UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000033606
Receipt number R000038125
Scientific Title A prospective cohort study of epileptic seizures in patients with focal cortical dysplasia type II
Date of disclosure of the study information 2018/09/01
Last modified on 2022/08/05 09:54:37

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Basic information

Public title

A prospective cohort study of epileptic seizures in patients with focal cortical dysplasia type II

Acronym

A prospective cohort study of epileptic seizures in patients with focal cortical dysplasia type II(RES-FCD)

Scientific Title

A prospective cohort study of epileptic seizures in patients with focal cortical dysplasia type II

Scientific Title:Acronym

A prospective cohort study of epileptic seizures in patients with focal cortical dysplasia type II(RES-FCD)

Region

Japan


Condition

Condition

Epilepsy with focal cortical dysplasia type II

Classification by specialty

Neurology Pediatrics Psychiatry
Neurosurgery

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To understand the change in frequency of epileptic seizures

Basic objectives2

Others

Basic objectives -Others

Performed as an external control group of investigator-initiated clinical trials to assess the efficacy and safety of sirolimus in epilepsy patients with focal cortical dysplasia type II

Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

Reduction rate from the baseline of the frequency of partial seizures (including secondarily generalized seizures) per 28 days after 6 months

Key secondary outcomes

-Change from the baseline of the frequency of general seizures per 28 days after 6 months
-Change from the baseline of the frequency of epileptic spasms per 28 days after 6 months
-Change from the baseline of the frequency of status epilepticus per 28 days after 6 months
-Distribution of demographics
-Status of surgical and/or medical treatment


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

6 years-old <=

Age-upper limit

65 years-old >=

Gender

Male and Female

Key inclusion criteria

(1) Those registered in RES-R
(2) Those with lesion diagnosed by neuroimaging or pathology as focal cortical dysplasia type II
(3) Aged 6-65 years at the time of enrollment.
(4) Those with partial seizures (objectively diagnosable simple partial seizures with motor signs, complex partial seizures, and secondarily generalized seizures) based on the International League Against Epilepsy (ILAE) international classification for epileptic seizures in 1981 (appendix 1).
(5) Having been treated for at least 52 weeks with two or more antiepileptic drugs (AEDs) after diagnosis of epilepsy.
(6) Currently on treatment with 1 to 4 AEDs.
(7) Dose and usage of AEDs, or stimulation conditions of vagus nerve stimulation (VNS) are constant for 8 weeks before the start of the baseline observation period.
(8) Having two or more partial seizures (including secondarily generalized seizures) during 28 days of the baseline observation period

Key exclusion criteria

(1) Those scheduled to participate in a single-group, open-label study of sirolimus against FCDII type.
(2) Those having orally ingested sirolimus or everolimus within 52 weeks before the start of the baseline observation period.
(3) In case neither the patient nor the substitute cannot accurately record the number and timing of epileptic seizures.
(4) Those with suspected progressive brain lesion in head computed tomography (CT) or magnetic resonance imaging (MRI).
(5) Those who underwent surgical treatment for epilepsy (focal resection surgery, multiple subpial transection, functional hemispherotomy, corpus callosotomy, VNS implantation, or electrodes implantation) within 28 weeks before the baseline observation period.
(6) Those with a history of suicide attempts.
(7) Those with a history or complication of substance abuse (including alcohol abuse).
(8) Those who underwent surgical operation (surgery requiring invasion into the body cavity or surgery requiring suture of three or more needles, including biopsy) within 12 weeks before baseline observation period.
(9) Those judged inappropriate as a subject of this study.

Target sample size

60


Research contact person

Name of lead principal investigator

1st name Yushi
Middle name
Last name Inoue

Organization

National Hospital Organization, Shizuoka Institute of Epilepsy and Neurological Disorders

Division name

Invited researcher

Zip code

420-8688

Address

Urushiyama 886, Aoi-ku, Shizuoka 420-8688, Japan

TEL

054-245-5446

Email

contact@res-r.com


Public contact

Name of contact person

1st name Yushi
Middle name
Last name Inoue

Organization

National Hospital Organization, Shizuoka Institute of Epilepsy and Neurological Disorders

Division name

Invited researcher

Zip code

420-8688

Address

Urushiyama 886, Aoi-ku, Shizuoka 420-8688, Japan

TEL

054-245-5446

Homepage URL


Email

contact@res-r.com


Sponsor or person

Institute

Research group on rare epilepsy

Institute

Department

Personal name



Funding Source

Organization

Health and Labor Sciences Research Grants

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

IRB of the NHO Shizuoka Institute of Epilepsy and Neurological Disorders

Address

Urushiyama 886, Aoi-ku, Shizuoka 420-8688, Japan

Tel

054-245-5446

Email

307-sy02@mail.hosp.go.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

東京女子医大病院(東京都)
福岡大学病院(福岡県)
新潟大学脳研究所(新潟県)
北海道大学病院(北海道)
東北大病院(宮城県)
聖マリアンナ医科大学病院(神奈川県)
西新潟中央病院(新潟県)
国立精神・神経医療研究センター(東京都)
大阪大学病院(大阪府)
岡山大学病院(岡山県)
長崎医療センター(長崎県)
京都大学病院(京都府)
自治医科大学病院(栃木県)
愛知医大病院(愛知県)
埼玉県立小児医療センター(埼玉県)
順天堂大学病院(東京都)
久留米大学病院(福岡県)
大阪府立母子保健総合医療センター(大阪府)
NTT東日本関東病院(東京都)
東京都立神経病院(東京都)
県立延岡病院(宮崎県)
東京医科歯科大学医学部附属病院(東京都)
昭和大学病院(東京都)
医療法人社団浅ノ川 浅ノ川総合病院(石川県)
岩手医科大学附属病院(岩手県)
聖マリア病院(福岡県)


Other administrative information

Date of disclosure of the study information

2018 Year 09 Month 01 Day


Related information

URL releasing protocol

doi: 10.1002/acn3.51505

Publication of results

Published


Result

URL related to results and publications

doi: 10.1002/acn3.51505

Number of participants that the trial has enrolled

60

Results

The focal seizure frequency reduced by 0.5%.

Results date posted

2022 Year 08 Month 05 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results

2021 Year 12 Month 28 Day

Baseline Characteristics

Patients with epilepsy due to focal cortical dysplasia type 2 aged 6 years or older

Participant flow

Via Rare Epilepsy Syndrome Registry

Adverse events

None

Outcome measures

Comparison of seizure frequency between baseline and after 6 months

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Main results already published

Date of protocol fixation

2018 Year 07 Month 30 Day

Date of IRB

2018 Year 07 Month 30 Day

Anticipated trial start date

2018 Year 09 Month 01 Day

Last follow-up date

2020 Year 09 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

We conduct a longitudinal observation study of epileptic seizures in FCD cases and make use of it as a sirolimus non-administration group for comparison and verification on the safety and efficacy of the sirolimus to the administration group.


Management information

Registered date

2018 Year 08 Month 02 Day

Last modified on

2022 Year 08 Month 05 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000038125


Research Plan
Registered date File name
2021/08/04 RES-FCD PRT v0.1 final.pdf

Research case data specifications
Registered date File name

Research case data
Registered date File name