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Trial Comparing Different Stimulation Paradigms in Patients Treated With Vagus Nerve Stimulation for Refractory Epilepsy

Primary Purpose

Epilepsy

Status
Completed
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
Vagus nerve stimulation paradigm #1
Vagus nerve stimulation paradigm #2
Vagus nerve stimulation paradigm #3
Sponsored by
University Hospital, Ghent
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Epilepsy

Eligibility Criteria

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

Inclusion Criteria:

  • 16 years or older
  • At least 1 seizure/month with alteration of consciousness
  • Documented seizure diary, at least 3 months prior to implantation (baseline)
  • No change in anti-epileptic drugs 1 month before implantation
  • At least one or more AEDs

Exclusion Criteria:

  • Active cardiac, pulmonary or gastrointestinal disease
  • Vagotomy
  • Concomitant use of an investigational drug
  • Unstable medical condition
  • Unstable psychiatric condition

Sites / Locations

  • Dartmouth Hitchcock Medical Center
  • University Hospital Ghent

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

1

2

3

Arm Description

Vagus nerve stimulation paradigm #1

Vagus nerve stimulation paradigm #2

Vagus nerve stimulation paradigm #3

Outcomes

Primary Outcome Measures

Efficacy of vagus nerve stimulation: responder rates and mean monthly seizure frequency reduction, mean seizure free interval, seizure severity and seizure type

Secondary Outcome Measures

VNS-related side effects
Battery life
Quality of life: changes in QOLIE 89 score
Mood assessment: changes in Beck depression scale scores

Full Information

First Posted
October 29, 2008
Last Updated
February 14, 2023
Sponsor
University Hospital, Ghent
Collaborators
Research Foundation Flanders
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1. Study Identification

Unique Protocol Identification Number
NCT00782249
Brief Title
Trial Comparing Different Stimulation Paradigms in Patients Treated With Vagus Nerve Stimulation for Refractory Epilepsy
Official Title
Prospective Randomized Trial Comparing Different Stimulation Paradigms in Patients Treated With Vagus Nerve Stimulation for Refractory Epilepsy
Study Type
Interventional

2. Study Status

Record Verification Date
February 2023
Overall Recruitment Status
Completed
Study Start Date
September 28, 2005 (Actual)
Primary Completion Date
May 18, 2009 (Actual)
Study Completion Date
May 18, 2009 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
University Hospital, Ghent
Collaborators
Research Foundation Flanders

4. Oversight

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

5. Study Description

Brief Summary
Patients with refractory epilepsy who are candidates for a treatment with vagus nerve stimulation will be prospectively randomized into 3 arms with different vagus nerve stimulation paradigms. Vagus nerve stimulation parameters are programmed and adjusted during outpatient clinic visits, within the normal clinical practice.

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
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
31 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Arm Description
Vagus nerve stimulation paradigm #1
Arm Title
2
Arm Type
Experimental
Arm Description
Vagus nerve stimulation paradigm #2
Arm Title
3
Arm Type
Experimental
Arm Description
Vagus nerve stimulation paradigm #3
Intervention Type
Procedure
Intervention Name(s)
Vagus nerve stimulation paradigm #1
Intervention Description
Vagus nerve stimulation parameters #1
Intervention Type
Procedure
Intervention Name(s)
Vagus nerve stimulation paradigm #2
Intervention Description
Vagus nerve stimulation parameters #2
Intervention Type
Procedure
Intervention Name(s)
Vagus nerve stimulation paradigm #3
Intervention Description
Vagus nerve stimulation parameters #3
Primary Outcome Measure Information:
Title
Efficacy of vagus nerve stimulation: responder rates and mean monthly seizure frequency reduction, mean seizure free interval, seizure severity and seizure type
Time Frame
After 6 and 12 months
Secondary Outcome Measure Information:
Title
VNS-related side effects
Time Frame
After 6 and 12 months
Title
Battery life
Time Frame
After 6 and 12 months
Title
Quality of life: changes in QOLIE 89 score
Time Frame
After 12 months
Title
Mood assessment: changes in Beck depression scale scores
Time Frame
After 12 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
16 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 16 years or older At least 1 seizure/month with alteration of consciousness Documented seizure diary, at least 3 months prior to implantation (baseline) No change in anti-epileptic drugs 1 month before implantation At least one or more AEDs Exclusion Criteria: Active cardiac, pulmonary or gastrointestinal disease Vagotomy Concomitant use of an investigational drug Unstable medical condition Unstable psychiatric condition
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Paul Boon, MD, PhD
Organizational Affiliation
University Hospital, Ghent
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Vijay Thadani, MD
Organizational Affiliation
Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire
Official's Role
Principal Investigator
Facility Information:
Facility Name
Dartmouth Hitchcock Medical Center
City
Lebanon
State/Province
New Hampshire
Country
United States
Facility Name
University Hospital Ghent
City
Ghent
ZIP/Postal Code
9000
Country
Belgium

12. IPD Sharing Statement

Links:
URL
http://www.uzgent.be
Description
Website of the University Hospital Ghent

Learn more about this trial

Trial Comparing Different Stimulation Paradigms in Patients Treated With Vagus Nerve Stimulation for Refractory Epilepsy

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