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A Study to Evaluate fMRI of Active DBS Stimulation in Epilepsy

Primary Purpose

Refractory Epilepsy

Status
Withdrawn
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Functional magnetic resonance imaging (fMRI)
Sponsored by
Mayo Clinic
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Refractory Epilepsy focused on measuring Deep Brain Stimulation

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

- Patients who have previously undergone anterior thalamic nucleus deep brain stimulation (DBS) for refractory epilepsy.

Exclusion Criteria:

- Contraindication to MRI; prior brain resective surgery or large area of brain tissue loss (e.g., large area infarction).

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    Anterior Nucleus of the Thalamus (ANT) Deep Brain Stimulation (DBS)

    Arm Description

    Subjects that have undergone DBS placement for treatment of refractory epilepsy will undergo a fMRI scan. During the fMRI, the subject will undergo alternating short periods of their DBS in the "on" and "off" state with high- and low frequency settings to measure the brain activation changes induced by the DBS.

    Outcomes

    Primary Outcome Measures

    Document brain activation networks with ANT stimulation
    Use resting state fMRI to map brain network activation with high and low frequency of ANT stimulation.

    Secondary Outcome Measures

    Full Information

    First Posted
    February 9, 2021
    Last Updated
    October 28, 2022
    Sponsor
    Mayo Clinic
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    1. Study Identification

    Unique Protocol Identification Number
    NCT04753983
    Brief Title
    A Study to Evaluate fMRI of Active DBS Stimulation in Epilepsy
    Official Title
    fMRI of Active DBS Stimulation in Epilepsy
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    October 2022
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    No longer have funding
    Study Start Date
    September 2022 (Anticipated)
    Primary Completion Date
    May 2024 (Anticipated)
    Study Completion Date
    May 2024 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Mayo Clinic

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    Yes
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The purpose of this study is to use functional imaging to study the mechanisms of the anterior nucleus of the thalamus (ANT) deep brain stimulation (DBS).
    Detailed Description
    Researchers are testing how changing the settings on deep brain stimulation device (DBS) can help reduce the number and severity of seizures. Functional imaging will be used to study the mechanisms of ANT DBS to optimize the device settings to improve the degree of seizure reduction.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Refractory Epilepsy
    Keywords
    Deep Brain Stimulation

    7. Study Design

    Primary Purpose
    Basic Science
    Study Phase
    Not Applicable
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    0 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Anterior Nucleus of the Thalamus (ANT) Deep Brain Stimulation (DBS)
    Arm Type
    Experimental
    Arm Description
    Subjects that have undergone DBS placement for treatment of refractory epilepsy will undergo a fMRI scan. During the fMRI, the subject will undergo alternating short periods of their DBS in the "on" and "off" state with high- and low frequency settings to measure the brain activation changes induced by the DBS.
    Intervention Type
    Diagnostic Test
    Intervention Name(s)
    Functional magnetic resonance imaging (fMRI)
    Intervention Description
    Diagnostic imaging measuring the metabolic changes that occur within the brain used for measuring and mapping brain activity
    Primary Outcome Measure Information:
    Title
    Document brain activation networks with ANT stimulation
    Description
    Use resting state fMRI to map brain network activation with high and low frequency of ANT stimulation.
    Time Frame
    Results would be available immediately following processing of the imaging data after each scan

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: - Patients who have previously undergone anterior thalamic nucleus deep brain stimulation (DBS) for refractory epilepsy. Exclusion Criteria: - Contraindication to MRI; prior brain resective surgery or large area of brain tissue loss (e.g., large area infarction).
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Steven A Messina, MD
    Organizational Affiliation
    Mayo Clinic
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Links:
    URL
    https://www.mayo.edu/research/clinical-trials
    Description
    Mayo Clinic Clinical Trials

    Learn more about this trial

    A Study to Evaluate fMRI of Active DBS Stimulation in Epilepsy

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