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Impact of SPEAC® System Data on Therapeutic Decisions Related to Convulsive Seizure Patients With a New Diagnosis

Primary Purpose

Epilepsy

Status
Active
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
SPEAC System
Sponsored by
Brain Sentinel
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Epilepsy

Eligibility Criteria

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

Inclusion Criteria:

  1. Subject is a veteran with a reported history of motor seizures (epileptic, non-epileptic or unknown) with upper extremity motor involvement, presenting with questionable spell characterization.
  2. Subjects has failed fewer than 3 anti-epileptic drugs (single or combination).
  3. Male or Female between the ages 22 to 99.
  4. If female and of childbearing potential, subject must agree to not become pregnant during the trial.
  5. Can understand and sign written informed consent or will have a legally authorized representative (LAR) who can do so, prior to the performance of any study assessments.
  6. Subject or Primary Caregiver must be competent to follow all study procedures.
  7. Subject must be willing to use the Seizure Monitoring and Alerting System for a prolonged period of time (up to 120 days), for a minimum of 30 hours/ week.

Exclusion Criteria:

  1. The subject cannot be pregnant, or nursing.
  2. The subject cannot be sensitive or allergic to adhesives or tapes.
  3. The subject may not be enrolled in another Clinical Trial.
  4. The subject is homeless or in a home without a power supply.

Sites / Locations

  • Lexington VA Medical Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

No Intervention

Arm Label

Treatment Group

Standard of Care

Arm Description

SPEAC System

Standard of Care

Outcomes

Primary Outcome Measures

Diagnostic Impact Form Questionnaire
The physician will complete this questionnaire after each 30 days of device use to determine if information acquired will change the physician's assessment of the patient's seizures and their treatment plan.

Secondary Outcome Measures

Personal Impact of Epilepsy Scale (PIES) Survey
The PIES survey creates a composite score that can be used to assess the quality of life of patients with epilepsy, as well as sub-scales for assessing the quality of life in specific areas of life with epilepsy.
VR-12 Survey
This measure has been used in cost-effectiveness analyses and can be used to calculate quality adjusted life years (QALY).
Personal Impact of Epilepsy Scale (PIES) Survey
The PIES survey creates a composite score that can be used to assess the quality of life of patients with epilepsy, as well as sub-scales for assessing the quality of life in specific areas of life with epilepsy.
VR-12 Survey
This measure has been used in cost-effectiveness analyses and can be used to calculate quality adjusted life years (QALY).
VA Administrative Data
VA administrative data will be used to evaluate health outcomes.
VA Administrative Data
VA administrative data will be used to evaluate health outcomes.

Full Information

First Posted
August 2, 2018
Last Updated
July 8, 2019
Sponsor
Brain Sentinel
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1. Study Identification

Unique Protocol Identification Number
NCT03742661
Brief Title
Impact of SPEAC® System Data on Therapeutic Decisions Related to Convulsive Seizure Patients With a New Diagnosis
Official Title
Impact of SPEAC® System Data on Therapeutic Decisions Related to Convulsive Seizure Patients With a New Diagnosis
Study Type
Interventional

2. Study Status

Record Verification Date
July 2019
Overall Recruitment Status
Active, not recruiting
Study Start Date
November 2, 2018 (Actual)
Primary Completion Date
January 2021 (Anticipated)
Study Completion Date
January 2026 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Brain Sentinel

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is an open label, randomized, prospective study of the impact on healthcare utilization of a surface Electromyography (sEMG) based seizure monitoring and alerting system for Veterans with a history of motor seizures (epileptic, non-epileptic or unknown) with upper extremity motor involvement, presenting with questionable spell characterization, taking place in the home setting.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Epilepsy

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
Participating physicians will recruit patients meeting the inclusion and exclusion criteria. Upon completion of screening and enrollment procedures study participants will be randomly assigned to one of two groups using a randomized call-in system: treatment or standard of care. Demographics will be obtained for both groups during this initial clinic visit. The treatment group will be prescribed the Brain Sentinel® SPEAC System for use in the home environment. Study Participants in the standard of care group will be given standard care.
Masking
None (Open Label)
Allocation
Randomized
Enrollment
5 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Treatment Group
Arm Type
Experimental
Arm Description
SPEAC System
Arm Title
Standard of Care
Arm Type
No Intervention
Arm Description
Standard of Care
Intervention Type
Device
Intervention Name(s)
SPEAC System
Other Intervention Name(s)
Brain Sentinel Monitoring and Alerting System
Intervention Description
Surface Electromyography (sEMG) based seizure monitoring and alerting system
Primary Outcome Measure Information:
Title
Diagnostic Impact Form Questionnaire
Description
The physician will complete this questionnaire after each 30 days of device use to determine if information acquired will change the physician's assessment of the patient's seizures and their treatment plan.
Time Frame
Up to 5 months
Secondary Outcome Measure Information:
Title
Personal Impact of Epilepsy Scale (PIES) Survey
Description
The PIES survey creates a composite score that can be used to assess the quality of life of patients with epilepsy, as well as sub-scales for assessing the quality of life in specific areas of life with epilepsy.
Time Frame
1 year
Title
VR-12 Survey
Description
This measure has been used in cost-effectiveness analyses and can be used to calculate quality adjusted life years (QALY).
Time Frame
1 year
Title
Personal Impact of Epilepsy Scale (PIES) Survey
Description
The PIES survey creates a composite score that can be used to assess the quality of life of patients with epilepsy, as well as sub-scales for assessing the quality of life in specific areas of life with epilepsy.
Time Frame
5 years
Title
VR-12 Survey
Description
This measure has been used in cost-effectiveness analyses and can be used to calculate quality adjusted life years (QALY).
Time Frame
5 years
Title
VA Administrative Data
Description
VA administrative data will be used to evaluate health outcomes.
Time Frame
1 year
Title
VA Administrative Data
Description
VA administrative data will be used to evaluate health outcomes.
Time Frame
5 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
22 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject is a veteran with a reported history of motor seizures (epileptic, non-epileptic or unknown) with upper extremity motor involvement, presenting with questionable spell characterization. Subjects has failed fewer than 3 anti-epileptic drugs (single or combination). Male or Female between the ages 22 to 99. If female and of childbearing potential, subject must agree to not become pregnant during the trial. Can understand and sign written informed consent or will have a legally authorized representative (LAR) who can do so, prior to the performance of any study assessments. Subject or Primary Caregiver must be competent to follow all study procedures. Subject must be willing to use the Seizure Monitoring and Alerting System for a prolonged period of time (up to 120 days), for a minimum of 30 hours/ week. Exclusion Criteria: The subject cannot be pregnant, or nursing. The subject cannot be sensitive or allergic to adhesives or tapes. The subject may not be enrolled in another Clinical Trial. The subject is homeless or in a home without a power supply.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bashir Shihabuddin, MD
Organizational Affiliation
Central Arkansas VA Medical Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Lexington VA Medical Center
City
Lexington
State/Province
Kentucky
ZIP/Postal Code
40502
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Impact of SPEAC® System Data on Therapeutic Decisions Related to Convulsive Seizure Patients With a New Diagnosis

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