Sustained Effort Network for Treatment of Status Epilepticus/European Academy of Neurology Registry on Refractory Status Epilepticus (SENSE-II/AROUSE) (SENSEII/AROUSE)

April 20, 2023 updated by: Erasme University Hospital
SENSE-II/AROUSE is a prospective, multicenter registry for patients treated for SE. The primary objective is to document patients and SE characteristics, treatment modalities, EEG features, and outcome of consecutive adults admitted fir SE treatment in each of the participating centers and to identify predictors of outcome and refractoriness.

Study Overview

Status

Recruiting

Conditions

Detailed Description

SENSE-II/AROUSE is a prospective, multicenter, non-randomized, observational registry study of consecutive cases of SE. We aimed to include university hospitals as well as non-university hospitals to enhance generalizability of the findings.

Currently, 13 high-volume medical centers in Belgium, Austria, Germany, United Kingdom, Switzerland, No common management protocol will be imposed on the participating centers. However, most institutions have established a local protocol that is closely related to the most recent guidelines for the management of SE published by the American Epilepsy Society (AES) in 2016.

We will exclude patients with anoxic status epilepticus after cardiac arrest and patients younger than 18 years.

Clinical and EEG Data will be collected prospectively from the admission of the patient to the discharge. Data collection will be performed using Research Electronic Data Capture (REDCap) electronic data capture tools hosted at Erasme Hospital in Brussels, Belgium.

To reach sufficient statistical power for multivariate analysis, a cohort size of 3000 patients is targeted.

The main objective of the study is to document patient characteristics, treatment modalities, EEG features and outcome of adults treated for SE and identify predictors of outcome. The data collected in this study could also identify gaps and opportunities for the management of this medical emergency. Lacking adequate prospective controlled trials, this will help both decision-making in clinical practice and designing future clinical trials.

Moreover, EEG data will help for a better electroencephalographic definition of SE, possible SE, and some boundary conditions, such as ictal-interictal continuum.

Study Type

Observational

Enrollment (Anticipated)

3000

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

Study Locations

      • Linz, Austria
        • Not yet recruiting
        • Kepler University Linz
        • Contact:
        • Principal Investigator:
          • Raimund Helbok, MD, PhD
      • Salzburg, Austria
        • Not yet recruiting
        • Christian Doppler Klinik of Paracelsus Medical University
        • Contact:
        • Contact:
        • Principal Investigator:
          • Markus Leitinger, MD, PhD
        • Principal Investigator:
          • Eugen Trinka, MD, PhD
      • Brussel, Belgium, 1070
        • Recruiting
        • HUB Erasme
        • Contact:
        • Contact:
        • Principal Investigator:
          • Charlotte Damien, MD
        • Principal Investigator:
          • Nicolas Gaspard, MD, PhD
      • Odense, Denmark
        • Recruiting
        • Odense University Hospital & Svenborg Hospital
        • Contact:
        • Principal Investigator:
          • Christop Beier, MD
      • Helsinki, Finland
        • Not yet recruiting
        • Helsinki University Central Hospital
        • Principal Investigator:
          • Daniel Strbian, MD
        • Contact:
        • Contact:
        • Sub-Investigator:
          • Leena Kampii, MD
        • Sub-Investigator:
          • Nina Forss, MS
      • Frankfurt, Germany
        • Not yet recruiting
        • Goethe-Universität Frankfurt am Main
        • Contact:
        • Contact:
        • Principal Investigator:
          • Adam Strzelczyk, MD
        • Sub-Investigator:
          • Felix Rosenow, MD
      • Osnabrück, Germany, D-49078
        • Not yet recruiting
        • Epilepsy Center Münster-Osnabrück, Klinikum Osnabrück
        • Contact:
        • Principal Investigator:
          • Christoph Kellinghaus, MD
      • Oslo, Norway
        • Not yet recruiting
        • Oslo University Hospital
        • Contact:
        • Principal Investigator:
          • Erik Taubøll, MD
      • Basel, Switzerland
        • Not yet recruiting
        • University Hospital Basel
        • Contact:
        • Contact:
        • Principal Investigator:
          • Stephan Rueegg, MD
        • Principal Investigator:
          • Raoul Sutter, MD
      • Geneva, Switzerland
        • Not yet recruiting
        • University Hospital of Geneva
        • Contact:
        • Principal Investigator:
          • Pia De Stefano, MD
      • Birmingham, United Kingdom
        • Not yet recruiting
        • Birmingham University Hospitals NHS Trust
        • Contact:
        • Principal Investigator:
          • Maxwell Damian, MD

