NCT02954107

Brief Summary

This longitudinal study will focus on the cognitive and brain development of children with absence epilepsy. In addition, the investigators aim to identify prognostic factors for cognitive deterioration and/or poor seizure control in these children.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
60

participants targeted

Target at P25-P50 for all trials

Timeline
Completed

Started Sep 2016

Typical duration for all trials

Geographic Reach
1 country

2 active sites

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

September 1, 2016

Completed
25 days until next milestone

First Submitted

Initial submission to the registry

September 26, 2016

Completed
1 month until next milestone

First Posted

Study publicly available on registry

November 3, 2016

Completed
2.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2019

Completed
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2020

Completed
Last Updated

November 19, 2018

Status Verified

November 1, 2018

Enrollment Period

3 years

First QC Date

September 26, 2016

Last Update Submit

November 16, 2018

Conditions

Outcome Measures

Primary Outcomes (3)

  • Change of multimodal MRI parameters on brain connectivity

    Baseline; first year; second year

  • Change of cognition measured by a battery of neuropsychological tests

    Baseline; first year; second year

  • Time in months since start of medication till seizure control is attained, as assessed by anamnesis and a confirmatory routine-EEG.

    Within 2 years

Secondary Outcomes (3)

  • Age in months at which seizures began (age of onset) assessed by interview at the baseline measurment

    Baseline

  • Seizure semiology assessed by anamnesis and video-EEG

    Baseline; first year; second year

  • Epileptiform activity assessed by a 24h-EEG

    Baseline; first year; second year

Study Arms (2)

Absence epilepsy

Children aged 6-12 years of age primarily presenting with episodes of brief loss of consciousness (absences) in an otherwise normal child in the previous 2 years. With an EEG showing 3 Hz (2.5-4.5 Hz) generalized rhythmic spike-and-wave complexes with a discharge duration of at least 3 seconds on a present or former EEG.

Other: MRIOther: 24h-EEG + videoOther: Neuropsychological tests

Controls

Overall healthy children aged 6-12 years of age following a regular school without major problems.

Other: MRIOther: Neuropsychological tests

Interventions

MRIOTHER
Absence epilepsyControls
Absence epilepsy
Absence epilepsyControls

Eligibility Criteria

Age6 Years - 12 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)
Sampling MethodNon-Probability Sample
Study Population

1. Children aged 6-12 years of age primarily presenting with episodes of brief loss of consciousness (absences) in an otherwise normal child in the previous 2 years. With an EEG showing 3 Hz (2.5-4.5 Hz) generalized rhythmic spike-and-wave complexes with a discharge duration of at least 3 seconds on a present or former EEG. 2. Overall healthy children aged 6-12 years of age following a regular school without major problems.

You may qualify if:

  • Primarily presented with daily occurring episodes of brief loss of consciousness (absences) in an otherwise normal child in the previous 2 years.
  • An EEG showing 3 Hz (2.5-4.5 Hz) generalized rhythmic spike-and-wave complexes with a discharge duration of at least 3 seconds on a present or former EEG(58).
  • Early absence epilepsy , defined as a confirmed diagnosis or seizures within 2 years.
  • Aged 6-12 years
  • Permitted accompanying factors:
  • A few generalized tonic-clonic seizures (assessed individually according to International League Against Epilepsy \[ILAE\] statements;
  • Mild myoclonic eye(lid) movements

You may not qualify if:

  • A potential subject (both for the control and patient group) who meets any of the following criteria will be excluded from participation in this study:
  • A diagnosis according to ILAE criteria of the following epilepsy syndromes: Juvenile Absence Epilepsy; Eyelid myoclonia with absences; Dravet syndrome; Epilepsy with myoclonic-atonic seizures; Epilepsy with Myoclonic Absences; Lennox-Gastaut syndrome; Frontal Lobe Epilepsy or other focal epilepsy.
  • A confirmed diagnosis of epilepsy/seizures for more than 2 years (59).
  • Recent hospitalizations in the last months or a history which might limit participation in or completion of the study protocol.
  • Behavioural characteristics which might hamper the gathering of useful MRI data.
  • Intellectual disability or other diseases/causes that may underlie cognitive impairment (i.e. neurodegenerative diseases).
  • History of major head trauma or head/brain surgery.
  • MRI lesions on (previous) structural brain MRI- or CT-scans or symptomatic epilepsies (e.g. epilepsy related to tumours, vascular abnormalities, congenital dysgenesia).
  • Regularly using drugs of abuse (asked during screening session).
  • Parents or participants (aged≥12 years) not willing to provide informed consent.
  • Parents or participants (aged≥12 years) who do not want to get informed whenever structural abnormalities are found during imaging.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Kempenhaeghe

Heeze, Limburg, 5591 VE, Netherlands

RECRUITING

Maastricht University Medical Center

Maastricht, Limburg, 6202 AZ, Netherlands

RECRUITING

MeSH Terms

Conditions

Epilepsy, Absence

Interventions

Videotape RecordingNeuropsychological Tests

Condition Hierarchy (Ancestors)

Epilepsy, GeneralizedEpilepsyBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesEpileptic Syndromes

Intervention Hierarchy (Ancestors)

Tape RecordingAudiovisual AidsEducational TechnologyTechnologyTechnology, Industry, and AgricultureTelevisionPsychological TestsBehavioral Disciplines and Activities

Study Officials

  • Johan SH Vles, MD, PHD

    Maastricht University Medical Center

    STUDY DIRECTOR

Central Study Contacts

Sylvia Klinkenberg, MD, PHD

CONTACT

Study Design

Study Type
observational
Observational Model
CASE CONTROL
Time Perspective
PROSPECTIVE
Target Duration
2 Years
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 26, 2016

First Posted

November 3, 2016

Study Start

September 1, 2016

Primary Completion

September 1, 2019

Study Completion

January 1, 2020

Last Updated

November 19, 2018

Record last verified: 2018-11

Data Sharing

IPD Sharing
Will not share

Locations