NCT05380921

Brief Summary

This study will improve access of Veterans with epilepsy living in rural areas to the most important diagnostic procedure for the care of patients with epilepsy: the routine electroencephalogram (EEG). The investigators will test a new method for recording EEG which uses a novel dry electrode system headset that does not require an EEG technologist to operate. The headset integrates the EEG electrodes and amplifier into a compact system which is easily placed on the head. This approach could make it possible for a nurse or nurse assistant with minimal training to record an EEG in a rural community based outpatient clinic (CBOC) as part of an epilepsy telemedicine outreach program along with clinical interviews. The investigators will compare performance of this dry electrode system to standard EEG when it is used by EEG technologists in three VA medical centers. This project has the potential to improve access of Veterans to the EEG procedure and decrease cost to the Veterans Health Care System.

Trial Health

75
On Track

Trial Health Score

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

Enrollment
700

participants targeted

Target at P75+ for not_applicable

Timeline
5mo left

Started Oct 2022

Longer than P75 for not_applicable

Geographic Reach
1 country

3 active sites

Status
enrolling by invitation

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 Progress90%
Oct 2022Sep 2026

First Submitted

Initial submission to the registry

March 16, 2022

Completed
2 months until next milestone

First Posted

Study publicly available on registry

May 19, 2022

Completed
5 months until next milestone

Study Start

First participant enrolled

October 1, 2022

Completed
4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 25, 2026

Expected
5 days until next milestone

Study Completion

Last participant's last visit for all outcomes

September 30, 2026

Last Updated

October 14, 2025

Status Verified

October 1, 2025

Enrollment Period

4 years

First QC Date

March 16, 2022

Last Update Submit

October 8, 2025

Conditions

Keywords

EEGepilepsyelectroencephalographyPoint-of-Care Systems

Outcome Measures

Primary Outcomes (1)

  • Detection of epileptiform activity in EEG.

    Measuring the technical quality of the DES to record ETs versus the SES.

    Through study completion, approximately 4 years.

Secondary Outcomes (1)

  • Procedure Costs of EEG.

    Through study completion, approximately 4 years.

Study Arms (2)

standard EEG

EXPERIMENTAL

all subjects will receive both a standard EEG and a dry electrode EEG

Device: standard EEG

dry electrode EEG

EXPERIMENTAL

all subjects will receive both a standard EEG and a dry electrode EEG

Device: dry electrode EEG

Interventions

all subjects will receive both a standard EEG and a dry electrode EEG

standard EEG

all subjects will receive both a standard EEG and a dry electrode EEG

dry electrode EEG

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Aim 1: subjects with history of an EEG within last five years at VA
  • Aim 2: subjects scheduled for an outpatient EEG

You may not qualify if:

  • weave hairstyles

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (3)

Miami VA Healthcare System, Miami, FL

Miami, Florida, 33125, United States

Location

Ralph H. Johnson VA Medical Center, Charleston, SC

Charleston, South Carolina, 29401-5703, United States

Location

Richmond VA Medical Center, Richmond, VA

Richmond, Virginia, 23249-0001, United States

Location

Related Publications (1)

  • Halford JJ, Campobello G, Brinkmann BH, Stead M, Rampp S, Remi J, Nilsen KB, Dauwels J, Galanti M, Dean BC, Winkler S, Ehrenberg JA, Pfaff J, Sullivan GJ. Letter to the Editor: Announcement of a Call for Proposals for biomedical waveform coding. Clin Neurophysiol. 2024 Sep;165:88-89. doi: 10.1016/j.clinph.2024.06.010. Epub 2024 Jul 2. No abstract available.

MeSH Terms

Conditions

Epilepsy

Condition Hierarchy (Ancestors)

Brain DiseasesCentral Nervous System DiseasesNervous System Diseases

Study Officials

  • Jonathan J Halford, MD

    Ralph H. Johnson VA Medical Center, Charleston, SC

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Masking Details
study investigators will score EEG quality in a blinded fashion.
Purpose
DIAGNOSTIC
Intervention Model
SEQUENTIAL
Model Details: study subjects will receive first a standard EEG study and then after this a dry electrode EEG study (in this sequence) at each study visit.
Sponsor Type
FED
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 16, 2022

First Posted

May 19, 2022

Study Start

October 1, 2022

Primary Completion (Estimated)

September 25, 2026

Study Completion (Estimated)

September 30, 2026

Last Updated

October 14, 2025

Record last verified: 2025-10

Data Sharing

IPD Sharing
Will not share

Locations