of EASEE(R) System safe after up to 28 and up to 84 days?
Participants will be asked to:
- Complete a seizure diary for the duration of the clinical trial
- Attend study visits for 20 months of their clinical trial participation
- Undergo EASEE(R) System implant
- Not be aware if neurostimulation is delivered during the Blinded Phase (6 months)
- Receive neurostimulation for at least 12 months
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: Perry Rice
- Phone Number: +49 6221 6559321
- Email: p.rice@precisis.de
Study Contact Backup
- Name: Aude Yulzari
- Phone Number: +49 6221 6559321
- Email: a.yulzari@precisis.de
Study Locations
-
-
New York
-
New York, New York, United States, 10032
- Columbia University Irving Medical Center/New York Presbyterian Hospital
-
Contact:
- Juan-Luis Alcala-Zemeno, MD
- Phone Number: (212)342-8528
- Email: ja3908@cumc.columbia.edu
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Adult between 18-75 years of age
- Diagnosis of drug-resistant focal epilepsy
- At least four (4) observable seizure manifestations per month
- Stable anti-seizure medication regimen
Exclusion Criteria:
- Diagnostic of non-epileptic seizures
- Active idiopathic generalized epilepsy
- Recent status epileptics (<12 months)
- Clinically significant or unstable medical condition
- Active psychosis, major depression, suicidal ideation (<6 months)
- Pregnancy
- Implanted with brain stimulation device or active Vagus Nerve Stimulation
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 |
|---|---|
|
Experimental: Intervention group
Participants in the Intervention group receive brain neurostimulation.
Participants do not feel if they are stimulated or not.
|
Participants are implanted with an electrode under the skin and above the skull.
The electrode is connected to an implantable pulse generator in the chest area.
The system is intended for focal cortex stimulation to treat medically refractory epilepsy.
The stimulation is activated (turned ON) for 18 months.
Participants are implanted with an electrode under the skin and above the skull.
The electrode is connected to an implantable pulse generator in the chest area.
The system is intended for focal cortex stimulation to treat medically refractory epilepsy.
The stimulation is not activated (turned OFF) for 6 months, than activated (turned ON) for 12 months.
|
|
Sham Comparator: Control group
Participants in the Control group have stimulation parameters turned off.
Participants do not feel if they are stimulated or not.
|
Participants are implanted with an electrode under the skin and above the skull.
The electrode is connected to an implantable pulse generator in the chest area.
The system is intended for focal cortex stimulation to treat medically refractory epilepsy.
The stimulation is activated (turned ON) for 18 months.
Participants are implanted with an electrode under the skin and above the skull.
The electrode is connected to an implantable pulse generator in the chest area.
The system is intended for focal cortex stimulation to treat medically refractory epilepsy.
The stimulation is not activated (turned OFF) for 6 months, than activated (turned ON) for 12 months.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percentage reduction in the monthly seizure rate [Effectiveness]
Time Frame: Baseline and months 5 and 6
|
Percentage reduction in the monthly seizure rate during months 5 and 6 post-randomization compared to 3 months pre-implant baseline in the Intervention group versus the Control group.
|
Baseline and months 5 and 6
|
|
Incidence of Serious Adverse Events [Safety and Tolerability]
Time Frame: From implant to days 28 and 84 post-implant
|
|
From implant to days 28 and 84 post-implant
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Seizure Frequency Responder Rate
Time Frame: from Baseline to 6 months
|
Comparison between study arms of the proportion of patients who reach at least 50 % of monthly seizure frequency reduction between the baseline and the follow-up months 5 and 6
|
from Baseline to 6 months
|
|
Beck Depression Inventory (BDI-II) accross Arms [Patient Reported Outcome]
Time Frame: Baseline to 6 months
|
Comparison of Beck Depression Inventory (BDI-II) changes form baseline to follow-up month 6 between the study arms.
BDI-II scores from 0 (no or minimal depression) to 63 (severe depression).
|
Baseline to 6 months
|
|
Beck Depression Inventory (BDI-II) in the Intervention Group [Patient Reported Outcome]
Time Frame: Baseline to 6 months
|
Evaluation of Beck Depression Inventory (BDI-II) changes form baseline to follow-up month 6 between in the Intervention group.
BDI-II scores between 0 (no or minimal depression) to 63 (severe depression).
|
Baseline to 6 months
|
|
Quarterly Seizure Frequency Evaluation
Time Frame: Baseline to 18 months
|
Percentage change in the quarterly seizure frequency between baseline and one year after stimulation start
|
Baseline to 18 months
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Estimated)
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
- CV08-048
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
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.