[Forsøg med enhed, der ikke er godkendt eller godkendt af den amerikanske FDA] (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
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Perry Rice
- Telefonnummer: +49 6221 6559321
- E-mail: p.rice@precisis.de
Undersøgelse Kontakt Backup
- Navn: Aude Yulzari
- Telefonnummer: +49 6221 6559321
- E-mail: a.yulzari@precisis.de
Studiesteder
-
-
New York
-
New York, New York, Forenede Stater, 10032
- Columbia University Irving Medical Center/New York Presbyterian Hospital
-
Kontakt:
- Juan-Luis Alcala-Zemeno, MD
- Telefonnummer: (212)342-8528
- E-mail: ja3908@cumc.columbia.edu
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
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
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Dobbelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: 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-komparator: 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.
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Percentage reduction in the monthly seizure rate [Effectiveness]
Tidsramme: 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]
Tidsramme: From implant to days 28 and 84 post-implant
|
|
From implant to days 28 and 84 post-implant
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Seizure Frequency Responder Rate
Tidsramme: 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]
Tidsramme: 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]
Tidsramme: 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
Tidsramme: Baseline to 18 months
|
Percentage change in the quarterly seizure frequency between baseline and one year after stimulation start
|
Baseline to 18 months
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- CV08-048
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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