About this trial
The goal of this interventional study is to develop a personalized seizure risk forecast tool in people with epilepsy.
The main questions it aims to answer are:
* can we develop a future seizure probabilities tool that is more accurate than chance based on the pattern and frequency of previous generalized tonic-clonic seizure (GTCS) events, as well as changes in physiological and behavioral variables. * does this tool improve the lives of people with epilepsy?
Researchers will compare a group that does not have access to the forecast tool to a group that does and see if it is accurate and if people with it report that it improved their quality of life.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Subjects must be diagnosed with or be at risk of epilepsy
Subjects or their parents or guardians must understand and consent to be in the study;
Subjects or their parents or guardians must be able to read and communicate in English;
Subjects or their parents or guardians must be willing and able to comply with study procedures and duration;
Disqualifiers
Subjects, or their parents or guardians for minor study participants, who do not understand the study and the risks;
Subjects, or their parents or guardians for minor study participants, who are either physically or cognitively incapable of performing study activities (e.g. filling in surveys and daily e-diary);
Subjects who would be placed at undue medical risk associated with any procedure called for in the protocol; or
Subjects that are Empatica employees and actively participated in the development of this protocol or development of the Seizure Wise algorithms.
Trial design
Parallel
Treatments tested in this trial
SeizureWise algorithm
DeviceAn investigational algorithm which enables forecasting of future seizure probabilities based on the pattern and frequency of previous generalized tonic-clonic seizure (GTCS) events, as well as changes in physiological and behavioral variables
Multi-day Visualizations
DeviceMulti-day visualizations of sensor derived data
Treatment groups
Trial outcomes
Primary outcomes
Sensitivity of SeizureWise
Percentage of patients with (1) sensitivity of high-likelihood warnings greater than 60% and (2) superior to a rate-matched forecast (or superior baselining method) at the end of Phase 2.
Secondary outcomes
Change in QoL and psychological health indicators using the Quality of life in epilepsy (QOLIE-10-P)
Changes in QoL and psychological health indicators pre- and post-Phase 3 (cross-arm and intra-arm comparisons. This will be assessed using the QOLIE-10-P and scored according to these guidelines https://www.aan.com/siteassets/home-page/policy-and-guidelines/quality/quality-measures/epilepsy-and-seizures/qolie10p-scoring.pdf
Qualitative assessment of multi-day visualizations
Patient-reported qualitative assessment of multi-day visualizations to the patient during Phase 3 (both arms). This will be assessed using a custom survey and a qualitative analysis of the scores will be performed between start of phase 3 (with no visualizations) and during and at the end of phase 3 when visualizations have been provided to the user.
Stress level with visualizations using the brief epilepsy anxiety survey instrument (brEASI-8)
Quantitative patient report of stress level pre- and post- forecast visualization during Phase 3 in the intervention arm. This will be assessed using brEASI-8 where a lower score indicates a lower stress level.
Modifiable behavior change
Adjustment in modifiable behaviors during Phase 3 based on multi-day visualizations (boths arms) and forecast outputs (intervention arm). This will be assessed using a custom survey and a qualitative analysis will be performed that looks at participants behaviors before and after receiving visualizations and SeizureWise.
Sponsors and contacts
Click on the lead sponsor to view all of their trials.