Status:

COMPLETED

Transcranial Direct Current Electrical Stimulation (tDCS) in Drug-resistant Epilepsy

Lead Sponsor:

Assistance Publique Hopitaux De Marseille

Conditions:

Epilepsy

Eligibility:

All Genders

12+ years

Phase:

NA

Brief Summary

This project aims to conduct a pilot study based on the targeting of the epileptogenic zone previously localized very precisely by stereoelectroencephalography (SEEG). SEEG is used as part of the pre-...

Eligibility Criteria

Inclusion

  • \- Age: Older than 12 years old
  • Patients with drug-resistant focal epilepsy with no surgical indication or with a previous surgical failure or refusing surgery.
  • SEEG previously performed before inclusion with an adequate definition of the epileptogenic zone
  • A clinical or research MRI scan that is suitable for navigated brain stimulation (NBS) and definition of target area.
  • Number of seizures \>3/month during the baseline (before the first session of tDCS treatment), for at least 3 months
  • Have stable medications for the whole study duration and few weeks before
  • Total IQ\>65
  • Be able to understand, speak and write in French
  • Patient, parents or legally representative who have given written informed consent to allow the study data collection procedures,
  • Be a beneficiary of affiliated to a health insurance plan

Exclusion

  • \- Generalized epilepsy
  • Presenting contraindication to MRI, a serious intercurrent pathology, a progressive brain tumor
  • Skin conditions (e.g., eczema, lesion)
  • Any cranial metal implants (excluding \<1 mm thick epicranial titanium skull plates and dental fillings) or medical devices (i.e. cardiac pacemaker, deep brain stimulator, medication infusion pump, cochlear implant).
  • Previous surgeries opening the skull leaving skull defects capable of allowing the insertion of a cylinder with a radius greater or equal to 5 mm.
  • Metal inside the head (outside the mouth) such as shrapnel, surgical clips
  • Patient currently participating in another clinical trial or having participated in a clinical trial in the month prior to inclusion.
  • Any condition that makes the study subject, in the opinion of the investigator, unsuitable for the study.
  • Person protected by articles L1121-5, L1121-6 and L1121-8 of Public Health Code (pregnant or breastfeeding woman, deprived of liberty by judicial decision, situations of social fragility, adults unable or unable to express their consent).

Key Trial Info

Start Date :

March 15 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

February 21 2024

Estimated Enrollment :

17 Patients enrolled

Trial Details

Trial ID

NCT04782869

Start Date

March 15 2021

End Date

February 21 2024

Last Update

February 26 2024

Active Locations (1)

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1

Service d'Epileptologie et de Rythmologie Cérébrale

Marseille, France, 13005