About this trial
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:
1. 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? 2. 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
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
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
Disqualifiers
Diagnostic of non-epileptic seizures
Active idiopathic generalized epilepsy
Recent status epileptics (<12 months)
Clinically significant or unstable medical condition
Trial design
Parallel
Treatments tested in this trial
Implantable minimaly invasive brain stimulator
DeviceParticipants 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.
Implantable minimaly invasive brain stimulator
DeviceParticipants 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.
Treatment groups
Trial outcomes
Primary outcomes
Percentage reduction in the monthly seizure rate [Effectiveness]
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.
Incidence of Serious Adverse Events [Safety and Tolerability]
* Acute Serious Adverse Event incidence in the study population * Short term chronic Serious Adverse Event incidence in the study population
Secondary outcomes
Seizure Frequency Responder Rate
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
Beck Depression Inventory (BDI-II) accross Arms [Patient Reported Outcome]
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).
Beck Depression Inventory (BDI-II) in the Intervention Group [Patient Reported Outcome]
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).
Quarterly Seizure Frequency Evaluation
Percentage change in the quarterly seizure frequency between baseline and one year after stimulation start
Sponsors and contacts
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