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Sampling Method

Probability Sample

Study Population

All patients of and above 18 years admitted for Status Epilepticus management or who develop Status Epilepticus during their hospital stay

Description

Inclusion Criteria:

  • Patients aged 18 years or above
  • Patients admitted for management of Status Epilepticus as their primary diagnosis
  • Patients admitted for another primary diagnosis but identified with Status Epilepticus during their acute hospital stay

Exclusion Criteria:

- Patients with post-cardiac arrest SE

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Modified Rankin Scale
Time Frame: On the date of discharge from hospital or date of death from any cause, assessed up to 24 months
Functional outcome will be assessed by the modified Rankin scale (mRS). mRS is as scale from 0 to 6 : 0 being a patient without symptoms (better outcome) and 6 being a deceased patient (worse outcome).
On the date of discharge from hospital or date of death from any cause, assessed up to 24 months
Refractoriness
Time Frame: From date of study inclusion until the date of discharge from hospital or date of death from any cause, assessed up to 24 months
Refractory Status Epilepticus is defined as Status Epilepticus persisting despite administration of at least two appropriately selected and dosed parenteral medications including a benzodiazepine.
From date of study inclusion until the date of discharge from hospital or date of death from any cause, assessed up to 24 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Modified Rankin Scale
Time Frame: At 30 days after the date of inclusion or SE onset (if still hospitalized)
Functional outcome will be assessed by the modified Rankin scale (mRS). mRS is as scale from 0 to 6 : 0 being a patient without symptoms (better outcome) and 6 being a deceased patient (worse outcome).
At 30 days after the date of inclusion or SE onset (if still hospitalized)
Modified Rankin Scale
Time Frame: At 3 months after the date of discharge from hospital
Functional outcome will be assessed by the modified Rankin scale (mRS). mRS is as scale from 0 to 6 : 0 being a patient without symptoms (better outcome) and 6 being a deceased patient (worse outcome).
At 3 months after the date of discharge from hospital
Super-refractoriness
Time Frame: From date of study inclusion until the date of discharge from hospital or date of death from any cause, assessed up to 24 months
Super-refractory status epilepticus is defined as Status Epilepticus persisting or recurring after 24 hours or more of treatment with continuous intravenous anesthetic drugs or when therapy is tapered after 24 hours of use.
From date of study inclusion until the date of discharge from hospital or date of death from any cause, assessed up to 24 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Principal Investigator: Nicolas Gaspard, MD, PhD, Erasme UH

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

March 1, 2023

Primary Completion (Anticipated)

December 31, 2028

Study Completion (Anticipated)

December 31, 2028

Study Registration Dates

First Submitted

March 23, 2023

First Submitted That Met QC Criteria

April 20, 2023

First Posted (Actual)

May 3, 2023

Study Record Updates

Last Update Posted (Actual)

May 3, 2023

Last Update Submitted That Met QC Criteria

April 20, 2023

Last Verified

March 1, 2023

More Information

Terms related to this study

Other Study ID Numbers

  • P2020/483/B4062020000170

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

YES

IPD Plan Description

All collected IPD will be shared with other researchers. not public upon reasonable request

IPD Sharing Time Frame

Data will be deidentified and collected through RedCap by each local investigator.

IPD will be accessible and shared only with the researchers involved in this registry.

These de-identified data will be available for the duration of the registry and on reasonable request to Nicolas Gaspard after publication of the results.

IPD Sharing Access Criteria

IPD will be accessible only by the researchers involved in the building of this registry.

IPD Sharing Supporting Information Type

  • STUDY_PROTOCOL
  • SAP
  • ICF
  • CSR

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

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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