UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000044846
Receipt number R000051221
Scientific Title Retrospective exploratory clinical study to identify epileptogenic foci by statistical analysis of electrocorticographic signals during general anesthesia in patients with intractable epilepsy (observational study)
Date of disclosure of the study information 2021/07/13
Last modified on 2022/01/12 11:50:03

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Basic information

Public title

Retrospective exploratory clinical study to identify epileptogenic foci by statistical analysis of electrocorticographic signals during general anesthesia in patients with intractable epilepsy (observational study)

Acronym

Retrospective exploratory clinical study to identify epileptogenic foci by statistical analysis of electrocorticographic signals during general anesthesia in patients with intractable epilepsy (observational study)

Scientific Title

Retrospective exploratory clinical study to identify epileptogenic foci by statistical analysis of electrocorticographic signals during general anesthesia in patients with intractable epilepsy (observational study)

Scientific Title:Acronym

Retrospective exploratory clinical study to identify epileptogenic foci by statistical analysis of electrocorticographic signals during general anesthesia in patients with intractable epilepsy (observational study)

Region

Japan


Condition

Condition

refractory epilepsy

Classification by specialty

Anesthesiology Neurosurgery

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

In this study, we analyze the effect of anesthetic agents on electroencephalography in refractory epilepsy patients equipped with chronic intracranial electrode. Our aim of this study is to examine whether it is possible to identify the epileptogenic foci of the patient using this method. Finally, it is expected that refractory epilepsy patients undergoing focal lobectomy can skip intracranial electrode placement.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

MI value at each anesthesia stage and each intracranial electrode.
The ECoG analysis period was divided into the following five anesthetic stages: [1] baseline wakefulness before the anesthetic induction; [2] first 1/3; [3] middle 1/3; [4] last 1/3 periods between the sevoflurane initiation and its concentration reaching 2.0 MAC; [5] sevoflurane 2.0 MAC maintenance.

Key secondary outcomes

MI value at given anesthesia stage and given intracranial electrode when the epileptigenic region and the non-epileptic region are classified


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


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Patients with refractory epilepsy who are scheduled for focal resection after placement of intracranial electrode
2) Patients with obvious abnormalities in MRI in the area expected to show epileptogenicity
3) Patients with ASA-PS (American association of anesthesia physical status) 1-2
4) Patients in NCNP hospital
5) Patients achieving ILAE class 1 outcome at least six months after surgical resection

Key exclusion criteria

1) Patients who cannot be used sevoflurane
2) Patients who cannot be used propofol
3) The case an anesthetic other than sevoflurane, propofol, remifentanil, rocuronium is used during EEG measurement
4) Patients with ASA-PS3 or higher
5) Patients with epilepsy surgery not intended for radical surgery
6) The case does not agree with the prescribed bank consent
7) Other persons whom representative of this study consider inappropriate
8) Patients achieving ILAE class 2 or higher outcome at least six months after surgical resection

Target sample size

8


Research contact person

Name of lead principal investigator

1st name Keiko
Middle name
Last name Wada

Organization

National Center of Neurology and Psychiatry

Division name

Department of Anesthesiology

Zip code

187-8551

Address

4-1-1, Ogawahigashi-cho, Kodaira-shi, Tokyo, Japan

TEL

042-341-2712

Email

keikotoki@ncnp.go.jp


Public contact

Name of contact person

1st name Keiko
Middle name
Last name Wada

Organization

National Center of Neurology and Psychiatry

Division name

Department of Anesthesiology

Zip code

187-8551

Address

4-1-1, Ogawahigashi-cho, Kodaira-shi, Tokyo, Japan

TEL

042-341-2712

Homepage URL


Email

keikotoki@ncnp.go.jp


Sponsor or person

Institute

National Center of Neurology and Psychiatry

Institute

Department

Personal name



Funding Source

Organization

National Center of Neurology and Psychiatry

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

National Center of Neurology and Psychiatry

Address

4-1-1, Ogawahigashi-cho, Kodaira-shi, Tokyo, Japan

Tel

042-341-2712

Email

rinri-jimu@ncnp.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



Other administrative information

Date of disclosure of the study information

2021 Year 07 Month 13 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications


Number of participants that the trial has enrolled

8

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2021 Year 04 Month 20 Day

Date of IRB

2021 Year 06 Month 30 Day

Anticipated trial start date

2021 Year 07 Month 01 Day

Last follow-up date

2021 Year 11 Month 04 Day

Date of closure to data entry

2021 Year 11 Month 04 Day

Date trial data considered complete

2021 Year 11 Month 04 Day

Date analysis concluded

2021 Year 11 Month 04 Day


Other

Other related information

observational study


Management information

Registered date

2021 Year 07 Month 13 Day

Last modified on

2022 Year 01 Month 12 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000051221


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name