Ignite Creation Date:
2024-05-06 @ 11:18 AM
Last Modification Date:
2024-10-26 @ 12:43 PM
Study NCT ID:
NCT03486366
Status:
UNKNOWN
Last Update Posted:
2018-04-03
First Post:
2018-03-26
Brief Title:
Application of Novel Diagnostic and Therapeutical Methods in Epilepsy and Neurodevelopmental Abnormalities in Children
Sponsor:
Medical University of Warsaw
Organization:
Medical University of Warsaw
Study Overview
Official Title:
Application of Novel Diagnostic and Therapeutical Methods in Epilepsy and Neurodevelopmental Abnormalities in Children Based on the Clinical and Cellular Model of the Mammalian Target of Rapamycin - mTOR Dependent Epilepsy
Status:
UNKNOWN
Status Verified Date:
2018-03
Last Known Status:
RECRUITING
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
EPIMARKER
Brief Summary:
Epilepsy affects 1 of the worlds population and 6 million people in Europe The estimated total cost of 20 billion in Europe in 2014 makes epilepsy a significant socioeconomic burden Despite great progress in the management of epilepsy and increasing numbers of antiepileptic drugs 30-40 of epilepsy patients are refractory to all available medications Moreover in childhood epilepsy is a causative factor of psychiatric and behavioral comorbidities including developmental delay and autism spectrum disorder In spite of multiple trials no reliable biomarker of epilepsy development has been identified There are no studies on biomarkers of drug-resistance or epilepsy recurrence after the drug withdrawal EPIMARKER is a first project carried out in humans which is going to examine in prospective way clinical electroencephalographic and molecular biomarkers to produce an integrative tool useful in everyday diagnosis and treatment of epilepsy in children to prevent the development of drug-resistant epilepsy and its behavioral comorbidities as mental retardation and autism The set of molecular biomarkers will be determined by quantitative transcriptomic and proteomic studies and validated in reprogrammed cellular models
Detailed Description:
The clinical part of EPIMARKER is composed of 2 prospective studies WP1 and WP2 of epilepsy progress in Tuberous Sclerosis Complex -TSC children performed in 2 sites Medical University of Warsaw -WUM and Childrens Memoroal Health Institute - IPCZD Poland
WP1 and WP2 are designed to conduct the studies but the resulting data and samples will be analyzed and used in Workpackage 3-12 WP3-12
CLINICAL STUDY in WP1 Inclusion criteria male or female children with a definite diagnosis of TSC Roach 1998 aged up to 4 years diagnosis of epilepsy established on the basis of clinical seizures or epileptiform changes on EEG within 1-7 days prior to baseline written informed consent of caregivers
Study overview Each subject will be followed for 12 month Epilepsy will be tracked with serial video EEG vEEG recordings and clinical investigations performed every 3 months Apart from medical history of the patients data from seizure diary neuroimaging studies and neuropsychological examinations will be collected Blood samples for biomarkers studies will be collected at study entry at the onset of drug- resistant seizures or after 6 months whichever is applicable and at the end of follow-up in all patients participating in the project The data obtained in children responding to standard and with drug- resistant seizures will be compare
Sample size We plan to enroll 60 TSC patients into WP1 of Epimarker in 12 months Based upon our preliminary results and extensive experience with TSC we predict that about 50 of patients will develop drug- resistant seizures while 50 will respond to standard treatment Jozwiak 2011 Study endpoints the primary clinical endpoint of this study is a collection of a set of clinical molecular and EEG source data in all subjects
CLINICAL STUDY in WP2 Inclusion criteria male or female children with a definite diagnosis of TSC Roach criteria Roach 1998 and epilepsy aged up to 16 years seizure free in whom a decision to withdraw antiepileptic drugs was made written informed consent of caregivers
Study overview Each subject will be followed for 12 months Antiepileptic drugs will be withdrawn within 3 months in all subjects starting at study entry Epilepsy will be tracked by means of serial video EEG recordings and clinical investigations performed every 3 months Apart from medical history of the patients data from seizures diary neuroimaging studies and neuropsychological examinations will be collected Patients with recurrent seizures will receive antiepileptic treatment according to current standards Blood samples for biomarkers study will be collected at study entry at the end of drugs withdrawal at the onset recurrent seizures and at the end of follow-up in all patient participating in the project The data obtained in children seizure free at the end of follow-up and patients with recurrent seizures will be compare
Sample size We plan to enroll 60 TSC patients into WP2 of Epimarker in 12 months Based upon our preliminary results and extensive experience with TSC we predict that about 50 of patients will develop recurrent seizures while 50 remain seizure free unpublished data
Study endpoints the primary clinical endpoint of this study is a collection of a set of clinical molecular and EEG source data in all subjects
WP1 and WP2 are designed to conduct the studies but the resulting data and samples will be analyzed and used in Workpackage 3-12 WP3-12
CLINICAL STUDY in WP1 Inclusion criteria male or female children with a definite diagnosis of TSC Roach 1998 aged up to 4 years diagnosis of epilepsy established on the basis of clinical seizures or epileptiform changes on EEG within 1-7 days prior to baseline written informed consent of caregivers
Study overview Each subject will be followed for 12 month Epilepsy will be tracked with serial video EEG vEEG recordings and clinical investigations performed every 3 months Apart from medical history of the patients data from seizure diary neuroimaging studies and neuropsychological examinations will be collected Blood samples for biomarkers studies will be collected at study entry at the onset of drug- resistant seizures or after 6 months whichever is applicable and at the end of follow-up in all patients participating in the project The data obtained in children responding to standard and with drug- resistant seizures will be compare
Sample size We plan to enroll 60 TSC patients into WP1 of Epimarker in 12 months Based upon our preliminary results and extensive experience with TSC we predict that about 50 of patients will develop drug- resistant seizures while 50 will respond to standard treatment Jozwiak 2011 Study endpoints the primary clinical endpoint of this study is a collection of a set of clinical molecular and EEG source data in all subjects
CLINICAL STUDY in WP2 Inclusion criteria male or female children with a definite diagnosis of TSC Roach criteria Roach 1998 and epilepsy aged up to 16 years seizure free in whom a decision to withdraw antiepileptic drugs was made written informed consent of caregivers
Study overview Each subject will be followed for 12 months Antiepileptic drugs will be withdrawn within 3 months in all subjects starting at study entry Epilepsy will be tracked by means of serial video EEG recordings and clinical investigations performed every 3 months Apart from medical history of the patients data from seizures diary neuroimaging studies and neuropsychological examinations will be collected Patients with recurrent seizures will receive antiepileptic treatment according to current standards Blood samples for biomarkers study will be collected at study entry at the end of drugs withdrawal at the onset recurrent seizures and at the end of follow-up in all patient participating in the project The data obtained in children seizure free at the end of follow-up and patients with recurrent seizures will be compare
Sample size We plan to enroll 60 TSC patients into WP2 of Epimarker in 12 months Based upon our preliminary results and extensive experience with TSC we predict that about 50 of patients will develop recurrent seizures while 50 remain seizure free unpublished data
Study endpoints the primary clinical endpoint of this study is a collection of a set of clinical molecular and EEG source data in all subjects
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None